Broad Consent for Research With Biological Samples: Workshop Conclusions

Different types of consent are used to obtain human biospecimens for future research. This variation has resulted in confusion regarding what research is permitted, inadvertent constraints on future research, and research proceeding without consent. The National Institutes of Health (NIH) Clinical Center's Department of Bioethics held a workshop to consider the ethical acceptability of addressing these concerns by using broad consent for future research on stored biospecimens. Multiple bioethics scholars, who have written on these issues, discussed the reasons for consent, the range of consent strategies, and gaps in our understanding, and concluded with a proposal for broad initial consent coupled with oversight and, when feasible, ongoing provision of information to donors. This article describes areas of agreement and areas that need more research and dialogue. Given recent proposed changes to the Common Rule, and new guidance regarding storing and sharing data and samples, this is an important and timely topic.     

The Value of Lakota Traditional Healing for Youth Resiliency and Family Functioning

This article reports research findings on the impact of Oglala Lakota Sioux traditional healing on family functioning and youth resiliency where trauma, abuse, or violence are often present. Caregivers of Lakota youth struggling with serious emotional and behavioral problems participated in the study. The study included both quantitative and qualitative samples: 27 families for the quantitative sample and 8 families for the qualitative sample. Results from caregivers revealed that traditional healing and cultural practices, as well as the promotion of cultural identity, had statistically significant positive effects on the perceived familial and individual functioning of Lakota youth and their families. Effect sizes indicate that the results have strong practical significance.     

Cultural Adaptation of CBT for Aboriginal Australians

This paper provides a commentary and provides international context to the research conducted by J. Bennett‐Levy et al. Cognitive Behavioural Therapy (CBT) is a highly structured psychological treatment that has unprecedented empirical validation relative to other approaches to therapy. Despite the wealth of evidence supporting its use, the case for CBT is far less compelling for ethnic minority groups. There is however a growing body of international literature supporting the notion of adaptation of CBT for these groups. The research by J. Bennett‐Levy et al. represents a positive step toward validating CBT for use with Australia's indigenous people that is likely to shape the future direction of research in this field. Suggestions are made regarding the next logical empirical steps in this important area of investigation.     

The influence of the built environment on pedestrians’ perceptions of attractiveness,safety and security

Perceptions of the walking environment can encourage or discourage walking for transport. However, the influence of the built environment (BE) on pedestrians’ perceptions of the walking environment has not been fully understood. To address this gap, the present research investigates how BE characteristics of a suburban walking environment are associated with the perceptions of attractiveness (i.e., pleasantness, friendliness), safety, and security. Using a cross-sectional design, 995 participants reported their perceptions about the attractiveness, safety, and security of different suburban BE scenarios in Brisbane (Australia). Univariate and bivariate random effect ordered probit models were estimated to identify the associations between BE characteristics and perceived attractiveness, safety, and security whilst controlling for psychosocial factors. Results indicated that perceived attractiveness (i.e., pleasantness and friendliness) was higher for recreational areas than residential land use. Women perceived the walking environment as more pleasant with trees. The perception of safety was higher for recreational and vacant land compared to residential areas. Young pedestrians perceived that the likelihood of being assaulted/robbed/harassed at night was lower if they walked through an area with commercial and mixed land use. Women pedestrians perceived that the corresponding risk at night was higher in recreational areas. Overall, the findings suggest that urban design strategies such as increasing land use diversity and providing adequate trees enhance perceived environmental attractiveness, safety, and security, ultimately resulting in more walking for transport.     

Bilingual Children’s Narrative Comprehension: Do Pauses during Retelling Buy Time for Understanding?

Abstract

This study extended research on bilingual children’s narrative comprehension to text processing during retelling. A cross- and monolinguistic design allowed for the investigation of the association of various aspects of narrative comprehension with two types of pause occurring during oral retelling of a story heard in one language and retold in a second or in the same language. A sample of 95 bilingual (L1 German/L2 English) fourth-graders participated in the experiment. Comprehension was predominantly accomplished during listening, as children with L1 input outperformed children with L2 input, but they did not benefit from L1 in retelling. Children’s comprehension performance and corresponding pause patterns suggested that the duration of filled pauses dedicated to gist formation indicated efficiency of comprehension: The duration decreased with increasing comprehension. The findings allowed the conclusion that longer pauses during retelling did not buy time for comprehension.     

