Identifying subgroups that succeed or fail with three levels of physical activity intervention: the Activity Counseling Trial.

The authors used recursive partitioning methods to identify combinations of baseline characteristics that predict 2-year physical activity success in each of 3 physical activity interventions delivered in the multisite Activity Counseling Trial. The sample consisted of 874 initially sedentary primary care patients, ages 35-75 years, who were at risk for cardiovascular disease. Predictors of 2-year success were specific to each intervention and represented a range of domains, including physiological, demographic, psychosocial, health-related, and environmental variables. The results indicate how specific patient subgroups (e.g., obese, unfit individuals; high-income individuals in stable health) may respond differently to varying levels and amounts of professional assistance and support. The methods used provide a practical first step toward identifying clinically meaningful patient subgroups for further systematic investigation.     

Redundancy analysis for qualitative variables

Redundancy analysis (also called principal components analysis of instrumental variables) is a technique for two sets of variables, one set being dependent of the other. Its aim is maximization of the explained variance of the dependent variables by a linear combination of the explanatory variables. The technique is generalized to qualitative variables; it then gives implicitly a simultaneous optimal scaling of the dependent, qualitative variables. Examples are taken from the Dutch Life Situation Survey 1977, using Satisfaction with Life and Happiness as dependent variables. The analysis leads to one well-being scale, defined by the explanatory variables Marital status, Schooling, Income and Activity.The views expressed in this paper are those of the author and do not necessarily reflect the policies of the Netherlands Central Bureau of Statistics.     

Resistance and adherence to the norms of genetic counseling

Genetic counseling for women of advanced maternal age who are considering prenatal testing continues to be based on a principle of nondirectiveness. We interviewed 11 genetic counseling students and four counselors about how they experience and manage, in practice, the tensions between the ideology of nondirectiveness and the acknowledged reality that one can never be truly nondirective. We found that our respondents creatively resolve this tension—simultaneously resisting and adhering to the values of nondirectiveness and information-giving—in individual and situation-specific ways. This resolution is facilitated by the extent to which information given to counselees is fluid, mobile and context-dependent, but these very features of information also have critical implications for both the norms and the practice of genetic counseling.     

AKRASIA

Aristotle's account of akrasia is unsatisfactory for a number of reasons. First, his account of the problem is coloured by a number of unattractive assumptions and preoccupations; second, his central claim, that akrasia involves a temporary displacement of knowledge, deals at best with only a small number of cases; third, he is wrong to suppose that the akrates is typically someone overwhelmed by passion. We need to follow Davidson in recognising that the central problem consists in a failure to convert intention into action. Any solution must involve a recognition that we are dealing with a range of very different kinds of case, which demand different kinds of treatment. For example sometimes agents are overtaken by passion; sometimes they coolly and calmly do the wrong thing; sometimes they are insincere; sometimes they are suffering from a weakness of will; sometimes they are guilty of some kind of self deception; and sometimes they may have difficulty in comparing the goods and evils available.     

Embodied Knowledge and Making Sense of Prenatal Diagnosis

Open-ended, qualitative interviews with women to whom amniocentesis was offered were analyzed to understand how women made sense of these tests. We found that women, whether tested or not, negotiated with biomedical information. They transformed it through identifiable processes, then wove it with their own instincts and beliefs and with their personal experiences, thereby creating embodied knowledge on which their decisions were based. Women who were and were not tested may have differed from each other when categorized on the basis of a final, binary choice, but they were more alike than unalike in reaching this point. The apparent importance of embodied knowledge suggests the critical role of the listening activities of the genetic counselor and of awareness of the validity and importance of women's complementary ways of knowing and doing in understanding the uses and meanings of prenatal genetic testing.     

A qualitative analysis of strategies for managing suicide-related events during deployment from the perspective of Army behavioral health providers,chaplains, and leaders

The purpose of this qualitative study was to investigate the use of strategies for managing suicide-related events (SREs; i.e., suicide deaths, suicide attempts, and suicidal ideation with a plan and intent to die) during deployment from the perspective of Army decision makers: behavioral health providers (BHPs), chaplains, and leaders. A total of 76 Army personnel participated in individual interviews or focus groups. Participants identified unit watch, weapon removal, medical evacuations, and debriefings as common strategies used to manage SREs in deployed settings. Many of these strategies were highlighted as short-term solutions only. Participants also underscored the importance of unit cohesion and communication among leaders, BHPs, and chaplains to effectively manage SREs. The need for structured guidelines for successfully managing SREs in deployed settings is discussed.     

Predictors of Deliberate Self-Harm Behavior Among Emerging Adolescents: An Initial Test of a Self-Punitiveness Model

The current study examined the extent to which an expanded self-punitiveness model could be applied to deliberate self-harm (DSH) among students making the transition to university. Specific components of the self-punitiveness model included perfectionism, overgeneralization, self-criticism, and shame. A sample of 319 university students completed a measure of deliberate self-harm as well as two multidimensional perfectionism measures and measures of self-criticism, overgeneralization, and shame. Correlational analyses found few significant associations among deliberate self-harm and the self-punitiveness factors among men. In contrast, among women, deliberate self-harm was associated with dimensions of trait perfectionism such as parental criticism and socially prescribed perfectionism, as well as with overgeneralization, self-criticism, and both characterological shame and bodily shame with the strongest associations found with shame. Supplementary analyses found a strong link between overgeneralization and shame and an association between self-criticism and shame among women. The results support the contention that particularly among young women making the transition to university, deliberate self-harm behavior is a reflection of a self-punitive personality orientation with multiple facets and a sense of shame associated with an overgeneralized sense of failing to meet social expectations.     

Stereotype threat: Antecedents and consequences for working women

Three studies investigated antecedents and consequences of stereotype threat for female employees. The results of Studies 1 and 2 suggest that social comparisons with men are associated with feelings of stereotype threat whereas social comparisons with women are not. Stereotype threat, in turn, was associated with conflict surrounding women's identity as female employees and with decreased perceived likelihood of achieving career goals. Study 3 extended these findings by demonstrating that feelings of stereotype threat are also negatively related to workplace attitudes and turnover intentions. Furthermore, the effect of stereotype threat on these job attitudes and intentions was itself mediated by identity conflict and perceived likelihood of achieving career goals. Implications and limitations of these findings are discussed. Copyright © 2010 John Wiley & Sons, Ltd.     

Making sense of surveys and censuses: Issues in religious self-identification

Abstract

Censuses and surveys shape decisions, discourse and debates about people and their lived environments. The outcomes, in the case of a census, inform governments about resource distribution but also shape people's self-understanding about who they are and where they may be going. How people self-identify on censuses and surveys produces certain types of knowledge. This introduction emphasises the impact of those instruments on knowledge production and how numbers can be employed, often anecdotally, to further interests and claims. The way academics use and interpret such instruments has ethical and normative dimensions: numbers are not neutral but shape and are shaped by perceptions and identities. This introduction to a thematic issue of Religion introduces the contributing authors' diverse – historical, qualitative and quantitative – approaches that work together to produce their own kind of multi-disciplinary, academically located knowledge.