Theoretical Medicine and Bioethics Index to Volume 20

Volume Contents

heoretical Medicine and Bioethics Index to Volume 20     

Espbase: A microsoft access tool for selecting symbol and icon sets for usability

The ESPbase provides a tool for storing symbols and icons along with information about their characteristics. Information about a wide range of symbol characteristics is included on the database to facilitate the selection of symbol sets for research and design. The database includes information about the graphical characteristics and functions of symbols. It also includes ratings of symbol concreteness, complexity, familiarity, and meaningfulness. Symbols and icons can be accessed on the basis of each of these characteristics or any combination of characteristics. This makes it easier to select symbols on the basis of usability and design requirements. It also means that symbols can be easily selected for research while controlling their characteristics on a number of dimensions.     

Impact of Culture and Context on Psychosocial Adaptation: The Cultural and Contextual Guide Process

The growing diversity of the American population requires of counselors an increased understanding of inter- and intracultural factors. All clients have culture, and contextualized cultural variables can and do affect an individual's ability to adapt to his or her environment. Adaptation difficulties typically produce concerns that further affect the individual's functioning. Counselors need to incorporate contextualized cultural factors into their conceptualization of the individual's concerns and the treatment process. Use of the Cultural and Contextual Guide Process to facilitate inclusion of contextualized culture in the counseling process is discussed and a case study is used to exemplify the process.     

Dating Relationships and the Demand/Withdraw Pattern of Communication

This study examines whether afemale-demand/male-withdraw pattern occurs in datingrelationships and whether this response increases duringdiscussions of difficult topics. One hundred and eightindividuals (women = 60, men = 48) currently in a datingrelationship completed the Communication PatternsQuestionnaire, Short Form (CPQSF) regarding either adifficult or nondifficult discussion. The racialcomposition of the undergraduate student population at thetime the study was conducted was 68.8% Caucasian, 8.9%Hispanic, 8.9% International, 6.0% African American,5.6% Asian American, and 1.8% Native American (data on socioeconomic status were unavailable).Results show that dating couples do employ apredominantly female-demand/male-withdraw pattern, whichincreases in response to difficult discussions. However, this study also found that many dating couplesemployed male-demand/female-withdraw or equaldemand/withdraw patterns. Post hoc tests also showedthat couples exhibiting eitherfemale-demand/male-withdraw or male-demand/female-withdraw patterns weremore ingrained in specific negative behavior patterns,employed more demand/withdraw behaviors, and exhibitedless positive behaviors than couples with an equal demand/withdraw pattern.     

Sex and cross-cultural differences in the estimated multi-faceted intelligence quotient score for self, parents and siblings

Over four hundred young people from Britain, Hawaii and Singapore estimated their own, their parents and their siblings IQ score on each of Gardner (1983) fundamental human intelligences: verbal (linguistic), logical (mathematical), spatial, musical, body-kinesthetic, interpersonal and intrapersonal. They also answered six simple questions concerning intelligence tests. There were both cultural and sex differences in the estimation of overall own intelligence score. Males gave higher scores than females (109 vs 107) while the British gave the highest score (109) compared with the Singaporeans (106) and Hawaiians (104). Factor analysis of the seven dimensions yielded either a two or three factor solution, the latter being verbal (verbal, inter-intrapersonal), mathematical (mathematical and spatial), and musical (musical, body-kinesthetic). There were consistent sex differences in the estimations of the three factors for self, but not of parents, and only marginally of sisters. Males more than females, and the British more than the other groups, were more likely to believe in sex and race difference in intelligence.     

Challenges in Developing a Cultural Evidence‐Based Psychotherapy in the USA: Suggestions for International Studies

In this article, we underscore some of the cultural challenges and limitations of the evidence‐based psychotherapy (EBP) utilised within the USA with the hope that these problems will be avoided or ameliorated in Australia and other countries. Although the EBP research is very diverse and complex, we categorise this fast‐growing literature using a threefold classification system that underscores culture. This classification system is proposed to examine the influence of culture on EBPs. The three categories used are (a) universal evidence‐based psychotherapies or universal psychotherapies, (b) race and ethnic minority evidence‐based psychotherapies or racial/ethnic psychotherapies, and (c) cultural evidence‐based psychotherapies or cultural psychotherapies. After each category is described, its benefits and limitations are discussed, emphasising implications for culturally diverse and international studies. We conclude with suggestions to promote the advancement of a more effective and inclusive cultural EBP in which researchers from different countries can collaborate and learn from each other.     

A Population-Based Study of Children’s Well-Being and Health: The Relative Importance of Social Relationships,Health-Related Activities,and Income

This study investigated how various risk and protective factors interface with child health and well-being at the population level. Specifically, we examined the association of income, social-contextual variables, and indicators of health-related habits and activities to children’s life satisfaction and perceived overall health. Child data were collected via a self-report survey, the Middle Years Development Instrument, which was administered in three demographically diverse Canadian school districts to 5026 grade 4 students (83 % of the students had complete data and were included in the analyses). Multiple regression and mediation analyses were conducted to examine the joint associations of social relationships with adults and peers, nutrition and sleep habits, and after school sports activities with children’s satisfaction with life and perceived health. Results indicate that peer belonging and relationships with adults at home and school were the strongest predictors of life satisfaction. Furthermore, the (small) association between income and life satisfaction was mediated by social relationship variables. Child reports of perceived health were predicted by peer belonging, adult relationships (home, school, neighborhood), after-school team sports, and nutrition habits. The (small) association between income and health was mediated by social relationships and team sports participation. Findings are discussed in light of previous research on social determinants and socio-economic gradients of children’s health and life satisfaction.