Predictors of Diabetes Self‐care,Metabolic Control,and Mental Health in Youth with Type 1 Diabetes

The purpose of this study was to explore the psychosocial predictors of diabetes self‐care (adherence to care regimes), metabolic control (glycated haemoglobin), and mental health among rural‐ and urban‐dwelling youth with type 1 diabetes. One hundred and twenty three adolescents/young adults (aged 13?25 years, mean = 16 years, standard deviation = 3.8 years) with type 1 diabetes, 50 males and 73 females, completed questionnaires reporting on diabetes self‐care, metabolic control, mental health (negative affect, quality of life), risk‐taking behaviours and attitudes, diabetes self‐efficacy, community engagement, and perceived social support. No rural/urban differences were detected on key predictors or outcome variables. Structural equation modelling revealed that high diabetes self‐efficacy, lower risk behaviour, and more conservative attitudes to risk taking predicted better diabetes self‐care, which in turn predicted better metabolic control and mental health. Social support and engagement in community activities did not influence diabetes self‐care. The study has significance because both diabetes self‐efficacy and propensity towards risk behaviour are potential targets for educational and counselling interventions designed to improve diabetes self‐care regimes and resultant metabolic and mental health outcomes.     

Exploring the Spiritual/Religious Dimension of Patients: A Timely Opportunity for Personal and Professional Reflection for Graduating Medical Students

Teaching about spirituality in medical school training is lacking. Spirituality is a dimension of humanity that can put experiences of health and illness into a meaningful context. Medical students might benefit from understanding how spirituality is an important element in learning to care for patients. Spirituality also provides a context for medical students to explore their own motivations for doctoring. This article describes a longitudinal senior elective course at the end of their medical school training to delve into matters of religion/spirituality surrounding patient care. The authors pose their own perspectives on what both students and faculty gained from the experience.     

Mental Representation of Familiar Others: The Impact of Occupation,Sex, and Race

The current study used a double primed semantic decision task to investigate the role of social group information in mental representations of familiar others. Extrapolating from social role theory, we predicted that social role information would facilitate responding to familiar targets regardless of the specific task at hand. The names of celebrities were used as stimuli, as people know them because of their social role (i.e., their occupation). Primes and targets were matched (or mismatched) on all combinations of sex, race, and occupation. Participants were randomly assigned to task condition: indicating whether the prime and target were (a) of the same sex or not, (b) of the same race or not, or (c) of the same occupation or not. Results indicated that participants responded faster to celebrity prime-target pairs that were matched on occupation regardless of task condition. In addition, participants responded faster to celebrity prime-target pairs that were matched on sex—but only when sex was relevant to the task. Similar findings were not found for race. The implications of these findings for understanding mental representations of familiar others and for person perception are discussed.     

Testing Case Formulation Hypotheses in Psychotherapy: Two Case Examples

We describe two cases that illustrate and demonstrate the effectiveness of a case formulation–driven approach to psychotherapy in which the therapist, in collaboration with the patient, develops a hypothesis (formulation) about the psychological mechanisms that cause and maintain the patient’s difficulties, uses the formulation to guide intervention, and collects data to test the formulation and evaluate the effectiveness of the intervention plan. As shown by the cases reported here, a key strength of this collaborative empirical process is that it enables the patient and therapist to quickly determine when a treatment is failing and take action to rescue it.     

Self-Construction,Cognitive Conflicts,and Disordered Eating Attitudes in Young Women

The aim of this study is to identify cognitive variables that predict disordered eating attitudes in a nonclinical sample composed of 50 female university students. Repertory grid technique was used to assess cognitive features of self-construing and cognitive conflicts. Drive for Thinness and Body Dissatisfaction scales from the Eating Disorder Inventory–2 were used as dependent variables, as previous studies suggested that high scores on these scales are associated with the risk of developing or aggravating eating syndromes. Results suggest that drive for thinness can be associated with cognitive conflicts, whereas body dissatisfaction may be higher for those who construct themselves as inadequate and similar to others. In addition, both dependent variables were predicted by being younger and having a higher body mass index.     

Vicarious Resilience: An Exploration of Teachers and Children’s Resilience in Highly Challenging Social Contexts

This study explores the formulation of vicarious resilience as a useful concept in the middle school age school educational arena. It addresses the question of how teachers who work with learners who experienced dislocation and adversity are affected by the children’s stories of resilience. It focuses on the teachers’ interpretations of their learners’ stories, and how they make sense of the impact these stories have had on their lives. Twenty-one teachers who work in accelerated learning programs in Cali, Colombia, were interviewed about their perceptions of their learners’ overcoming of adversity. Data were analyzed through the Consensual Qualitative Research (CQR) methodology to describe the themes that speak about the effects of witnessing how learners coped constructively with adversity. These themes are discussed to advance the concept of vicarious resilience and how it can contribute to sustaining and empowering teachers dealing with challenging children and trauma.     

Religion and spirituality in the context of bipolar disorder: a literature review

Religion and spirituality (R/S) may play an important role for individuals with bipolar disorder (BD) by providing a means of coping with, and an explanatory model for, their disorder. We conducted a systematic review of empirical studies that have explored R/S in individuals with BD or samples that explicitly delineate individuals with BD. Only six studies met our inclusion criteria. Findings from these studies suggest that R/S strategies may be important for some people in the management of BD. Religion and spirituality thus become relevant concerns for a therapeutic regime that seeks to develop wellness within a bio-psycho-social model. However, the limited body of research and methodological shortcomings of existing research make it difficult to draw relevant conclusions about how this might be accomplished. The authors propose a need for longitudinal, prospective, mixed methods research in order to inform evidence-based practice.     

Hesitation in communication: Does minority status delay responses?

Past studies indicated that people in a minority (vs. majority) position are slower to express their public/political opinion, and the larger the difference between the size of the two positions, the slower the response. Bassili termed this the minority‐slowness effect (MSE). In the current study, two experiments were conducted to demonstrate that MSE extends to people's understanding of utterances and explored the cognitive basis for this. Participants were asked to judge if an utterance is a ‘direct’ or an ‘indirect’ expression. The results show that participants in the minority (vs. majority) took longer to respond, and the larger the difference between the size of majority and minority, the longer the response latency (Study 1a). Furthermore, participants were aware of their own minority position (Study 1b). In Study 2, when participants were deprived of cognitive resources, MSE disappeared, presumably because participants lack the cognitive resources required to conform to utterance interpretation as favoured by the majority.