Family routines and rituals in the context of chronic conditions: A review

This paper is a systematic review of 39 empirical studies on family routines and rituals in the context of a chronic condition of a family member. The search strategy encompassed a wide spectrum of chronic conditions affecting family members from childhood/adolescence to adulthood. Twenty quantitative, 13 qualitative, 3 mixed‐methods, and 3 intervention studies published between 1995 and 2012 were reviewed. A conceptual framework of routines and rituals as key elements of family health was adopted, resulting in three main findings. First, a chronic condition in a family member impacted the frequency and nature of family's routines and rituals. Second, these whole‐family interactions held important functions for individuals and families, constituting strategic resources in the condition's management and opportunities for emotional support exchanges, and providing the family with a sense of normalcy amid the challenges posed by chronic conditions. Third, family routines and rituals were linked to positive health and adaptation outcomes for both patients and family members. Implications for future research include the need for the distinction between routines and rituals against a conceptual background, use of validated assessment methods, and empirical examination of predictors of changes in routines and rituals throughout the course of the condition and of the mechanisms linking these family events to positive outcomes. Conclusions support the inclusion of routines and rituals in a family‐centered care approach to the understanding and treatment of chronic conditions.     

The Equivalence of Contingency Structure for Intuitive Covariation Judgments About Height,Weight, and Body Fat

In a complete between-subjects design, 576 respondents judged covariations of problems framed around height, weight, and body fat. A verbal measure was used, consisting of prepositional statements representing relationships between two of the variables, as well as two types of response options: true or false, and a 7-point, bipolar, Likert-type scale. Consistent with previous findings, weight and body fat were unambiguously judged as if positively correlated; there were indications of a perceived negative correlation of height and body fat; and there was no evidence that participants regarded height and weight as positively correlated. Furthermore, there was no reliable evidence in support of framing effects. However, there were indications of influence for conditional format. These findings are discussed relative to previous and ongoing research efforts, and it is concluded that it may be inappropriate to regard variations in conditional format as parallel items. Measures involving all possible variations are considered fundamentally unbiased and consistent with I. Ajzen's (1988) principle of aggregation.     

Beliefs Contributing to HIV‐related Stigma in African and Afro‐Caribbean Communities in the Netherlands

Thirty years after the first diagnosis, people living with HIV (PLWH) around the world continue to report stigmatizing experiences. In this study, beliefs contributing to HIV‐related stigma in African and Afro‐Caribbean diaspora communities and their cultural context were explored through semi‐structured interviews with HIV‐positive (N = 42) and HIV‐negative (N = 52) African, Antillean and Surinamese diaspora community members in the Netherlands. Beliefs that HIV is highly contagious, that HIV is a very severe disease, and that PLWH are personally responsible for acquiring their HIV infection were found to contribute to HIV‐related stigma, as did the belief that PLWH are HIV‐positive because they engaged in norm‐violating behaviour such as promiscuity, commercial sex work, and, for Afro‐Caribbean diaspora, also homosexuality. These beliefs were found to be exacerbated and perpetuated by cultural taboos on talking about HIV and sexuality. HIV‐related stigma reduction interventions should focus on changing these beliefs and breaking cultural taboos on HIV and sexuality in a manner that is participatory and consistent with the current theory and empirical findings. Copyright © 2011 John Wiley & Sons, Ltd.     

Counseling chaos: Techniques for practitioners

The chaos theory of careers draws together a number of themes in current theory and research. This article applies some of these themes to career counseling. The chaos theory of careers is outlined, and a conceptual framework for understanding assessment and counseling issues that focuses on convergent and emergent qualities is presented. Three practical techniques focusing on emergent quality concepts derived from chaos theory are then detailed. It is concluded that a major ongoing challenge for career counselors is to assist clients to understand the reality and confront the challenges of living and working “on the edge of chaos.”     

The Instrumental and Symbolic Functions of Attitudes toward Persons with AIDS1

Five studies explored the psychological bases of attitudes toward persons afflicted with Acquired Immune Deficiency Syndrome (AIDS). These studies examined both instrumental and symbolic bases of these attitudes. In Studies 1, 2, and 3, both instrumental factors (e.g., beliefs about the probability of one's own child contracting AIDS) and symbolic factors (general attitudes toward homosexuality) independently contributed to the prediction of attitudes toward having one's child attend classes with a nonhomosexual person having AIDS. In Study 4, only attitudes toward homosexuality (symbolic factors) and not beliefs about contagiousness related to students' expressing a desire to transfer from a class with an AIDS-infected professor. In Study 5, subjects role played the situation experienced by subjects in Study 4. A wider array of instrumental concerns was assessed. While both instrumental and symbolic factors were related to attitudes of role-playing subjects, the specific instrumental concerns of importance were related to beliefs about subjects' feeling comfortable with the professor and not the contagiousness of AIDS. Thus, these results paralleled those of Study 4. These findings are discussed with regard to their relevance for understanding the varying functions of attitudes and for understanding the stigmatization of disease victims.     

Sexual harassment proclivities in men

Three studies were conducted to develop and validate a measure of sexual harassment proclivities in males. Previous studies of sexual harassment were reviewed and a gap in the current knowledge of the psychological characteristics of sexual harassers was revealed. A possible technique for studying sexual harassment proclivities was suggested by recent research on rape proclivities. Two initial studies using this technique found (1) that the likelihood of sexually harassing can be reliably measured and 2) that this measure correlated with related attitude and belief measures. The third study demonstrated that the likelihood of sexual harassment measure can predict sexual behaviors in a laboratory setting.The author gratefully acknowledges the assistance of the following people in conducting this research: Mark Chalabala, Mark Colon, Kathy Epkins, Lisa Fix, Dawn Henricksen, Jackie Hind, Carla McPhee, Pat Norman, Rene Reeves, Judona Samuel, and Kevin Spahn. Also, gratitude is expressed to Mark McDaniel for his contributions to the methodology in Study 3 and to Hannah Eisner for her comments on a previous draft of this paper. This research was supported in part by a grant from the office of Research, Services and Grants, Illinois State University.     

Compromise: The Forgotten Dimension of Career Decision-Making

The study of compromise in career decision-making has been neglected. Out of Pryor's adoption of Gottfredson's compromise formulation, a programme of research was undertaken to investigate the basic dimensions of career compromise. The results of four separate studies are reported, investigating compromise conceptions, compromise plans, compromise choices and compromise interventions. These data support the importance of the three Gottfredson dimensions — psychological characteristics, prestige and sex-type-in the process of career compromise. The major deficiency of the Gottfredson compromise model is the need for elaboration of several of its aspects, such as sex differences in compromise strategies, 'refusal to compromise', the existence of more than one compromise paradigm and the interrelatedness of the compromise dimensions.