‘How can we help when she won't tell us what's wrong?’ Professionals working with South Asian women who have experienced sexual abuse

In this paper, we explore some of the issues facing professionals in the UK currently involved in providing services for South Asian women who have experienced sexual abuse. The study describes part of a wider Economic and Social Research Council funded project, based upon interviews and focus groups with both professionals and women survivors of sexual abuse. Drawing on semi‐structured interviews and two focus groups with 37 professionals including psychological therapists, refuge and project workers, from a range of organisations, our aim in this paper is to provide a discursive analysis of some of the key dilemmas faced by professionals working with sexual abuse in South Asian communities by exploring two central interpretive repertoires: ‘culture not self’ and ‘symptom talk as solution’. The analysis indicates that professionals face a series of dilemmas when working with South Asian women survivors. They highlight the tension between individualised models of personhood in many psychological therapies and the challenge to these by South Asian communities who hold a more relational view of the person. One of the strategies used by professionals to work with the tensions between ‘culture’ and the ‘reality’ of the survivor's pain was the translation of women's distress into symptoms of mental disorder. However, the consequences of this intervention raised some serious issues, including further pathologisation and stigma. The implications of these findings will be discussed in terms of how to understand the experiences of South Asian women from a more socially grounded perspective and to explore the issues they face in accessing and receiving appropriate services to deal with the aftermath of sexually abusive experiences. Copyright © 2006 John Wiley & Sons, Ltd.     

Applying social psychology to the study of environmental concern and environmental worldviews: contributions from the social representations approach

Recently some social psychological approaches have intensified their contributions to research in the environmental domain, helping it to focus more consistently on the shared aspects of all environment related experiences. The goal of this paper is that of joining these efforts, exploring the contributions of the social representations approach to research on environmental concern and environmental thought, as another area for applying social psychological knowledge. The paper first sketches how the environmental concern of the publics emerged in the 70s as a problem for the social sciences and proceeds to summarizing the main characteristics of this research, focusing on three problematic areas: (1) incipient theoretical integration among the frameworks dominating research; (2) insufficient reflection about the assumptions and measurement of the concepts employed; (3) a need for new research questions that push studies beyond the analysis of the socio‐demographical correlates of beliefs. Afterwards a presentation of social representations theory will be undertaken and the usefulness of the approach to deal with some aspects of the problematic areas identified will be explored, with examples from recent research, and highlighting the importance of focusing on contradiction, polyphasia, and the articulation of the local and the global. Copyright © 2006 John Wiley & Sons, Ltd.     

StopPulling.com: An Interactive, Self-Help Program for Trichotillomania

Despite the widespread nature and significant impact of trichotillomania (TTM), relatively few controlled studies have evaluated treatment options for people with this disorder. Pharmacological treatment and behavior therapy are the two most widely accepted approaches to treating TTM, but few mental health professionals with appropriate expertise are available to provide care. The cost of treatment also is prohibitive in some cases. A number of self-help books are available for people with TTM, but no empirical data have documented associated outcomes. This paper describes the development and two phases of program evaluation for an alternative, Internet-based self-help treatment strategy for repetitive hair pulling. StopPulling.com is an on-line, interactive self-help approach derived from evidence-based cognitive behavioral models of treatment for TTM. Following program development, an initial test phase elicited feedback from individuals with repetitive hair pulling and professionals with expertise in the treatment of TTM or Web site development. StopPulling.com was modified in accordance with feedback from this initial test phase, and a revised version was made available to the public in January 2003. Preliminary data from 265 users of the program during the first year of public availability suggested significant improvement in symptoms, with some evidence that duration of program use accounted for reductions in symptom severity. Response rates were comparable to long-term follow-up after more intense cognitive behavioral treatment. StopPulling.com may provide a potentially useful self-help alternative or adjunctive strategy for repetitive hair pulling.     

Counselling women with post natal depression: Implications from recent qualitative research

This paper explores the role of the counselling psychologist with women who experience post natal depression. Traditionally post natal depression has been identified as a clinical condition, and the woman referred for psychiatric assessment; or it is seen as the result of stressful childbirth and associated events, and the woman is offered treatment by her GP or referred to a post natal support group. A recent study suggests that some degree of depression following childbirth is ‘normal’, and that far from being a clinical condition, its origins appear to be located in the context of problematic relationships (in both domestic and obstetric settings) as well as in women's expectations and inadequate preparation for childbirth and early motherhood. These expectations seem to be embedded in female psychology and wider cultural values. Women appear to be prepared for the fact that they will bear and mother children, but not the experience of motherhood itself, and consequent changes in identity and relationships are rarely made explicit. This study suggests that childbirth and the early months of motherhood (even for second and third children) are likely to precipitate some degree of depression in most women, and that this depression appears to be reactive rather than determined by individual pathology. Further, the experience of becoming a mother (each time) equates with a model of loss and bereavement, suggesting a very specific role for the counselling psychologist.     

