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 Effects of Features of Survey Measurement on Self-Rated Health: Response Option Order and Scale Orientation

Self-rated health (SRH) is widely used to study health across a range of disciplines. However, relatively little research examines how features of its measurement in surveys influence respondents’ answers and the overall quality of the resulting measurement. Manipulations of response option order and scale orientation are particularly relevant to assess for SRH given the increasing prominence of web-based survey data collection and since these factors are often outside of the control of the researcher who is analyzing data collected by other investigators. We examine how the interplay of two features of SRH influence respondents’ answers in a 2-by-3 factorial experiment that varies (1) the order in which the response options are presented (“excellent” to “poor” or “poor” to “excellent”) and (2) the orientation of the response option scale (vertical, horizontal, or banked). The experiment was conducted online using workers from Amazon Mechanical Turk (N = 2945). We find no main effects of response scale orientation and no interaction between response option order and scale orientation. However, we find main effects of response option order: mean SRH and the proportion in “excellent” or “very good” health are higher (better) and the proportion in “fair” or “poor” health lower when the response options are ordered from “excellent” to “poor” compared to “poor” to “excellent.” We also see heterogeneous treatment effects of response option ordering across respondents’ characteristics associated with ability. Overall, the implications for the validity and cross-survey comparability of SRH are likely considerable for response option ordering and minimal for scale orientation.

     

Response patterns of young children from two contrasting SES contexts to different numerical tasks with numbers 1–5

This study contributes to a multifaceted picture of young children’s emergent number knowledge by focusing on the variety of ways in which children express and use quantitative information. The authors’ aims are to (a) explore the extent to which quantifying collections 1–5 and using that information pose different levels of difficulty to children from 33 to 47?months old, (b) identify intra- and intertask response patterns, and (c) analyze the influence of socioeconomic status and age on these response patterns. Sixty-six children from two contrasting socioeconomic status groups (very low and middle) were asked to solve tasks with 1–5 elements in the context of a game. Using quantitative information turned out to be more complex than quantification. Intra- and intertask response patterns showed that children gradually come to understand the first five numerical values according to the numerical sequence in a much less strict way than that proposed by the cardinal-knowers model that posits that children progress in an orderly way in their number knowledge. Children in different ages and socioeconomic status groups were found to be more similar to each other when the whole arc of responses provided was considered than when solely correct performance was measured.     

On Why There is a Problem of Supererogation

How can it be that some acts of very high moral value are not morally required? This is the problem of supererogation. I do not argue in favor of a particular answer. Instead, I analyze two opposing moral intuitions the problem involves. First, that one should always do one’s best. Second, that sometimes we are morally allowed not to do our best. To think that one always has to do one’s best is less plausible, as it makes every morally best act obligatory. I argue that, despite its implausibility, this is the main ingredient in a traditional outlook I call ‘morality of law,’ which conceives of morality as impartial, impersonal, rule-based and obligation-based. My main point is that supererogation will always be seen as problematic if the background theory is a morality of law. This is because supererogation encapsulates a view of morality-outside-obligation, whereas morality of law centers upon obligation as its main instrument of curbing a supposedly natural human selfishness.

     

Development and validation of the Eyewitness Metamemory Scale

Metamemory can be defined as the knowledge about one's memory capabilities and about strategies that can aid memory. In this paper, we describe the development and validation of the Eyewitness Metamemory Scale (EMS), tailored specifically for use in face memory and eyewitness identification settings. Participants (N = 800) completed the EMS and other measures on general metamemory. Results from exploratory and confirmatory factor analysis revealed good factorial validity, internal consistency, and content validity. The EMS items emerged into three distinct factors: memory contentment, memory discontentment, and memory strategies. The EMS is a brief and easily administrable questionnaire that might be used to assess self‐ratings of face recognition capacity and use of strategies to encode faces.     

The Price of Rights: High School Students' Civic Values and Behaviors

Previous analyses of U.S. civics textbooks documented an overwhelming emphasis on citizen rights to the relative exclusion of citizen obligations and participation. Despite evidence of this uneven coverage, scholars have not yet investigated the psychological and behavioral consequences of this asymmetry, which may be especially consequential in the U.S., a predominantly individualistic culture. The present research does just this by analyzing survey data collected from high school students in civics courses. As expected, and in accordance with the content of civics curricula, students show greater endorsement of rights than of obligations. Moreover, higher support for obligations increases students' intention to vote and to participate in civic and extracurricular activities, whereas endorsement of rights is negatively associated with political participation.     

