The hunger to fill an empty space: an investigation of primordial affects and meaning-making in the drive to conceive through repeated use of ART

This research aims to investigate the drive to conceive through repeated use of Assisted Reproductive Technology (ART) in relation to the affective and meaning-making processes related to this drive, through the use of the participants' memories of mother and being mothered, the choices they made regarding sex, intimacy and non-uterine activity in early adulthood and their fantasies of how a child would change their lives. Though prepared for an MSc dissertation it is a pilot empirical study using interpretative phenomenological analysis and applications of Jungian analytic and psychoanalytical theory. The collected data consists of three semi-structured interviews analysed through recurrent themes and amplification. Developmental and archetypal thinking has been suggested as a means of understanding. The results are strongly suggestive of two main themes across the interviews and further research is underway. The first theme is the importance of the relationship to mother and the quality of the mothering received in contributing to a woman's availability to become a mother at a time in her life when she is most fertile. The second theme of the pilot suggested that the crisis of infertility is a mask for another crisis of identity that also had links to the personal mother. At the core of these issues with mother there is an absence of father and an intra-psychic couple. Repeated infertility treatment becomes a transformative process necessitating repetition until something new can be created.     

Functional equivalence of spatial images from touch and vision: evidence from spatial updating in blind and sighted individuals

This research examined whether visual and haptic map learning yield functionally equivalent spatial images in working memory, as evidenced by similar encoding bias and updating performance. In 3 experiments, participants learned 4-point routes either by seeing or feeling the maps. At test, blindfolded participants made spatial judgments about the maps from imagined perspectives that were either aligned or misaligned with the maps as represented in working memory. Results from Experiments 1 and 2 revealed a highly similar pattern of latencies and errors between visual and haptic conditions. These findings extend the well-known alignment biases for visual map learning to haptic map learning, provide further evidence of haptic updating, and most important, show that learning from the 2 modalities yields very similar performance across all conditions. Experiment 3 found the same encoding biases and updating performance with blind individuals, demonstrating that functional equivalence cannot be due to visual recoding and is consistent with an amodal hypothesis of spatial images.     

Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load

Achieving community‐level goals to eliminate the HIV epidemic requires coordinated efforts through community consortia with a common purpose to examine and critique their own HIV testing and treatment (T&T) care system and build effective tools to guide their efforts to improve it. Participatory system dynamics (SD) modeling offers conceptual, methodological, and analytical tools to engage diverse stakeholders in systems conceptualization and visual mapping of dynamics that undermine community‐level health outcomes and identify those that can be leveraged for systems improvement. We recruited and engaged a 25‐member multi‐stakeholder Task Force, whose members provide or utilize HIV‐related services, to participate in SD modeling to examine and address problems of their local HIV T&T service system. Findings from the iterative model building sessions indicated Task Force members’ increasingly complex understanding of the local HIV care system and demonstrated their improved capacity to visualize and critique multiple models of the HIV T&T service system and identify areas of potential leverage. Findings also showed members’ enhanced communication and consensus in seeking deeper systems understanding and options for solutions. We discuss implications of using these visual SD models for subsequent simulation modeling of the T&T system and for other community applications to improve system effectiveness.     

Retaining Skilled Migrants in Regional Australia: The Role of Social Connectedness

Since the mid-1990s, the Australian immigration programme has undergone a ‘paradigm’ shift to encourage skilled migrants to settle in regional Australia. The success of this programme is dependent on not just attracting increasing numbers of settlers but more importantly on retaining them in the long run in regional Australia. In this paper, we argue the importance of social connectedness for long-term stay in a particular place and empirically examine the determinants of social connectedness in regional Australia. We use the data from a national survey of 500 randomly selected principal applicants who migrated under the regional sponsored migration scheme. We derived a composite measure of social connectedness from responses to five questions about regular participation in various community activities. Logistic regression models were employed to examine the factors that contribute to social connectedness. Of all the covariates included in the model, five were critical for strong social connectedness. The families with young children, those who have lived in Australia longer, those living in small towns and those who were born in the USA/Canada, South Africa and Zimbabwe showed much stronger social connectedness than others. Another interesting finding was that those who found the assistance they received from their employer sponsor upon arrival helpful were also more likely to have strong social connectedness. The paper concludes with the policy implications and future research directions on this very important social issue.     

Too Good to Be True? Using Realism to Enhance Applicant Attraction

Research that has examined the effects of realism on pre-hire outcomes has suggested that it does not harm recruitment. We present evidence that realistic information may, under certain circumstances, increase organizational attractiveness. Participants (N = 225) evaluated one of two recruitment messages, positive only or realistic, and reported their perceptions of organizational attractiveness, source credibility, and perceptions of the challenge inherent in the job. Consistent with our hypothesis, the realistic recruitment message led to higher organizational attractiveness than the positive only message. Contrary to expectations, however, this effect appears to be mediated through perceptions of challenge in the job, rather than perceptions of source credibility.     

