Legal briefing: organ donation and allocation

This issue's "Legal Briefing" column covers legal developments pertaining to organ donation and allocation. This topic has been the subject of recent articles in JCE. Organ donation and allocation have also recently been the subjects of significant public policy attention. In the past several months, legislatures and regulatory agencies across the United States and across the world have changed, or considered changing, the methods for procuring and distributing human organs for transplantation. Currently, in the U.S., more than 100,000 persons are waiting for organ transplantation. In China, more than 1.5 million people are waiting. Given the chronic shortage of available organs (especially kidneys and livers) relative to demand, the primary focus of most legal developments has been on increasing the rate of donation. These and related developments are usefully divided into the following 12 topical categories: 1. Revised Uniform Anatomical Gift Act. 2. Presumed Consent and Opt-Out. 3. Mandated Choice. 4. Donation after Cardiac Death. 5. Payment and Compensation. 6. Donation by Prisoners. 7. Donor Registries. 8. Public Education. 9. Other Procurement Initiatives. 10. Lawsuits and Liability. 11. Trafficking and Tourism. 12. Allocation and Distribution.     

Visual discrimination learning in rats with lesions of superior colliculus: Door-push and approach errors in modified jumping stand

It has been suggested that, for some species, lesions of the superior colliculus affect visual discrimination learning, but only in certain conditions: (a) when problems are first learnt only after operation, or (b) when discriminanda require detailed scanning, or (c) when “approach” responses to the discriminanda are measured, rather than the response of actually touching them. These suggestions were examined in rats learning visual discriminations in a modified jumping-stand apparatus, after sustaining large lesions of the superior colliculus (and in some cases also of the pretectum). The lesions produced open-field hyperactivity and reduced exploration, indicating effective tectal damage, but the rats learnt a series of difficult discriminations in a door-push task as fast as normal rats, and they did not make more approach errors. Their main abnormality in the discrimination apparatus was that they looked less often between the stimulus doors before stepping across to one of them from the central platform. It is suggested that in rats, as in other animals, lesions of the superior colliculus disrupt the control of scanning head and eye movements; in rats, however, such disruption need not affect discrimination learning (at least in some kinds of apparatus), possibly because the retina of the rat has a relatively poorly developed area centralis.     

A Qualitative Examination of the Relationship Between Body Image and Sexual Behavior: Perceptions from Latina and African American Adolescent Girls and Their Maternal Caregivers

Although prior work suggests that how adolescent girls feel about their body is associated with their sexual behavior, we have less insight into the reasons why. We conducted semi-structured interviews with 25 African American adolescent girls (11–14 years of age), 18 Latina adolescents (14–17 years of age), and their maternal caregivers to explore why this association may exist. Both adolescent girls and their maternal caregivers were asked “Who is more likely to have sex, a girl who likes the way her body looks or a girl who doesn’t like the way her body looks?” A similar question was asked about condom use. Interviews were digitally recorded, transcribed, and coded for emergent themes using thematic analysis. Participants’ responded that both girls with a positive body image and those with a negative body image may be likely to have sex because of self- and body-esteem. Two sub-themes emerged that further explained why low self- and body-esteem mattered for girls who have a negative perception of their body: (a) feeling appreciated (b) easily persuaded. Most participants noted that girls with a positive body image perception would be more likely to use condoms. Emergent themes for using condoms were: (a) pregnancy/STI protection; and (b) body preservation. Our findings have implications for empirically exploring the pathways through which body image perceptions relate to adolescent sexual behaviors, and the possibility that universal prevention programs may not resonate similarly for all adolescent girls.     

Fifteen Years of the Journal of Multicultural Counseling and Development: A Content Analysis

The authors present the results of a content analysis of articles that were published in the Journal of Multicultural Counseling and Development (JMCD) during the last 15 years. The analysis identified the leading contributors (i.e., authors, institutions) to JMCD, evaluated the content of the articles, examined the type of articles, and highlighted the particular cultural groups that were studied most frequently. Los autores presentan los resultados de un análisis de el contenido de la Revista de Consejeria y Desarrollo Multicultural (JMCD), durante los ultimos 15 años. El análisis identificó los contribuyentes más destacados (en otras palabras, los autores, las instituciones) a JMCD; examinó el tipo del articulos y subrayó los grupos culturales que se estudiaron más frecuentemente.     