Etiologic Subtypes of Attention-Deficit/Hyperactivity Disorder: Brain Imaging, Molecular Genetic and Environmental Factors and the Dopamine Hypothesis

Multiple theories of Attention-Deficit/Hyper- activity Disorder (ADHD) have been proposed, but one that has stood the test of time is the dopamine deficit theory. We review the narrow literature from recent brain imaging and molecular genetic studies that has improved our understanding of the role of dopamine in manifestation of symptoms of ADHD, performance deficits on neuropsychological tasks, and response to stimulant medication that constitutes the most common treatment of this disorder. First, we consider evidence of the presence of dopamine deficits based on the recent literature that (1) confirms abnormalities in dopamine-modulated frontal-striatal circuits, reflected by size (smaller-than-average components) and function (hypoactivation); (2) clarifies the agonist effects of stimulant medication on dopaminergic mechanisms at the synaptic and circuit level of analysis; and (3) challenges the most-widely accepted ADHD-related neural abnormality in the dopamine system (higher-than-normal dopamine transporter [DAT] density). Second, we discuss possible genetic etiologies of dopamine deficits based on recent molecular genetic literature, including (1) multiple replications that confirm the association of ADHD with candidate genes related to the dopamine receptor D4 (DRD4) and the DAT; (2) replication of differences in performance of neuropsychological tasks as a function of the DRD4 genotype; and (3) multiple genome-wide linkage scans that demonstrate the limitations of this method when applied to complex disorders but implicate additional genes that may contribute to the genetic basis of ADHD. Third, we review possible environmental etiologies of dopamine deficits based on recent studies of (1) toxic substances that may affect the dopamine system in early development and contribute substantially to the etiology of ADHD; (2) fetal adaptations in dopamine systems in response to stress that may alter early development with lasting effects, as proposed by the developmental origins of health and disease hypothesis; and (3) gene-environment interactions that may moderate selective damage or adaptation of dopamine neurons. Based on these reviews, we identify critical issues about etiologic subtypes of ADHD that may involve dopamine, discuss methods that could be used to address these issues, and review old and new theories that may direct research in this area in the future.     

Writing consumer research: the world according to Belk

• Writing is a core scholarly competence. Not only is it a skill that every academic must acquire, regardless of their methodological, philosophical or empirical affiliations, but also it is ‘a substantial differentiating characteristic of eminent researchers’. This article offers an analysis of the writing style of one of the field's most eminent researchers, Russell W. Belk. It identifies five literary devices that help Belk's writing stand out from the crowd and, while the article does not claim to contain the secret of writing success, it considers the crucial part writing plays in the consumer research process.

Copyright © 2007 John Wiley & Sons, Ltd.     

Working alliance for clients with social anxiety disorder: relationship with session helpfulness and within-session habituation

It has been suggested that a strong working alliance encourages clients to take risks during therapy (Raue, Castonguay, & Goldfried, 1993). This encouragement may be important for clients who fear negative evaluations as they engage in risk-taking elements of therapy. This study examined the relationship between working alliance, session helpfulness and measures of emotional processing in 18 clients undergoing cognitive behavior therapy (CBT) for social anxiety disorder. Results indicate a positive correlation between client-rated, but not observer-rated, working alliance and session helpfulness. Moderate levels of working alliance were associated with higher initial anxiety and deeper within-session habituation. Overall, a strong alliance was associated with clients engaging with the session and finding the session helpful. Implications for the use of CBT for social anxiety are discussed.     

Changes in reality monitoring and episodic memory in early childhood

The purposes of this research were to examine the developmental relation between reality monitoring and episodic memory, to link reality monitoring to autobiographical memory by using extended naturalistic events, and to examine prefrontal functioning as a potential contributor to development in reality monitoring and episodic memory. In Experiment 1, 4-year-olds were worse than 6- or 8-year-olds at reality monitoring after a week delay, despite the fact that they remembered more about real than imagined events and remembered different aspects of each. In Experiments 2 and 3, reality monitoring and episodic memory were evaluated for 4- and 6-year-olds immediately after the events occurred and, in Experiment 3, again after a week delay. Reality monitoring was at higher levels for both age groups, but age differences remained. These data suggest that preschoolers' difficulties with reality monitoring result from a combination of episodic memory deficits and strategic differences. In addition, correlation analyses more directly linked preschoolers' reality monitoring to episodic memory and supported the hypothesis that episodic memory development is related to prefrontal functioning.