The making of careers, the making of a discipline: Luck and chance in migrant careers in geriatric medicine

The geriatric specialty, unpopular among most UK born and trained medical graduates, provided an opportunity for career development and achievement for those doctors whose training had been non-standard for a variety of reasons. Migrant doctors who have played a substantive role in the UK National Health Service since its inception made an important contribution to the building of that specialty, at the same time building their own careers. This paper draws on oral history interviews with the UK trained pioneers of geriatric medicine and with South Asian overseas trained doctors who entered the geriatric specialty in the middle decades of the twentieth century. It critically reviews the literature of skilled migration, specifically in terms of ‘brain drain’ and ‘push–pull’, focusing on historical and socio-cognitive communities and emphasizes the contribution of individual narratives of career development in the lives of migrants. Focusing on the use of luck and chance in accounts it suggests that although such terms are indicative of chance upon opportunity, they also suggest a role for agency in career development in contexts which were not auspicious. The outcome, for those interviewed, was regarded positively in career terms, but also had a significant part to play in the development of the career of the specialty of geriatric medicine and in the lives of the marginalized people for whom they developed a service.     

Personality,age, and fluid intelligence

A total of 383 participants (aged 19 to 66 years) completed the Raven's Progressive Matrices, the Myers‐Briggs Type Indicator (MBTI), the Fundamental Interpersonal Relations Orientation‐Behavior (FIRO‐B), and the California Psychological Inventory‐434 (CPI‐434). Results showed that IQ was positively correlated with perceiving (MBTI), control (FIRO‐B), intellectual efficiency (CPI‐434), achievement via independence (CPI‐434), and negatively correlated with sensing (MBTI), internality (CPI‐434) and norm‐favouring (CPI‐434), supporting the majority of the hypotheses. Participants' age was correlated with many measures, particularly intelligence and accounted for a third of the variance in IQ scores. Limitations are considered.     

Positive overgeneralization and Behavioral Approach System (BAS) sensitivity interact to predict prospective increases in hypomanic symptoms: a behavioral high-risk design

Recent work has identified Behavioral Approach System (BAS) sensitivity as a risk factor for the first onset and recurrence of mood episodes in bipolar disorder, but little work has evaluated risk factors for the prospective development of hypomanic symptoms in individuals at risk for, but without a history of, bipolar disorder. The present study used a prospective behavioral high-risk design to evaluate the impact of positive overgeneralization, a cognitive correlate of risk for hypomania, on hypomanic symptoms in individuals with high vs. moderate BAS sensitivity, but without a history of mood elevation. Hierarchical linear regressions indicated that upward positive overgeneralization and BAS sensitivity interacted to predict increased levels of hypomanic symptoms at follow-up, controlling for initial hypomanic symptoms. The pattern of this interaction was such that positive overgeneralization predicted higher levels of hypomanic symptoms among high-BAS, but not moderate-BAS, individuals. Thus, the self-reported tendency to experience grandiose increases in confidence following success may confer additional risk for mood elevation among individuals already at risk for developing bipolar disorder. Potential implications for prevention and treatment are discussed.     

Evaluative conditioning may occur with and without contingency awareness

Evaluative conditioning (EC) is considered to play an important role in the attitude formation. One of the ongoing debates in this field concerns the impact of contingency awareness (i.e., awareness of the contingent relationship between conditioned and unconditioned stimulus, CS–US) on the EC occurrence. Despite the claims that EC does not require awareness of CS–US contingencies, the recent studies have claimed just the opposite. However, a number of methodological issues can be raised to undermine those claims. In two experiments, we tried to eliminate potential faults and sought to learn whether EC occurs with or without contingency awareness of either US identity or US valence. We report significant EC effects both with and without contingency awareness. These results provide support for the claim that the EC effects might be produced by independent mechanisms linked to awareness. We also argue that those mechanisms are differently captured by available measures of EC.     

