Modern Advances in Genetic Testing: Ethical Challenges and Training Implications for Current and Future Psychologists

The ethical implications for psychological practice of genetic testing are largely unexplored. Predictive testing can have a significant impact on health and well-being, and increasing numbers of individuals with knowledge of their risk for various disorders are likely to present for psychotherapy. In addition, more people will struggle with the decision of whether to obtain information regarding their genetic material. Psychologists will need to have the appropriate knowledge and clinical skills to effectively counsel this population. This article highlights the relevant ethical issues surrounding psychological treatment of individuals pursuing or considering undergoing genetic testing. These issues are extended to psychologists working in research, education, and policy domains. Recommendations for graduate training programs to facilitate current and future practitioner competence are also discussed.     

A community psychology of object meanings: Identity negotiation during disaster recovery

What do material goods intended for personal consumption mean to community? We use the extreme example of natural disaster recovery in a community to explore this question. Our work describes how members make sense of material objects that transition from private to public possessions (damaged goods) and public to private possessions (donated goods). By blending consumer and community psychology perspectives with our narratives, we employ a three-dimensional framework for analyzing object meanings: (1) material objects as agents of communitas (a shared sense of “we”), (2) material objects as agents of individualism (a focus on “me”), and (3) material objects as agents of opposition (the “we” that speaks for “me” and “us” versus “them”). This theoretical frame allows us to show how different conceptions of identity lead to conflicting meanings of objects within community, and to explain how and why object meanings shift as objects move across time and space from private to public and from scarcity to abundance. We also provide implications for coping with disasters that consider collective and individual identities as well as oppositional stances in between.     

Perceived social support,coping, and symptoms of distress in American and Spanish students

Abstract

The aim of this study was to test whether coping responses mediated the influence of perceived social support on symptoms of anxiety/depression, social withdrawal, and aggressive behavior in American (N=349) and Spanish students (N=437). Participants completed measures of perceived support, social stress, coping, and distress. Coping partially mediated relations between perceived support and distress, with coping mediation most evident in individuals facing high levels of social stress. Decreased use of disengagement coping by individuals with high perceived support appears to partially explain the protective value of perceived social support. Multiple group covariance structure analysis showed that models linking perceived support, coping, and distress were very similar across cultures, suggesting that the mechanisms underlying decreased risk for individuals with high perceived support may be relatively independent of cultural context, and that interventions designed to increase perceived support and decrease disengagement could be appropriate in both cultures.     

Challenging the Frontiers of Community Psychology: A South African Experience

The development of community psychology is of vital importance in South Africa because of the historical context, questions about the relevance of mainstream western psychology and the current social change in the country in the post-apartheid era. Accordingly successful community psychology practices for a South Africa in transition need greater dissemination for access and utilization in the communities. This article draws on the community work conducted at the Itsoseng Clinic to show how and why community psychology could be made more relevant to the new South Africa. The Itsoseng Clinic is a psychology clinic that is situated in the township of Mamelodi. The clinic provides several services including counselling, psychometric assessment, psycho educational workshops, and HIV/AIDS pre and post-test counselling. The clients and community that the clinic serves are of low socio-economic status and struggle with a lack of material and personnel resources. The individuals working within the Itsoseng Clinic represent a diversity that is in itself a valuable resource for supporting the core activities of the clinic. This article explores various themes that were identified within the research study such as, making community, entering the ecology of life, closing the divide and bridging the boundaries.     

High-functioning depression among women in South Africa: An exploratory study

The study estimated the prevalence and trends of chronic depressive symptoms among women in South Africa from the National Income Dynamics Study (NIDS) data collection waves (2008, 2010, 2012, 2014/2015). NIDS utilised the Center for Epidemiological Studies Depression (CES-D) scale to assess depressive symptoms among adults. From the trend analysis, we observed a decrease in self-reported significant depressive symptoms over the eight-year period in black women (2.66%), followed by mixed-race (coloured) women (1.15%). Across race, significant depressive symptoms were associated with socioeconomic status variables such as income, education, and occupational status. Within race, prevalence rates were higher among individuals with low socioeconomic status (lower income, less educated, and less skilled occupations). Black women were at a higher risk of exhibiting high-functioning depression due to their overrepresentation among low socioeconomic status individuals. Symptom prevalence may be explained largely by psychosocial stressors in patriarchal legacy communities.     

Psychosocial issues among children and adolescents in an integrated paediatric HIV psychology service in Botswana

This study explored the psychosocial issues faced by children and adolescents with HIV in Botswana. Data on psychosocial issues were collected from 27 young children aged 5–9 years and 128 adolescents aged 10–19 years (n = 155). Data were analysed using Microsoft Excel 2007 and MiniTab16. The most frequently identified psychosocial issues were behaviour problems (70%), family issues (58%), and HIV medication adherence (57%). Compared to young children, adolescents were more likely to have HIV medication adherence issues. Missed appointments were most commonly attributed to patient forgetfulness (21%) and conflicting appointments (18%).     

Quality of working life and commitment amongst employees in public organisations in Ghana: does job involvement matter?

This study tested a mediation model of job involvement to predict organisational commitment from quality of work life. A total of 137 workers employed in two public organisations participated in the study (males?=?52.6%, females?=?47.4%, junior staff?=?67.9%, senior staff?=?32.1%, age range 24 to 53 years). Hierarchical multiple regression analysis was computed on the data to model the effects of job involvement on organisational commitment taking into account quality of work life. The results indicated job involvement partially mediated the relationship between quality of worklife and organisational commitment (β?=?0.242, t(134)?=?4.475, p?=?0.05). Thus job involvement is important to employee commitment and should be targeted for intervention support in work organisations.     

The Prevalence of Coping Behaviour,Posttraumatic Growth and Psychological Well-Being in Women who Experienced Childhood Sexual Abuse

This study investigated the prevalence of coping behaviour, posttraumatic growth and psychological well-being in adult South African women (n=60, mean age=32, ethnicity=70% European, 28% African and 2% Asian descent). Specifically, the study considered the prevalence of constructive coping, posttraumatic growth and psychological well-being with a history of childhood sexual abuse. All participants self-reported being sexually abused before the age of 18 years. They completed measures of coping, posttraumatic growth, and psychological well-being, in a cross-sectional survey design. Results showed moderate to high correlations among scales indicating conceptual coherence as indicators of constructive coping, posttraumatic growth and psychological wellness. About 58% of participants manifested constructive coping, 60% manifested posttraumatic growth, and 42% manifested psychological well-being. These women survivors of childhood sexual abuse had higher levels of posttraumatic growth than reported in previous studies.     

Community Counselling in African Contexts

This article explores community counselling as a form of professional practice for psychologists, with a particular focus on practices that are relevant in African contexts. The discussion identifies and discusses various models of practice identified in community psychology, including an ecological perspective, a public health and community mental health framework, interventions that focus on promoting a sense of community, indigenous approaches to community counselling and a critical or social action framework. Examples relating to each of these models of practice are drawn from various African settings, providing practitioners with some insights into how theory can be operationalised into practices that are relevant to African contexts. The article concludes with a discussion on community research, with a particular focus on ethical considerations relevant to a community approach in African contexts. The latter discussion emphasises the importance of working with the community as partners, and suggests the possibility of developing a Code of Ethics aimed specifically at guiding community counselling practice in African contexts.