Access to HIV care among migrant Africans in Britain. What are the issues?

In the UK, substantial numbers of new HIV diagnoses are within migrant communities, especially African communities. Current surveillance shows that despite health promotion efforts and advances in therapy these communities are accessing HIV care late. This paper explores the issues influencing the access and uptake of HIV care by migrant Africans in Britain. Using Kleinman's model of health care systems (Kleinman, 1980) as a theoretical framework, we highlight the importance of placing health within its broader context if we are to make significant improvement to the health of HIV-infected Africans in Britain.     

Spontaneous emotion regulation during evaluated speaking tasks: associations with negative affect, anxiety expression, memory, and physiological responding

In these studies, the correlates of spontaneously using expressive suppression and cognitive reappraisal during stressful speeches were examined. Spontaneous emotion regulation means that there were no instructions of how to regulate emotions during the speech. Instead, participants indicated after the speech to what extent they used self-motivated expressive suppression or reappraisal during the task. The results show that suppression is associated with less anxiety expression, greater physiological responding, and less memory for the speech while having no impact on negative affect. In contrast, reappraisal has no impact on physiology and memory while leading to less expression and affect. Taken together, spontaneous emotion regulation in active coping tasks has similar consequences as experimentally induced emotion regulation in passive tasks.     

The simultaneous learning effect: why does simultaneous task learning improve retention?

Despite the prevalence of encoding variables that have been shown to influence the rate of learning, very few affect the rate of forgetting of verbal material. However, when a list of words is learned simultaneously with other lists, the rate of forgetting is markedly lower than that of single-task learning. Although the magnitude of this simultaneous learning effect is large compared with typical list learning effects, it has received little empirical attention. Experiments 1 and 2 tested the hypothesis that the simultaneous learning effect is the result of a differential contribution of short-term memory during encoding. The results showed that the advantage for simultaneous task learning was obtained even under conditions that minimized the potential effects of short-term memory. Experiment 3 revealed that the simultaneous learning effect was larger when the specific items learned simultaneously were the same on each learning trial than when they were different. This finding supported a cuing explanation of the effect: the items from the other lists act as retrieval cues during delayed recall.     

Oppositional defiant disorder toward adults and oppositional defiant disorder toward peers: initial evidence for two separate constructs

Confirmatory factor analysis of 25 items on the Child and Adolescent Disruptive Behavior Inventory (CADBI, Version 2.3; G. L. Burns, T. K. Taylor, & J. C. Rusby, 2001) was conducted on teacher ratings of 824 kindergarten children and replicated on 534 children. Model fit was improved when correcting for 2 method effects: (a) adjacent items and (b) identical behaviors (e.g., argues with adults, argues with peers). The results show that the 25 items loaded on 3 distinct but correlated factors: Hyperactivity, Oppositional to Adults, and Oppositional to Peers. These more refined constructs from the CADBI may be useful for practitioners in identifying children who are at risk and for helping define appropriate contexts in which to intervene. The CADBI and analytic procedures also may contribute to future psychoeducational research on the development of problem behavior.     

Using cumulative-recall curves to assess the extent of relational and item-specific processing

Although distinguishing between item-specific and relational information has proved to be a useful approach for understanding a variety of important memory phenomena, finding measurement tools for assessing the amount and type of information processed has proven difficult. Using the repeated-testing procedure, Burns (1993) demonstrated that item gains (the recall of items on a later test that were not recalled on earlier tests) and item losses (the forgetting of items on a later test that were recalled on earlier tests) reflected differences in amount of item-specific and relational information processed, respectively. Although several researchers have begun to use the measures with apparent success, the present research demonstrates that the accuracy of the item-gain measure is largely dependent on the rather arbitrary choice of recall-test length. We also show that a related but alternative measure, analysis of cumulative-recall curves, avoids some of the shortcomings of the item gain and loss measures. Moreover, we provide evidence for the generality of the cumulative-recall approach by demonstrating its effectiveness in mixed-list designs.     

Perceptions of Children Who Lie: Influence of Lie Motive and Benefit

KILMARTIN (1994) suggested that masculine traits may result from externalizing defense style and that when unconscious and unwanted feminine traits about the self occur, they are dealt with in an external way, radier man being directiy resolved by the individual. However, this dieory has received little empirical support. Lobel and Winch (1986) measured defense style among male college students; they found mat men who scored higher in masculinity tended to score higher on acting out (finding an object to attack) and splitting (separating affect from content). Lobel and Winch concluded mat use of diese defense styles reflects avoidance of emotional expression. In turn, diese findings have been supported by research that has suggested mat men use avoidance coping strategies more man women do (McCall &; Struthers, 1994).     

Triggering Conservation of the Self's Regulatory Resources

Three experiments investigated people's motivation to conserve the self's limited regulatory resource after it is depleted by initial self-control exertion. Across the experiments, the results supported the idea of a conservation process. In Experiment 1, depleted participants' subsequent performance decreased when expecting to engage in a future self-regulation task compared to engaging in no task at all. In Experiments 2 and 3 we employed the “end-effect” pattern found in past vigilance research to further examine conservation. In Experiment 2, depleted and nondepleted participants who knew the study ran for 30 min performed similarly following 20 min of self-regulation, whereas 3 min or 10 min of self-regulation produced typical depletion effects. Likewise, the findings from Experiment 3 revealed this same conservation pattern using a shortened 6-min initial task. Specifically, when depleted participants believed the study was finished their task performance was better compared to those who believed the study would run for another 20 min. In short, the current findings support the idea of conservation—decrements in self-regulatory performance may represent an adaptive inclination to conserve the self's diminished resources rather than an inability to wield further self-control.     

Psychotherapy as Moral Encounter: A Crisis of Modern Conscience

Psychotherapy can no longer be understood as a morally neutral or value-free practice. Many have argued that psychology is implicitly and inevitably laden with moral assumptions and has a significant impact on the moral and ethical fabric of its clients and surrounding society (Browning 1987; Doherty 1995; Dueck and Reimer 2003; Kelly and Strupp 1992; Rieff 1987, 2006). In this work, the authors highlight the profound identity crises within the field of psychology around the place of morality/ethics in its theories and practices. Chronicling some of the shifts between modern and postmodern theory will allow for a meaningful engagement with this issue. The postmodern shifts in the field have left clinicians ideologically hampered in their ability to attend to the moral dimensions of their clients’ lives. In conclusion, the authors posit a virtue ethics and consider avenues of holistically and meaningfully infusing clinical practice with moral sensibilities.