Investigating the outcome of the initial assessment at a national transgender health service: Time to review the process?

Background: Globally, there is a lack of a standardized assessment process prior to the initiation of gender affirming medical interventions and consequently there is a discrepancy in this process among different transgender health services.

Aim: The main objective of this study is to investigate the outcome of the initial assessment process at a national transgender health service.

Method: The outcome of people over the age of 17 years, assessed at a large national transgender health service in the United Kingdom during a 2-year period was categorized into: (1) recommendation for cross-sex hormone treatment, or (2) no recommendation for cross-sex hormone treatment. In addition, 200 case notes were reviewed in order to investigate the level of agreement between the two clinicians involved in the assessment process.

Results: During the study period, a total number of 617 people completed their assessment at the service. Following assessment 380 (61.6%) patients were recommended for cross-sex hormone treatment, leaving 237 (38.4%) patients who required a longer assessment period or were discharged. The factors associated with being recommended for cross-sex hormone treatment were having socially transitioned, not smoking, having initiated cross-sex hormones prior to assessment, being older, and assigned male at birth. Out of the 200 case notes reviewed, agreement between assessor 1 and 2 (3 months apart) was found in 88% (n = 176) of the cases.

Discussion: Although the results of the study may not be generalizable to other international centers, questioning the assessment process and the role of the assessors is important to ensure treatment is offered in a timely and efficient manner. The findings from this study suggest that the routine inclusion of two assessors needs to be reviewed.     

GreekLex: A lexical database of Modern Greek

To conduct experimental investigations into the orthographic processing of Modern Greek, information is needed about the lexical properties known to influence visual word recognition. In this article we introduce GreekLex, a lexical database for Modern Greek, which presents collectively for the first time a series of orthographic measures that can be used for psycholinguistic research. GreekLex consists of 35,304 Modern Greek words ranging in length from 1 to 22 letters, and for each word includes the following statistical information: word length, word-form frequency, lemma frequency, neighborhood density and frequency, transposition neighbors, and addition and deletion neighbors. Furthermore, type and token frequency measures of single letters and bigrams derived from the database are also available. The complete database can be accessed and downloaded freely from www.psychology.nottingham.ac.uk/GreekLex.     

The influence of context‐specific and dispositional achievement goals on children's paired collaborative interaction

Background . Research has demonstrated that working collaboratively can have positive effects on children's learning. While key factors have been identified which influence the quality of these interactions, little research has addressed the influence of children's achievement goals on collaborative behaviour. Aims . This paper investigates the influence of mastery and performance goals on the nature of children's collaborative participation while playing a problem‐solving computer game with a peer. Sample . Forty‐eight primary schoolchildren aged 8–10 years were divided into two groups: those displaying strong personal goal preferences (dispositional group: N = 14) and those whose goal preferences were context‐dependent, displaying no consistent bias for either mastery or performance goals (context‐dependent: N = 34). Children were paired on the basis of same gender, year group, and goal orientation. Method . Context‐dependent pairs were assigned to either a mastery or a performance condition in which they received goal‐focused instructions. Dispositional pairs received only the instructions to collaborate given to all groups. Collaborative sessions were videotaped and interactions coded. Results . Children who were assigned mastery goals engaged in significantly more elaborated problem‐solving discussion whilst children who were assigned performance goals engaged in more executive help seeking and displayed lower levels of metacognitive control. Dispositional pairs shared some similar patterns, according to goal orientation, as context‐dependent pairs. Conclusions . Goal‐focused instructions can be used to influence the nature and quality of children's paired interactions. Instructing children towards mastery goals appears to promote a more collaborative style of interaction.     

Anaphoric agreement violation: an ERP analysis of its interpretation

In the present study we analyzed the processing of grammatically anomalous sentences like "The famous dancer were nervously preparing herself/themselves to face the crowd.", which contains two anomalies, one early and one late. We investigated how processing of the later anomaly (at the pronoun 'herself' or 'themselves') was affected by the processing of the early anomaly (at 'were'). We considered two processing scenarios involving the first anomaly: (1) The representation of the subject-verb number agreement error at the first verb is coerced to match the verb, rendering 'herself' anomalous; (2) The representation of the subject-verb agreement error is coerced to match the subject noun, rendering 'themselves' anomalous. Our dependent measure was event-related scalp potentials (ERPs). When the pronoun disagreed with the verb (and agreed with the subject), a P600 was recorded, while the opposite condition elicited no reliable effect. Our data suggest that interpretation of reflexive pronouns involves the reactivation of multiple lexical items, verbs included.     