Connecting Youth Violence Prevention, Positive Youth Development, and Community Mobilization

Several disconnects serve to weaken the use of evidence based programming in community settings. Communities face the need to address the challenges of multiple risk behaviors faced by adolescents in their communities, but must also work to support successful transitions to adulthood and the broader positive development of their youth. The stronger integration of positive youth development and prevention of youth risk at the community level may offer an opportunity to support the implementation and ongoing development of evidence-based practices (EBPs). This article provides an overview of the VCU Clark-Hill Institute for Positive Youth Development Institute's community mobilization effort in Richmond, Virginia and reports preliminary findings from our integrated mobilization efforts. First, we review the role of our Community Advisory Council in their collaborative work to support positive youth development and reduce risk for youth violence. Next, we present examples of institute efforts in providing technical assistance relevant to supporting the use and development of EBPs. We then discuss the adaptation of an evidence-based program to target positive youth development. We also present overviews from qualitative investigations examining barriers and supports that inform and are relevant to the implementation of EBPs. Finally, we consider ways in which community efforts inform and shape institute efforts to develop EPBs. Taken together, these activities provide examples of how community-based mobilization efforts can integrate and inform the implementation of EBPs and the role and use of prevention science as a tool in supporting effective programming to promote positive youth development and prevent youth violence.     

Is the Triple P-Positive Parenting Program Acceptable to Parents from Culturally Diverse Backgrounds?

Behavioural parenting programs are an effective intervention for behavioural and emotional problems in children, however these programs have low utilisation rates by culturally diverse parents. We examined the cultural acceptability of program materials, preferences for delivery methods, and barriers to use of the Triple P-Positive Parenting Program. One hundred and thirty seven parents watched a video outlining the 17 strategies in Triple P and read through a tip sheet before completing a series of questionnaires. Results revealed that parents found the strategies highly acceptable, highly useful, were very likely to use the strategies and reported currently using the strategies often. They also rated the program materials as very culturally appropriate and identified group, seminar, television, and individual as the most preferred delivery methods. Parents identified location and timing of services, financial cost, and competing work commitments as the most frequently cited barriers to accessing a parenting intervention. The findings of this study suggest that elements of parenting programs may not be contributing to the low rates of access among culturally diverse parents. These findings highlight the need for more research addressing variables that may contribute to increasing culturally diverse parents’ access of behavioural parenting programs.     

Book Reviews

Abstract

This article reports on a comparison of the views of teachers in Italy and the United Kingdom on their profession in relation to other professions. Common constructs about their profession are discussed for each national group, followed by a commentary on the similarities and differences between the groups related to their embedding culture. For example, both groups perceive teachers as having much in common with social workers and the clergy in terms of high demand for emotional involvement and creativity, while both express concern over low income for effort conjoined with erosion of professional autonomy. This latter concern is more pronounced in the data from Italy, reflecting the more centralized control of curriculum, a policy only currently being initiated in the United Kingdom

Although we are sympathetic to the reservations of Yorke (1987) about their utility in the study of teachers' thinking (as noted in Pope [1981] and Denicolo [1985]), we found the grid procedure to be a useful vehicle for exploring the issues in this study. Thus we have avoided treating the grid data in an essentially positivistic manner and did use notes made during the conversations that occurred during grid completion to shed light on the personal meaning to the participant of the words used to denote each construct. Within this article the details of personal meanings of each participant are omitted, although the analysis and discussion took account of these, since our particular goal here is to present the group data for the two countries.

The focus had been on the teachers' constructs regarding the teaching profession. The same data could be used to illuminate their views on any of the professions discussed in the study. In addition to developing insights into teachers' thinking about their profession, the study helped to strengthen the developing spirit of international collaboration in research in teacher education from the perspective of personal construct psychology.     

The Relationship of Offense-Specific Forgiveness to Posttraumatic Stress Disorder Symptoms in College Students

The relationship between offense-specific forgiveness and post-traumatic stress disorder (PTSD) symptoms was examined in a cross-sectional survey of 178 college students reporting interpersonal trauma exposure, that is, a trauma exposure in which they identified a specific perpetrator. Higher levels of offense-specific forgiveness were significantly related to lower levels of PTSD symptoms. In path analyses, however, when gender and offense severity were allowed to directly predict both forgiveness and PTSD symptoms, the relationship was reduced to marginal significance. Exploratory analyses revealed that within the five most-commonly endorsed trauma subtypes, the relationship between forgiveness and PTSD symptoms may differ in strength and direction as a function of trauma type. Implications for research and treatment are discussed.