The accuracy of beliefs about retrieval cues

We investigated the accuracy of predictions about semantic, environmental, and phonological cues for remembering. Subjects rated the pleasantness of 10 words in each of four rooms, predicted the number of words that they would recall with and without one of the three types of cues, and then were tested for free or cued recall. Consistent with their predictions, subjects who received semantic cues recalled more words than did subjects in the free-recall group. The subjects in the other cuing conditions did not benefit from the cues; furthermore, they overestimated the value of phonological cues, and they believed that environmental cues were ineffective. Finally, confidence ratings for cued-recall predictions did not reflect the pattern of cued-recall performance. Subjects were least confident about their predictions for semantic cuing and most confident about their predictions for recall to be cued phonologically.     

A PERSONALIZED SYSTEM OF INSTRUCTION FOR TEACHING CHECKING ACCOUNT SKILLS TO ADULTS WITH MILD DISABILITIES

This study evaluated the efficacy of a personalized system of instruction to teach checking account skills to persons with mild disabilities. Using a self-paced manual, 8 participants in two groups were taught to write checks, complete deposit slips, and reconcile monthly bank statements. Four participants were assessed for generalization from the classroom to community sites and demonstrated nearly perfect performance. A multiple probe design showed that acquisition occurred sequentially for each skill only after training using the self-paced manual. Follow-up sessions demonstrated that participants maintained the checking account skills. The results provide evidence of the effectiveness and adaptability of a personalized system of instruction for teaching complex monetary skills to persons with mild disabilities.     

A developmental, interactive activation model of the word superiority effect

Parallel distributed processing (PDP) models of reading developed out of an appreciation of the role that context plays in letter and word perception. Adult readers can more accurately identify letters in a word than alone or in other random display contexts, a phenomenon known as the Word Superiority Effect (WSE). We examined the effects of orthographic context on the letter recognition skills of dyslexic children, comparing their performance to adults, and chronological- and reading-age matched groups. Consistent with previous studies, results showed adults better able to identify letters in the context of words and pseudowords than in random letter strings. Young normal readers demonstrated the WSE, but their pseudoword advantage was less than adults. The dyslexic children showed no WSE at all. PDP computer simulations for the experimental data using the Interactive Activation model (IA) suggested that the orthographic components of the lexical system of normal children are interactive and distributed as they are in adults but provide less bottom-up activation. In addition, top-down processing increases with age and reading skill, but may be absent for dyslexic readers.     

Gender concept development of preschool-aged children in the United States and Egypt

Thirty-one American and 31 Egyptian children were given the Slaby-Frey Gender Concept Test to measure gender understanding of children from two cultures assumed to differ in level of androgyny. The subject's sex, age, parent's education, and siblings' sex and age were explored in relation to gender concept. A multivariate analysis of variance (Nationality × Sex of Subject) yielded a significant nationality effect. American children had a higher mean score on gender identity than Egyptian children. In addition, a Pearson product-moment correlation revealed significant positive relationships between the age of the subject and two gender constructs, identity and stability. Future research on specific cognitive, developmental, and cultural influences on the gender development of young children was proposed.     

DEVELOPMENTAL ISSUES IN THE TREATMENT OF DIABETIC WOMEN

The physiological and psychological effects of diabetes on women show changes with age. Behavioral interventions on behalf of diabetic women must be based on an understanding of these life span changes. A review of selected articles from the medical and psychological literature that focus on special issues for a diabetic woman during preadolescence, adolescence, and adulthood is presented. Recommendations are made for behavioral interventions with diabetic women in regard to "sick" role adjustment, peer conformity pressures, eating disorders, sexuality, and pregnancy.     

EFFECTS OF SYSTEMATIC,RESPONSE-DEPENDENT FADING AND THINNING PROCEDURES ON THE MAINTENANCE OF CHILD-CHILD INTERACTION

Previous investigations of the social behavior of handicapped preschool children (Journal of Applied Behavior Analysis, 1974, 7 , 583–590; Journal of Applied Behavior Analysis, 1976, 9 , 31–40; Journal of Applied Behavior Analysis, 1977, 10 , 289–298) demonstrated that introduction of adult or peer confederate intervention agents produced substantial increases in levels of positive social behavior emitted by the subjects. In addition, it was observed that changes in rates of positive social behavior emitted by recipients of intervention tactics were accompanied by parallel changes in rates of positive social behavior emitted by interacting peers. However, with one limited exception, sudden removals of arranged intervention procedures were followed by immediate reductions in the levels of positive social behavior emitted by subjects and peers in each study. The current investigation was designed to examine the effects of response-dependent removal of intervention procedures on the positive behavior of three socially withdrawn preschool boys. Interactive effects on the social behavior of classroom peers who did not receive adult prompts and contingent attention events were also examined. A combination of withdrawal of treatment and multiple baseline procedures was employed. The three target subjects received fixed numbers of prompts and contingent attention events during Intervention I and Intervention II, Phase 1 conditions. During Intervention II, Phase 2 conditions, prompts and contingent attention events were reduced on a response-dependent basis for two subjects and on a response-independent basis for the third subject. The results suggest that: (a) the intervention procedures produced marked increases in positive social behavior emitted by each subject; (b) response-dependent fading and thinning, contrasted with response-independent tactics, maintained levels of positive social behavior equivalent to those observed during Intervention I and Intervention II, Phase 1 conditions; (c) changes in positive and negative behaviors emitted by peers paralleled changes in positive and negative behaviors emitted by each subject; and (d) no “spillover” of treatment effects was noted for subjects during periods in which they were not direct recipients of intervention procedures.