Research Report: Antenatal HIV testing from the perspective of pregnant women and health clinic staff in South Africa—implications for pre- and post-test counselling

HIV testing is not routinely available at present in health clinics in Umtata, South Africa. However current statistics indicate that up to 25% of the population may be infected. Such findings imply that HIV testing and counselling should be introduced in health clinics as a means of promoting HIV prevention and reducing the risk of vertical transmission. However this would only be beneficial if staff are prepared to implement it and patients are willing to test. The issues are couched in a background of political activity surrounding HIV that may question approaches to HIV testing and a lack of availability of interventions to prevent mother to infant transmission. Furthermore the infrastructures of counselling training and provision may not be universally available, especially in pressured rural clinics. Therefore, a group of clinic staff and pregnant women, in rural and urban health centres in Umtata, were asked to participate in focus group discussions to elicit attitudes to HIV testing and counselling. In principal the majority of women, particularly in the rural clinic, were willing to have an HIV test, and strongly articulated the desire to test with their partners. Women who were reluctant to test emphasized their fear of receiving the result. The rural women appeared to be far more willing to disclose their HIV status to clinic staff, than urban women. Nevertheless, the discussions illustrated the impact of the stigma surrounding HIV, with clinic staff reporting cases where patients who were suspected to be positive were avoided by health workers. However staff in both clinics were willing to make the effort to implement HIV tests if they were to be made available. Despite the non-availability of rapid testing and interventions to reduce mother to child transmission most women saw advantages to HIV test provision. Pessimism and fear were underlying emotions associated with HIV for both staff and women. The implications for pre- and post-test counselling are discussed.     

Where is the phenomenology of attention that Husserl intended to perform? A transcendental pragmatic-oriented description of attention

For the most part, attention occurs as a theme adjacent to much more topical and innovatingly operating acts: first, the intentional act, which represents a destitution of the abstract opposition between subject and object and which paves the way for a detailed analysis of our perceptive horizontal subjective life; second, the reductive act, specified in a psycho-phenomenological sense as a reflective conversion of the way I am looking at things; third, the genetic method understood as a genealogy of logic based on our experiential affective pre-discursive world-life. In this respect, here are some of the leading questions of my investigation: What are the differences and the proximities between these methods and attentional activity? Why is the latter not put to the fore as a method? To what extent is this secondary part played by attention linked to the constitution of phenomenology as opposed to psychology (for which attention is a central theme), and what does it mean for the impossibility of phenomenology to freeing itself completely from psychology?     

First impressions online: The inclusion of transgender and gender nonconforming identities and services in mental healthcare providers' online materials in the USA

Background: When accessing mental healthcare services, transgender and gender nonconforming (TGNC) individuals face systemic barriers to gender-affirmative care. Initial points of contact, like intake forms, may show limited consideration for the heterogeneity of TGNC identities and can lead to negative consequences prior to face-to-face interaction with providers. Aims: The first aim was to mimic a likely pathway a TGNC individual may follow to seek mental healthcare services in the USA and to describe the extent to which they may encounter enacted stigma or affirmative messages that may impede or facilitate access to care. The second aim was to determine if a positive State legal climate for TGNC people was associated with more affirmative provider materials. Methods: Content analysis was used to examine a national sample of websites and intake forms of mental healthcare providers who advertise online as working with TGNC clients. Intake forms were coded for usage of affirmative language in gender/sex questions and including questions for a client's pronouns and preferred name. Websites were coded for mentioning a variety of services or resources for TGNC clients. Results: While provider websites were found through Google searches for a “gender therapist,” only 56.6% of websites stated a provider specialty to work with TGNC clients and 32.1% of websites had no mention of services or resources for TGNC people. Additionally, a significantly larger proportion of intake forms from States with legal protections for TGNC people used affirmative language in gender/sex questions and asked for a client's pronouns than intake forms from States without legal protections. Discussion: Barriers to affirmative healthcare for TGNC people within patient and provider interactions have been identified in previous research and these data show TGNC individuals may face enacted stigma even in their search for a provider, particularly those TGNC people living in States without legal protections.     

The Intersection of Perceptions and Experiences of Bullying by Race and Ethnicity among Middle School Students in the United States

Little is known about how ethnic identity influences bullying. Using a racially diverse sample, we examine how within-race perceptions match experiences. We utilize bivariate probit regression to examine the correlation between actual and perceived victimization and bullying experiences. Results suggest no differences in victimization by ethnicity but perceived victimization differed across groups. Perceived and actual bullying differed across all groups. School climate acted as a protective factor against bullying and victimization, but school diversity increased the likelihood of bullying by whites and Latinos. These findings shed light on the importance of ethnic identity in understanding the etiology of bullying.     

