Attitudes toward condoms as AIDS prophylaxis in homosexual men: Dimensions and measurement

Abstract

Increases in condom use among homosexually active men are crucial to containing the spread of AIDS. The present study examined the components of attitudes and beliefs toward condom use in homosexual and bisexual men using a modified version of Brown's Attitude toward condoms scale. Factor analysis revealed five clear dimensions: viewing condoms as unreliable and unerotic; as protection from infection; as unavailable when needed; as interrupting sex; and viewing condoms as a responsibility and being comfortable with condom use. Five subscales constructed from these dimensions differentiated significantly between homosexual men who used condoms frequently and infrequently or never. Four of the subscales (excepting the Protection from Infection subscale) differentiated frequency of oral condom use; only the Responsibility and Comfort with Condom Use subscale differentiated frequency of anal condom use. The Homosexual Attitudes toward Condom Use scale demonstrates that (1) dimensions of beliefs and attitudes toward condom use in homosexually active men differ substantially from those in heterosexual individuals; (2) a reliable and valid scale for measuring such attitudes now exists; (3) factors influencing condom use in this population differ for oral and anal intercourse; (4) this scale enables further research on determinants of condom use, and effects of modifying attitudes toward condom use, in homosexually active men to be carried out.     

Perceived emotional and life change impact of AIDS on homosexual men in two countries

Abstract

A comprehensive self-administered life event inventory examining both general life stress and stress from events specific to the homosexual and bisexual male population was developed in order to assess the impact of AIDS and HIV infection on homo- and bisexual men. Ranking of questions revealed that while general stressors affected homosexuals similarly to heterosexuals, there were critical stressors affecting homosexuals not measured by conventional inventories. Specifically, emotional distress from receiving an HIV antibody positive result was not significantly different to that caused by a diagnosis of AIDS or ARC, the diagnosis of AIDS in a lover or the death of a lover. A sharp discrepancy in emotional distress between current safer sex behaviour and current unsafe sexual behaviour was also found, and the implications for behavioural modification in this area noted. Those who were HIV antibody positive tended to evaluate the anticipated impact of further AIDS related diagnoses as having a greater emotional impact than those who had tested negative. There would appear to be a closer relationship between emotional distress and life change in homosexual men than in heterosexual samples. The relative emotional impacts and life change assessments of AIDS and HIV infection are discussed.     

ORTHODOXY AND THE CHALLENGE OF BIBLICAL CRITICISM

Traditional Jewish theology and practice are predicated on belief in the divinity of the Torah. Biblical criticism has posed increasingly formidable challenges to this belief in modern times. To the extent that Modern Orthodoxy has addressed the problem, it has generally attempted to refute the findings of scientific scholarship on its own terms. This article will suggest that such an approach represents a misplaced framing of the question, by viewing all religious truth claims cognitively as simple statements of fact. Instead of questioning whether the doctrine of Torah from Heaven is true empirically, its “truth” is established via its function within the context of the “form of life” (in the Wittgensteinian sense) that it engenders.     

Together towards Life in the Context of Liquid Modernity

Among the “changed landscapes” identified by the new World Council of Churches mission affirmation Together towards Life is the rapidly advancing secularization evident in the Western world. Growing numbers of people live for goals that are entirely immanent, with apparently no transcendent reference to their lives at all. This presents a new missionary frontier for Christian faith, as Lesslie Newbigin prophetically suggested in the 1980s. Since then, the frontier has strengthened, as disillusionment with Christianity has grown and modernity has taken an ever more liquid form. It has also widened as globalization has taken the free market and its values to almost every part of the world. Together towards Life poses this question: How can we proclaim God's love and justice to a generation living in an individualized, secularized and materialized world? It answers this question first by taking a pneumatological approach to understanding mission and thus talking the language of people immersed in the culture of “liquid modernity” who struggle to connect with heavily institutional religion but yearn for a viable spirituality. It goes on to stress the transformative character of mission, particularly in regard to economic justice and ecological responsibility. It takes a radical direction with its emphasis on the marginalized as agents of mission and the communal nature of Christian witness. In a context of plurality, it fosters an open and adventurous approach, making the “other” a partner in, not an “object” of, mission. At the same time, it calls for bold proclamation of the good news of Christ to meet the personal existential crisis that is a common feature of the late modern world. In these ways, Together towards Life strikes notes that resonate in the context of liquid modernity while also making a call to conversion and transformation. It offers, in short, “challenging relevance.”     

