The Role of Families in Adolescent HIV Prevention: A Review

Recent research has highlighted the significant contribution families make in the prevention of HIV risk behaviors among adolescents. As the most proximal and fundamental social system influencing child development, families provide many of the factors that protect adolescents from engaging in sexual risk behaviors. Among these are positive family relations, effective communication about sexuality and safer sexual behaviors, enhancement and support of academic functioning, and monitoring of peer activities. HIV risk behaviors occur in a social context, and it is becoming clear that the earliest and most effective way to intervene is in the context where one initially learns about relationships and behavior—the family. Both the Centers for Disease Control and Prevention and the National Institute for Mental Health have taken steps to support and emphasize research that will further elucidate our understanding of the role of families in HIV prevention. This article uses Ecodevelopmental Theory to guide and organize the findings of this promising research area. Within this context, and with special attention to the comorbidity of adolescent problem behaviors, this article reviews empirical research on the role of families in HIV prevention, discusses current intervention efforts that involve families and ecosystems, and addresses prospects and implications for future research and interventions.     

Sociopolitical development of female migrant domestic workers in Southern Spain: A qualitative study of a pathway against injustice

Domestic work is a sector characterized by various forms of injustice, prompting some women to embark on a pathway towards activism. Based on the Sociopolitical Development (SPD) framework, this study aims to explore female Latin American migrants' experiences of injustice in the domestic work sector in Spain and how they challenge them, particularly when they become involved in organized collective action. To this end, in-depth interviews were conducted with 11 women of Latin American origin who actively participate in the Association of Domestic Workers of Seville. The qualitative analysis found that being a domestic worker, having experiences of exploitation, discovering rights, receiving rights training, sharing stories of oppression, and engaging in sociopolitical actions are key experiences in guiding migrant women from the acritical and adaptive stages of SPD towards the pre-critical, critical, and liberation ones. Knowledge about these significant life-changing events may be useful for designing interventions aimed at fostering different ways in which oppressed groups can challenge injustice.     

General intelligence,temperament, and the Matching Familiar Figures Test

To investigate the relationship between general intelligence g and temperament, highly intelligent 10-year-old children (N = 151) were compared with classmates of the same gender and socio-economic status but of average intelligence (N = 134). The two ability groups were administered the Matching Familiar Figures Test (MFFT) during home visits. The parents and teachers rated the temperament of the children. The results showed a consistent pattern: highly intelligent children are more task-oriented, e.g. less distractible and more controlled than their average counterparts. In the MFFT, gifted children not only gave a higher percentage of correct answers, but also showed longer (!) reaction times.     

Social support in a changing Europe: an analysis of three post‐communist nations

Despite the continuing interest in social transitions among social scientists, there has been little analysis of the impact of societal change on personal relationships. One important factor in helping individuals deal with the stresses associated with rapid transitions is social support. In our first study, 450 manual workers, students and entrepreneurs in Russia, Georgia and Hungary completed structured questionnaires assessing demographic and value predictors of the perception of support availability and the support they obtained to deal with changes in their societies. In our second study, the same respondents participated in semi‐structured interviews investigating the relationship between their work lives and support networks. Our findings demonstrate the importance of culture, occupation and values for both the perception and reception of support, and underline the multifaceted manner in which different work experiences in different nations influence support networks. Copyright © 2001 John Wiley & Sons, Ltd.     

Medical practitioners' competence and confidentiality decisions with a minor: An anorexia nervosa case study

Minors (i.e., those under 18 years of age) hold a tenuous legal position in medical settings. While recent legal authority in numerous jurisdictions affords competent minors the right to consent to medical treatment, the guidelines for assessing competence are often vague or non-existent. In addition, these changes have not adequately addressed the issue of confidentiality, and it is unclear whether general practitioners (GPs) owe a duty of confidentiality to competent minors. As medical practitioners are the first point of contact in medical settings, the present study explored GPs' competence and confidentiality determinations regarding a 16-year-old female patient who presented with symptoms of an eating disorder. Questionnaires and hypothetical scenarios were sent to a sample of 1000 GPs, of which 305 responded. Results indicated that 62% of respondents would have found the patient competent, while 82% would have maintained her confidentiality. However, analysis of the rationales provided for these decisions revealed a wide discrepancy in GPs' understanding and implementation of current legal principles. This research highlights the necessity of providing GPs with clear guidelines regarding competence and confidentiality determinations when dealing with minors.     

Preferences of Individuals in Committed Relationships About Premarital Counseling

Premarital educational and counseling programs provide one way of addressing many of the risk factors associated with couple distress and divorce. Unfortunately, few couples who are offered premarital programming engage in the programs offered. This study examined preferences for premarital programming in a sample of individuals in committed relationships who intended to marry the current partner. Results suggested that premarital counseling conducted by a therapist and of short duration, following engagement, was most preferred. The most preferred topics/contents were related to communication and conflict resolution.     

Vision-fair neuropsychological assessment in normal aging, Parkinson's disease and Alzheimer's disease

We examined performance of healthy older and younger adults and individuals with Alzheimer's disease (AD) and Parkinson's disease (PD) on digit cancellation, a task putatively sensitive to cognitive impairment, but possibly affected by visual impairment, particularly in contrast sensitivity. Critical contrast thresholds were established to create custom stimulus arrays that were proximally matched across individuals. Age- and PD-related differences in search were fully accounted for by the sensory deficit. Increased contrast benefited AD patients, but could not override cognitive impairment. We conclude that visually fair neuropsychological testing can effectively compensate for normal age- and PD-related visual changes that affect cognitive performance. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Bingo! Externally supported performance intervention for deficient visual search in normal aging, Parkinson's disease, and Alzheimer's disease

External support may improve task performance regardless of an individual's ability to compensate for cognitive deficits through internally generated mechanisms. We investigated if performance of a complex, familiar visual search task (the game of bingo) could be enhanced in groups with suboptimal vision by providing external support through manipulation of task stimuli. Participants were 19 younger adults, 14 individuals with probable Alzheimer's disease (AD), 13 AD-matched healthy adults, 17 non-demented individuals with Parkinson's disease (PD), and 20 PD-matched healthy adults. We varied stimulus contrast, size, and visual complexity during game play. The externally supported performance interventions of increased stimulus size and decreased complexity resulted in improvements in performance by all groups. AD also obtained benefit from increasing contrast, presumably by compensating for their contrast sensitivity deficit. The general finding of improved performance across healthy and afflicted groups suggests the value of visual support as an easy-to-apply intervention to enhance cognitive performance.