Phonological processing during silent reading in aphasic patients

In a task involving the detection of a predesignated letter during the silent reading of a series of passages, left-brain-damaged aphasic patients and right-brain-damaged patients showed patterns of performance consistent with those of normal individuals. Both of the brain-damaged groups were more likely to detect letters when they were pronounced in a typical way (e.g., g in "ago") than in an atypical way (e.g., g in "through"), suggesting the use of phonological recoding during silent reading. In addition, both of these groups were more likely to detect letters when they occurred in content than in function words, suggesting a differential processing of these word types. Possible differences in the strategies predominantly relied on for phonological recoding and for the differential processing of content and function words by different groups of patients are discussed.     

The job climate for women in traditionally male blue-collar occupations

Rapid growth has been observed in recent years in the number of women entering traditionally male blue-collar occupations, yet researchers have paid little attention to this pioneering group. The present study undertook a comparison of the job conditions of two groups of nontraditional women workers, tradeswomen (N=71), and transit workers (N=151); a third group, school secretaries (N=389), was studied as a comparison group of traditionally female workers. Results from a 16-page mail questionnaire revealed that women in traditionally male occupations encountered significantly more adverse working conditions than did their traditional counterparts, and, in addition, reported significantly less satisfaction and more stress at work. Tradeswomen were the most likely to experience sexual harassment and sex discrimination, and black tradeswomen to experience race discrimination. The degree of job satisfaction expressed by the secretaries was unexpected, since most evidence suggests that clerical workers lack autonomy, and encounter boredom and routinization on the job. These findings are discussed in terms of gender segregation and the need to focus future research efforts on specific occupational groups in order to make appropriate policy recommendations as well as to provide help for women in these jobs.This research was supported by grants from the National Institute for Occupational Safety and Health (Grant No. 1 RO1 OH02162-01A1) and the College of Health and Human Development, The Pennsylvania State University. The authors wish to acknowledge the invaluable contributions of Patty Lambert, Ming Qi Wang, Mary Harmon, Joseph Vasey, Gina Jay, Darrell Harvey, and Haleh Rastegary.     

An analysis of the role and trait components of sex-biased occupational beliefs

This study investigated the role and trait components of sex-biased occupational beliefs. A repeated-measures analysis of variance design was used to assess the agreement patterns of 198 female and male undergraduates to three types of sentences: (1) traits necessary for a variety of occupations (job requisites); (2) the relative possession of these traits by men and women (traits); and (3) the relative suitability of women or men for these occupations (roles). A significant sex of subject by sentence type interaction was found, indicating that the sex of the subjects as well as the type of sentence (job, role, or trait) contributed to overall occupational beliefs. Moreover, tests of the simple main effects revealed that sentence type was significant for both females and males, and that sex was significant within two of the three levels of sentence type: job requisites and role statements. The results indicated that greater understanding of occupational stereotyping may be attained through research aimed at distinguishing between role and trait components of job stereotypes.This research was completed as part of the first author's doctoral dissertation research while supported by an NIMH Traineeship at Michigan State University. Use of the Michigan State University computer facilities was made possible in part through support from the National Science Foundation.     

From “4Rs and 2Ss” to “Amaka Amasanyufu” (Happy Families): Adapting a U.S.-based Evidence-Based Intervention to the Uganda Context

In Uganda, one in five children presents mental health challenges, including disruptive behavior disorders (DBDs). DBDs can persist through adulthood and result in negative outcomes. Effective interventions for DBDs have been developed and tested in high-poverty communities in developed countries. Yet, most African countries, such as Uganda, lack such interventions. This paper describes the adaptation process of an evidence-based intervention of U.S. origin to optimize fit to context with intervention fidelity, as part of a randomized trial conducted with youth that exhibit behavioral challenges and their caregivers in 30 schools in Uganda. The process involved: initial meetings with headteachers and teachers to introduce the study and the main concepts of the intervention; initial manual review focusing on 4Rs and 2Ss content by the Uganda team; engagement of community stakeholders for additional feedback on content and cultural relevance; final revision of the manual; and collection of children’s drawings for the illustration of the manual. This paper describes both similarities and differences between the original and adapted intervention content and methods of delivery. The findings also highlight the importance of involving community stakeholders in the adaptation process.     

Stress and subjective life expectancy: Cross-sectional and longitudinal associations in early adolescence

Using data from a longitudinal study, the present study employed a latent class mover-stayer analytical strategy to examine both the cross-sectional and longitudinal (+33 months) relationship between membership of stress classes, and subjective life expectancy. Participants were from 21 High schools in Scotland and Northern Ireland. Data were collected in the first year of High school (mean age = 12.5 years), and at +33 months (fourth year, or school year 11). Sample 1 consisted of 1171 adolescents (40.82% females, 2.56% unreported) in Northern Ireland. Sample 2 consisted of 1059 adolescents (52.79% females, 1.32% unreported) in Scotland. Adolescents with the lowest levels of stress projected the highest subjective life expectancy scores. Longitudinal analyses were jumbled and not in keeping with cross-sectional results. More research may be needed on the trajectory of subjective life expectancy over time before it can be depended upon as a reliable outcome variable in adolescent development.     

Affects, agency, and self-regulation: complexity theory in the treatment of children with anxiety and disruptive behavior disorders

In an increasingly unsettled and violent world, with swelling numbers of children who are abused, abandoned, or neglected, emotionally if not physically, and an increasing population of aggressive preschool children with anxiety and disruptive behavior disorders who cannot be contained in ordinary settings, psychoanalysts can make a contribution. Early intervention is essential. In very early childhood, new procedural memories for interacting with others and for regulating affects can be formed more easily than they can ever be again. Intervention should aim toward helping the child develop a sense of agency, establish moral standards, assume self-responsibility, and attain the capacity for emotional regulation. The principles of complex dynamic systems can inform psychoanalytic treatment strategies, as demonstrated with five children whose cases are presented.     

Differences in Individual Approaches: Communication in the Familial Breast Cancer Consultation and the Effect on Patient Outcomes

This multicenter study aimed to assess (i) whether individual clinical geneticists and genetic counselors vary in their communication skills and (ii) whether this variation in communication impacts on patient outcomes, such as anxiety, depression, genetics knowledge, and satisfaction. One hundred and fifty women from high-risk breast cancer families attending their first genetic counseling consultation completed pre and post-consultation self-report questionnaires. The consultations were audiotaped and transcribed verbatim. Univariate analyses showed highly significant differences between individual clinical geneticists and genetic counselors in: facilitating understanding (p 0.001); facilitating active involvement (p 0.001); facilitating partnership building (p = 0.003); addressing emotional concerns (p 0.001); and discussing prophylactic mastectomy (p = 0.017). Multivariate linear regressions showed that this variation in communication resulted in a greater change in patients depression 4 weeks after the counseling session (p = 0.017). These findings suggest clinical geneticists and genetic counselors have achieved some standardization in communicating information, but showed diversity in their facilitation skills. Communication skills may be a useful area to explore further in this field.