Unresolved attachment among immigrants: an analysis using the adult attachment projective

Dutch and Belgian immigrants in California have a high rate of unresolved attachment status compared to nonimmigrant Californians, unrelated to their length of time in the United States, to their marriage status, or to their reasons for immigration. In this study, the author analyzes attachment at the representational level by comparing coherence in responses of 69 immigrants (29 men and 40 women) and 30 nonimmigrants (12 men and 18 women) to drawings in the Adult Attachment Projective (AAP; C. George & M. L. West, 2001; C. George, M. L. West, & O. Pettem, 1999). Analysis of variance indicates that being unresolved with regard to attachment is linked to greater perception of danger in general, and to a lower ability to resolve danger once perceived. Resolution of danger in story responses to AAP images shows that the immigrant group is most troubled by images of departure and isolation, but nonimmigrants are most disturbed by images of illness.     

Male physical attractiveness in Britain and Greece: a cross-cultural study

The waist-to-chest ratio (WCR), body mass index (BMI), and waist-to-hip ratio (WHR) are the major cues to women's ratings of men's bodily attractiveness (J. T. Fan, W. Dai, F. Liu, & J. Wu, 2005; D. M. Maisey, E. L. E. Vale, P. L. Cornelissen, & M. J. Tovée, 1999; V. Swami & M. J. Tovée, 2005b). The authors examined the relative importance of each of these cues cross-culturally in Greece and Britain. Participants were 36 British and 40 Greek women who rated a set of images of real men with known WCR, BMI, and WHR. The results showed that, regardless of the cultural setting, WCR was the primary determinant of men's physical attractiveness to women, with BMI playing a minor role. However, there were also cross-cultural differences: The Greek women showed a stronger preference for a lower WCR and smaller overall body weight than did the British women. The authors considered possible explanations of these findings.     

From Affect to Mood: Homophobia as Case in Point

This article reflects on emotion as an internal state caused by external forces that can result in mood disturbance. It traces the shift from affect to feeling to emotion to mood, following Johann Gottfried von Herder (1744–1803) to Friedrich Schleiermacher (1768–1834) to William James (1842–1910) to Donald Capps (1939-) as mileposts. It reflects on the phenomena of homophobia/heterosexism and heteronormativity as ideological climate and concludes with a proposal for healing the unhealed wound of sexual minorities.     

Evaluation of a Heredofamilial Cancer Unit in Increasing Family History Collection and Genetic Counseling Referrals Among Spanish Oncologists at a University Hospital

A comprehensive family history is essential to identify patients at risk for hereditary cancer who could benefit from genetic counseling (GC). In a previous study, we observed a low occurrence of family history record (FHR) collection rate and GC referral among oncologists at our institution. The present work analyzes whether the implementation of a heredofamilial cancer unit (HFCU) would improve these parameters. We retrospectively compared the FHR rate in clinical records, National Cancer Institute (NCI) general criteria for hereditary cancer suspicion, GC referrals and FHR quality in two cohorts: cohort 1 (patients diagnosed before HFCU creation) and cohort 2 (after HFCU creation). Of 1,175 patients (590 cohort 1 and 585 cohort 2), FHRs were consigned in 27.3 % and 52.5 % of patients, respectively (p?<?0.001). The GC referral of patients with any NCI criterion was 13.6 % xin cohort 1 vs. 40.5 % in cohort 2 (p?<?0.001). FHR quality improved in terms of the total number of relatives (164 vs. 314, p?=?0.1, N.S.) and number of healthy relatives consigned (80 vs. 191, p?<?0.01). Nine mutations (6 BRCA, 1 MEN1, 2 Lynch), 4 unknown significance variants (all in BRCA) and 2 with no mutation were identified among patients referred from cohort 2. We conclude that the creation of a heredofamilial cancer unit has changed both FHR and GC referrals among oncologists at our institution, although continuous educational efforts are required.     