Perceived Racism and Encouragement Among African American Adults

The effects of spirituality, racial socialization, and ethnic pride on encouragement in the face of racism among African American adults (N= 201) were investigated. The negative relationship between perceived racism and encouragement disappeared when spirituality, ethnic pride, and a racial socialization history were entered into the regression equation. Se investigaron los efectos de la espiritualidad, la socialización racial y el orgullo étnico sobre el ánimo para enfrentarse al racismo entre adultos Afroamericanos (N = 201). La relación negativa entre el racismo percibido y el ánimo desapareció cuando se introdujeron en la ecuación regresiva la espiritualidad, el orgullo étnico y una historia de socialización racial.     

False Memory Is in the Details: Photographic Details Differentially Predict Memory Formation

Although false memory formation is a well‐documented phenomenon, the strength and rates of false memory formation vary across studies. Research indicates that the types of details provided in suggestions differentially influence memory formation, with some details enhancing and others impeding memories. This study explored the facilitation of false memories using doctored photographs, by manipulating the presence of salient familiar and unfamiliar details within photographs. Over three interviews, 82 participants viewed four photographs allegedly provided by parents. One was a doctored photograph depicting a hot‐air balloon ride, in which the presence of salient self‐relevant and unfamiliar details was varied. Participants rated the strength of their memory and associated memory characteristics for the events. Including self‐relevant details without unfamiliar details resulted in the highest memory ratings and greater increases in memory characteristic ratings. Memories were weakest when both details were provided. The theoretical implications of the findings are discussed. Copyright © 2011 John Wiley & Sons, Ltd.     

Systematic Review and Quality Appraisal of Practice Guidelines for Self‐Harm in Children and Adolescents

This study aimed to systematically identify and appraise clinical practice guidelines (CPGs) relating to the assessment and management of suicide risk and self‐harm in children and adolescents. Our research question is as follows: For young people (under 18 years old) presenting to clinical care with suicide ideation or a history of self‐harm, what is the quality of up‐to‐date CPGs? Using the PRISMA format, we systematically identified CPGs meeting our inclusion and exclusion criteria. Subsequently, two independent raters conducted appraisals of the eligible CPGs using the Appraisal of Guidelines for Research and Evaluation II instrument. CPGs were then classified as “poor quality,” “minimum quality,” and “high quality” using operationally defined criteria developed a priori. We identified 10 eligible CPGs published or renewed between 2005 and May 2017. Only the long‐term management of self‐harm CPGs produced by the National Institute for Health and Care Excellence met “high‐quality” criteria. Despite multiple options of CPGs published to choose from, only one was identified as “high quality,” where bias is adequately minimized. Clinicians are advised to direct resources to implementing the “high‐quality” CPG.     

Prisoners on the Fireline: The Application of Ethical Principles and Guidelines to Prison Fire Camps

Our society gives certain rights and protections to those who are punished and incarcerated, deeming them a vulnerable group in need of additional protections because they are under state control. Despite these protections, prisoners are still susceptible to mistreatment and abuse. This paper delves into one area in which prisoners are particularly vulnerable—the use of prison labor to fight wildfires in the western United States. In this paper, I first broadly discuss prison labor, before going into the current ethical principles and guidelines in the field of corrections that address the treatment of prisoners and prison labor. I argue that these principles and guidelines should be augmented to help those in corrections to make decisions about what is ethical; suggesting that how researchers evaluate proposed research projects could serve as a model for decision-making. I then introduce prison fire camps, considering whether they are ethical by research ethics principles, and suggesting how they can be changed to better reflect the values professed by our society.     

Positive emotion and health: going beyond the negative.

This study examined the relationships between positive emotions and health. Two positive emotions were considered, hope and curiosity, in conjunction with 3 physician-diagnosed disease outcomes: hypertension, diabetes mellitus, and respiratory tract infections. Medical data were abstracted over a 2-year period from 1,041 patient records from a multispecialty medical practice, and emotions were assessed through a mailed questionnaire. Across 3 disease outcomes, higher levels of hope were associated with a decreased likelihood of having or developing a disease. Higher levels of curiosity were also associated with decreased likelihood of hypertension and diabetes mellitus. Results suggest that positive emotion may play a protective role in the development of disease.