Gay Identity and HIV Risk for Black and Latino Men Who Have Sex with Men

Strong gay identity among white men who have sex with men (MSM) has been associated with decreased HIV risk, but data for black and Latino MSM (BLMSM) are inconclusive. We examined gay identity and HIV risk among BLMSM to inform social and structural HIV intervention strategies. BLMSM were administered a computerized survey as part of an HIV research study during 2011–2012 conducted in New York City. We used a brief scale of Gay Identity Questionnaire. After data analysis, Stage I (not fully accepting) and Stage II (fully accepting) gay identity were determined based on participant responses. We used logistic regression to calculate adjusted odds ratios (aOR) and 95% confidence intervals (CI) for the association between gay identity with HIV risk and social determinant factors. Among 111 self-identified BLMSM (median age = 32 years, 68.4% with some college or higher education), 34.2% reported receptive anal sex without condoms in the previous three months. Gay Identity Questionnaire Scale assessment indicated that 22 (19.8%) were Stage I, and 85 (76.6%) were Stage II in this BLMSM sample. Stage II gay identity was more likely seen among BLMSM with high involvement in the gay community (aOR 3.2; CI 1.00, 10.26) and less likely among BLMSM who exchanged sex for food or shelter (aOR 0.15; CI 0.02, 0.98). Fully accepting gay identity may be protective for BLMSM as it relates to transactional sex; these factors warrant further research and consideration as part of HIV prevention strategies.     

Assessing adolescent mindfulness: validation of an adapted Mindful Attention Awareness Scale in adolescent normative and psychiatric populations

Interest in mindfulness-based interventions for children and adolescents is burgeoning, bringing with it the need for validated instruments to assess mindfulness in youths. The present studies were designed to validate among adolescents a measure of mindfulness previously validated for adults (e.g., Brown & Ryan, 2003), which we herein call the Mindful Attention Awareness Scale-Adolescent (MAAS-A). In 2 large samples of healthy 14- to 18-year-olds (N = 595), Study 1 supported a single-factor MAAS-A structure, along with acceptably high internal consistency, test-retest reliability, and both concurrent and incremental validity. In Study 2, with a sample of 102 psychiatric outpatient adolescents age 14-18 years, participants randomized to a mindfulness-based stress reduction intervention showed significant increases in MAAS-A scores from baseline to 3-month follow-up, relative to nonsignificant score changes among treatment-as-usual participants. Increases in MAAS-A scores among mindfulness-based stress reduction participants were significantly related to beneficial changes in numerous mental health indicators. The findings support the reliability and validity of the MAAS-A in normative and mixed psychiatric adolescent populations and suggest that the MAAS-A has utility in mindfulness intervention research.     

The neurophysiological correlates of face processing in adults and children with Asperger's syndrome

Past research has found evidence for face and emotional expression processing differences between individuals with Asperger's syndrome (AS) and neurotypical (NT) controls at both the neurological and behavioural levels. The aim of the present study was to examine the neurophysiological basis of emotional expression processing in children and adults with AS relative to age- and gender-matched NT controls. High-density event-related potentials were recorded during explicit processing of happy, sad, angry, scared, and neutral faces. Adults with AS were found to exhibit delayed P1 and N170 latencies and smaller N170 amplitudes in comparison to control subjects for all expressions. This may reflect impaired holistic and configural processing of faces in AS adults. However, these differences were not observed between AS and control children. This may result from incomplete development of the neuronal generators of these ERP components and/or early intervention.     

Training effects on dual-task performance: are there age-related differences in plasticity of attentional control?

A number of studies have suggested that attentional control skills required to perform 2 tasks concurrently become impaired with age (A. A. Hartley, 1992; J. M. McDowd & R. J. Shaw, 2000). A. A. Hartley (2001) recently observed that the age-related differences in dual-task performance were larger when the 2 tasks required similar motor responses. The present study examined the extent to which age-related deficits in dual-task performance or time sharing--in particular, dual-task performance of 2 discrimination tasks with similar motor requirements--can be moderated by training. The results indicate that, even when the 2 tasks required similar motor responses, both older and younger adults could learn to perform the tasks faster and more accurately. Moreover, the improvement in performance generalized to new task combinations involving new stimuli. Therefore, it appears that training can substantially improve dual-task processing skills in older adults.     

