Evaluation of a Family Systems Intervention for Managing Pediatric Chronic Illness: Mastering Each New Direction (MEND)

Family systems play a crucial, albeit complex, role in pediatric chronic illness. Unfortunately, very few psychosocial interventions are available to help these stressed families navigate the developmental steps of chronic illness. A new intervention (MEND) addresses the needs of these families and applies to a broad range of chronic illnesses. This article presents this family systems intervention as well as includes preliminary program evaluation data on 22 families that graduated from the program. Results show consistently strong effects across an array of psychosocial measures. Conclusions from this preliminary study suggest that families entering MEND present with high levels of stress due to the child's chronic illness, but after MEND, the level of stress and other functioning measures are comparable to those seen in healthy families, suggesting that the program offers a significant benefit to families with pediatric chronic illness.     

Towards a theory of the rough ground: merging the policy and ethnographic frames of religion in the Kyrgyz Republic

Discussions of Islam present two analytical problems, one of interpretation and another of theory. Regarding interpretation, different frames – policy or ethnographic – for viewing religion influence our bias/understanding of religion and give us different senses of what ‘knowing’ the religion of a particular community means. The related issue is one of theory and connects to the problem of theorising movement: how people navigate their religious lives is not linear but much more random, related to events, and at times reified by (though always engaging with) the assumptions of policy agendas and the ethnographic imagination. Exploring implications that the policy and ethnographic frames have for Muslims in the Kyrgyz Republic, I argue that in synthesising the impact of different frames of analysis, a ‘theory of the rough ground’, while anything but neat, better portrays life as it is experienced locally.     

Problematic Identity Processes: The Role of Identity Distress

This special issue of Identity: An International Journal of Theory and Research explores some of the anxiety, distress, and difficulties that may be encountered in the identity development process. Despite findings documenting the presence of identity distress in samples from a variety of settings and cultures, it has been slowly moving out of direct attention within the world of clinical psychology and psychiatry. This special issue expands on our understanding of identity distress in a number of ways. It adds to our knowledge of prevalence and severity, as well as its psychological correlates. It examines identity distress under the contexts of traumatic exposure and the refugee experience, and it offers some cross-national comparisons. Also offered is a developmental psychopathology perspective as a way to lay the groundwork for increased prevention and intervention work, and an example of such an intervention program for emerging adults. It is hoped that this special issue on identity distress will shine more light on this important, and possibly growing, yet understudied phenomenon, and will contribute toward expanding and enhancing efforts to foster positive youth development.     

Reasoning deficits among illicit drug users are associated with aspects of cannabis use

Deficits in deductive reasoning have been observed among ecstasy/polydrug users. The present study seeks to investigate dose-related effects of specific drugs and whether these vary with the cognitive demands of the task. One hundred and five participants (mean age 21.33, SD 3.14; 77 females, 28 males) attempted to generate solutions for eight one-model syllogisms and one syllogism for which there was no valid conclusion. All of the one-model syllogisms generated at least one valid conclusion and six generated two valid conclusions. In these six cases, one of the conclusions was classified as common and the other as non-common. The number of valid common inferences was negatively associated with the aspects of short-term cannabis use and with measures of IQ. The outcomes observed were more than simple post-intoxication effects since cannabis use in the 10 days immediately before testing was unrelated to reasoning performance. Following adjustment for multiple comparisons, the number of non-common valid inferences was not significantly associated with any of the drug-use measures. Recent cannabis use appears to impair the processes associated with generating valid common inferences while not affecting the production of non-common inferences. It is possible, therefore, that the two types of inference may recruit different executive resources, which may differ in their susceptibility to cannabis-related effects.     

