Disclosure of HIV Status Among Female Youth With HIV

Minority female youth are significantly affected by the HIV epidemic. The purpose of this pilot study was to explore sexual behavior practices, disclosure of HIV status, attitudes about disclosure, and knowledge of HIV disclosure laws among female youth with HIV (YWH). Findings suggest that the majority of YWH studied have been sexually active since their HIV diagnosis, although the nature and extent of sexual activity varied. Rates of nondisclosure to sexual partners varied based on the type of question asked, but at least some of the YWH in this sample reported sexual activity with a partner who was unaware of the participant’s HIV status. YWH appear to be more likely to disclose before, as opposed to after, sexual activity. Although most YWH believe disclosure to sexual partners is important for a variety of reasons, many reasons exist for nondisclosure, including fear of rejection and limited communication skills. The majority of YWH in this sample were aware of the potential legal ramifications of nondisclosure although fear of legal repercussions was not the most important factor related to disclosure. These findings favor the implementation of HIV disclosure interventions over the enactment of HIV criminalization laws as a strategy for reducing HIV transmission.     

A Computer-Mediated Escape from the Closet: Exploring Identity,Community, and Disinhibited Discussion on an Internet Coming Out Advice Forum

Research suggests that gay men and lesbians, as a product of being raised by heterosexuals in a heterosexist culture, are often shielded from information to help them cope with their stigmatized identity in their early years. Unsurprisingly, this community of individuals has been found to use the Internet more heavily than their heterosexual counterparts. This study examined an advice sub-forum on a popular set of forums designated for lesbian, gay, bisexual, transgender, and questioning (LGBTQ) people negotiating the coming out process. Employing online disinhibition as a framework, and drawing from an identity management standpoint, a thematic analysis uncovered seven unique ways that LGBTQ people create community and craft identities in a computer-mediated context.     

Posttraumatic stress and physical health among adults: The role of coping mechanisms

The purpose of the present study was to examine whether coping mechanisms predict physical health, after controlling for posttraumatic stress disorder (PTSD) symptom clusters in a non-clinical sample of adults. Data were collected from 483 adults through an online survey. Most of the participants (66.7%) reported lifetime exposure to at least one traumatic event. The final sample of this study included 319 trauma-exposed individuals. Results indicated that PTSD symptoms on the avoidance and hyperarousal clusters had significant positive relationships with self-reported physical health symptoms. After controlling for gender and PTSD, denial, behavioral disengagement, and self-blame significantly and positively predicted physical health symptoms.     

Strategies for effective patient care: Integrating quality communication with the patient‐centered approach

Advancements in medicine and health technology have transformed the roles and dynamics of patient–provider interactions and communication in healthcare. To date, the health communication literature contains two distinct approaches to modern healthcare delivery, with earlier empirical works emphasizing features of effective communication and more recent studies endorsing patient‐centered care. Despite substantial overlap in both aims and methods, no work to date has considered these two approaches in tandem as complementary strategies for improving healthcare delivery. Thus, this study offers a novel framework, the person‐centered communication model of care, in an effort to integrate these two approaches to offer a unified and concise structure for future studies and development of innovative interventions to improve healthcare quality.     

What Makes Muslim Women Entrepreneurs Successful? A Field Study Examining Religiosity and Social Capital in Tunisia

The present study sheds light upon critical factors that help explain the entrepreneurial success among Muslim women living in a democratic Tunisia, a Muslim-majority country considered by many to be the lone Arab Spring success story. We hypothesized that successful entrepreneurs need social capital, including the capital that comes from marriage and high levels of wasta (the Arabic concept of having personal connections with influential others). Moreover, given the lack of empirical attention paid to the role of the culture, language, and customs associated with Islam on women’s empowerment, we examine whether religiosity is related to entrepreneurial performance among Tunisian women. Data collected with 84 female entrepreneurs participating in entrepreneurship training programs across Tunisia reveal that two forms of social capital, marital status and wasta, are related to training center directors’ ratings of women entrepreneurs’ performance, suggesting that social capital is a critical asset for Muslim women entrepreneurs. Religiosity, on the other hand, had no statistically significant relationship with entrepreneurial performance. Our study contributes to research on entrepreneurship by identifying wasta as a form of social capital that may be necessary for women entrepreneurs to succeed in the Middle East and North Africa and by taking an initial step towards better understanding the empirical (and controversial) relationship between religiosity and career success among Muslim women. We recommend that training organizations supporting entrepreneurs directly assist women in the development of social capital and acknowledge, rather than ignore, that nepotism and wasta are linked to entrepreneurial success in some cultures.     

Responding to N.T. Wright's Rejection of the Soul

At a 2011 meeting of the Society of Christian Philosophers, N. T. Wright offered four reasons for rejecting the existence of soul. This was surprising, as many Christian philosophers had previously taken Wright's defense of a disembodied intermediate state as a defense of a substance dualist view of the soul. In this paper, I offer responses to each of Wright's objections, demonstrating that Wright's arguments fail to undermine substance dualism. In so doing, I expose how popular arguments against dualism fail, such as (1) dualism is merely an unwarranted influence of Greek culture on Christianity, and (2) substance dualism is merely a soul‐of‐the‐gaps hypothesis. Moreover, I demonstrate that Wright himself has offered a powerful reason for adopting substance dualism in his previous works. In conclusion I offer a view that explains why the human soul needs a resurrected body.