Transgender women’s experiences and beliefs about hormone therapy through and beyond mid-age: An exploratory UK study

Background: Little is known about transgender women’s beliefs and experiences of hormone therapy (HT), as part of their transition process, and particularly as they grow older. Aims: This study aimed to investigate: (i) transgender women’s experiences and attitudes to HT, and (ii) expectations of what might occur and/or what occurred after they reached “menopausal age.” Methods: Participants were recruited through invitations to an online survey sent to 138 Lesbian, gay, bisexual, transgender plus (LGBT+) support groups across the UK. Sixty-seven transgender women consented and completed the questionnaire; responses were analyzed using a mixed-methods approach. The beliefs about medicines questionnaire (BMQ) was used to assess beliefs about HT, while an inductive thematic qualitative approach was used to explore participants’ personal expectations and experiences of HT and their views about the menopause. Results: Participants were aged on average 49 years ranging from 20 to 79 years old. Most (96%) were taking HT. BMQ scores revealed strong beliefs about the necessity of HT and some concerns. Positive views about HT were expressed, with themes including treatment importance, personal and mental health benefits, but concerns about long-term effects, side effects, and maintaining access to the treatment were also mentioned. Views about menopause included uncertainty and questioning of its relevance; some mentioned changes to HT dosage, but most expected to use HT indefinitely. Discussion: This study provides exploratory qualitative and quantitative information about transgender women’s views about HT and menopause. Practical implications include improving access to HT and provision of evidence-based information about long-term use.     

Optical flow and viewpoint change modulate the perception and memorization of complex motion

Participants observed a point-light character (PLC) performing a gymnastic movement. They either memorized the final PLC orientation from the initial viewpoint, to match it to a test posture (memory task), or judged whether the biological motion appeared continuous (perceptual task), despite a viewpoint change. The observer could be either static or virtually in motion (pan or track) while looking at the movement from the initial viewpoint. The presence of a spatial layout during virtual self-motion induced a global optical flow specifying the translational component of the PLC movement, rendering the event more predictable for the participants. A representational momentum effect was observed in the memory task, suggesting that when a visual stimulation, such as a PLC motion, is abruptly stopped, its dynamics survive. In contrast, structural and transformational invariants specifying the PLC motion were sufficient to solve the perceptual task accurately. Finally, both the remembering of the final posture and the perception of continuity degraded with an increase in viewpoint change due to tilt/slant posture orientation matching, indicating that orientation processes interfered with event perception.     

Differential brain responses when applying criterion attribute versus family resemblance rule learning

Subsystems of category learning have been identified on the basis of general domains of content (e.g., tools, faces). The present study examined categories from the standpoint of internal structure and determined brain topography associated with expressing two fundamentally different category rule structures (criterion attribute, CA, and family resemblance, FR). CA category learning involves processing stimuli by isolated features and classifying by properties held by all members. FR learning involves processing stimuli by integral wholes and classifying on overall similarity among members without sharing identical features. fMRI BOLD response to CA and FR categorization was measured with pseudowords as stimuli. Category knowledge for both tasks was mastered prior to brain imaging. Areas of activation emerged unique to the structure of each category and followed from the nature of the rule abstraction procedure. CA categorization was implemented by strong target monitoring and expectation (medial parietal), rule maintenance in working memory, feature selection processes (inferior frontal), and a sensitivity to high frequency components of the stimulus such as isolated features (anterior temporal). FR categorization, consistent with its multi-featural nature, involved word-level processing (left extrastriate) that evoked articulatory rehearsal (medial cerebellar). The data suggest category structure is an important determinant of brain response during categorization. For instance, anterior temporal structures may help attune visual processing systems to high frequency components to support the learning of criterial, highly predictive rules.     

Global optimality of the successive Maxbet algorithm

The Maxbet method is an alternative to the method of generalized canonical correlation analysis and of Procrustes analysis. Contrary to these methods, it does not maximize the inner products (covariances) between linear composites, but also takes their sums of squares (variances) into account. It is well-known that the Maxbet algorithm, which has been proven to converge monotonically, may converge to local maxima. The present paper discusses an eigenvalue criterion which is sufficient, but not necessary for global optimality. However, in two special cases, the eigenvalue criterion is shown to be necessary and sufficient for global optimality. The first case is when there are only two data sets involved; the second case is when the inner products between all variables involved are positive, regardless of the number of data sets.The authors are obliged to Henk Kiers for critical comments on a previous draft.     

