Self-Stigma in Substance Abuse: Development of a New Measure

Little attention has been paid to the examination and measurement of self-stigma in substance misuse. This paper aims to fill this gap by reporting on the development of a new scale to measure self-stigma experienced by people who are misusing substances, the Substance Abuse Self-Stigma Scale. Content validity and item refinement occurred through an iterative process involving a literature search, focus groups, and expert judges. Psychometric properties were examined in a cross-sectional study of individuals (n?=?352) receiving treatment for substance misuse. Factor analyses resulted in a 40-item measure with self devaluation, fear of enacted stigma, stigma avoidance, and values disengagement subscales. The measure showed a strong factor structure and good reliability and validity overall, though the values disengagement subscale showed a mixed pattern. Results are discussed in terms of their implications for studies of stigma impact and intervention.     

The experience of attending a lay-led,chronic disease self-management programme from the perspective of participants with multiple sclerosis

A lay-led, community-based intervention, the Chronic Disease Self-Management Course (CDSMC) is effective for a range of long-term health conditions (e.g. arthritis, heart disease). However, the perceived value and experience of the CDSMC for people with Multiple Sclerosis (MS) has not been examined. The present qualitative study addressed this omission. Ten participants with MS (7 female; age range 35 to 60 years; disease duration 4 to 19 years) were interviewed before attending the CDSMC and at 4-month follow-up. Data were analysed using Framework Analysis. Some participants learned new self-management techniques and reported enhanced confidence (self-efficacy), whereas other participants were already confident in their self-management ability and found the CDSMC acted as a reminder of techniques previously used. Relaxation, pacing, and goal setting were particularly valuable for managing fatigue. Goal setting helped some participants to build confidence. Participants valued meeting similar others including those with different conditions. The CDSMC was an opportunity for social comparison and inspirational role modelling. Improvements to the CDSMC were suggested, including the addition of specific MS information. Overall, the CDSMC was viewed as a valuable source of new skills and a reminder of previously learned self-management skills, particularly in the context of managing fatigue. Gender differences emerged.     

Volatile Reasons

I argue for the existence of a category of practical reasons which I call ‘Deliberation-Volatile Reasons’ or ‘DVRs’. DVRs have the distinguishing feature that their status as reasons for action is diminished when they are weighed in deliberation by the agent. I argue that DVRs are evidence of ‘deliberative blind spots’. I submit that an agent manifests a peculiar kind of practical irrationality in so far as she endeavours to find a deliberative path to what she has reason to do, when the discovery of such a path renders the destination inaccessible.     

A Response to Patricia A. Williams' “The Fifth R: Jesus as Evolutionary Psychologist”

Panentheism has recently become a widely accepted and appreciated concept among scholars in the science-theology dialogue, and its theological repercussions have been discussed to great extent. Yet, there remains to be studied in more detail the notion of the philosophical foundations of the term. A prominent gap in our understanding of these foundations is the potential similarity between the metaphysics of Hegel and Whitehead, their understanding of the transcendence and immanence of God, and their respective versions of panentheism. In this article, I present a critical reflection on the possible resemblance between process thought and Hegelian metaphysics and philosophy of God. In the last section I refer to those who use panentheism within the science-theology dialogue. I try to specify which of the two versions of panentheism, that of Hegel or Whitehead, is more popular among those scholars.     

MEETING CALENDAR

Abstract

Stress, coping, and appraisal were explored in order to better understand the factors associated with smoking cessation. Employees from 61 worksites received one of three programs which incorporated the use of self-help manuals, incentives, social support groups, and cognitive-behavioral techniques. Results indicated successful quitters perceived less stress in their lives, used more problem-focused coping and less emotion-focused coping, and perceived more control over their stressors than participants who were not able to quit smoking.     

Ethnic Differences in Parents' Attitudes toward Girls' Use of Aggression

Few studies have attempted to explain ethnic differences in female aggression. The degree to which ethnic differences exist in the influence of parents' approval of aggression on their preadolescent daughters' use of physical, verbal, and relational aggression was explored in a sample of 97 parent-child dyads. Results indicate that European American parents were more disapproving of their daughters' aggressive behavior than were African American parents. Parents' attitude toward aggression was predictive of European American girls' use of physical and verbal aggression and African American girls' use of relational aggression. Implications for aggression prevention and intervention for girls are discussed.     

Inhibition of return promotes stop-signal inhibition by delaying responses

Inhibition of return (10R) refers to a mechanism that slows response times (RTs) to detect, localize, or discriminate a target that is presented at a location previously occupied by an irrelevant peripheral cue. Generally, the slowing of RTs is described as a negative effect on responding that is believed to promote searching to new locations. In this report, we consider whether IOR might benefit performance when the goal is to prevent a prepared response. Using the stop-signal paradigm, we show that IOR improved the ability to inhibit a prepared response by delaying responses to the target. Thus, in addition to aiding visual search, IOR may also provide an opportunity for the adjustment of decisions and behaviour in accordance with the demands of a dynamic environment.     

Frontolimbic neural circuitry at 6 months predicts individual differences in joint attention at 9 months

Elucidating the neural basis of joint attention in infancy promises to yield important insights into the development of language and social cognition, and directly informs developmental models of autism. We describe a new method for evaluating responding to joint attention performance in infancy that highlights the 9‐ to 10‐month period as a time interval of maximal individual differences. We then demonstrate that fractional anisotropy in the right uncinate fasciculus, a white matter fiber bundle connecting the amygdala to the ventral‐medial prefrontal cortex and anterior temporal pole, measured in 6‐month‐olds predicts individual differences in responding to joint attention at 9 months of age. The white matter microstructure of the right uncinate was not related to receptive language ability at 9 months. These findings suggest that the development of core nonverbal social communication skills in infancy is largely supported by preceding developments within right lateralized frontotemporal brain systems.     

Coping with major life events: the role of spirituality and self-transformation

The aim of the current study was to explore the process of self-transformation as a result of coping with a major life event, and to address the role, if any, that spirituality plays within the coping and transformational process. Using grounded theory methodology, six participants were interviewed over a period of 6 months. The findings, supportive of previous research, produced a preliminary model illustrating transformation as a gradual process. The core category was identified as “openness,” in that by being open to others or to the “Transcendent,” the participants were able to let go and transform. It was theorized that openness, in this sense, enables acceptance of material deriving from a realm of self beyond the everyday ego. Indeed, such a journey of transformation crucially seems to entail expanding the conception of self beyond customary limits. Understood in this way, transformation may be conceptualized as a process of continual movement into the unconscious, where the totality of the self is awakened, resulting in a reinterpretation of life purpose. The consequences of the transformation for participants were positive in nature. The role that spirituality plays within the coping and transformation process was seen to manifest as being subtle and unfolding and/or supportive.