Principles of forensic mental health assessment: implications for neuropsychological assessment in forensic contexts

Forensic mental health assessment (FMHA) is a form of evaluation performed by a mental health professional to provide relevant clinical and scientific data to a legal decision maker or the litigants involved in civil or criminal proceedings. Such FMHA evaluations can be further specialized when the clinical and scientific data are primarily neuropsychological. This paper provides an adaptation of 29 recently derived principles of FMHA (Heilbrun, 2001) that have been described in two forms: general guidelines for application in FMHA, and guidelines for application to neuropsychological assessment in forensic contexts. Each principle is described, and the general guideline is compared with the highly specialized neuropsychological guideline. In this way, the applicability of such FMHA principles to forensic neuropsychological assessment is described.     

Latent constructs of proximal and distal motivation predicting performance under maximum test conditions

The concept of a maximum-typical performance dimension has received theoretical and empirical support in research on the construct of job performance. The critical distinction between maximum and typical performance resides in the postulate that under maximum test conditions motivational factors will be constant and maximal. The present study challenges the notion of the maximum performance paradigm by testing the effects of proximal (self-efficacy) and distal (need for achievement) motivation on performance under maximum test conditions. The authors used a walk-through performance test to evaluate the performance of 90 employees. The structural model demonstrates significant pathways between latent measures of motivation and performance ratings. The findings confirm the explanatory power of the motivation construct under maximum test conditions.     

Self-critical perfectionism and daily affect: dispositional and situational influences on stress and coping

This study of university students (64 men and 99 women) examined both dispositional and situational influences of self-critical (SC) perfectionism on stress and coping, which explain its association with high negative affect and low positive affect. Participants completed questionnaires at the end of the day for 7 consecutive days. Structural equation modeling indicated that the relation between SC perfectionism and daily affect could be explained by several maladaptive tendencies associated with SC perfectionism (e.g., hassles, avoidant coping, low perceived social support). Multilevel modeling indicated that SC perfectionists were emotionally reactive to stressors that imply possible failure, loss of control, and criticism from others. As well, certain coping strategies (e.g., problem-focused coping) were ineffective for high-SC perfectionists relative to low-SC perfectionists.     

The benefits of being present: mindfulness and its role in psychological well-being

Mindfulness is an attribute of consciousness long believed to promote well-being. This research provides a theoretical and empirical examination of the role of mindfulness in psychological well-being. The development and psychometric properties of the dispositional Mindful Attention Awareness Scale (MAAS) are described. Correlational, quasi-experimental, and laboratory studies then show that the MAAS measures a unique quality of consciousness that is related to a variety of well-being constructs, that differentiates mindfulness practitioners from others, and that is associated with enhanced self-awareness. An experience-sampling study shows that both dispositional and state mindfulness predict self-regulated behavior and positive emotional states. Finally, a clinical intervention study with cancer patients demonstrates that increases in mindfulness over time relate to declines in mood disturbance and stress.     

Teach Your Students Well: The Seminary and a Hermeneutics of Suspicion

In Freud and Philosophy, Paul Ricoeur argues that religious believers must be willing to expose their faith to Freud's hermeneutics of suspicion. Believers will not, following the encounter, be the same people with the same faith, but, according to Ricoeur, the alternative of avoiding the encounter is not a viable option. However, a philosophy of total exposure to Freud, or anyone else issuing a challenge to religious faith, can be difficult for seminary faculty to apply, pedagogically. Indeed, seminaries are expected to graduate into ministry, not individuals experiencing a crisis of faith or meaning, but rather spiritually rock-solid men and women. The temptation, then, for seminary faculty is to go easy on their students, but this pedagogical strategy inevitably backfires. Seminarians who are sheltered from Ricoeur's challenge may be rock-solid at the persona or surface level of human personality, but this is not, necessarily, an indication that they are individuated or integrated people of faith.     

Depression, self-esteem, and complex attributions for life problems

Past research has suggested that mild and moderate depression are associated with increased attributional processing and a tendency to make complex attributions involving two or more causes. The present research tested the hypothesis that depression and low self-esteem are associated with a tendency to make attributions to multiple causes when faced with life problems. The results were used to demonstrate that the tendency to make multiple attributions for specific life problems accounts for unique variance in depression and self-esteem scores, even after removing variance due to general attributional style. The findings are discussed with reference to the need for multidimensional models of attribution in depression and attributional retraining efforts to include an emphasis on individual differences in the number of multiple attributions made by people.