A Brief,Hospital-Initiated Motivational Interviewing and Acceptance and Commitment Therapy Intervention to Link Postpartum Mothers Who Use Illicit Drugs With Treatment and Reproductive Care: A Case Report

Maternal substance use during the prenatal period often results in infants with compromised health outcomes. The American College of Obstetrics and Gynecology recommends screening, brief motivational interviewing, and referral to existing treatment for women who use illicit substances prenatally. However, many of these women do not present for prenatal care and are not identified as using substances until delivery of their infants, many of whom are admitted to the neonatal intensive care unit (ICU). We describe a case from a novel, hospital-initiated intervention study, Moms in ACTion (MIACT) that combines motivational interviewing (MI) and acceptance and commitment therapy (ACT) to target new mothers with an infant in the neonatal ICU who screen positive for illicit substance use prenatally or at delivery. The MIACT program consists of an adaptive intervention that includes up to three sessions. Initiation of substance use treatment and reproductive care via a gynecological visit are the primary targets of the intervention. Urine samples were collected at 2- and 6-month follow-up visits. The participant successfully completed the program, achieved both treatment outcomes, and had negative urine drug screens at follow-up visits. Improvements in readiness to change and psychological flexibility were also observed. The present case report of a new mother who used substances demonstrated feasibility for combining MI and ACT treatments and the potential for MIACT to increase treatment and contraception initiation, ultimately preventing future substance-exposed pregnancies.     

Religious Involvement, Psychosocial Resourcefulness, and Health

A stratified randomized sample of 525 middle age (35?C64?years old) men was used to study the relationships between self-reported level of church attendance (CA), self-reported religious faith (SRRF), religious well-being (RWB), existential well-being (EWB), self-actualization (SA), health, lifestyle, and participation in physical activity (PA). Religious measures (RWB, CA, and SRRF) were found to be dependent on psychosocial variables in terms of their relationships with PA, lifestyle, and health. On the other hand, psychosocial resourcefulness (SA, EWB, social support, and stress management) showed independent relationships with lifestyle, PA, and health. These findings indicate that the positive associations of psychological and sociological constructs with health are not related to or dependent upon ego syntonic religious identity.     

Validation of the Depression Anxiety Stress Scale-21 (DASS-21) in a non-clinical sample of South African working adults

This study investigated the psychometric properties of the Depression Anxiety Stress Scale-21 (DASS-21) in a non-clinical sample of working people. Working South African persons (N = 269; females = 62%; mean age = 33, SD = 11.5) completed the DASS-21, as well as the Center for Epidemiologic Studies Depression Scale-Revised (CESD-R) and the Generalized Anxiety Disorder Scale-7 (GAD-7). Results following Confirmatory Factor Analysis and correlational analysis yielded a three-factor structure (depression, anxiety, and stress) for the DASS-21. The evidence for discriminant and convergent validity was strong. Additionally, we found good reliabilities for the overall scale as well as the subscales. The DASS-21 appears a valid and reliable instrument for measuring depression, anxiety, and stress in the workplace. Future studies should investigate differential item functioning and equivalence of items among South African working populations.     

Do Verbal Interactions with Infants During Electronic Media Exposure Mitigate Adverse Impacts on their Language Development as Toddlers?

The goal of this study was to determine whether verbal interactions between mothers and their 6-month-old infants during media exposure ('media verbal interactions') might have direct positive impacts, or mitigate any potential adverse impacts of media exposure, on language development at 14 months. For 253 low-income mother-infant dyads participating in a longitudinal study, media exposure and media verbal interactions were assessed using 24-hour recall diaries. Additionally, general level of cognitive stimulation in the home [StimQ] was assessed at 6 months and language development [Preschool Language Scale-4] was assessed at 14 months. Results suggest that media verbal interactions play a role in the language development of infants from low-income, immigrant families. Evidence showed that media verbal interactions moderated adverse impacts of media exposure found on 14-month language development, with adverse associations found only in the absence the these interactions. Findings also suggest that media verbal interactions may have some direct positive impacts on language development, in that media verbal interactions during the co-viewing of media with educational content (but not other content) were predictive of 14-month language independently of overall level of cognitive stimulation in the home.