How Initial Fixation Position Influences Visual Word Recognition: A Comparison of French and Arabic

The position the eye initially fixates in a written word influences the ease with which this word is recognized. Prior research has shown that the function relating ease of word recognition and initial fixation position in the word is not symmetric. Word recognition is generally superior when the initial fixation is left rather than right of the center of the word. This asymmetry in the function relating initial fixation position to word identifiability could be due to (a) hemispheric specialization, (b) reading habits, or (c) variations in lexical constraint. The present experiments tested these alternative explanations by comparing the effects of initial fixation position in prefixed and suffixed words in French and Arabic. The results show that, contrary to both the hemispheric specialization and reading habit hypotheses, the average initial fixation curves for Arabic are asymmetric neither to the left nor to the right but depend on the morphological structure of the stimuli, thus lending support to the lexical constraint hypothesis.     

An Analysis of Federal Court Cases Involving Nine Selection Devices

A content analysis of US federal court cases was conducted to assess the relative frequency of litigation associated with nine selection devices: 1) unstructured interviews; 2) structured interviews; 3) biographical information blanks; 4) cognitive ability tests; 5) personality tests; 6) honesty tests; 7) physical ability tests; 8) work sample tests; and 9) assessment centers. The outcomes of the cases (whether the devices were ruled to be discriminatory) for each of the nine types of selection devices were also examined. The possible implications of the current findings for organizations and researchers are discussed.     

On Measuring and Decomposing Inequality of Opportunity among Children: Evidence from Tunisia

Building on the current literature that increasingly recognizes inequality of opportunity among children, this paper analyzes to what extent access to basic education and core services is influenced by family and individual background factors in Tunisia. The analysis uses the Human Opportunity Index (HOI) methodology developed recently at the World Bank, and micro data from the National Survey on Households’ Budget, Consumption and Standard of Living (HBCLS) for 2010. The main contribution of the study is its in-depth investigation of the key factors affecting child development in Tunisia. The results reveal large and persistent interregional and intra-regional disparities among children, mainly in pre-secondary school enrollment and access to safe water and sanitation services. Such inequalities of opportunity, obviously shown between inland and littoral regions, are found to be driven mainly by geographic factors and parents” education and wealth. These findings may have important policy implications in term of developing better-targeted interventions aiming to reduce inequality in accessing basic services.     

Legislative Enforcement of Nonconsensual Determination of Neurological (Brain) Death in Muslim Patients: A Violation of Religious Rights

Death is defined in the Quran with a single criterion of irreversible separation of the ruh (soul) from the body. The Quran is a revelation from God to man, and the primary source of Islamic knowledge. The secular concept of death by neurological criteria, or brain death, is at odds with the Quranic definition of death. The validity of this secular concept has been contested scientifically and philosophically. To legitimize brain death for the purpose of organ donation and transplantation in Muslim communities, Chamsi-Pasha and Albar (concurring with the US President’s Council on Bioethics) have argued that irreversible loss of capacity for consciousness and breathing (apneic coma) in brain death defines true death in accordance with Islamic sources. They have postulated that the absence of nafs (personhood) and nafas (breath) in apneic coma constitutes true death because of departure of the soul (ruh) from the body. They have also asserted that general anesthesia is routine in brain death before surgical procurement. Their argument is open to criticism because: (1) the ruh is described as the essence of life, whereas the nafs and nafas are merely human attributes; (2) unlike true death, the ruh is still present even with absent nafs and nafas in apneic coma; and (3) the routine use of general anesthesia indicates the potential harm to brain-dead donors from surgical procurement. Postmortem general anesthesia is not required for autopsy. Therefore, the conclusion must be that legislative enforcement of nonconsensual determination of neurological (brain) death and termination of life-support and medical treatment violates the religious rights of observant Muslims.     

When Sharica Governs: The Impasse of Religious Relations in Sudan

The rapid political rise of the National Islamic Front is examined within a broader and more complex context, particularly as it pertains to relations between Muslims and non-Muslims in Sudan during the period from 1989 to the present. The regime's decision to change the nature of the South–North conflict into a jihad confrontation was determinative for the future of Islam in the Sudan, even though the regime's jihad discourse has been characterized by ambiguity and confusion. The Islamists have not produced a policy statement or a juristic work addressing the status of non-Muslims in the Shari^ca-based state and society they envisage, in spite of the 1991 Criminal Act and the 1998 Constitution of the Republic of Sudan. As a result, non-Muslims in Sudan are facing a difficult and testing time.