Building contexts that support effective community responses to HIV/AIDS: a South African case study

In this paper we discuss our conceptualisation of a 'health-enabling social environment', and some of the strategies we are currently using to build social contexts most likely to support effective HIV/AIDS management in southern Africa. In developing these ideas, we draw on our on-going collaboration with residents of Entabeni, a remote rural community in South Africa where 43% of pregnant women are HIV positive. The aim of this collaboration is to facilitate contextual changes that will enable more effective community-led HIV/AIDS management in an isolated area where people have little or no access to formal health or welfare support, and where HIV/AIDS is heavily stigmatised. We give an account of the three phases of collaboration to date. These include research; the dissemination of findings and community consultation about the way forward; preliminary project activities (skills training for volunteer health workers; partnership building and a youth rally) as a way of illustrating what we believe are six key strategies for facilitating the development of 'AIDS-competent' communities: building knowledge and basic skills; creating social spaces for dialogue and critical thinking; promoting a sense of local ownership of the problem and incentives for action; emphasising community strengths and resources; mobilising existing formal and informal local networks; and building partnerships between marginalized communities and more powerful outside actors and agencies, locally, nationally and internationally. We discuss some of the triumphs and trials of this work, concluding with a discussion of the need to set realistic goals when working at the community level in highly conservative patriarchal communities to tackle problems which may be shaped by economic and political processes over which local people have little control.     

Internet-delivered assessment and manipulation of anxiety-linked attentional bias: Validation of a free-access attentional probe software package

It recently has been established within the laboratory that the attentional probe methodology not only can sensitively assess the threat attentional bias associated with anxiety vulnerability, but also can be configured to yield training tasks capable of modifying emotional vulnerability by manipulating such attentional selectivity. In order to appraise and exploit the potential practical applications of such procedures, it is desirable that clinical investigators without specialist equipment should become able to deliver such tasks within field settings. The present research program involved development of a fully customizable attentional probe software package, that delivers assessment and training versions of the probe task across the Internet. Two experimental studies served to validate the assessment and training efficacy of resulting probe task variants, completed remotely by GAD sufferers and nonclinical populations using their own computers. We advise fellow researchers how to freely download this software package for use within their own investigations.     

Ghosts from the past: an examination of romantic relationships and self-discrepancy

Researchers have previously reported a negative association between romantic involvement and the discrepancy between the actual self and the ideal self. The authors present a schema-based model of romantic involvement and self-discrepancy to help explain this association, focusing on the impact of terminated relationships--"ghosts from the past." In Study 1, participants primed with a past relationship reported increased self-discrepancy relative to participants primed with a present relationship. Study 2 indicated that this increased self-discrepancy was the result of reexperiencing emotionally negative past romantic relationships. Study 3 revealed the role of depressive affect in negative past romantic relationships. Finally, Study 4 indicated that depressive affect mediated the relation between reexperiencing negative past romantic relationships and experiencing self-discrepancy.     

Comparing models of helper behavior to actual practice in telephone crisis intervention: a Silent Monitoring Study of Calls to the U.S. 1-800-SUICIDE Network

Models of telephone crisis intervention in suicide prevention and best practices were developed from a literature review and surveys of crisis centers. We monitored 2,611 calls to 14 centers using reliable behavioral ratings to compare actual interventions with the models. Active listening and collaborative problem-solving models describe help provided. Centers vary greatly in the nature of interventions and their quality according to predetermined criteria. Helpers do not systematically assess suicide risk. Some lives may have been saved but occasionally unacceptable responses occur. Recommendations include the need for quality assurance, development of standardized practices and research relating intervention processes to outcomes.     

An Empowerment Evaluation Model for Sexual Assault Programs: Empirical Evidence of Effectiveness

Using an empowerment evaluation approach, the Sexual Assault and Rape Prevention (SARP) Evaluation Project brought together university researchers, public health evaluators, state funders, and program staff to provide evaluation training and consultation to all state-funded rape prevention and victim services programs in Michigan. In this paper, the specific activities of the SARP project are described, and process and outcome data are presented that address the effectiveness of this empowerment evaluation approach. Based on subjective reports from program staff and objective data obtained from state funders, results suggest that this evaluation model was successful in helping 90% of the prevention programs and 75% of the victim services programs successfully develop and launch program evaluations. One-year follow-up data indicate that 90% of the programs had sustained their evaluation efforts after the formal work of the SARP project had ended.     

Memory for thematically arousing events

Many studies have indicated that emotional arousal improves memory for the center, or gist, of an event but undermines memory for the event's periphery. However, all of these studies have elicited emotion by showing participants some salient visual stimulus intended to arouse them (e.g., the sight of a wound). This stimulus may have served as an attention magnet, and this, not the arousal, may have been the cause of the observed narrowing of memory. In this article, we examine how participants remember events that involve thematically induced arousal, arousal produced by empathy, rather than by a visual emotional stimulus. The data show that emotionality improves memory for all aspects of these events, with no memory narrowing.     

Coping sense of humor reduces effects of stereotype threat on women's math performance

Two studies demonstrated that coping sense of humor buffered women against the effects of stereotype threat on math performance. Using a correlational design, Study 1 demonstrated that women low in coping sense of humor assessed their performance on standardized math tests lower than did men and lower than did women high in coping sense of humor. Using an experimental design, Study 2 showed that coping sense of humor was positively related to women's performance on a math test taken under conditions of stereotype threat but not under conditions of no stereotype threat. Mediation analyses suggest that in the stereotype-threat condition, state anxiety mediated the relationship between coping sense of humor and test performance. Women higher in coping sense of humor performed better because they felt less anxiety while taking the test.     

Numerical order and quantity processing in number comparison

We investigated processing of numerical order information and its relation to mechanisms of numerical quantity processing. In two experiments, performance on a quantity-comparison task (e.g. 2 5; which is larger?) was compared with performance on a relative-order judgment task (e.g. 2 5; ascending or descending order?). The comparison task consistently produced the standard distance effect (faster judgments for far relative to close number pairs), but the distance effect was smaller for ascending (e.g. 2 5) compared to descending pairs (e.g. 5 2). The order task produced a pair-order effect (faster judgments for ascending pairs) and a reverse distance effect for consecutive pairs in ascending order. The reverse effect implies an order-specific process, such as serial search or direct recognition of order for successive numbers. Thus, numerical quantity and order judgments recruited different cognitive mechanisms. Nonetheless, the reduced distance effect for ascending pairs in the quantity task implies involvement of order-related processes in magnitude comparison. Accordingly, distance effects in the quantity-comparison task are not necessarily a process-pure measure of magnitude representation.     

Sensation seeking, aggression, and reckless behavior in high school students, college students, and adults

Replicating work of Arnett, males reported more frequent Reckless Behavior than females, and 27 high school and 48 college students did not differ in scores on Sensation Seeking or Aggression. As anticipated by Arnett, the 35 adults had significantly lower Sensation Seeking and Aggression scores than the two younger groups and less Reckless Behavior as well. In contrast to Arnett, Reckless Behavior did not rise for college students, and Sensation Seeking, but not Aggression, correlated with Reckless Behavior in all samples.