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.     

Motor learning-dependent synaptogenesis is localized to functionally reorganized motor cortex.

The regional specificity and functional significance of learning-dependent synaptogenesis within physiologically defined regions of the adult motor cortex are described. In comparison to rats in a motor activity control group, rats trained on a skilled reaching task exhibited an areal expansion of wrist and digit movement representations within the motor cortex. No expansion of hindlimb representations was seen. This functional reorganization was restricted to the caudal forelimb area, as no differences in the topography of movement representations were observed within the rostral forelimb area. Paralleling the physiological changes, trained animals also had significantly more synapses per neuron than controls within layer V of the caudal forelimb area. No differences in the number of synapses per neuron were found in either the rostral forelimb or hindlimb areas. This is the first demonstration of the co-occurrence of functional and structural plasticity within the same cortical regions and provides strong evidence that synapse formation may play a role in supporting learning-dependent changes in cortical function.     

Age of face matters: Age-group differences in ratings of young and old faces

Young (n = 24) and old (n = 24) participants rated 160 faces of young and old individuals taken from the CAL/PAL Face Database (Minear & Park, 2004) with regard to attractiveness, likeability, distinctiveness, goal orientation, energy, mood, and age. Ratings are reported for each face separately. Further analyses showed that the age groups differed in their ratings of young and old faces. On average, old participants evaluated the faces as more positive (i.e., more attractive, more energetic) than did young participants. In line with research on a negative aging stereotype, old faces were judged as less positive than young faces. They were, for instance, seen as less attractive, less likeable, less distinctive, less growth-oriented, and less energetic. The findings of the present study can serve as a basis for the selection of appropriate facial stimuli in age-comparative studies of face perception, face processing, or memory for faces. All face-specific data are archived at www.psychonomic.org/archive.     

Perceptual processing of partially and fully assimilated words in French

Models of speech perception attribute a different role to contextual information in the processing of assimilated speech. This study concerned perceptual processing of regressive voice assimilation in French. This phonological variation is asymmetric in that assimilation is partial for voiced stops and nearly complete for voiceless stops. Two auditory-visual cross-modal form priming experiments were used to examine perceptual compensation for assimilation in French words with voiceless versus voiced stop offsets. The results show that, for the former segments, assimilating context enhances underlying form recovery, whereas it does not for the latter. These results suggest that two sources of information -- contextual information and bottom-up information from the assimilated forms themselves -- are complementary and both come into play during the processing of fully or partially assimilated word forms.     

Upward spirals of positive emotion and coping: Replication, extension, and initial exploration of neurochemical substrates

The broaden-and-build theory (Fredrickson, 1998, 2001) predicts that positive emotions broaden the scopes of attention and cognition, thereby facilitating the building of personal resources and initiating upward spirals toward increasing emotional well-being. This study attempts to replicate and extend previous empirical support for this model. Using a sample of 185 undergraduates, we assessed whether positive affect and broad-minded coping, interpersonal trust, and social support reciprocally and prospectively predict one another over a two-month period, and whether this upward spiral might be partially based in changes in dopaminergic functioning. As hypothesized, PA and positive coping did mutually build on one another, as did PA and interpersonal trust. Contrary to expectation, PA did not demonstrate an upward spiral relation with social support. Results suggest further study of the relationship between PA and changes in dopamine metabolite levels over time is warranted.     

Initial examination of the validity and reliability of the female photographic figure rating scale for body image assessment

The present study reports on the reliability and validity of an improved body image assessment scale, namely the female Photographic Figure Rating Scale (PFRS). This scale consists of ten photographic images of real women varying in body mass index (BMI) from emaciated to obese. The PFRS was designed to overcome many of the limitations associated with line-drawn figures that are currently in use, including a lack of realism and poor ecological validity. Based on a sample of 208 adult women, the results of the present study showed that the PFRS had good validity in that all images were correctly rank-ordered by BMI. In addition, construct validity was supported by the finding that current self-ratings of body size based on the PFRS were significantly correlated with participants’ BMI and that body dissatisfaction was negatively correlated with positive body image. Finally, test–retest reliabilities showed that the PFRS remained stable after a three-week interval. The discussion focuses on the strengths and limitations of the PFRS in relation to existing scales used in body image assessment.     

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.     

Interracial roommate relationships: an experimental field test of the contact hypothesis

ABSTRACT— This study investigated how automatically activated racial attitudes are affected by relatively long-term interracial relationships. A natural field experiment was conducted in a college dormitory system. Participants were White freshmen who had been randomly assigned to either a White or an African American roommate. Students participated in two sessions during the first 2 and last 2 weeks of their first quarter on campus. During these sessions, they answered questions about their satisfaction and involvement with their roommates and completed an inventory of intergroup anxiety and an implicit measure of racial attitudes. Participants in interracial rooms reported less satisfaction and less involvement with their roommates than did participants in same-race rooms. However, automatically activated racial attitudes and intergroup anxiety improved over time among students in interracial rooms, but not among students in same-race rooms. Thus, the results suggest that interracial roommate relationships, although generally less satisfying and involving than same-race roommate relationships, do produce benefits.