An Examination of Inmate Physical Assaults on Jail Correctional Staff: Exploring Inmate-Level and Jail-Level Conditions in the United States

The current study examines individual-level determinants of inmate-on correctional staff assaults, particularly the demographic characteristics of inmates, and the context of structural/environmental characteristics of specific jails. Findings from a series of negative binomial regression models indicate some significant relationships, with additional analyses highlighting the nonlinear nature of the relationship between racial representation and assaults. The findings give credence to both the “lone-wolf” and “gang mentality” perspectives, in that jails with an unbalanced racial composition have higher rates of inmate assaults on correctional staff when groups are both under- and over-represented as a proportion of the jail population.     

Learning to Heal from Those Who Know! The “Lived” Experience of a Peer Support Program for Adult Survivors of Childhood Trauma

This study explored the dual phenomenon of experiencing a peer support residential trauma program from the perspective of (a) a client, and (b) a facilitator. It sought both positive and negative subjective interpretations. Participants were former clients and current facilitators of the program. Data were collected through a focus group, and analyzed using interpretative phenomenological analysis. One superordinate theme, altruistic growth, overarched 2 subordinate themes. The first, modeling through respect, included subthemes of respect and hope and empowerment. The second subordinate theme, reciprocal model of care, encapsulated personal challenges such as facing the mirror, old demons, and burnout and breaking points. Conversely, participants mused on these challenges as opportunities for further healing through opportunities for self-nurturing and gratitude. Implications for treatment of adult survivors of childhood trauma are discussed. For facilitators, the program was seen as offering further personal reflection and a giving forward that was interpreted as altruistic growth.     

Trait Socio-Cognitive Mindfulness is Related to Affective and Cognitive Empathy

Research regarding the relationship between empathy and mindfulness is sparse. Within the social scientific literature, there are two major branches of mindfulness research: meditative mindfulness (Kabat-Zinn in Gen Hosp Psychiatry 4(1):33–47, 1982) and non-meditative, socio-cognitive mindfulness (Langer and Moldoveanu in J Soc Issues 56(1):1–9, 2000). Meditative mindfulness is the awareness that arises through paying attention non-judgmentally to the present moment whereas socio-cognitive mindfulness is the process of drawing novel distinctions leading to greater attention to the present moment and sensitivity to context. We hypothesized that the two types of mindfulness would correlate with each other and with empathy broadly defined but that there would be divergence in these relationships given their conceptual distinctions. Four hundred and eighty-four participants from Mechanical Turk completed tasks of socio-cognitive mindfulness, meditative mindfulness, affective empathy, cognitive empathy, and social desirability. Socio-cognitive mindfulness correlated with both affective and cognitive empathy as well as with meditative mindfulness. Meditative mindfulness correlated with only affective empathy but not with cognitive empathy. These findings suggested that, in contrast to meditative mindfulness, socio-cognitive mindfulness involves cognitive processes (e.g., perspective-taking, flexibility) potentially amenable to experimental manipulation aimed at increasing empathy more generally.     

When a Non-resident Worker is a Non-resident Parent: Investigating the Family Impact of Fly-In,Fly-Out Work Practices in Australia

Non-resident work practices, which involve prolonged separations from family, long-distance commuting between home and remote work sites and long work hours across compressed rosters, are now commonplace in Australia. This study examined the impact of these work arrangements, often termed Fly-In/Fly-Out (FIFO), on children and families, and to identify family-related and employment-related factors that influence child and family outcomes. Anonymous online surveys containing measures of family and couple relationship quality, child behavioral and emotional adjustment, parenting and personal adjustment were completed by 232 partners of FIFO workers, 46 FIFO workers, and a comparison group of community parents (N = 294 mothers, N = 36 fathers). There were no differences between FIFO partners and community parents on family or couple relationship quality, parenting competence and child behavioral or emotional difficulties. FIFO partners reported higher levels of personal emotional problems and greater usage of harsh discipline practices than community mothers, while FIFO workers reported greater work to family conflict and alcohol use than community fathers. Regression analyses on the FIFO partners sample indicated that child and family functioning were best predicted by family factors, including harsh parenting and parental emotional adjustment. Implications of the findings for the design and provision of family-based support for FIFO families are discussed.