Attitudes toward women's right to self-determination

Abstract

After briefly describing the purpose, structure, and functions of a typical family planning center, the paper suggests and gives support for a more relationship-centered service delivery system. The major thesis of the paper is that these centers should adopt a system which recognizes and promotes intimate human relationships, and that marriage and family counselors would be highly valuable resources in such a system. The paper stresses the importance of attending to the myriad relationship issues involved in the entire process of enabling individual couples to more effectively plan and control their own fertility. Several ways in which the marriage and family counselor can work with and within the family planning center are outlined.     

Chance,command, and chaos in ancient military engagements 1

The Greeks and the Romans believed that commanders ought to exercise their foresight to preclude risks in combat. They also tried to inculcate and to preserve order in their military systems by the use of initiatory mechanisms, repetitive drill, and replication of the military order in social, economic, and spatial arrangements. In spite of their efforts to minimize entropy within their military units, these systems sometimes underwent chaotic transformations during set‐piece engagements on the battlefield. These set‐piece battles which followed a simple, formulaic pattern provide the data for a case‐study in the behavior of military systems within a relatively simple set of constraints. The results suggest that command functions can have little influence once a system is actively engaged with the enemy and that small effects can drive even simple military systems irreversibly over thresholds into chaos. They illustrate the dangers in any analysis of military phenomena which assumes linear rather than chaotic change. They also suggest that prediction, let alone control, of the course of an engagement is considerably more difficult than is often assumed. It is even difficult to label known outcomes as victories or losses, since the same result may appear differently to two observers occupying different vantage points. Military analysts should take into account values held by society at large.     

Functional and connectivity changes during working memory in Huntington’s disease: 18 month longitudinal data from the IMAGE-HD study

Background

This study aimed to characterize, for the first time, 18 month longitudinal changes in both functional activation and functional connectivity during working memory in premanifest Huntington’s disease (pre-HD) and symptomatic HD (symp-HD).

Methods

Functional magnetic resonance imaging (fMRI) was used to investigate longitudinal changes in neuronal activity during working memory performance via an N-BACK task (0-BACK and 1-BACK) in 27 pre-HD, 17 symp-HD, and 23 control participants. Whole-brain analysis of activation and region-of-interest analysis of functional connectivity was applied to longitudinal fMRI data collected at baseline and 18 months follow-up.

Results

Compared with controls, the pre-HD group showed significantly increased activation longitudinally during 1-BACK versus 0-BACK in the lateral and medial prefrontal, anterior cingulate, primary motor, and temporal areas cortically, and caudate and putamen subcortically. Pre-HD far from onset, compared with controls, showed further longitudinal increases in the right and left dorsolateral prefrontal cortex (DLPFC). Longitudinal increased activation in anterior cingulate and medial primary motor areas were associated with disease burden in the pre-HD group. Moreover, in pre-HD increased activation over time in primary motor and putamen regions were associated with average response time during 1-BACK performance. During 1-BACK, functional connectivity between the right DLPFC and posterior parietal, anterior cingulate, and caudate was significantly reduced over 18 months only in the pre-HD group.

Conclusions

Longitudinal reductions in connectivity over 18 months may represent an early signature of cortico-cortical and cortico-striatal functional disconnectivity in pre-HD, whereas the concomitant increased cortical and subcortical activation may reflect a compensatory response to the demands for cognitive resources required during task performance. Our findings demonstrate that functional imaging modalities have the potential to serve as sensitive methods for the assessment of cortical and subcortical responses to future treatment measures.     

The Work of Feminists is Not Yet Done: The Gender Pay Gap—a Stubborn Anachronism

Lips (2012) critiques the literature, predominantly from the United States, to assess how well human capital theory explains the gender pay gap. Her analysis shows that human capital inputs are an imperfect explanation for the gap and that social psychological influences also provide key explanations. I comment on Lips’s paper using literature from the United States and other English-speaking highly developed countries and, to a lesser extent, from European countries. I elaborate and extend her position, promoting the argument for the effect of social influences and for their interactive and incremental effects. I place the phenomenon of the gender pay gap into a societal context. I borrow from the literature for the effect of gender discrimination on women’s advancement in management to discuss explanatory influences. I extend the inference that the gender pay gap supports and maintains the lesser status of women in society and that it helps to preserve the status quo with respect to gender roles. To explain the gender pay gap, I propose that the development of an integrated theoretical framework is needed. The framework would combine the direct and interactive influences of human capital and social psychological inputs, in the context of a cumulative, incremental pattern that occurs over a person’s working life.     

Homelessness Is Traumatic: Abuse,Victimization, and Trauma Histories of Homeless Men

Homelessness is traumatic, and trauma-informed care is an emerging best practice. Using structured interviews with day shelter clients (N = 152), this study examined trauma among homeless men. The PTSD Checklist (PCL–C) was used to assess for posttraumatic stress disorder (PTSD). Participants’ pattern of PCL–C responses suggested that 23% to 30% screened positive for PTSD. Those with positive PTSD screens had been homeless longer and were more likely to have met time criteria for chronic homelessness. They were significantly more likely to be veterans and to report violent attacks, abuse histories, and mental health problems. Importantly, only 69% of those with positive PTSD screens acknowledged current mental health problems. These individuals were much less likely to report mental health counseling in the prior year.     

Social Competence in Children with Brain Disorders: A Meta-analytic Review

Social competence, i.e. appropriate or effective social functioning, is an important determinant of quality of life. Social competence consists of social skills, social performance and social adjustment. The current paper reviews social skills, in particular emotion recognition performance and its relationship with social adjustment in children with brain disorders. In this review, normal development and the neuro-anatomical correlates of emotion recognition in both healthy children and adults and in various groups of children with brain disorders, will be discussed. A systematic literature search conducted on PubMed, yielded nine papers. Emotion recognition tasks were categorized on the basis of task design and emotional categories to ensure optimal comparison across studies before an explorative meta-analysis was conducted. This meta-analytic review suggests that children with brain disorders show impaired emotion recognition, with the recognition of sad and fearful expressions being most impaired. Performance did not seem to be related to derivative measures of social adjustment. Despite the limited number of studies on a variety of brain disorders and control groups, outcomes were quite consistent across analyses and corresponded largely with the existing literature on development of emotion recognition in typically developing children. More longitudinal prospective studies on emotion recognition are needed to gain insight into recovery and subsequent development of children with distinct brain disorders. This will aid development, selection and implementation of interventions for improvement of social competence and quality of life in children with a brain disorder.     

A Model of Professional Development for Practicing Genetic Counselors: Adaptation of Communication Skills Training in Oncology

Ongoing professional development for practicing genetic counselors is critical in maintaining best practice. Communication skills training (CST) workshops for doctors in oncology, utilizing trained actors in role plays, have been implemented for many years to improve patient-centred communication. This model was adapted to provide professional development in counseling skills for practicing genetic counselors, already highly trained in counseling skills. Detailed evidence based scenarios were developed. Evaluation of participants’ experience and perceived outcomes on practice included surveys immediately post workshops (2002, 2004, 2005, 2008 (×2); n = 88/97), 2–5 years later (2007; n = 21/38) and a focus group (2007; n = 7). All rated workshops as effective training. Aspects highly valued included facilitator feedback, actors rather than role-playing with peers and being able to stop and try doing things differently. Perceived outcomes included the opportunity to reflect on practice; bring focus to communication; motivation and confidence. The high level of satisfaction is a strong endorsement for ongoing communication skills training in this format as part of professional development.