Psychological adjustment to cleft lip and/or palate: A narrative review of the literature

Objective: Adjustment to cleft lip and/or palate (CL/P) is multifaceted, involving several domains of psychological and social functioning. A substantial increase in research in this area has been evident in recent years, along with a preliminary shift in how adjustment to CL/P is conceptualised and measured. An updated and comprehensive review of the literature is needed in light of the rapidly expanding and changing field.

Design: A narrative review of 148 quantitative and qualitative studies published between January 2004 and July 2015.

Main outcome measures: Findings are presented according to five key domains of adjustment: Developmental Trajectory, Behaviour, Emotional Well-being, Social Experiences and Satisfaction with Appearance and Treatment. Data pertaining to General Psychological Well-being were also examined.

Results: The overall impact of CL/P on psychological adjustment appears to be low. Nonetheless, the review demonstrates the complexity of findings both within and across domains, and highlights recurring methodological challenges.

Conclusions: Research findings from the last decade are considered to be largely inconclusive, although some areas of emerging consensus and improvements in the approaches used were identified. Efforts to collect data from large, representative and longitudinal samples, which are comparable across studies and encompassing of the patient perspective, should be doubled.     

Social support,psychological vulnerability,and HIV risk among African American men who have sex with men

Previous research has suggested a need to understand the social-psychological factors contributing to HIV risk among African American men who have sex with men (MSM). We conducted individual in-depth interviews with 34 adult African American MSM to examine their personal experiences about: (i) sources of social support, (ii) psychological responses to the presence or absence of social support and (iii) influences of social support on sexual behaviours. The majority of participants described limited positive encouragement and lack of emotional support from family, as well as few meaningful personal relationships. Feelings of isolation and mistrust about personal relationships led many participants to avoid emotional intimacy and seek physical intimacy through sexual encounters. Findings highlight a need for multilevel interventions that enhance social support networks and address the social-psychological, emotional and interpersonal factors that contribute to HIV risk among African American MSM.     

Career Decision‐Making Self‐Efficacy Change in Italian High School Students

The authors explored the effects of a structured‐group career intervention among 280 Italian high school students. Hierarchical linear models indicated the intervention's effectiveness in increasing career decision‐making self‐efficacy and, consequently, career exploration, but not in decreasing career choice anxiety. In addition, partial confirmation was found for the moderating effects of participants' expectations and motivation to change on the relationship between career decision‐making self‐efficacy and career choice anxiety. The findings support the development of a systematic vocational guidance program in Italian schools.     

The Development and Testing of a New Version of the Cognitive Reflection Test Applying Item Response Theory (IRT)

The cognitive reflection test (CRT) is a short measure of a person's ability to resist intuitive response tendencies and to produce a normatively correct response, which is based on effortful reasoning. Although the CRT is a very popular measure, its psychometric properties have not been extensively investigated. A major limitation of the CRT is the difficulty of the items, which can lead to floor effects in populations other than highly educated adults. The present study aimed at investigating the psychometric properties of the CRT applying item response theory analyses (a two‐parameter logistic model) and at developing a new version of the scale (the CRT‐long), which is appropriate for participants with both lower and higher levels of cognitive reflection. The results demonstrated the good psychometric properties of the original, as well as the new scale. The validity of the new scale was also assessed by measuring correlations with various indicators of intelligence, numeracy, reasoning and decision‐making skills, and thinking dispositions. Moreover, we present evidence for the suitability of the new scale to be used with developmental samples. Finally, by comparing the performance of adolescents and young adults on the CRT and CRT‐long, we report the first investigation into the development of cognitive reflection. Copyright © 2015 John Wiley & Sons, Ltd.     