Philosophy of medicine — From a medical perspective

In this commentary on the article by Arthur L. Caplan [1] the philosophy of medicine is viewed from a medical perspective. Philosophical studies have a long tradition in medicine, especially during periods of paradigmatic unrest, and they serve the same goal as other medical activities: the prevention and treatment of disease. The medical profession needs the help of professional philosophers in much the same way as it needs the cooperation of basic scientists. Philosophy of medicine may not deserve the status of a philosophical subspecialty or field, but it so closely linked to the main trends of contemporary medical thinking that it must be regarded as an emerging (or reemerging) medical subdiscipline.     

Perceived tachistoscopic duration and early visual processing in preschool children and adults

Two experiments further explored the Avant et al. (1975) finding that stimulus familiarity influences prerecognition processing to generate differences in the apparent duration of tachistoscopic flashes. The first experiment tested for developmental differences in the effects of upright versus 90°, 180°, and 270° rotations of a single letter or number upon the apparent duration of pre- and postmasked 30- and 50-msec flashes with adults and 4- and 5-year-old children. All age groups judged upright presentations to be of briefer duration. These differences in apparent duration were interpreted to index the automaticity of contacts between stimulus inputs and their memory representations. Failure of the children to recognize the letter and number in any orientation indicates that contact between stimulus inputs and memory representations precedes allocation of attention to the presented stimulus. The second experiment explored the influence of spatial structures which are not coded verbally by testing effects of good and poor dot pattern Gestalts on the apparent duration of tachistoscopic flashes. Adults discriminated between apparent durations of good and poor Gestalts but 4- and 5-year-olds did not. Apparent duration differences in the two experiments showed that spatial pattern structure and familiarity with verbal stimuli influence early visual processing in different ways.     

Just How Correct is Political Correctness? A Critique of the Opposition's Arguments

I begin by examining three factors which enable the term political correctness (hereafter PC) itself to feed into the hands of its opponents: namely, the trivialization of the actual issues which are attributed to PC, the villainization of those involved in the PC movement, and the conferring of a sense of legitimacy on the opposition movement.The bulk of the paper provides a detailed summary and critique of every single articulated Canadian position I encountered against such PC measures as fair language policies. I have distinguished between arguments directed at the ideological content and the methodology of PC. Arguments directed at the ideological content are divided into the threat to freedom of expression argument, the threat to academic freedom argument, and the degeneration into triviality argument; arguments directed at the methdology are divided into the argument that PC commits the very evils that it addresses and the argument that PC uses unjust means to get its way.The paper ends by claiming that if PC means minimizing sexual and racial harrassment, discourgaing homophobic, racist, and sexist discourse within educational settings, and curtailing policies which victimize oppressed groups, then political correctness is not merely correct, but morally obligatory as well.     

Establishing and Evaluating the Key Functions of an Interactive Systems Framework Using an Assets-Getting to Outcomes Intervention

Community practitioners can face difficulty in achieving outcomes demonstrated by prevention science. Building a community practitioner's prevention capacity—the knowledge and skills needed to conduct critical prevention practices—could improve the quality of prevention and its outcomes. The purpose of this article is to: (1) describe how an intervention called Assets‐Getting To Outcomes (AGTO) was used to establish the key functions of the ISF and present early lessons learned from that intervention's first 6 months and (2) examine whether there is an empirical relationship between practitioner capacity at the individual level and the performance of prevention at the program level—a relationship predicted by the ISF but untested. The article describes an operationalization of the ISF in the context of a five‐year randomized controlled efficacy trial that combines two complementary models designed to build capacity: Getting To Outcomes (GTO) and Developmental Assets. The trial compares programs and individual practitioners from six community‐based coalitions using AGTO with programs and practitioners from six similar coalitions that are not. In this article, we primarily focus on what the ISF calls innovation specific capacity and discuss how the combined AGTO innovation structures and uses feedback about its capacity‐building activities, which can serve as a model for implementing the ISF. Focus group discussions used to gather lessons learned from the first 6 months of the AGTO intervention suggest that while the ISF may have been conceptualized as three distinct systems, in practice they are less distinct. Findings from the baseline wave of data collection of individual capacity and program performance suggest that practitioner capacity predicts, in part, performance of prevention programs. Empirically linking practitioner capacity and performance of prevention provides empirical support for both the ISF and AGTO. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith