Patients’ Perceptions on Their Involvement in Medical Education: A Qualitative Pilot Study

Patients’ perception with regards to their use in medical teaching is an under-researched area in Pakistan. The objective of this qualitative, pilot study was to determine the perspectives of hospital admitted patients on their being used in the medical education of students in a private medical institution. An attempt to understand the dynamics of interactions between patients, students and doctors was also made and to see how this affected the doctor-patient relationship. A qualitative study with in-depth interviews was conducted in a private medical college of Islamabad, Pakistan with a total of 20 adult patients. The focus was on their experiences with bedside teaching. This pilot study reveals interesting findings about patient-physician interactions in Pakistan. Patients had a traditionally passive role in medical education putting more onuses on the doctor to impart knowledge to the medical students. Patients comforted themselves in the knowledge that they were following Allah’s command when they were involved in the teaching of medical students. The apparent altruism of Pakistani patients in this study was influenced mainly by religious reasons, following the commandments of Allah to help develop future healers for humanity. The culture evident in the medical college where this study was conducted is reflective of the social power ladders that pervade Pakistani society. The positions of doctors and medical teachers in Pakistani society are hardly challenged to debate. Little attention has been paid to the values that influence the cultural and social frameworks within which Pakistani medical teachers, medical students and the patients function.     

Engaging with Faith Councils to Develop Stoma-specific Fatawās: A Novel Approach to the Healthcare Needs of Muslim Colorectal Patients

Intestinal stomas are common. Muslims report significantly lower quality of life following stoma surgery compared to non-Muslims. A fatwā is a ruling on a point of Islamic law according to a recognised religious authority. The use of fatawās to guide health-related decision-making has becoming an increasingly popular practice amongst Muslims, regardless of geographic location. This project aimed to improve the quality of life of Muslim ostomates by addressing faith-specific stoma concerns. Through close collaboration with Muslim ostomates, a series of 10 faith-related questions were generated, which were posed to invited local faith leaders during a stoma educational event. Faith leaders received education concerning the realities of stoma care before generating their fatawās. The event lead to the formulation of a series of stoma-specific fatawās representing Hanafi and Salafi scholarship, providing faith-based guidance for Muslim ostomates and their carers. Enhanced communication between healthcare providers and Islamic faith leaders allows for the delivery of informed fatawās that directly benefit Muslim patients and may represent an efficient method of improving health outcomes in this faith group.     

To think or not to think,that is the question: Individual differences in suppression and rebound effects in autobiographical memory

Two studies explored the effects of forget instructions on autobiographical memory at immediate test and following delays of either 12–13 months, or 3–4 months. Using the Autobiographical Think/No-Think procedure (cf., Noreen & MacLeod, 2013), 24 never-depressed participants (Study 1) first generated 12 positive and 12 negative autobiographical memories and associated cues. Participants were then asked to recall the memory associated with some of the cues (i.e., ‘think’ condition), or to avoid saying or thinking about the memory associated with other cues (i.e., ‘no-think’ condition). Participants were then asked to recall the memories associated with all the cues at immediate test and following a delay of 12–13 months. Participants were found to be successful at forgetting both positive and negative autobiographical memories following ‘no-think’ instructions at immediate test but this forgetting effect did not persist following a 12–13 month delay. This pattern of remembering and forgetting was replicated in a second study (using 27 never-depressed participants) following a 3–4 month delay. Participants who had been less successful at forgetting ‘no-think’ memories at immediate test, were more likely to show rebound effects for those memories following a delay compared to memories which received neither ‘think’ nor ‘no-think’ instructions. Individual differences in inhibitory control and the efficacy of potential therapeutic interventions of ‘no-think’ instructions are considered.     

Cross-Cultural Measurement of Positive and Negative Emotions in Adolescence: Evidence from Three Countries

Journal of Happiness Studies - Cross-cultural assessment of affective well-being among adolescents has received scarce attention in positive psychological research. The present study investigated...     

The Satisfaction with Life Scale in Adolescent Samples: Measurement Invariance across 24 Countries and Regions,Age, and Gender

Measurement of adolescent life satisfaction across cultures has not received much attention in previous empirical research. The present study evaluated measurement invariance of the Satisfaction with Life Scale (SWLS) among adolescents in 24 countries and regions (N = 22,710; age range = 13–19 years; 53% female). A single-factor model with residual covariance between a pair of items tapping past life satisfaction fitted well in 19 countries and regions and showed a partial metric invariance. In a subset of nine countries and regions, partial scalar invariance was supported. Partial metric invariance across all 24 countries and regions was achieved when custom model modifications in five countries and regions were included. Three SWLS items showed evidence of noninvariance across cultures. The measurement model was found to operate similarly across gender and age. Our findings suggest that caution is needed when using the SWLS for measuring life satisfaction among adolescents from different cultures.