Voluntary Stigmatization and Social Comparison: Single Mothers View Their Lot1

This research examined the impact of voluntary Stigmatization, depression, and self-esteem on downward social comparisons. The stigmatized group was 51 mothers who chose to become parents as single women; 51 demographically similar married mothers were the nonstigmatized group. The women described their stressors and rated these stressors relative to other mothers of the same marital status and relative to mothers who differed in marital status. Consistent with downward comparison theory, Stigmatization increased the likelihood of making downward comparisons. Contrary to the theory, high self-esteem and low levels of depression resulted in self-enhancing comparisons, but only when individuals compared themselves to others who differed in Stigmatization status. The combination of these individual difference variables and Stigmatization increased the tendency to make downward comparisons.     

Strategies adopted by late middle-age and older adults with HIV/AIDS to explain their physical symptoms

Although the attributions individuals make about what causes their physical symptoms are known to influence their care seeking and self-care behaviours, much less is known about the strategies they use to arrive at these attributions. The strategies employed to understand the causes of their symptoms were investigated using in-depth interviews with 100 late middle-age and older adults with HIV/AIDS in New York City. The data revealed that most participants actively sought to explain their symptoms. The explanatory strategies identified included: relying upon illness or medication representations, lay beliefs about the body and ageing, invoking pre-existing vulnerabilities, engaging in lay experimentation, social comparison processes, considering temporal ordering and consulting authoritative sources. While most of them offered a single cause for their symptoms, some offered more complex multi-causal explanations. These findings provide understanding into the reasons why some older adults with HIV/AIDS misattribute symptoms resulting in delay in care or care over-utilisation, suggesting the need for patient education.     

A framework for local cortical oscillation patterns

Oscillations are a pervasive feature of neuronal activity in the cerebral cortex. Here, we propose a framework for understanding local cortical oscillation patterns in cognition: two classes of network interactions underlying two classes of cognitive functions produce different local oscillation patterns. Local excitatory-inhibitory interactions shape neuronal representations of sensory, motor and cognitive variables, and produce local gamma-band oscillations. By contrast, the linkage of such representations by integrative functions such as decision-making is mediated by long-range cortical interactions, which yield more diverse local oscillation patterns often involving the beta range. This framework reconciles different cortical oscillation patterns observed in recent studies and helps to understand the link between cortical oscillations and the fMRI signal. Our framework highlights the notion that cortical oscillations index the specific circuit-level mechanisms of cognition.     

I. Epistemological relativism in its latest form

Gerald Doppelt's recent ‘Kuhn's Epistemological Relativism: An Interpretation and Defense’ (Inquiry, Vol. 21 [1978], pp. 33–86) offers a reconstruction of Thomas Kuhn's views concerning theory choice in science in which Kuhn's ‘incommensurability thesis’, and his epistemological relativism, are defended. It is argued that Doppelt's reconstruction fails to provide an adequate defense, and that both Kuhn's incommensurability thesis, and his epistemological relativism, as reconstructed by Doppelt, remain philosophically unacceptable.     

Reasons and Justifications for Considering Pregnancy Among Women Living with HIV/AIDS

Despite the risks associated with pregnancy, available data suggest that HIV-infected women are no less likely to become pregnant than uninfected women. To understand HIV-infected women's reasons for wanting to have a child, focused interviews were conducted with a predominantly minority sample of 51 HIV-infected women in New York City. They were noted to actively weigh both the potential risks and benefits of their pregnancy decisions. Women reported three major reasons for wanting a child: (1) her husband/boyfriend really wants children, (2) having missed out on raising her other children, and (3) believing that a child would make her feel complete, fulfilled, and happy. Women also reported several justifications which they believed offset the risks of pregnancy, including: (1) other HIV-infected women were having healthy babies, (2) feeling optimistic about having a healthy baby due to the prophylactic effects of AZT (zidovudine), (3) having faith that God will protect the child, (4) being young and "healthy" will prevent transmission, and (5) feeling that she is better able to raise a child now. These findings suggest that to make fully informed pregnancy decisions, women should be encouraged to explore their reasons for wanting pregnancy, as well as discuss the potential risks.     

“Where Did I Come From?” The Impact of ART on Families and Psychotherapists

ABSTRACT

This article focuses on the field of assisted reproductive technology (ART) and psychoanalysis as it relates to people who’ve struggled emotionally in pursuit of their wish to create a family. Recent medical advances have changed baby-making to the extent that infertility is no longer a terminal diagnosis (Ehrensaft, 2012). New opportunities exist to create a family through introduction of a third party in the process of conception via in vitro fertilization, the use of donor egg and/or sperm, intracytoplasmic sperm injection, and surrogacy. The realities raised by these new methods have challenged usual cultural ideas of what constitutes a family, as well as what it means to become a parent or give birth to a child (Ehrensaft, 2000; Notman, 2011; Samish, 2006). The subject of reproductive medicine has stimulated a wide range of emotions within the community of people who suffer infertility and among psychotherapists who become involved with them in analytic and psychotherapeutic relationships.     

Positive emotion infusions of elevation and gratitude: Increasing help-seeking intentions among people with heightened levels of depressive symptomatology

Three online studies assessed a new approach for increasing help seeking among people with depressive symptomatology (i.e. a positive emotion infusion, PEI). A PEI refers to the induction of positive emotion such that people’s mindsets – including perceptions of help-seeking – are temporarily altered. Study 1 (n = 382) indicated that help-seeking intentions are negatively correlated with depressive symptomatology and positively correlated with elevation and gratitude. Studies 2 and 3 implemented fully randomized experimental designs. In Study 2, two elevation-based (Study 2a, n = 285) and two gratitude-based (Study 2b, n = 338) emotion inductions increased levels of elevation and gratitude, respectively. Results of Study 3a (n = 390) indicate a causal relationship between experiencing the story-based elevation induction and increased help-seeking intentions. The two gratitude-based PEIs (Study 3b, n = 466) were unsuccessful at influencing help-seeking; auxiliary analyses indicate the possibility of iatrogenic effects. Overall, the potential of PEIs was indicated, as was need for caution.     

Multicultural Training in Spirituality: An Interdisciplinary Review

Is spiritual diversity a neglected dimension in preparation for multicultural competency? The authors present an interdisciplinary overview of research related to multicultural training in spirituality and religion to address this issue. Findings indicate that counseling program leaders have minimal preparation in spiritual and religious diversity and interventions. In addition, spiritual and religious themes appear to be minimally included in counseling program curricula. Some evidence also indicates that religious and spiritual diversity is not considered as important in multicultural training as are other kinds of diversity. A movement to include spirituality and religious content in accreditation guidelines, however, points to a possible shift to expand preparation for religious and spiritual competency. The article concludes with implications for counselor preparation and supervision.