Health-related quality of life of preterm children and their caregivers

As advances in medical science have extended the limit of viability downward to 23 or 24 weeks gestation, interest has turned from long-term health outcomes to quality of life for survivors. During the last decade, the first studies of the health-related quality of life (HRQOL) of children and young adults who were born extremely preterm were published. Taken from the fields of anthropology, economics, sociology, and psychology, the foundation of HRQOL is formed by theories of functionalism, positive well-being, and utility. HRQOL can be defined as the physical, psychological, and social domains of health, which can be influenced by an individual's experiences and perception. HRQOL instruments are generally composed of multiple domains and measure physical functioning, mental health, and social role functioning in some form. Utilities, or preferences for health outcomes under conditions of uncertainty, are also used. Studies of HRQOL to-date indicate that preterm children have, on average, poorer health than their normal birthweight peers, but the majority do not perceive their quality of life as significantly different than others of their own age. Measures of HRQOL should not replace the traditional measures of morbidity, but should become part of the standard battery of tools used to assess a preterm child's health and well-being. Ultimately, studies of the HRQOL of preterm children should identify aspects of life, physical, psychological, or social, that could be improved with intervention.     

Perceived discrimination in the context of multiple group memberships

This study examined the joint impact of gender and ethnicity on expectations of general discrimination against oneself and one's group. According to the double–jeopardy hypothesis, women of color will expect to experience more general discrimination than men of color, White women, and White men because they belong to both a low–status ethnic group and a low–status gender group. Alternatively, the ethnic–prominence hypothesis predicts that ethnic–minority women will not differ from ethnic–minority men in their expectations of general discrimination because these expectations will be influenced more by perceptions of ethnic discrimination, which they share with men of color, than by perceptions of gender discrimination. All results were consistent with the ethnic–prominence hypothesis rather than the double–jeopardy hypothesis.     

“Higher Powers and Infernal Regions”: Models of Mind in Freud's Interpretation of Dreams and Contemporary Psychoanalysis,and Their Implications for Pastoral Theology

Freud's topographical model of conscious and unconscious had a powerful early influence on pastoral psychology. The hegemony of this so-called depth-oriented repression model is being challenged on a number of fronts. The increasing recognition of the mutability of memory, and the politicization of repressed memory has called the idea of the repression barrier under scrutiny. Psychoanalytic thinkers and neurobiologists are separately rejecting the concept of repression in favor of dissociative processes and multiple mental states. Postmodernists question the notion of unitary self. This article explores the importance of these critiques for theological anthropology, and suggests their implications toward a new, more multiple and mutable imago Dei. The article concludes with implications of the new models of mind, emphasizing dissociation and multiplicity, toward a constructivist, intersubjective view of meaning-making in pastoral praxis.     

Models of visuospatial and verbal memory across the adult life span

The authors investigated the distinctiveness and interrelationships among visuospatial and verbal memory processes in short-term, working, and long-term memories in 345 adults. Beginning in the 20s, a continuous, regular decline occurs for processing-intensive tasks (e.g., speed of processing, working memory, and long-term memory), whereas verbal knowledge increases across the life span. There is little differentiation in the cognitive architecture of memory across the life span. Visuospatial and verbal working memory are distinct but highly interrelated systems with domain-specific short-term memory subsystems. In contrast to recent neuroimaging data, there is little evidence for dedifferentiation of function at the behavioral level in old compared with young adults. The authors conclude that efforts to connect behavioral and brain data yield a more complete understanding of the aging mind.     

Customer service as a function of shopper's attire

A field experiment explored whether a female shopper's appearance would influence the customer service she received. Specifically, a female confederate dressed in formal work clothes (skirt and blouse) or informal gym clothes (tights and t-shirt) entered a series of randomly selected women's clothing stores in a large mall and proceeded to "shop." The amount of time that passed before an employee approached and acknowledged the confederate served as the dependent variable. As hypothesized, she was acknowledged significantly sooner when formally attired than when informally dressed. Thus, clothing, like other aspects of appearance, influences how people are evaluated and treated by others.     

