Gender variance in children and adolescents with autism spectrum disorder from the National Database for Autism Research

Previous studies suggest elevated rates of gender variance (GV), the wish to be of the other gender, in those with autism spectrum disorder (ASD). This study aimed to understand the rate of GV in children and adolescents with ASD and explore differences in sex, age, and emotional-behavioral problems relative to those referred to clinical services for mental health concerns (“referred”) and to the general population (“non-referred”). A secondary analysis of data from the National Database for Autism Research was used to explore GV using a child behavior checklist, parent report, in 176 children aged 6 to 18 year with ASD compared to referred and non-referred cohorts. GV was present in 4.0% of the ASD group, higher than for the non-referred group (0.7%) but similar to the referred group (4.0%). There were no significant sex differences in GV prevalence (males 3.7%, females 6.0%) in the ASD group. That the GV rate was elevated in ASD relative to non-referred samples but similar to clinically referred samples suggests that elevated rates of GV were not specific to ASD and may be more broadly associated with neurodevelopmental and psychiatric disorders of childhood. Further population-based research using clinical assessment for gender dysphoria is required in individuals with ASD and other neurodevelopmental disorders.     

Should smallpox vaccine be made available to the general public?

In June 2002, the Advisory Committee on Immunization Practices (ACIP) approved draft recommendations concerning preparation for potential biological terror attacks that utilize the smallpox virus. ACIP recommends against both mandatory and voluntary vaccination of the general public. The present paper examines the moral and political considerations both for and against each of the general public vaccination options considered by the ACIP in the context of the state's authority over vaccination for the purposes of protecting public health. Although it is clear that compulsory mass vaccination is not justified at this time, the issues surrounding voluntary vaccination are more complex. Should smallpox vaccination prior to an outbreak be made available to the general public? The paper concludes that the vaccine should not be made available at this time. This conclusion, however, is based upon contingent features of current circumstances, which would change once an outbreak occurred. In the even of a terror-related outbreak of smallpox, the general public's access to voluntary vaccination would become justified, even in areas beyond where the outbreak has occurred.     

Implicit memory, age, and time of day: paradoxical priming effects

Memory retrieval can occur by at least two routes: a deliberate one, as when one attempts to retrieve an event or fact, and an unintentional one, as when one's behavior is triggered by the past without one's knowledge or awareness. We assessed the efficacy of these retrieval systems as a function of circadian arousal and time of day. Evening-type younger adults and morning-type older adults were tested at either peak (morning for old; evening for young) or off-peak times on implicit and explicit stem completion (Experiment 1) or on implicit category generation (Experiment 2). Results for explicit stem-cued recall replicated better performance for each age group at its peak time. In stark contrast, implicit performance was better at off-peak than at peak times of day, raising the possibility that the processes that serve explicit and implicit retrieval are on different circadian schedules, and highlighting the need to consider individual differences in circadian arousal when assessing either memory system.     

Alcohol and suicide death among American Indians of New Mexico: 1980-1998

The relationship between alcohol use prior to suicide was explored among American Indian decedents in New Mexico for the years 1980 through 1998. The suicide data were collected from New Mexico Vital Statistics and toxicology reports from the New Mexico Office of the Medical Investigator and matched on a case-by-case basis. Detailed analyses were undertaken for all cases of resident New Mexico Indians from the Navajo, Pueblo, and Apache cultures. Alcohol was detected in 69% of all suicides of American Indians with some variance by major tribal cultural groups (range = 62.1% to 84.4%). This is higher than in suicides among the overall New Mexico population (44.3%). The mean blood alcohol concentration (BAC) of the drinking Indian decedents at suicide was 0.198 (+/- SD of .088). Mean BACs were high for both males (0.199) and females (0.180) who had been drinking. Over 90% of the Indian decedents who had been drinking had BACs greater than the legal intoxication level of 0.08. The Navajo had the lowest percentage of cases that were alcohol involved, and their mean BAC was lower than the other two cultural groups. Alcohol use for completed suicides also varied somewhat by age, sex, method of suicide, and place of occurrence, but very little by whether the decedent was an on or off reservation resident. Analyses indicated that alcohol use prior to suicide was significantly more associated with male suicides than for females, and it was negatively correlated for those who died by overdose and also those using other drugs at suicide. Otherwise, alcohol use did not significantly differentiate American Indian suicides by age, use of firearms, hanging, use of other methods, or residence, for the presence of alcohol was a factor very commonly associated with all of these variables. Heavy alcohol consumption is, therefore, an important factor in over two thirds of all completed suicides among the Indians of New Mexico.     

Does Lack of “Genetic-Relative Family Health History” Represent a Potentially Avoidable Health Disparity for Adoptees?

Many adoptees face a number of challenges relating to separation from biological parents during the adoption process, including issues concerning identity, intimacy, attachment, and trust, as well as (for older adopted children) language and other cultural challenges. One common health challenge faced by adoptees involves lack of access to genetic-relative family health history (GRFHx). Lack of GRFHx represents a disadvantage due to a reduced capacity to identify diseases and recommend appropriate screening for conditions for which the adopted person may be at increased risk. In this article, we draw out common features of traditionally understood “health disparities” in order to identify analogous features in the context of adoptees’ lack of GRFHx.     

A Study of Health Perception,Disability Acceptance,and Life Satisfaction Based on Types of Leisure Activity Among Koreans with a Physical Disability

Leisure studies provide evidence that leisure engagement serves as a vehicle for improving life satisfaction among individuals with a physical disability. However, a dearth of research addresses which types of leisure activities are associated with specific psychological benefits. This study sought to capture three aspects of psychological benefits: acceptance of disability, life satisfaction, and health perception, and to explore how leisure activities are related to these psychological benefits. Using data released from the 2011 Panel Survey of Employment for the Disabled in Korea, this study found that individuals with a physical disability who participate in social activity, religious activity, and Internet use reported high health perception, life satisfaction, and disability acceptance. In particular, findings of this study provide evidence that social activity participation plays an important role in increasing health benefits among individuals with a physical disability.     

Misplaced Gratitude and the Ethics of Oppression

This essay examines Claudia Card's notion of misplaced gratitude, which she explores in one of her last papers, “Gratitude to the Decent Rescuer.” Whereas typically philosophers have been interested in the problems of the failures to honor obligations of gratitude, Card is more interested in the opposite fault of misplaced gratitude. Her interest reflects her social indignation and her fundamental commitment to opposing oppression, exploitation, and injustice in all its forms. The phenomenon of misplaced gratitude becomes visible from this perspective, where one catches sight of what oppression does to people. The essay looks at the question, What does Card's analysis of misplaced gratitude tell us about her own philosophical methods and contributions? It discusses her engagement with both care ethics and Beauvoir's phenomenology of oppression to clarify the centrality of misplaced gratitude for Card's work in developing an ethics of oppression.     

Examining the Mediating Effects of Social Learning on the Low Self-Control—Cyberbullying Relationship in a Youth Sample

Over the last decade, researchers have conducted a significant amount of research to explore the causes and consequences of cyberbullying, where individuals use the Internet in order to send harmful and aggressive messages. Using a sample of middle and high school students in Kentucky, the current study utilized low self-control and social learning theories in an attempt to further understand why adolescents engage in cyberbullying. The binary logistic regression results suggested that components of social learning theory mediated the effect of low-self-control. The implications of this study for both criminological theory and cyberbullying research are discussed in detail.