Interactive apps prevent gender discrepancies in early‐grade mathematics in a low‐income country in sub‐Sahara Africa

Globally, gender differences are reported in the early acquisition of reading and mathematics as girls tend to outperform boys in reading, whereas boys tend to outperform girls in mathematics. This can have long‐term impact resulting in an under‐representation of girls in Science, Technology, Engineering and Mathematics subjects. Recent research suggests that sociocultural factors account for differences across genders in the acquisition of these foundational skills. In this study, we investigated whether a new technology‐based intervention, that included activities accessible to both boys and girls, can reduce gender differences from emerging during the early primary school years. The novel instructional method used in this study employed apps developed by onebillion© delivered individually through touch‐screen tablets. Over a series of experiments conducted in Malawi, a low‐income country in sub‐Sahara Africa, we found that when children were exposed to standard pedagogical practice typical gender differences emerged over the first grade (Experiment 1). In contrast, boys and girls learnt equally well with the new interactive apps designed to support the learning of mathematics (Experiment 2) and reading (Experiment 3). When implemented at the start of primary education, before significant gender discrepancies become established, this novel technology‐based intervention can prevent significant gender effects for mathematics. These results demonstrate that different instructional practices influence the emergence of gender disparities in early mathematics. Digital interventions can mitigate gender differences in countries where standard pedagogical instruction typically hinders girls from acquiring early mathematical skills at the same rate as boys. A video abstract of this article can be viewed at https://www.youtube.com/watch?v=55x-6hhAY9M&feature=youtu.be     

Becoming who you are: An integrative review of self‐determination theory and personality systems interactions theory

One of the enduring missions of personality science is to unravel what it takes to become a fully functioning person. In the present article, the authors address this matter from the perspectives of self‐determination theory (SDT) and personality systems interactions (PSI) theory. SDT (a) is rooted in humanistic psychology; (b) has emphasized a first‐person perspective on motivation and personality; (c) posits that the person, supported by the social environment, naturally moves toward growth through the satisfaction of basic psychological needs for autonomy, competence, and relatedness. PSI theory (a) is rooted in German volition psychology; (b) has emphasized a third‐person perspective on motivation and personality; and (c) posits that a fully functioning person can form and enact difficult intentions and integrate new experiences, and that such competencies are facilitated by affect regulation. The authors review empirical support for SDT and PSI theory, their convergences and divergences, and how the theories bear on recent empirical research on internalization, vitality, and achievement flow. The authors conclude that SDT and PSI theory offer complementary insights into developing a person's full potential.     

When and how social movements mobilize action within and across nations to promote solidarity with refugees

When and how do social movements form to mobilize action across national boundaries? In the context of the 2015 movement to support Syrian refugees, we develop an integrative model of transnational social movement formation shaped by pre-existing world-views (social dominance orientation and right-wing authoritarianism) and social media exposure to iconic events, resulting in an emergent group consciousness (“we are”, “we believe”, “we feel”). Group consciousness is, in turn, the proximal predictor of solidarity with refugees. Participants were from six countries: Hungary (N = 267), Romania (N = 163), Germany (N = 190), the United Kingdom (N = 159), the United States (N = 244) and Australia (N = 344). Multi-group structural equation models confirmed that group consciousness, shaped by individual differences and exposure to events through social media, was the proximal predictor of solidarity. The subjective meaning of group consciousness varied across samples, reflecting national differences. Results support the importance of considering individual and national differences, and group processes in understanding emergent social movements.     

Ethik in der Psychotherapie

This contribution discusses some fundamental questions of medical ethics in psychotherapy. The problems discussed arise when ?care ethics“, which is based mainly on the Hippocratic Oath as the basis of medical ethics, is rejected. After a short overview of the relevant ethical theories, we ask for values and principles which might serve as a foundation for philosophical reasoning on the doctor-patient-relationship. In particular, we discuss the role of autonomy and informed consent in this relationship, following Beauchamp’s and Childress’ ethical principlism. We try to show the limited scope of the principle of autonomy in psychotherapy. Finally, we make a plea for a dynamic conception of patient autonomy for which we offer some pragmatic reasons. To round this conception off it is illustrated by the metaphor of the lighthouse.