Personality and the genetic risk for alcohol dependence

The extent to which the genetic risk for alcohol dependence (AD) and conduct disorder (CD) and their common genetic risk overlap with genetic factors contributing to variation in dimensions of personality was examined in a study of 6,453 individuals from 3,383 adult male and female same-sex and unlike-sex twin pairs from the Australian Twin Registry. The associations between the personality dimensions of positive emotionality, negative emotionality, and AD and CD risk were modest, whereas the associations between behavioral undercontrol and AD and CD risk were substantially higher. Genetic influences contributing to variation in behavioral undercontrol accounted for about 40% of the genetic variation in AD and CD risk and about 90% of the common genetic risk for AD and CD. These results suggest that genetic factors contributing to variation in dimensions of personality, particularly behavioral undercontrol, account for a substantial proportion of the genetic diathesis for AD and most of the common genetic diathesis for AD and CD among both men and women.     

Hand preference in simultaneous unimanual tasks: a preliminary examination

The aim of the current investigation was to determine the pattern of hand use during simultaneous unimanual tasks. Two studies were conducted. The first experiment examined the pattern of hand use in a catching task, while performing a secondary writing task. Results showed that individuals had a decreased tendency to catch with their preferred hand when their preferred hand was occupied, in comparison to when the preferred hand was unoccupied. The second experiment examined the pattern of hand use during a support and reach task, where the use of both hands was required. Here, results indicated that participants preferred to support themselves with their nonpreferred hand and reach with preferred hand toward right hemispace. With respect to left hemispace, participants showed the reverse pattern. This pattern of hand use indicates an important role for the nonpreferred hand, which has been relatively unexplored by researchers.     

Personality disorders associated with substance use among American and Greek adolescents

A study was conducted to investigate the association between personality disorder (PD) symptomatology and substance use among adolescents in community settings in the United States and Greece. The Structured Clinical Interview for DSM-IV Personality Disorders and the Adolescent Health Behavior Survey were completed by 37 male and 84 female adolescents, ages 15 to 18, who were recruited from an adolescent medical clinic and schools in and near New York City (n = 71) and Heraklion, Greece (n = 50). Results indicated that: (1) adolescents with PDs reported more frequent alcohol consumption during the past year than did those without PDs; (2) adolescents with borderline PD reported more cigarette smoking and heavy alcohol consumption than did those without borderline PD; (3) adolescents with antisocial PD symptomatology reported greater alcohol, cigarette, and illicit drug use than did those without antisocial PD symptomatology; and (4) although more American (30%) than Greek (4%) adolescents reported illicit substance use, differences were not observed in the prevalence of alcohol use, cigarette use, or personality disorders as a function of nationality.     

Testing for telepathy in connection with e-mails

This study investigated possible telepathic communication in connection with e-mails. On each trial, there were four potential e-mailers, one of whom was selected at random by the experimenter. One minute before a prearranged time at which the e-mail was to be sent, the participant guessed who would send it. 50 participants (29 women and 21 men) were recruited through an employment web site. Of 552 trials, 235 (43%) guesses were hits, significantly above the chance expectation of 25%. Further tests with 5 participants (4 women, 1 man, ages 16 to 29) were videotaped continuously. On the filmed trials, the 64 hits of 137 (47%) were significantly above chance.     

The performance of left-handed participants on a preferential reaching test

Previous research in our laboratory has examined the distribution of preferred hand (PH) reaches in working space with right-handed participants. In one study, we examined the effects of tool position and task demands on the frequency of PH reaches with right-handers (Mamolo, Roy, Bryden, & Rohr, 2004). We found that PH reaches were at a maximum within ipsilateral space, and predominated within contralateral space. This was mediated by the task demands, as shown by an increased frequency of PH reaches for the more skill demanding tasks. In the current study, we tested left-handed participants on the same procedure. Five different tools were placed in an array in front of the participant, who was required to reach for, and perform one of three tasks with the tool: Lift the tool; lift and Pantomime its use; or lift and Use the tool on its corresponding object. The results showed that PH reaches were at a maximum within ipsilateral space for all three tasks. Significantly fewer PH reaches were made for tools in contralateral space. In particular, almost no PH reaches were made for the Lift task at the most extreme contralateral position. This indicates the willingness of left-handers to use their non-preferred (i.e., right) hand. One possible explanation supported by these results is that left-handers have adapted to an environment designed for right-handers.