Understanding of Genetic Inheritance among Xhosa-Speaking Caretakers of Children with Hemophilia

Hemophilia A and B are X-linked recessive inherited bleeding disorders that have a profound impact on the family of affected individuals. Education is vital to enable women to appreciate the implications of being a carrier and the implications for a prospective child. Prior research has shown that cultural, socio-economic and linguistic issues in South Africa are major barriers to communication for first-language Xhosa-speakers. This exploratory study aimed to investigate the basic knowledge of genetic inheritance among this cultural group in order to promote culturally-sensitive, effective genetic counseling. Ten in-depth interviews were conducted with Xhosa-speaking mothers or caregivers of boys with hemophilia. Results suggest that the participants had a very limited understanding of the clinical management, genetic consequences and cause of hemophilia. While treatment and care by health care service providers was fully accepted, several participants believed that traditional methods would provide them with more satisfactory explanations. These findings suggest that there is a critical need for socio-culturally tailored, language-specific education for families with hemophilia.     

Links between self-reported and laboratory behavioral impulsivity

Havik, M., Jakobson, A., Tamm, M., Paaver, M., Konstabel, K., Uusberg, A., Allik, J., Ööpik, V. & Kreegipuu, K. (2012). Links between self‐reported and laboratory behavioral impulsivity. Scandinavian Journal of Psychology 53, 216–223. A major problem in the research considering impulsivity is the lack of mutual understanding on how to measure and define impulsivity. Our study examined the relationship between self‐reported impulsivity, behavioral excitatory and inhibitory processes and time perception. Impulsivity – fast, premature, thoughtless or disinhibited behavior – was assessed in 58 normal, healthy participants (30 men, mean age 21.9 years). Self‐reported impulsivity as measured by Adaptive and Maladaptive Impulsivity Scale (AMIS) and behavioral excitatory and inhibitory processes as measured by Stop Signal Task were not directly related. Time perception, measured by the retrospective Time Estimation Task, was related to both. The length of the perceived time interval was positively correlated to AMIS Disinhibition subscale and negatively to several Stop Signal Task parameters. The longer subjects perceived the duration to last, the higher was their score on Disinhibition scale and the faster were their reactive responses in the Stop Signal Task. In summary our findings support the idea of cognitive tempo as a possible mechanism underlying impulsive behavior.     

X-rated material and perpetration of sexually aggressive behavior among children and adolescents: is there a link?

Longitudinal linkages between intentional exposure to x-rated material and sexually aggressive behavior were examined among youth 10-15 year olds surveyed nationally in the United States. At Wave 1 in 2006, participants (n = 1,588) were queried about these exposures and outcomes in the preceding 12 months. Wave 2 data (n = 1,206) were collected approximately 12 months after Wave 1 and Wave 3 data (n = 1,159) were collected approximately 24 months after Wave 1. Thus, data for this project represent a 36-month time frame. A marginal model with generalized estimating equations was used to represent the population-average odds of sexually aggressive behavior over the 36 months as a function of exposure to x-rated material over the same time and to account for clustering in the data within person over time. An average of 5% of youth reported perpetrating sexually aggressive behavior and 23% of youth reported intentional exposure to x-rated material. After adjusting for other potentially influential proximal (i.e., sexual aggression victimization) and distal characteristics (e.g., substance use), we found that intentional exposure to violent x-rated material over time predicted an almost 6-fold increase in the odds of self-reported sexually aggressive behavior (aOR: 5.8, 95% CI: 3.2, 10.5), whereas exposure to nonviolent x-rated material was not statistically significantly related (aOR: 1.7, 95% CI: 0.94, 2.9). Associations were similar for boys and girls (boys nonviolent x-rated material aOR = 2.0, 95% CI: 0.8, 4.7; violent x-rated material aOR = 6.5, 95% CI: 2.7, 15.3; girls nonviolent x-rated material aOR = 1.2, 95% CI: 0.5, 3.2; violet x-rated material aOR = 6.1, 95% CI: 2.5, 14.8).     

THE LANGUAGE OF <Emphasis Type="Italic">YES</Emphasis> IN A WORLD OF <Emphasis Type="Italic">NO</Emphasis>: A GAY MAN REDISCOVERS HIS SILENCED SELF

Developmental issues arising from the dilemma of the protogay male child (as defined by Blum and Pfetzing in 1997) and the assaults to his sense of self are discussed in the context of the impact of the analytic attitude. Clinical material is offered as a 50-year-old gay man, troubled by his inability to form a lasting loving relationship with a man, experiences integration in the analytic relationship, stemming from what he describes as the “Yes” offered by his female analyst.