Chest reconstructive surgeries in transmasculine youth: Experience from one pediatric center

Background: For many trans males, having chest reconstruction is a very important part of the transitioning process. Guidelines from WPATH and the Endocrine Society suggest 16 to 18 years old as an acceptable age for this surgical intervention. In clinical practice, the decision depends on factors such as a person's desires, insurance coverage, and availability of local surgical experts. We present data about chest reconstructive surgeries in transgender youth from a Pediatric Gender Management (GeM) clinic.

Methods: For this retrospective, observational study, data were collected from GeM clinic patients seen from 10/1/2011 to 1/31/2017. All subjects consented or assented to being included in an IRB-approved clinical database.

Results: Of 210 patients from our clinic, 167 consented to being added to an institutional review board–approved database and followed prospectively. The average age at the initial visit was 15.2 years (range, 4.7–20.9). Among consenting subjects, 55 were trans females, 108 were trans males, and four identified as nonbinary. Fourteen subjects had chest reconstruction with the mean age being 17.2 years (range, 13.4–19.7); three subjects were under age 16. For five subjects, including the youngest one, insurance paid for the procedure. All participants but one were receiving testosterone treatment. Per the surgeons' preferences, testosterone was usually not temporarily stopped prior to the procedure. Six subjects had the procedure done locally; others sought surgical care out of the town, state, or country. All subjects were very satisfied with the aesthetics of the surgical outcome. The self-reported complication rate was low. Many more GeM clinic patients wish to have breast/chest surgery but lack of insurance coverage makes the surgery cost prohibitive.

Conclusion: For many trans males, chest reconstructive surgery is an integral part of the transition process. Patients' age at the time of surgical procedure varies greatly; some have chest surgery before age 16. In the United States, chest reconstruction surgery is usually not covered by insurance. Therefore, many patients seeking surgical care are forced to pay out of pocket.     

Parenting, coparenting, and effortful control in preschoolers

This study investigated the relations among parenting, coparenting, and effortful control in preschoolers. The sample included 89 families with 2 parents and their firstborn 36-month-old children. Information was obtained by means of observation and parent-report questionnaires. In general, maternal parenting, paternal parenting, and coparenting were related to effortful control. Effortful control was more strongly predicted from parenting and coparenting when the same measurement method (observation or parent reports) was used. For both observation and parent reports, coparenting contributed to effortful control over and above maternal and paternal parenting. The results indicate the importance of adding indicators of triadic family processes to the study of parenting and young children's effortful control.     

Beliefs in Equality for Women and Men as Related to Economic Factors in Central and Eastern Europe and the United States

Do economic indicators predict the general level of support for gender equality? This question was investigated in a sample of countries in Central and Eastern Europe, a region that has been undergoing rapid economic changes since the early 1990s. In this overall sample of male and female college students from ten countries, including the United States as a comparison, the predicted association between stronger beliefs in gender role egalitarianism and positive economic factors was generally supported. Also, consistent with other research, women were more in support of gender equality than men were. There was no support for a predicted trend in less support for gender equality over the time period of the present study.     

Parenting and self‐regulation in preschoolers: a meta‐analysis

A meta‐analysis of 41 studies was conducted to examine the strength of the relation between parenting (positive control, negative control and responsiveness) and self‐regulation in preschoolers. Results revealed significant associations between both types of parental control and self‐regulation, with effect sizes being small in magnitude. There was no significant association between self‐regulation and responsiveness. The strength of the association between parenting and self‐regulation varied with different conceptualizations of self‐regulation; positive and negative control were associated with child compliance, but not with inhibition and emotion regulation. Copyright © 2006 John Wiley & Sons, Ltd.     

Integrating who “we” are with what “we” (will not) stand for: A further extension of the Social Identity Model of Collective Action

Collective action refers to any action that individuals undertake as group members to pursue group goals such as social change. In this chapter, we further extend the Social Identity Model of Collective Action (SIMCA) by including not just (politicised) identity but also moral motivations into its core, effectively integrating who “we” are with what “we” (will not) stand for. Conceptually, we utilise self-categorisation theory’s notion of normative fit to elaborate this special relationship between the moral and identity motivations for collective action. Empirically, we review two research projects (the experimental and survey-based Value-Identity Fit Project and the longitudinal Politicisation Project) that both suggest that the SIMCA needs to be extended to include, both conceptually and empirically, a broader range of (violated) moral beliefs and a focus on identity content. We discuss key implications of expanding the core of the SIMCA for the social psychology of collective action and social change, and suggest new directions for future theorising and research in this field.     