Belief,Credence, and Pragmatic Encroachment1

This paper compares two alternative explanations of pragmatic encroachment on knowledge (i.e., the claim that whether an agent knows that p can depend on pragmatic factors). After reviewing the evidence for such pragmatic encroachment, we ask how it is best explained, assuming it obtains. Several authors have recently argued that the best explanation is provided by a particular account of belief, which we call pragmatic credal reductivism. On this view, what it is for an agent to believe a proposition is for her credence in this proposition to be above a certain threshold, a threshold that varies depending on pragmatic factors. We show that while this account of belief can provide an elegant explanation of pragmatic encroachment on knowledge, it is not alone in doing so, for an alternative account of belief, which we call the reasoning disposition account, can do so as well. And the latter account, we argue, is far more plausible than pragmatic credal reductivism, since it accords far better with a number of claims about belief that are very hard to deny.     

Responding to historical injustices: Does group membership trump liberal‐conservative ideology?

In the legal literature, “privity” refers to the link between a minority's current social, psychological, and economic problems and its previous mistreatment by the government. Scholars speculate that judgments of privity underlie support for redress for historical injustices. There is no gold standard for evaluating privity, however, and its assessment is susceptible to personal and situational influences. We conducted three studies to examine how liberal‐conservative ideology interacts with group membership to predict judgments of privity and support for redress. This research is the first to examine the combined effects of liberal‐conservative ideology and group membership among respondents who belong to previously victimized minorities. Across both actual and hypothetical injustices, increasing conservatism was inversely related to judgments of privity, except when respondents were members of the victimized group. Victimized group members claimed privity regardless of ideology. The effects on support for reparations paralleled those for privity with one exception involving African Americans (Study 2). We discuss the implications of the findings for understanding the nature of liberalism‐conservatism. Copyright © 2013 John Wiley & Sons, Ltd.     

The Simple Consistency of Naive Set Theory using Metavaluations

The main aim is to extend the range of logics which solve the set-theoretic paradoxes, over and above what was achieved by earlier work in the area. In doing this, the paper also provides a link between metacomplete logics and those that solve the paradoxes, by finally establishing that all M1-metacomplete logics can be used as a basis for naive set theory. In doing so, we manage to reach logics that are very close in their axiomatization to that of the logic R of relevant implication. A further aim is the use of metavaluations in a new context, expanding the range of application of this novel technique, already used in the context of negation and arithmetic, thus providing an alternative to traditional model theoretic approaches.     

An Evaluation of a Summer Treatment Program for Adolescents With ADHD

Although adolescents with attention-deficit/hyperactivity disorder (ADHD) experience serious life impairment (Molina et al., 2009; Wolraich et al., 2005), very few effective psychosocial interventions exist to treat this population (Pelham & Fabiano, 2008; Smith, Waschbusch, Willoughby, & Evans, 2000). Intensive child-directed interventions are an important component in the treatment of childhood ADHD (Pelham et al., 2005), yet no study exists that fully evaluates an intensive adolescent-directed intervention. The current investigation is a pilot study of 19 adolescents with ADHD (age range: 11-16) who participated in an 8-week intensive Summer Treatment Program–Adolescent (STP-A) during the summer of 2009. The program was developed to address specific difficulties associated with ADHD in adolescence. As such, the program was designed to be ecologically valid, age appropriate, and parent-involved. Results suggest that almost all adolescents who attended the STP-A benefitted from the program according to parent, self, and staff ratings and objective measures. These ratings also indicated that participants showed moderate improvement in each of the 6 domains targeted by treatment (i.e., conduct problems, adult-directed defiance, social functioning, inattention/disorganization, mood/well-being, and academic skills). All parents indicated that both they and their children benefitted from the program and all but 1 parent indicated that the STP-A was more effective than the treatments they had utilized in the past. A case example is presented to illustrate typical improvement patterns during the STP-A. Discussion addresses the role of the STP-A in the treatment of ADHD in adolescence.