The impact of assuming the primary caregiver role following traumatic spinal cord injury: An interpretative phenomenological analysis of the spouse's experience

This study aimed to explore the lived experience of assuming the primary caregiver role in a group of spouses of individuals living with a traumatic spinal cord injury (SCI) (injuries ranged from paraplegia to quadriplegia). Individual in-depth interviews were conducted with 11 participants who were both the spouse and primary caregiver of an individual with a SCI; of these, 10 were female and 1 was male. All interviews were transcribed verbatim and were subjected to interpretative phenomenological analysis (IPA). Here we present three inter-related master themes: ‘The emotional impact of SCI’; ‘Post-injury shift in relationship dynamics’ and ‘Impact of caregiving on identity’. Regarding the emotional impact of spinal injury, participants reported an almost instantaneous sense of loss, emptiness and grief during the injured person's rehabilitative period and feelings of anxiety were reported in anticipation of their return to the family home. A distinct change in role from spouse and lover to care provider was reported and this ultimately contributed to relationship change and a loss of former identity. The findings are discussed in relation to extant caregiver literature and recommendations for future caregiver support are highlighted.     

Interference control in adolescents with Mild-to-Borderline Intellectual Disabilities and/or behavior disorders

The aim of this study was to investigate interference control in adolescents with Mild to Borderline Intellectual Disability (MBID) by addressing two key questions. First, as MBID is often associated with comorbid behavior disorders (BD), we investigated whether MBID and BD both affect interference control. Second, we studied whether interference control deficits are associated to problems in everyday executive functioning. Four groups of adolescents with and without MBID and/or BD performed the Eriksen flanker task, requiring participants to respond to a central target while ignoring interfering flanking stimuli. Their teachers rated behavior on the Behavior Rating Inventory Executive Function (BRIEF). We found pronounced effects of MBID but not BD on flanker interference control. In contrast, we observed pronounced effects of BD, but not MBID, on the BRIEF. In addition, flanker interference scores and BRIEF scores did not correlate. These results are taken to suggest that adolescents with MBID are characterized by deficits in interference control that do not become manifest in ratings of everyday executive functioning. In contrast, adolescents with BD are not characterized by deficits in interference control but do show elevated ratings of deficits in everyday executive function.     

The role of repeated interviewing in children's responses to cross‐examination‐style questioning

The negative effect of cross‐examination‐style questioning on children's accuracy is likely to be due to the complex and credibility‐challenging questions that characterize the interview. Given that cross‐examination occurs after at least one prior interview, however, it is equally possible that repeated interviewing per se impairs children's accuracy, and that the questions asked have little bearing on children's responses. To examine this issue, 5‐ and 6‐year‐old children (n= 82) and 9‐ and 10‐year‐old children (n= 103) took part in a surprise event and were then interviewed using an analogue of direct examination. Either 1 week or 6 months later, half of the children were re‐interviewed with an analogue of cross‐examination designed to challenge their direct examination responses. Remaining children were re‐interviewed with the same questions that were asked during direct examination. Children's accuracy decreased following their second interview, irrespective of age or delay; however, delay particularly impacted younger children's second interview performance. Children's accuracy was most impaired following a cross‐examination‐style interview. Overall, cross‐examination‐style questioning appears to be particularly detrimental to obtaining accurate event reports from children.     

Porn,Peers, and Performing Oral Sex: The Mediating Role of Peer Norms on Pornography’s Influence Regarding Oral Sex

ABSTRACT

The goal of this study was to offer insights into how pornography use might be linked to young adults’ sexual experiences via the mediating role of peer norms (i.e., their perceptions of what same-sex peers do sexually). We focused on oral sex behavior, as it is common in pornography and among young people. Young adults (N = 349; ages 19–30; 54% female) were recruited through a crowdsourcing website. Participants completed an anonymous online survey about the frequency that they observed various sexual behaviors in online pornography, the frequency that they engaged in these behaviors, and their perceptions of the frequency that their peers engaged in these behaviors. Frequency of viewing cunnilingus (men) or fellatio (women) in pornography predicted how often they engaged in oral sex, and this association was mediated by their perceptions of how frequently their peers engaged in oral sex. Peer norms did not mediate how frequently they received oral sex. Findings are discussed in terms of implications for understanding how pornography may relate to young people’s social norms surrounding oral sex and their performance of sexual behaviors, as well as for understanding generally how media consumption relates to adoption of media behaviors through suggesting a social norm.     

