Feminist Therapy Pioneer: E. Kitch Childs

ABSTRACT

This article will focus on the life of the late Dr. E. Kitch Childs and her impact on Feminist Therapy. It seeks to celebrate and pay homage to her as one of the pioneers who helped pave the way for women in therapy. Dr. Childs was an African American lesbian woman who stood in the gap for social justice with her intellect, tenacity, and bravery and took the lead as a radical visionary.     

‘It was all intertwined’: Illness representations and self-management in patients with cancer and anxiety/depression

Objective: Cancer and anxiety/depression frequently co-occur, leading to poorer outcomes for these illnesses. However, the majority of existing research investigates how participants view single illnesses alone. This study aimed to explore the content of individuals’ multimorbid representations and how these relate to their coping behaviours and self-management strategies for cancer and anxiety/depression.

Design: A semi-structured qualitative research design with theoretical thematic analysis.

Main Outcome Measures: Multimorbid illness representations, coping behaviours, and self-management strategies.

Results: In interviews with 21 participants multimorbid representations varied, three participants viewed cancer and anxiety/depression as unrelated, five participants were uncertain about the relationship between cancer and anxiety/depression, and the majority of participants perceived cancer and anxiety/depression as related. This third group of participants often described relationships as causal, with representations having both positive and negative influences on coping behaviours and self-management strategies. Representations were shown to change over the course of the cancer experience, with fear of cancer recurrence and the influence of participants’ most challenging illness also discussed.

Conclusions: People hold multimorbid illness representations that can influence self-management. An awareness of these representations by researchers, health professionals, and patients is important for the creation of future interventions that aim to improve and maintain patient wellbeing.     

The Psychosocial Impact of Undergoing Prophylactic Total Gastrectomy (PTG) to Manage the Risk of Hereditary Diffuse Gastric Cancer (HDGC)

Individuals identified as at high risk of developing Hereditary Diffuse Gastric Cancer (HDGC) are advised to undergo prophylactic surgery - have their stomach removed - in their early twenties. Research with (older) cancer patients who undergo gastrectomy for curative reasons suggests that gastric resection has a number of physical and psychosocial sequelae. Because it is difficult to extrapolate the findings of studies of older cancer patients to younger healthy patients who are considering prophylactic total gastrectomy (PTG), the aim of this qualitative interview study was to determine the psychosocial implications of undergoing prophylactic surgery to manage genetic risk. Fourteen men and 13 women from the UK’s Familial Gastric Cancer study who had undergone PTG were invited to participate in qualitative interviews. Most reported that undergoing surgery and convalescence was easier than anticipated. There was evidence that age affected experiences of PTG, with younger patients tending to report faster recovery times and more transient aftereffects. All saw the benefits of risk reduction as outweighing the costs of surgery. Surgery was described as having a range of physical impacts (disrupted appetite, weight loss, fatigue, GI symptoms) that had related psychological, social and economic implications. Those considering PTG need to be aware that its impact on quality of life is difficult to predict and negative sequelae may be ongoing for some individuals.     

Association of Economic Internality With Saving Behavior and Motives,Financial Confidence,and Attitudes Toward State Intervention1

This study investigates economic locus of control (ELOC) in a Greek sample using Furnham's (1986) scale. In particular, it examines the association between ELOC and saving behavior and motives, attitudes toward state intervention in the economic field, and factors engendering confidence in economic matters. The main hypotheses predicted that internal ELOC should be associated with (a) desire for less state intervention; (b) confidence in factors under one's own control (knowing the other party in transactions, being well informed) more strongly than with other factors of economic trust, such as the state and the law; (c) more saving; and (d) that respondents with internal and external ELOC should be differentiated with respect to saving motives. Analysis was based on a sample of 135 participants from Athens. Principal components analysis of the Greek translation of Furnham's ELOC questionnaire gave results similar to those reported from England, yielding 4 factors interpretable as chance, internal, external/denial, and powerful others. The findings of the study include confirmation of all of the hypotheses.     

