Nonchildhood Sexual Abuse in Mexican American and Mexican College Students

This study aimed to assess and compare sexual abuse (SA) rates in female and male Mexican American college students (N = 514) and 2 samples of Mexican college students (N = 161 and N = 227). Participants responded to the Sexual Experiences Survey Victim Form (SES-SFV). SA prevalence and frequency rates were compared between sample groups for 3 categories of SA: nonchildhood SA (SA-NC, experienced since age 14), SA experienced in the previous 12 months (SA-12M), and lifetime self-labeled SA (SA-LL, any experience identified as abuse or rape by participants). Higher rates of self-reported SA were consistently found for Mexican versus U.S. samples. However, SA incidence was also consistently higher in older individuals and females; more recently experienced SA was reported at lower rates and with greater gender congruence than more distal SA; and variation between Mexican samples was roughly equal to variation between Mexican and U.S. samples. Findings show cross-national variation in SA rates.     

How Risk is Perceived, Constructed and Interpreted by Clients in Clinical Genetics, and the Effects on Decision Making: Systematic Review

As an individual’s understanding of their genetic risk may influence risk management decisions, it is important to understand the ways in which risk is constructed and interpreted. We systematically reviewed the literature, undertaking a narrative synthesis of 59 studies presenting data on the ways in which individuals perceive, construct and interpret their risk, and the subsequent effects. While most studies assessed perceived risk quantitatively, the combined evidence suggests individuals find risk difficult to accurately quantify, with a tendency to overestimate. Rather than being a stand-alone concept, risk is something lived and experienced and the process of constructing risk is complex and influenced by many factors. While evidence of the effects of perceived risk is limited and inconsistent, there is some evidence to suggest high risk estimations may adversely affect health and lead to inappropriate uptake of medical surveillance and preventative measures by some individuals. A more focused approach to research is needed with greater exploration of the ways in which risk is constructed, along with the development of stronger theoretical models, to facilitate effective and patient-centered counseling strategies.     

Description of Exemplar Cases in the Intensive Mental Health Program: Illustrations of Application of the Therapeutic Model

We describe cases from the clinical records in the Intensive Mental Health Program to illustrate the diverse presenting problems, intervention strategies, therapeutic process, and outcomes for children receiving services in this school-based, community-oriented treatment model. Cases reflect varying degrees of treatment response and potential factors that influence the fluctuating levels of emotional disturbance and impaired functioning in the home, school, and community.     

How do women experience myocardial infarction? A qualitative exploration of illness perceptions, adjustment and coping

While UK Department of Health policy recognizes the importance of secondary prevention and rehabilitation following a cardiac event, there still appears a dearth of research addressing women's needs. This study aimed to explore adjustment in terms of women's perception of their cardiac event, impact on relationships and coping strategies employed. Five women suffering first time MI were interviewed, using a semi-structured format and were telephoned 2 months later. Data were analysed using Interpretative Phenomenological Analysis. Perceptions included: Making Sense of the Event, Cognitive and Emotional Responses and Self-beliefs. Relationships issues were: Others' Reactions and Change in Relationships and Roles. Cognitive and Behavioural strategies and Support from others (including cardiac rehabilitation) formed coping strategies. For most participants, the event was unexpected evoking uncertainty and later, emotions extending beyond the more widely accepted depression and anxiety. Women tended to minimize severity of symptoms and impact of event (perhaps as a way of coping and protecting others), displaying a strong sense of optimism and hope that life would soon return to "normal". However, it appeared this was difficult to maintain and the experience seemed to challenge relationships and roles. The findings suggest recommendations for further research with possible implications for clinical practice.     

The relationship between indecisiveness and eye movement patterns in a decision making informational search task

Indecisiveness is a trait‐related general tendency to experience decision difficulties across a variety of situations, leading to decision delay, worry, and regret. Indecisiveness is proposed (Rassin, 2007) to be associated with an increase in desire for information acquisition and reliance on compensatory strategies—as evidenced by alternative‐based information search—during decision making. However existing studies provide conflicting findings. We conducted an information board study of indecisiveness, using eye tracking methodology, to test the hypotheses that the relationship between indecisiveness and choice strategy depends on being in the early stage of the decision making process, and that it depends on being in the presence of an opportunity to delay choice. We found strong evidence for the first hypothesis in that indecisive individuals changed shift behavior from the first to the second half of the task, consistent with a move from greater to lesser compensatory processing, while the shift behavior of decisive individuals suggested lesser compensatory processing over the whole task. Indecisiveness was also related to time spent viewing attributes of the selected course, and to time spent looking away from decision information. These findings resolve past discrepancies, suggest an interesting account of how the decision process unfolds for indecisive versus decisive individuals, and contribute to a better understanding of this tendency. Copyright © 2009 John Wiley & Sons, Ltd.     

An advocacy intervention program for women with abusive partners: Initial evaluation

Experimentally tested the hypotheses that (1) battered women are in need of numerous community resources upon exit from a domestic violence shelter, (2) working with advocates increases women's effectiveness in obtaining needed resources and social support, and (3) success in obtaining resources and social support increases women's levels of life satisfaction and decreases their risk of further abuse. The initial findings of a short-term intervention project designed to provide postshelter advocacy services to women with abusive partners are presented. One-hundred forty-one battered women were interviewed immediately upon their exit from a domestic violence shelter as well as 10 weeks thereafter. Half the sample was randomly assigned to receive the services of trained advocates who assisted them in accessing needed community resources. Women who worked with advocates reported being more effective in accessing resources and had higher levels of social support and overall quality of life postintervention. Although all women reported some decrease in postshelter abuse, there were no differences between those with and those without advocates, and abuse continued to be a problem for many women.