Eye‐tracking Social Preferences

We hypothesize that if people are motivated by a particular social preference, then choosing in accordance with this preference will lead to an identifiable pattern of eye movements. We track eye movements while subjects make choices in simple three‐person distribution experiments. We characterize each choice in terms of three different types of social preferences: efficiency, maxi‐min, and envy. For the characterization, we use either the choice data or the eye movement data. The evidence indicates that distributional choices are broadly consistent with the choice rule implied by eye movements. In other words, what subjects appear to be interested in when you look at their choices corresponds to what they appear to be interested in when you look at their eye movements. This correspondence lends credibility to the behavioral relevance of social preferences models. Copyright © 2015 John Wiley & Sons, Ltd.     

Now or Later? Attentional Processing and Intertemporal Choice

The tendency to discount future prospects in lieu of smaller immediate outcomes is known as temporal discounting. The current work used eye‐tracking methodology to examine attentional processing to different elements of choice during an intertemporal decision task. Our findings reveal that those who tend to prefer the immediate option demonstrate attentional biases that were predictive of choice. When losses were at stake, selective attention biases also predicted unique variance in self‐report measures of risk taking, impulsivity, and self‐control beyond what was accounted for by a discounting parameter (k), a typical method for summarizing intertemporal choice data. Overall, our findings suggest that eye‐tracking measures of selective attention may allow for a better theoretical understanding of the mechanisms and processes involved in intertemporal choice. Copyright © 2015 John Wiley & Sons, Ltd.     

The impact of the crisis on the Orthodox Church of Greece: a moment of challenge and opportunity?

This article explores the impact of the economic crisis on the Orthodox Church of Greece (OCG). The first three parts of the article set the current stage by offering a short overview of the crisis and the response of the OCG through its charitable social welfare activities. The fourth part looks at church–state relations in Greece, covering more particularly its financial aspects. The fifth and final part discusses how the economic crisis has affected the OCG itself, including its own finances and governance, and sustainability and mission in the long term. Although the OCG provides social assistance to the Greek population during the economic crisis, it also finds itself very much affected by the same crisis. The economic crisis has forced the OCG to reduce its operating costs while at the same time continue its extensive social work. The crisis has also prompted public debates and questions about the finances of the OCG. This situation may gradually force either the Greek state or the OCG, or perhaps both, to rethink their relationship in the future.     

Social capital and religious and civic participation in Riga,Latvia: findings from the 2014 social survey

The article discusses the link between religious and civic participation in Riga based on the data obtained from a social survey in 2014. Religious and civic participation is a prerequisite for building social capital within a local community. Four types of relationships between civic and religious engagement have been identified: (1) individuals with no religious or civic activity; (2) religiously active individuals with no civic activity; (3) individuals involved in civic activities but who are religiously inactive; and (4) individuals involved in both religious and civic activities. Although the survey data indicate a weak correlation between civic and religious activities, religiously active individuals are more likely to be involved in civic activities.     

The Curious Case of the De-ICD: Negotiating the Dynamics of Autonomy and Paternalism in Complex Clinical Relationships

This article discusses the response of our ethics consultation service to an exceptional request by a patient to have his implantable cardioverter defibrillator (ICD) removed. Despite assurances that the device had saved his life on at least two occasions, and cautions that without it he would almost certainly suffer a potentially lethal cardiac event within 2 years, the patient would not be swayed. Although the patient was judged to be competent, our protracted consultation process lasted more than 8 months as we consulted, argued with, and otherwise cajoled him to change his mind, all to no avail. Justifying our at times aggressive paternalistic intervention helped us to reflect on the nature of autonomy and the dynamics of the legal, moral, and personal relationships in the clinical decision-making process.     

Sibling Death and Adult Maladjustment Indices: A Brief Report

While symptoms of grief pose the most immediate psychological concern in the aftermath of sibling death, emerging research suggests that distal correlates may include strained interpersonal relations and externalized forms of psychological distress. College students with a history of Sibling Loss (n = 36), Parental Loss (n = 32), or No Loss (n = 367) were compared on the Minnesota Multiphasic Personality Inventory (MMPI-2). Sibling Loss was associated with higher Psychopathic Deviate (Pd; d = .62) and Hypomania (d = .42) scores. The relative risk (RR = 2.96) of a Pd elevation (T > 65) was higher after sibling death.