Predictors of quality of life enjoyment and satisfaction in individuals living with HIV and AIDS in a resource-constrained setting in South Africa

The burden of HIV disease is concentrated in sub-Saharan Africa, particularly in South Africa (SA). Whilst there have been many studies conducted on the biomedical and socio-psychological aspects of HIV and AIDS, insufficient attention has been paid to the quality of life of those infected with the virus. The primary purpose of the study was to determine the predictors of quality of life enjoyment and satisfaction (Q-LES) among individuals infected with HIV. A battery of questionnaires, which included the Hospital Anxiety and Depression Scale (HADS) and the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q), were administered to 121 participants. Data was analysed using SPSS. Of the total sample (n = 121), 74% were females. The study found that a large proportion (49.5%) of the sample within the age group 25–49 years old experienced psychological distress. Those who were not on antiretroviral treatment (ART) were significantly affected (66%). Psychological distress was significantly prevalent among HIV positive individuals and also the strongest predictor of Q-LES among these individuals.     

Quantification abilities in angelfish (Pterophyllum scalare): the influence of continuous variables

Previous studies investigating quantity discrimination have shown that angelfish are able to select the larger of two groups of conspecifics (shoals). The discrimination limits shown by angelfish were similar to those found for other vertebrates when large (≥4) and small quantities (<4) were presented. However, in these studies, no attempt was made to control for non-numerical features of the stimulus shoals and thus the question whether numerical or some quantitative attributes of the shoals were utilized for making the choices could not be answered. Here, we investigate whether angelfish can discriminate between shoals differing in numerical size using non-numerical attributes. We systematically manipulate density, inter-fish distance, and overall space occupied by the shoals, one factor at a time, and analyse the choices angelfish made between the contrasting stimulus shoals. The stimulus shoals consisted of contrasts between large (10 vs. 5) and small (3 vs. 2) number of conspecifics. We found density to be a sufficient condition for discrimination between large shoals as the test subjects preferred the more dense shoal. Manipulation of inter-fish distance indicated that this variable is not a necessary factor in discrimination at either shoal size contrast. Likewise, we found that the size of space occupied by the contrasted shoals also did not significantly influence discrimination. Sensitivity to the density of large shoals indicates that angelfish can discriminate shoal size using this non-numerical cue. Nevertheless, the factors we examined may represent only a subset of all possible non-numerical features upon which angelfish may base their discrimination. Thus, we suggest that further research is required to clarify whether and under what circumstances angelfish may use numerical or non-numerical features when discriminating between shoals of differing size.     

Experimental evidence for action imitation in killer whales (Orcinus orca)

Comparative experimental studies of imitative learning have focused mainly on primates and birds. However, cetaceans are promising candidates to display imitative learning as they have evolved in socioecological settings that have selected for large brains, complex sociality, and coordinated predatory tactics. Here we tested imitative learning in killer whales, Orcinus orca. We used a ‘do-as-other-does’ paradigm in which 3 subjects witnessed a conspecific demonstrator’s performance that included 15 familiar and 4 novel behaviours. The three subjects (1) learned the copy command signal ‘Do that’ very quickly, that is, 20 trials on average; (2) copied 100 % of the demonstrator’s familiar and novel actions; (3) achieved full matches in the first attempt for 8–13 familiar behaviours (out of 15) and for the 2 novel behaviours (out of 2) in one subject; and (4) took no longer than 8 trials to accurately copy any familiar behaviour, and no longer than 16 trials to copy any novel behaviour. This study provides experimental evidence for body imitation, including production imitation, in killer whales that is comparable to that observed in dolphins tested under similar conditions. These findings suggest that imitative learning may underpin some of the group-specific traditions reported in killer whales in the field.     

The Catholic Church,moral doctrine,and HIV prevention in Recife,Brazil: Negotiating the contradictions between religious belief and the realities of everyday life

Religious beliefs have had a key role in shaping local responses to HIV and AIDS. As the world's largest Catholic country, Brazil is no exception. Yet little research has been conducted to document how religious doctrine is enacted in practice among its lay leaders and followers. In this article, we present ethnographic research from Recife, Brazil, conducted to understand the way in which religious doctrines are interpreted at a local level. Contextualised within the sociology of contemporary Brazilian Catholicism, we draw on interviews with clergy members, lay leaders, and parishioners to discuss how the Catholic Church's vision of sexuality translates into everyday lives of its followers. We explore the disjuncture between the Catholic ideals of fidelity and delaying sex until marriage with the everyday reality of the Church's followers, highlighting the role that gender plays in defining sexual roles and expectations. We conclude by posing questions for future research and HIV prevention strategies considering the formal institutional response of the Brazilian Catholic Church to AIDS on the one hand, and the social and cultural contexts in which Catholics live their daily lives on the other.     

Multicriteria Classification with Unknown Categories: A Clustering–Sorting Approach and an Application to Conflict Management

This work proposes an approach to cluster and sort a set of alternatives considering multi‐criteria categories with a partial order structure. It can be considered a heuristic approach because it does not attempt to derive an optimal partial order among all conceivable clusters of alternatives. Rather than this, it intends to be a simple approach that is transparent to the Decision Maker (DM) whose assistance is sought to help shaping the results. The approach proposed arises from the conjugation of traditional Clustering analysis and Multi‐criteria sorting tools. At the outset, the number of categories and their characteristics is unknown. First, we need to detect only the clusters themselves on the basis of a similarity measure independent of the preferences of the DM. Next, we detect potential partial order relations that might exist between them, according to the subjective preferences of the DM. Such preferences are elicited only after the DM has examined the clusters detected and deemed that these categories made sense. The new approach performs very well in a real‐world problem of management of intragroup conflicts and conflict handling strategies. Copyright © 2012 John Wiley & Sons, Ltd.     