A NOTE ON KRIPKE's FOOTNOTE 56 ARGUMENT FOR THE ESSENTIALITY OF ORIGIN

In footnote 56 of his Naming and Necessity, Kripke offers a ‘proof’ of the essentiality of origin. On its most literal reading the argument is clearly flawed, as was made clear by Nathan Salmon. Salmon attempts to save the literal reading of the argument, but I argue that the new argument is flawed as well, and that it can’t be what Kripke intended. I offer an alternative reconstruction of Kripke's argument, but I show that this suffers from a more subtle fault.     

Changing Kinematics as a Means of Reducing Vulnerability to Physical Attack1

Three experiments investigated whether women can change their walking style and hence reduce their vulnerability to physical attack. In Experiment 1, women were videotaped walking normally and when imagining themselves in a situation of low personal safety. Women were rated as harder to attack in the low safety condition. Differences in walking style accounted for differences in ease‐of‐attack ratings. Experiment 2 compared walking styles and vulnerability of women before and after completing a self‐defense course. No differences were seen across sessions. Experiment 3 investigated walking styles and vulnerability of women before and after completing individualized walking training programs. Differences in vulnerability between sessions were revealed and could be accounted for by changes in walking‐style features.     

The emergence of new intentions in subjective experience: A social/personal constructionist and relational understanding

As part of the larger project to revision vocational psychology for a new era, a process referred to as the emergence of new intentions in subjective experience is defined and described. It is proposed that this process is central to the ongoing construction and reconstruction of lives in the changing landscape of the times. Following an elaboration of the meaning of emergence of new intentions in subjective experience through comparison to related constructs and theories, a social/personal constructionist and relational understanding of this process is developed. The article concludes by addressing implications for vocational psychology practice.     

Task analysis,correspondence training,and general case instruction for teaching personal hygiene skills

The effect of a 10‐step task analysis, general case instruction, and correspondence training was evaluated for teaching appropriate personal hygiene following bowel movements. Correspondence training maintained a central role in this study. According to Israel (1978), the relationship between an individual's verbal and nonverbal behaviors is influential in self‐instruction training. Essentially, correspondence training encourages an individual to generate his or her own instructional cues; in consequence, the procedure can be instrumental in ensuring the maintenance and generalization of important verbal and nonverbal behavior. Three adults with developmental disabilities participated in this study. The dependent variables included the level of assistance required on each step of the task analysis and an end of sequence rating on a three‐point Likert‐type cleanliness scale. Results showed that all three participants learned to care for themselves appropriately following bowel movements. Moreover, the skills generalized to other settings and were maintained over a nine‐month period. The target skill was evaluated against the five criteria for a behavioral cusp and met the criteria for ‘an important behavior change’ (Bosch & Fuqua, 2001, p. 123). Copyright © 2004 John Wiley & Sons, Ltd.     

Identifying the task characteristics that predict children's construction task performance

Construction tasks form a major part of children's play and can be linked to achievement in maths and science. However there is a lack of understanding of construction task ability and development. Therefore, there is little foundation for the applied use of construction tasks, such as in teaching or research, as there are no apparent methods for assessing difficulty. This empirical research identifies four construction task characteristics that impact on cognition and predict construction task difficulty in children aged 7–8 and 10–11 years and adults. The results also reveal a developmental trajectory in construction ability. The research provides a method to quantify, predict and control the complexity of construction tasks for future research and to inform applied use. Copyright © 2010 John Wiley & Sons, Ltd.     

Fibroblast growth factor-2 alters the nature of extinction

These experiments examined the effects of the NMDA-receptor (NMDAr) antagonist MK801 on reacquisition and re-extinction of a conditioned fear that had been previously extinguished before injection of fibroblast growth factor-2 (FGF2) or vehicle. Recent findings have shown that relearning and re-extinction, unlike initial learning and extinction, do not depend on NMDAr activation. Three experiments demonstrated that FGF2 prevents the switch from NMDAr-dependent to NMDAr-independent reacquisition and re-extinction, suggesting that FGF2 may lead to the partial erasure of the original fear memory. These findings add to a growing body of work suggesting that FGF2 may be a novel pharmacological enhancer of exposure therapy for humans with anxiety disorders.