Gender and narrative in the Mahabharata

The public recognition of collectivities has been a difficult concept to embed in Western liberal states. Recognition is a complex and contested process, with minority rights proving particularly problematic. A commitment to recognising diversity within society that goes beyond the tokenistic ‘food and dance’ events must somehow be incorporated into the identity of a multicultural state. Yet, should this automatically mean the conferment of minority rights? If so, which rights? which groups? who decides and where does it end? Drawing on examples from Europe and Canada, this paper shall consider the issue of minority rights and integration, seeking to highlight some of the more important debates surrounding this issue including the importance of minority rights and recognition, their contested nature and the ability of such right to promote integration, or otherwise.     

fMRI responses to Jung's Word Association Test: implications for theory,treatment and research

Jung's Word Association Test was performed under fMRI conditions by 12 normal subjects. Pooled complexed responses were contrasted against pooled neutral ones. The fMRI activation pattern of this generic ‘complexed response’ was very strong (corrected Z scores ranging from 4.90 to 5.69). The activation pattern in each hemisphere includes mirror neurone areas that track ‘otherness’ (perspectival empathy), anterior insula (both self‐awareness and emotional empathy), and cingulated gyrus (self‐awareness and conflict‐monitoring). These are the sites described by Siegel and colleagues as the ‘resonance circuitry’ in the brain which is central to mindfulness (awareness of self) and empathy (sense of the other), negotiations between self awareness and the ‘internal other’. But there is also an interhemispheric dialogue. Within 3 seconds, the left hemisphere over‐rides the right (at least in our normal subjects). Mindfulness and empathy are central to good psychotherapy, and complexes can be windows of opportunity if left‐brain hegemony is resisted. This study sets foundations for further research: (i) QEEG studies (with their finer temporal resolution) of complexed responses in normal subjects (ii) QEEG and fMRI studies of complexed responses in other conditions, like schizophrenia, PTSD, disorders of self organization.     

Distress and emotional well-being in breast cancer patients prior to radiotherapy: an expectancy-based model

Understanding precursors to distress and emotional well-being (EWB) experienced in anticipation of radiotherapy would facilitate the ability to intervene with this emotional upset (i.e. higher distress, lower EWB). Thus, this study tested an expectancy-based model for explaining emotional upset in breast cancer patients prior to radiotherapy. Women affected by breast cancer (N?=?106) were recruited and participants completed questionnaires prior to commencing radiotherapy. Structural equation modelling was used to test a cross-sectional model, which assessed the ability of dispositional optimism (Life Orientation Test-Revised – two factors), response expectancies (Visual Analog Scale items), medical (type of surgery, cancer stage and chemotherapy history) and demographic (age, race, ethnicity, education and marital status) variables to predict both EWB (Functional Assessment of Chronic Illness Therapy – Emotional Well-being Subscale) and distress (Profile of Mood States – short version). The model represented a good fit to the data accounting for 65% of the variance in EWB and 69% in distress. Significant predictors of emotional upset were pessimism, response expectancies, Latina ethnicity, cancer stage and having had a mastectomy. These variables explained a large portion of emotional upset experienced prior to radiotherapy for breast cancer and are important to consider when aiming to reduce distress and improve EWB in this context.     

MMPI Supplemental Scale Performance of Mexican Americans and Level of Acculturation

Mexican American and Anglo American's performance on the Wiggins Content Scales, Harris-Lingoes subscales, and Serkownek subscales was assessed in a college student population, Level of acculturation (Mexican vs. Anglo orientation), age, and social class were statistically controlled, The results showed statistically significant differences between means of Anglo and Mexican Americans on most of the supplemental scales assessed. These differences were more numerous before scale validity criteria were applied. The number of statistically significant differences were further reduced when level of acculturation and age were statistically controlled, The results showed that level of acculturation is a highly important variable which moderates interpretation of the MMPI scale elevations we measured. Acculturation far outweighted the influence of the well established MMPI moderator variables of age and social class.     

Perceived Church-Based Needs and Assets for HIV/AIDS Prevention in an Urban Nigerian Community

Health intervention programs have the potential to use church-based assets to address a wide range of health issues. This study examined the assets Nigerian church members believed their churches needed, including the assets they thought they had to engage in HIV/AIDS prevention activities. Eight hundred and thirty members from 83 churches completed a questionnaire designed from forum focus group data. Respondents were males and females aged 18 years old and above, with primary, secondary, university, or vocational education, and were more likely to be married than single (never married), separated, divorced, widowed or remarried. The data revealed that church members needed access to health promotion assets, including the expertise of members who are health professionals to engage in HIV/AIDS prevention activities. We recommend an intensive HIV/AIDS prevention reorientation-training workshop for church leaders to ensure a sustainable plan to address HIV/AIDS prevention needs.