The cortisol awakening response in caregivers of schizophrenic offspring shows sensitivity to patient status

Abstract

Taking care of offspring during a prolonged period of time is probably one of the most stressful life experiences for parents. The present study compares the cortisol awakening response (CAR) in 38 long-term caregivers (mothers and fathers of schizophrenic relatives) with a control group of 32 non-caregivers. Factors such as general stress, caregiver burden, patient severity, and institutionalization were studied. Although a blunted CAR was observed in caregivers in comparison with controls, this difference was not significant. Among caregivers, the absence of institutionalization for the patient is associated with a lack of CAR in caregivers in comparison with caregivers of institutionally supported patients. General stress, caregiver burden, and patient severity themselves did not favor significant changes in CAR. CAR shows greater sensitivity to institutional support than patient severity and perceived stress. Further research is needed to explain the impact of these factors on health and the psychological factors involved.     

The Relationship Between Sexual Orientation and Gender Identification Among Males in a Cross-Cultural Analysis in Brazil, Turkey and Thailand

This study measures and compares the level of congruency between male sexual orientation and gender identification using the Kinsey Scale in three cultures: Brazil (Florianópolis), Turkey (Istanbul) and Thailand (Bangkok) with social class as the control mechanism. Quantitative techniques are utilized in comparing the self-evaluation of sexual orientation and gender identification among young men with same-sex, opposite-sex and both-sex orientations or behaviors. Results: In all three cultures, homosexuals were much more likely than bisexuals or heterosexuals to enjoy receiving anal sex and performing fellatio. Bisexual and heterosexual men, as expected, reported enjoying vaginal penetration and cunnilingus more than homosexual men. Same-sex oriented male self-evaluations of homosexual orientation and feminine gender identification scored similarly on the Kinsey Scale (0–6) in all three countries. These data support the traditional identity trichotomy used in the field: homosexuality, bisexuality and heterosexuality. When controlling for nationality only small differences were found amongst the participants; however, social class or level of education did have a significant effect on the relationship between self-evaluation of sexual orientation and gender identification.     

So why can’t you intend to drink the toxin?

In this paper I revisit Gregory Kavka’s Toxin Puzzle and propose a novel solution to it. Like some previous accounts, mine postulates a tight link between intentions and reasons but, unlike them, in my account these are motivating rather than normative reasons, i.e. reasons that explain (rather than justify) the intended action. I argue that sensitivity to the absence of possible motivational explanations for the intended action is constitutive of deliberation-based intentions. Since ordinary rational agents display this sensitivity, when placed in the toxin scenario they will believe that there is no motivational explanation for actually drinking the toxin and this is why they can’t form the intention to drink it in the first place. I thus argue that my Motivating-Explanatory Reason Principle correctly explains the toxin puzzle, thereby revealing itself as a genuine metaphysical constraint on intentions. I also explore at length the implications of my account for the nature of intention and rational agency.     

Coping with HIV Related Stigma and Well-Being

The goal of this study was to analyze the relationships to be found among stigma perception, active and avoidant coping strategies, and subjective and psychological well-being in a sample of 133 people with HIV. The results showed that stigma perception and avoidant coping strategies (venting, self-blame, denial, behavioural disengagement and substance use) were positively associated, whereas, both stigma perception and avoidant coping were negatively associated with different measures of well-being (affect balance, self-acceptance and environmental mastery). These negative relationships between stigma perception and the three well-being measures were mediated by the use of avoidant coping strategies. Results suggest that psychosocial intervention programs for people who report psychological distress arising from prejudice must be aimed at developing appropriate ways to deal with this prejudice. Intervention programs should also include strategies to directly increase well-being since from a positive psychology viewpoint certain interventions have been shown to do so, and HIV research has also shown that well-being is associated with lower mortality rates.     

RECRIMINATION IN THE ANALYTIC SITUATION: A HYPOTHESIS ABOUT ITS INFLUENCE ON PSYCHOANALYTICAL GROUPS

This paper deals with certain distortions in communication generated by mutual recrimination that is the result of disturbances in the ideal agencies of both parties. Although the ideal ego, superego and ego ideal participate equally in reproach, it is the latter which is the most decisive. In clinical experience, recrimination may easily colour the analytic dialogue. In such cases, interpretation loses its sense of clarification and another type of dialogue replaces it. There, words are used to take possession of the other, for its autonomy is a threat to the static character of the pathology of mourning. The problem of recrimination has also tainted the development of psychoanalysis, to the point of disrupting the process of discovery itself. This paper deals with repercussions in the psychoanalytic movement and also in the elements that constitute its structure. Finally, different variations and disturbances in the psychoanalytic ideal are considered, as well as the involvement of the psychoanalytic institution in preserving or transforming the ideal. Here the importance of institutions and institutional ideals is emphasised. Finally, we suggest that ideals either encourage or hinder the working through of individual and collective mourning.