How to launch a national Internet-based panel study quickly: lessons from studying how American are coping with the tragedy of September 11, 2001?

This article reports on the planning, development, and implementation of a large national Internet-based panel study of how Americans are coping with the terrorist attacks of September 11, 2001. The study was designed to determine predictors and correlates of risk and resilience, both cross-sectionally and longitudinally. In order to acquire timely and meaningful data, we developed/adapted an extensive set of measures, obtained human subjects approval, and posted a research Web site just 17 days after the attacks. This article describes the major hurdles we confronted and the guidelines we recommend regarding these topics, including the methodological trade-offs inherent in Internet-based research, information technology requirements and tribulations, human subjects issues, selection of measures and securing permission for their use, and the challenges of participant recruitment. We also discuss issues that we did not anticipate, including the survey intervention. We focus not on findings, but on the concrete procedural, administrative, technical, and scientific challenges we encountered and the solutions we devised under considerable time and resource pressures.     

Factors of Cognitive Complaints in Adults With HIV: A Structural Equation Model Analysis

The objective of this study was to use structural equation modeling (SEM) to examine the relationships between factors of cognitive complaints in 427 adults with HIV receiving care from an AIDS service organization (ASO) in Alabama. A face-to-face interview assessed cognitive complaints, mood, self-perceived health status, and substance use. Direct and indirect paths were specified between years with HIV (chronicity) age, education, stress, self-perceived health status, substance use, and cognitive complaints. The final model fit the data well (GFI = .95; AGFI = .92), revealing that age, education, substance use, self-perceived health status, and stress contributed directly or indirectly to cognitive complaints. Chronicity was only related to age, suggesting that duration of HIV may be of limited value in predicting cognitive complaints. These results demonstrate the complexity between the factors that influence cognitive complaints and offer possible solutions that health professionals can use to mitigate cognitive complaints in this population.     

RATIONALE AND RESEARCH CONCERNING PREREADING STUDY STRATEGIES WITH SECONDARY AND COLLEGE STUDENTS

Reading and content area teachers frequently teach secondary and college students to use prereading study strategies in the belief that the strategies will facilitate reading comprehension. This article, a review of the literature published from 1960 to 1981, reveals many articles extolling the use of a particular prereading activity, but failing to support the use of the strategy with research. Regardless of the prereading strategies reported in the literature, it is clear that there is a dearth of conclusive research in this area. Careful, well‐designed experiments need to be conducted to determine the degree that prereading strategies expedite comprehension.     

Genetic Risk Assessment for Women with Epithelial Ovarian Cancer: Referral Patterns and Outcomes in a University Gynecologic Oncology Clinic

Little is known about genetic service utilization and ovarian cancer. We identified the frequency and outcome of genetic counseling referral, predictors of referral, and referral uptake for ovarian cancer patients. Using pathology reports, we identified all epithelial ovarian cancer patients seen in a university gynecologic oncology clinic (1/04–8/06). Electronic medical records (EMR) were used to document genetic service referral, time from diagnosis-to-referral, point-in-treatment at referral, personal/family cancer history, demographics, and genetic test results. Groups were compared using chi-squared and Fisher’s exact test for categorical variables and t-tests for continuous variables. The study population consisted of 376 women with ovarian cancer, 72 (19 %) of who were referred for genetic counseling/testing, primarily during surveillance. Of those referred, 42 (58 %) had personal or family genetic counseling and 34 (47 %) were ultimately tested or identified due to known family mutation. Family history and prior cancer were associated with referral. Family history, living in a larger community, higher-stage disease, and serous histology were associated with undergoing genetic counseling. Risk assessment identified 20 BRCA1/2 (5.3 %) and 1 HNPCC (0.3 %) mutation carriers. Based on recent estimates that 11.7–16.6 % of women with ovarian cancer are BRCA carriers and 2 % are HNPCC carriers, results suggest under-identification of carriers and under-utilization of genetic services by providers and patients. Interventions to increase medical providers’ referrals, even in a specialized oncology clinic, are necessary and may include innovations in educating these providers using web-based methods. Ease of referral by the introduction of an electronic cancer genetic referral form represents another new direction that may increase genetic risk assessment for high-risk women with ovarian cancer.     

Greed 1

Abstract

This paper discusses the supervisor's responsibility in addressing the vulnerability or wounds of the therapist. Supervisors have much to keep in mind as they conduct their work, not least the client for whose benefit supervision is deemed to be an essential aspect of good practice. Their responsibility towards the client often entails careful exploration of the experience of the counsellor, both through their counter-transferential response to the client and their own personal circumstances. The extent to which the supervisor has a mandate to discuss the psychological well-being, personal difficulties, or organizational conflicts of their supervisee depends on both contractual agreements and the working alliance. The need to recognize counter-transference responses is generic but when they highlight the internal conflicts of the counsellor, the supervisor must decide how far they can or should pursue the unravelling of such conflicts. Therapist difficulties (Schroder & Davis, 2004 Schröder, T. and Davis, J. 2004. Therapists' experience of difficulty in practice. Psychotherapy Research, 14: 328–345. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar]) provide a framework for understanding ways in which therapeutic practice is affected by the emotional response of the therapist.     

Malice through the looking glass: Reflections and refractions of envy,greed & jealousy

A great deal of time, effort and money is involved in the training of counsellors; hence it is most important that the selection process discriminates between those candidates who are likely to achieve the standard required at the end of the training and those who are not. This paper discusses some of the issues pertinent to the selection of candidates for training as counsellors. It considers the question of whether counsellors are born or made, in other words whether anyone can be a good counsellor given the right training or whether they have to be suitable before they start. The paper uses Kohutian concepts to address issues of narcissism, as well as considering equal opportunities and personal development.     

Age and Gender Differences in Children's Halloween Costumes

Based on data reported by Serbin and Sprafkin (1986), we predicted that the Halloween costumes of first and second graders would be less gender stereotyped than those of preschoolers and children in kindergarten. Children from one public elementary school and two preschools (N = 178) were individually interviewed on Halloween. Children were asked which character they were, who they wanted to be next year, and their age. The resulting 113 different costumes were then rated by college students for degree of masculinity, femininity, and scariness. In addition to main effects of gender and grade, two of four predicted interactions were significant. Older boys tended to prefer less masculine and more feminine costumes than younger boys, and older girls tended to prefer more masculine and less feminine costumes than younger girls.     

Attitudes Toward Health Risks and Sunbathing Behavior

Sunbathing confers the benefits of looking and feeling good but presents the long-term risk of skin cancer. In a disguised experiment exploring attitudes toward sunbathing by British adults, participants were asked to rate their willingness to take a hypothetical new drug (with different levels of risk) that would make them look and feel good. One aspect of the resulting risk profiles was significantly related to a positive attitude to open-air sunbathing but not to sunbed use, possibly because it was erroneously thought that using a sunbed is not risky. The well-established finding that women are more cautious was confirmed; the risk function for men was curvilinear, in contrast to women, who were willing to increase their risk linearly over their lifetime.     

Freud and Klein in The Lion King

This paper is presented as a potential teaching resource for those starting out in their psychoanalytic understanding, whether aiming at clinical work or the academic study of psychoanalytic ideas. Some central ideas from Freud and Klein are illustrated and illuminated in an accessible way using the Disney film The Lion King. Key elements from the film are used to bring to life concepts such as infantile omnipotence, manic defences, Oedipal conflict, persecutory guilt, destructive envy, the superego, reparation and mourning. The story of Simba is taken as demonstrating universal struggles to overcome Oedipal rivalry and destructive envy in order to reach maturity.