A “Wife’s Duty” and Social Suffering: Sexual Assault in Marital Relationships in Vietnam

ABSTRACT

Sexual assault in marital relationships tends to be somewhat neglected in Vietnam compared to other forms of domestic violence. This relative neglect does not occur because of a lack of concern for abused women among Vietnamese people. Rather, it is due to structural barriers, cultural assumptions and stigma associated with sexuality, sexual violence, domestic violence, and secrecy, or misunderstanding on the part of many abused Vietnamese women. Yet, these women confront a variety of emotional, bodily, and social assaults from their husbands. Suffering is commonly expressed by abused Vietnamese women as they narrate their experiences of the violence. Abused women express their suffering as bodily and emotional pain, shame, frustration, disorientation, and social marginalization. Contemporary marital sexual violence and domestic violence more broadly in Vietnam are linked to the state’s emergent political and economic goals, as well as gender and kinship ideologies drawn upon in support of these goals. These processes have resulted in abused women experiencing social suffering derived from intersecting Vietnamese state, cultural, and social forces. I suggest institutional practices, and non-supportive perspectives and approaches of some professionals and state employees assisting abused women, have made addressing marital sexual violence a difficult and painful process, as well as an additional source of suffering. Second, layered upon these structural and cultural barriers has been the neglect by some professionals of intersecting inequalities based on gender, class, and disability. Third, some institutions in Vietnam provide more effective and beneficial assistance to abused women, making the process of acquiring assistance complex.     

Assessment and treatment of obsessional harassment

Obsessional harassment and stalking have become increasingly recognized as significant social problems, often with dramatic negative repercussions on the lives of victims. As the public awareness of this problematic behavior has grown, the amount of clinical attention and empirical research focused on understanding the perpetrators of harassment has increased accordingly. Nevertheless, relatively little research has addressed the numerous issues involved in the assessment and treatment of obsessional harassment offenders. This article reviews the existing research on obsessional harassment/stalking, and offers a diagnostic typology of these offenders based on the nature of the relationship with the victim and the motivation of the offender. Treatment modalities are then discussed with regard to each of the primary diagnoses that occur among obsessional harassment offenders. Finally, strategies for initiating treatment for unmotivated or unwilling offenders are discussed, along with clinical issues that arise in the evaluation and treatment process.     

Assessing and treating sexual dysfunctions in Orthodox Jewish couples: a summary of 41 consecutive cases

ABSTRACT

Orthodox Jews are a distinct subgroup with specific beliefs and values towards sexuality, reproduction, modesty, and openness to mental health treatment. This paper reviews the treatment of 41 Orthodox Jewish couples who presented for sex therapy. Most couples were referred by a rabbinical leader. The most common presenting problem was an unconsummated relationship; present in 27 couples. In 34 couples the initial presenting complaint was a male sexual problem yet in 20 of 41 couples both partners described having some sexual problem. Almost 50 per cent of both men and women were also diagnosed with a comorbid psychiatric disorder, which was almost always previously undiagnosed. The most common presenting problems were vaginismus, male inhibited arousal, and/or inhibited male orgasm. Two case examples illustrate some adaptations to assessment and treatment that can be helpful in treating sexual problems in Orthodox Jewish couples.     

Intersectional Trauma-Responsive Care: A Framework for Humanizing Care for Justice Involved Girls and Women of Color

ABSTRACT

Previous scholarship around intersectional frameworks and theories of gendered pathways has provided an invaluable lens in which to view women’s contact with the justice system. The current theory builds from this scholarship, and sets forth an Intersectional Trauma-Responsive Framework that explicitly considers the intersection of identities, including gender and race/ethnicity, under a trauma responsive umbrella. This framework underscores the interconnection between traumatic experiences and justice system contact, while also considering broader systems of oppression and societal disadvantage that impact girls and women of color. The framework encourages interventions and programming with justice involved girls and women and advocates for humanizing care in order to address women’s incarceration.     

The effect of educational priming on face recognition from a silver alert

Abstract

In a between-subjects’ experimental design, we manipulated whether participants viewed an educational video on the importance of Silver Alerts before viewing an older Caucasian female in a Silver Alert. We also examined associations of target recognition with individual difference variables, including gender, ethnicity, Attitudes Towards Older People (ATOP), empathy, conscientiousness, as well as contact and experience with older adults. The results showed an advantage of the priming condition compared to the no-priming condition for correctly identifying the missing woman. Additionally, females correctly identified the missing woman more than males, and Caucasian participants correctly identified the missing woman more than African American participants. Lastly, participants who reported more experience with older adults were more likely to recognize the missing woman. The results suggest that preceding Silver Alerts with information about their importance may increase their effectiveness. Further research is needed to investigate how individual difference variables relate to recognition of missing senior citizens.