Mental health practitioners' attitudes towards transgender people: A systematic review of the literature

Background: A systematic review was conducted to critically evaluate and synthesize literature investigating mental health practitioners' attitudes towards transgender people.

Objective: Three primary objectives were outlined; first, establish whether overall attitudes are positive or negative. Second, explore whether training, education or experience influences attitudes and finally, examine participant demographics in relation to attitude trends.

Method: A systematic electronic search was carried out in March 2017 using Medline, PsycINFO, PsycArticles, CINAHL, ASSIA, and Web of Science electronic databases. Manual citation and ancestral searches were conducted on identified papers. Qualitative, quantitative and mixed method studies were eligible for inclusion. A total of 13 papers of mixed quality were identified.

Results: Existing literature is limited to cross-sectional, quantitative data and fails to investigate differences between implicit and explicit attitudes. Small to moderate convenience samples reduce the generalizability of data. Overall attitudes were positive although negative attitudes were more frequent in male, Caucasian, heterosexual, religious, conservative mental health professionals.

Conclusions: Refined scales are needed to address the unique heterogeneity within transgender populations. Future research should focus on how attitudes impact care provided and employ longitudinal designs to explore the sustainability of targeted attitudinal training.     

My point is valid,yours is not: myside bias in reasoning about abortion

The study explores whether people are more inclined to accept a conclusion that confirms their prior beliefs and reject one they personally object to even when both follow the same logic. Most of the prior research in this area has relied on the informal reasoning paradigm; in this study, however, we applied a formal reasoning paradigm to distinguish between cognitive and motivational mechanisms leading to myside bias in reasoning on value-laden topics (in this case abortions). Slovak and Polish (N?=?387) participants indicated their attitudes toward abortion and then evaluated logical syllogisms with neutral, pro-choice, or pro-life content. We analysed whether participants’ prior attitudes influenced their ability to solve these logically identical reasoning tasks and found that prior attitudes were the strongest predictor of myside bias in evaluating both valid and invalid syllogisms, even after controlling for logical validity (the ability to solve neutral syllogisms) and previous experience of logic.     

Emergency Research without Consent under Polish Law

Although Directive 2001/20/EC of the European Parliament and of Council of 4 April 2001 on the approximation of the laws regulations and administrative provisions of the Member States relating to the implementation of good clinical practice in the conduct of clinical trials on medicinal products for human use does not contain an exception for emergency situations, and requires the informed consent of a legal representative in all cases where research is conducted on legally competent individuals who are unable to give informed consent, in Poland, emergency research can be conducted without consent. Polish regulations on emergency research can hardly be treated as a result of intentional legislative policy. Our provisions arise from multiple and sophisticated interpretations of different regulations that govern medical experiments on human subjects and clinical trials. These interpretations can be summarized as follows: (1) There are two categories of medical experiments: therapeutic and non-therapeutic experiments. Emergency research without consent may be conducted in the category of therapeutic experiment only (therapeutic experiment consists of the introduction by the physician of new or only partially proven diagnostic, therapeutic or preventive methods in order to achieve direct benefit to the health of the patients, and it can be carried out when hitherto applied methods were ineffective or their effectiveness was insufficient). (2). Emergency research may be conducted without consent if there is a situation of great urgency in which the research subject's life is in danger and there is no possibility of obtaining immediate consent from the research subject him or herself, or from his or her legal representative or guardianship court, and the research subject has not refused to give consent for the participation in an emergency therapeutic experiment. The legal representative or guardianship court shall be provided with all the relevant information concerning subject's participation in an experiment as soon as possible. All projects of emergency research with intent to be done without the research subject's consent must be approved by an independent bioethics committee. Because these five requirements seem to provide insufficient protection for a subject's autonomy and rights it is necessary to add to them two other conditions: (1) the emergency research could not be conducted using other research participants capable of giving informed consent; and (2) informed consent for continued participation in the emergency research shall be obtained from either the participant him or herself or the legally authorized representative as soon as possible (requirement of obtaining deferred consent). A consolidated single Act that will govern all aspects of medical experiments on human subjects, including emergency research, should be prepared and enacted as soon as possible.     

Rethinking Gibbard’s Riverboat Argument

According to the Principle of Conditional Non-Contradiction (CNC), conditionals of the form “If p, q” and “If p, not q” cannot both be true, unless p is inconsistent. This principle is widely regarded as an adequacy constraint on any semantics that attributes truth conditions to conditionals. Gibbard has presented an example of a pair of conditionals that, in the context he describes, appear to violate CNC. He concluded from this that conditionals lack truth conditions. We argue that this conclusion is rash by proposing a new diagnosis of what is going on in Gibbard’s argument. We also provide empirical evidence in support of our proposal.     

The roles of delay and retroactive interference in retrieval-induced forgetting

When subjects study items from different categories and then repeatedly retrieve some of the items from some of the categories, retrieval practice typically improves recall of the practiced items but impairs recall of related but unpracticed items, relative to control items from unpracticed categories. Here, we report the results of three experiments, in which we examined practiced and unpracticed items’ delay-induced forgetting (Exp. 1) and their susceptibility to retroactive interference (Exps. 2 and 3). Control items showed the expected memory impairment after longer delay between practice and test and in the presence of retroactive interference. In contrast, both the practiced and the related unpracticed items showed hardly any forgetting under these conditions. The findings are consistent with the results from recent testing-effect studies, which have reported reduced delay-induced forgetting and reduced susceptibility to interference for retrieval-practiced items, and generalize the results to related unpracticed items. The findings are discussed with respect to the inhibitory and noninhibitory accounts of retrieval-induced forgetting, as well as the possible role of selective segregation processes, which may be induced by retrieval practice.     

Breakup Adjustment in Young Adulthood

The purpose of this study was to assess the ability of young adults to adjust to the breakup of a romantic relationship by examining the possible predictors. The sample comprised 140 women and 143 men. Simultaneous regression analysis indicated that initiator status, existence of a new partner, certainty of the reasons for the breakup, and perceived social support were significant predictors and accounted for 18% of the variance in the measure of adjustment to breakup.