Understanding the impact of HIV diagnosis amongst gay men in Scotland: An interpretative phenomenological analysis

Objectives: Although a wide literature details the psychological impact of human immunodeficiency virus (HIV) diagnosis, it predates the introduction of effective treatment for HIV (i.e. anti-retroviral therapies, ARTs). This article explores the psychological impact of HIV diagnosis in post-ART accounts. This is important, given the recent policy developments which focus upon increasing HIV testing and thus diagnoses.

Design: This study presents a qualitative exploration of the experiential accounts of HIV-positive gay men living in Scotland. A total of 14 HIV-positive gay men took part in open-ended interviews.

Methods: Interpretative phenomenological analysis was employed to identify recurrent themes across the interviews.

Results: Our analysis focuses upon the participants’ struggles in adjusting to their HIV status. Diagnosis was a deeply shocking and unexpected experience. Stigma and fear of prejudice dominated their accounts. HIV was understood, variously, as a shameful, fatal and life-changing condition. Overall, within these accounts there was little sense of HIV normalisation.

Conclusions: In Scotland, where HIV prevalence is low, and where no accessible HIV-positive sub-culture exists, there is on-going psychological distress and morbidity amongst gay men testing HIV positive. As HIV-related policy increasingly focuses on increasing rates of antibody testing, there is a need to reduce the psychosocial costs associated with HIV-positive diagnoses.     

What harm can it do?: A discussion of the potential for harm inherent in psychodynamic work

Abstract

This paper examines some of the ethical issues raised by the nature of psychodynamic work. It suggests that both the aims and the process of psychodynamic therapy raise ethical issues which we cannot responsibly ignore, but that if the work is to be effective it cannot be made wholly safe. That, however, does not absolve us from the requirement for taking care, and for thinking about what we are doing and what we are risking.     

Some thoughts about psychoanalysis and cinema

Abstract

This article approaches the pleasures of the cinema through a discussion of the conditions of cinema going and the place of the cinema in twentieth-century culture. It links them to the history of cinema and to the debates about art and psychoanalysis. It introduces the centrality of parallels between the cinema and dreaming and the importance of sexuality for the cinema. It suggests that discussion about the psychic mechanisms elicited by film going is a productive way of thinking about the cinema.     

Going the distance: Extra-symbolic contributions to the symbolic control of spatial attention

Over the past 30 years, researchers have used symbolic cues such as spatial words and arrows to direct observers' attention to the location of target objects that appear at a single, fixed distance in simple visual environments; however, they have done so by using symbolic cues that provide only partial—directional—information about the spatial location of target objects. Thus, it remains unclear whether observers can only shift their attention broadly in the cued direction in response to these cues or whether they can shift their attention to the specific location of the target by combining an expectation about direction (derived from apprehension of the directional cue) with an expectation about distance (derived from some extra-symbolic cue). The results of two experiments showed that observers do shift their attention to relatively coarse spatial locations by combining expectancies about direction and distance, and that the extent to which observers do so is modulated by the presence of visible markers and the expected distance of the target. These findings are important because they provide the first evidence that extra-symbolic information about distance contributes to the symbolic control of spatial attention.     

Engineering Ethics: Looking Back, Looking Forward

The eight pieces constituting this Meeting Report are summaries of presentations made during a panel session at the 2011 Association for Practical and Professional Ethics (APPE) annual meeting held between March 3rd and 6th in Cincinnati. Lisa Newton organized the session and served as chair. The panel of eight consisted both of pioneers in the field and more recent arrivals. It covered a range of topics from how the field has developed to where it should be going, from identification of issues needing further study to problems of training the next generation of engineers and engineering-ethics scholars.     

A China–New Zealand comparison of forgiveness

The present study examined the practice of forgiveness among participants from China (N = 172) and New Zealand (N = 91). We tested a theoretical model describing the relationships between collectivism, individualism, and forgiveness. Participants from China were more collectivistic and less individualistic than were participants from New Zealand. Overall, participants from New Zealand were more forgiving than were participants from China. Collectivism was positively related to decisional forgiveness in Chinese participants. Decisional forgiveness independently predicted conciliatory behaviour among participants from China, but this was not the case for participants from New Zealand. Thus, the hypothesized model received qualified support.     

Paying attention to reading errors in acquired dyslexia

The important role of selective attention in normal reading is illustrated by a relatively rare form of acquired dyslexia known as 'attentional dyslexia'. Theories of the functional deficit underlying this disorder differ as to the locus of the attentional dysfunction. A recent study by Mayall and Humphreys has contributed to this debate by studying letter migration errors in an attentional dyslexic.     

The Evolution of a Pauline Toxic Text

The earliest followers of Jesus authored their identity narrative within the metanarrative of Jewish faith, thereby creating a new Jewish-Jesus sect. The Christian identity narrative arose as a new story and could not call upon either a Jewish or a Pagan metanarrative for its justification. It was a new creation inspired by the Spirit and authored by Paul. With his guidance, the Pagan followers of Jesus, Christians, articulated their personal and communal experiences of empowerment by the Spirit in a new identity narrative that would in time establish itself as the dominant metanarrative for Western civilization. Members of the Jewish-Jesus community in Jerusalem immediately denied the validity of the Christian narratives. They sought to subjugate the new story to their official and dominant story: that one had to be Jewish in order to follow Jesus. Paul urges the Christians to remain faithful to their personal stories of empowerment by the Spirit. Unfortunately, he also resorts to the use of toxic texts to disenfranchise his Jewish opponents.