Neurophysiologic markers of primary motor cortex for laryngeal muscles and premotor cortex in caudal opercular part of inferior frontal gyrus investigated in motor speech disorder: a navigated transcranial magnetic stimulation (TMS) study

Transcranial magnetic stimulation studies have so far reported the results of mapping the primary motor cortex (M1) for hand and tongue muscles in stuttering disorder. This study was designed to evaluate the feasibility of repetitive navigated transcranial magnetic stimulation (rTMS) for locating the M1 for laryngeal muscle and premotor cortical area in the caudal opercular part of inferior frontal gyrus, corresponding to Broca’s area in stuttering subjects by applying new methodology for mapping these motor speech areas. Sixteen stuttering and eleven control subjects underwent rTMS motor speech mapping using modified patterned rTMS. The subjects performed visual object naming task during rTMS applied to the (a) left M1 for laryngeal muscles for recording corticobulbar motor-evoked potentials (CoMEP) from cricothyroid muscle and (b) left premotor cortical area in the caudal opercular part of inferior frontal gyrus while recording long latency responses (LLR) from cricothyroid muscle. The latency of CoMEP in control subjects was 11.75 ± 2.07 ms and CoMEP amplitude was 294.47 ± 208.87 µV, and in stuttering subjects CoMEP latency was 12.13 ± 0.75 ms and 504.64 ± 487.93 µV CoMEP amplitude. The latency of LLR in control subjects was 52.8 ± 8.6 ms and 54.95 ± 4.86 in stuttering subjects. No significant differences were found in CoMEP latency, CoMEP amplitude, and LLR latency between stuttering and control-fluent speakers. These results indicate there are probably no differences in stuttering compared to controls in functional anatomy of the pathway used for transmission of information from premotor cortex to the M1 cortices for laryngeal muscle representation and from there via corticobulbar tract to laryngeal muscles.     

When socially excluded people prefer moralizing to anti- and prosocial behavior: Support for a goal-directed account

According to the temporal need-threat model, different responses toward social exclusion stem from the fact that different needs are threatened. Because evidence for this account is mixed, we tested a goal-directed account in which the chosen behavior depends not only on the threatened need but also on the behavior that has the highest expectancy of repairing that need. In two experiments, participants were excluded using the cyberball paradigm. They were then either assigned to a condition in which they could choose to send aggressive or prosocial messages to the other players or to a condition in which they could send aggressive, prosocial, or moralizing messages. We hypothesized that the expectancy to repair threatened needs would be higher for moralizing behavior than for aggressive and prosocial behavior, which would result in moralizing behavior in the second condition. Both experiments provided partial support for our hypothesis, suggesting that the reactions to social exclusion might be goal directed.

     

Cross-ethnic networks, self-reception system, and functional integration of refugees from the former Yugoslavia in Rome

The character of the immigrant policy context in Italy has caused refugees from the former Yugoslavia in Rome to organize themselves spontaneously and to create a self-reception system that facilitates their functional integration. The Italian policy context allows refugees to approach their situation in exile in an active way because it does not offer them a dependent role. Emphasizing the importance of providing refugees with a framework for an active reconstruction of life, however, should not be understood as an apologia for the absence of strategy for integration as well as legal, financial, and institutional means to facilitate this process.     

A 32-society investigation of the influence of perceived economic inequality on social class stereotyping

There is a growing body of work suggesting that social class stereotypes are amplified when people perceive higher levels of economic inequality—that is, the wealthy are perceived as more competent and assertive and the poor as more incompetent and unassertive. The present study tested this prediction in 32 societies and also examines the role of wealth-based categorization in explaining this relationship. We found that people who perceived higher economic inequality were indeed more likely to consider wealth as a meaningful basis for categorization. Unexpectedly, however, higher levels of perceived inequality were associated with perceiving the wealthy as less competent and assertive and the poor as more competent and assertive. Unpacking this further, exploratory analyses showed that the observed tendency to stereotype the wealthy negatively only emerged in societies with lower social mobility and democracy and higher corruption. This points to the importance of understanding how socio-structural features that co-occur with economic inequality may shape perceptions of the wealthy and the poor.     

Bidirectional Effects between Parenting and Aggressive Child Behavior in the Context of a Preventive Intervention

Over time, developmental theories and empirical studies have gradually started to adopt a bidirectional viewpoint. The area of intervention research is, however, lagging behind in this respect. This longitudinal study examined whether bidirectional associations between (changes in) parenting and (changes in) aggressive child behavior over time differed in three conditions: a child intervention condition, a child + parent intervention condition and a control condition. Participants were 267 children (74 % boys, 26 % girls) with elevated levels of aggression, their mothers and their teachers. Reactive aggression, proactive aggression and perceived parenting were measured at four measurement times from pretest to one-year after intervention termination. Results showed that associations between aggressive child behavior and perceived parenting are different in an intervention context, compared to a general developmental context. Aggressive behavior and perceived parenting were unrelated over time for children who did not receive an intervention. In an intervention context, however, decreases in aggressive child behavior were related to increases in perceived positive parenting and decreases in perceived overreactivity. These findings underscore the importance of addressing child-driven processes in interventions aimed at children, but also in interventions aimed at both children and their parents.