The Effect of Demographic Variables on Client Attachment Patterns to Clinical Social Workers

Abstract

Client attachment to therapist is a new topic in the field of clinical social work. Using attachment theory, this study examined the relationship between three types of client attachment to therapist (secure, avoidant-fearful, and preoccupied) and the following variables: marital status, age of participant, and gender of the social worker, among a sample of 174 mental health clients. The results showed that there is a significant relationship between a secure pattern and gender of the social worker. In addition, they showed a significant relationship between avoidant-fearful and preoccupied patterns and the marital status of the participants. Furthermore, the results indicated a significant relationship between a preoccupied pattern and the age of the participants. The findings of the current study have implications for the field of clinical social work in Kuwait.     

On being motivated

Merleau-Ponty’s notion of being motivated or solicited to act has recently been the focus of extensive investigation, yet work on this topic has tended to take the general notion of being motivated for granted. In this paper, I shall outline an account of what it is to be motivated. In particular, I shall focus on the relation between the affective character of states of being motivated and their intentional content, i.e. how things appear to the agent. Drawing on Husserl’s discussion of perceptual awareness, I suggest that the intentional content of states of being motivated has a horizonal structure, in which both affective and perceptual features are implied. In states of being motivated, the agent becomes aware of certain possibilities for action, towards which they feel drawn. This structure is what Merleau-Ponty refers to as the “intentional arc” (1962, 136).     

Effect of Direct-to-Consumer Genetic Tests on Health Behaviour and Anxiety: A Survey of Consumers and Potential Consumers

Direct-to-consumer (DTC) genetic tests can be purchased over the internet. Some companies claim to provide relative genetic risks for various diseases and thus encourage healthy behaviour. There are concerns that exposure to such information may actually discourage healthy behaviour or increase health anxiety. An online survey was conducted (n?=?275). Respondents were composed of individuals who had purchased a DTC genetic test and received their results (consumers, n?=?189), as well as individuals who were either awaiting test results or considering purchasing a test (potential consumers, n?=?86). Consumers were asked if their health behaviour or health anxiety had changed after receiving their results. Respondents’ current health behaviour and health anxiety were queried and compared. In total, 27.3 % of consumers claimed a change in health behaviour, all either positive or neutral, with no reported cessation of any existing health behaviour. A change in health anxiety was claimed by 24.6 % of consumers, 85.3 % of which were a reduction. Consumers had significantly better health behaviour scores than potential consumers (p?=?0.02), with no significant difference in health anxiety. This study points towards an association between receipt of DTC genetic test results and increased adoption of healthy behaviours for a minority of consumers based on self-report, with more mixed results in relation to health anxiety.     

Dissociation of sensory facilitation and decision bias in statistical learning

ABSTRACT

The detection of regularities in the sensory environment, known as statistical learning, is an important brain function that has been observed in many experimental contexts. In these experiments, statistical learning of patterned sensory stimulation leads to improvements in the speed and/or accuracy with which subsequent stimuli are recognized. That is, statistical learning facilitates the transformation of sensory stimuli into motor responses, but the mechanism by which this occurs is unclear. Statistical learning could improve the efficiency of sensory processing, or it could bias responses toward particular outcomes. The distinction is important, as these different hypotheses imply different functions and different neural substrates for statistical learning. Here we address this problem by studying statistical learning as a decision-making process, which allows us to leverage the extensive computational literature on this topic. Specifically we describe a method for applying the Diffusion Decision Model (DDM) to isolate different sensory and cognitive processes associated with decision-making. The results indicate that statistical learning improves performance on a visual learning task in two distinct ways: by altering the efficiency of sensory processing and by introducing biases in the decision-making process. By fitting the parameters of the DDM to data from individual subjects, we find that the prominence of these two factors differed substantially across the population, and that these differences were predictive of individual performance on the psychophysical task. Overall, these results indicate that different cognitive processes can be recruited by statistical learning, and that the DDM is a powerful framework for detecting these influences.     

Homelessness and the problem of containment

Homelessness is a problem that is hardly spared to any society in our modern world. Usually discussed by people concerned with social policy, sociology, public health and politics, homelessness has only quite recently begun to command the attention of professionals concerned with psychological and psychotherapeutic processes. Following from the author's experience of working therapeutically with homeless people, as well as in discussions with homeless services, the paper follows a line of thinking around homelessness that is explicitly psychodynamic in orientation. The central argument here is that homelessness is an experience that is, so to speak, waiting to happen. Homelessness is portrayed as a natural extension of an underlying experience of the sister states of uncontainment and alienation. I argue that the homeless person not only experienced a lack of containment in his earliest interactions, but has grown through life with significant difficulties in this area. Homelessness then is an extreme response to a deeper psychological reality that projects into a part of the person's life the agonies associated with uncontainment. Homelessness is the realization of an internal situation –a shifting of a personal struggle into a new and more visible stage. This view of homelessness is designed to provide an amendment to current views that privilege the roles of poverty and social exclusion in the origins of homelessness rather than as an alternative account of the origins of homelessness.