Gender and Wellness: A Multidimensional Systems Model for Counseling

An expanded view of health is advocated for assessment and treatment of individual clients in helping them achieve and maintain their maximum potential for high-level wellness. In addition, moderating variables, such as culture, age, and gender differences, have an impact on every dimension of health and wellness. In this article a multidimensional systems model for wellness is described, and gender differences along those dimensions are reviewed. Application of the model and implications for counseling are discussed. Finally, two illustrative case examples, one man and one woman, are described.     

Knowledge of Breast Cancer Genetics Among Breast Cancer Patients and First-Degree Relatives of Affected Individuals

The cloning of BRCA1, a susceptibility gene for inherited breast cancer, has made genetic screening possible for individuals and families whose medical histories are suggestive of an inherited predisposition to breast cancer. To date, few systematic attempts have been made to determine the level of knowledge about breast cancer genetics among women who are likely to seek BRCA1 screening when it becomes widely available. The present study attempted to assess the general knowledge about BRCA1 mutations in two groups: (1) first-degree relatives (FDRs) of breast cancer patients; and (2) women with a previous diagnosis of breast cancer. A self-administered, thirty-item questionnaire was developed through a pilot study. Ten of the items were objective, factual questions about breast cancer genetics. Responses to these questions were used to generate an overall knowledge score for each respondent. The study population was moderately knowledgeable about breast cancer genetics, with an average score of 5.35 out of 10. Counselors should not underestimate the importance of evaluating each counselee's existing knowledge about breast cancer, which can affect the provision and reception of genetic information. In particular, specific areas of knowledge that may be confusing or misunderstood were identified and these topics are discussed in detail.     

The relationship of spiritual maturity to level of object relations development and God image

Several theoretical studies have suggested that spiritual maturity parallels psychological maturity from an object relations perspective in that both involve a relationality that is characterized by mature dependence (Shackelford, 1978; Pingleton, 1984). In addition, previous research has suggested that there is a positive relationship between level of object relations development and God image (Rizzuto, 1979; McDargh, 1983, 1986; Birky & Ball, 1988; Brokaw, 1991). In light of this, the present study theoretically and empirically explored the notion that both level of object relations development and God image are positively correlated with spiritual maturity. The results suggest initial support for the present hypotheses. Theoretical as well as clinical implications of the results are discussed.This paper was presented at the 1994 American Psychological Association Annual Meeting, Los Angeles, CA.     

The double bind of caregiving: Representation of gendered emotion in American advice literature

Parent advice books written for the traditional, intact biological family represent maternal and paternal emotion quite differently from one another [S. A. Shields and B. A. Koster (1989) Emotional Stereotyping of Parents in Child-Rearing Manuals, Social Psychology Quarterly, Vol. 52, pp. 44–55]. This study examined gender-specific references to emotion in advice books directed to adoptive parents, step-parents, single parents, and married couples in order to determine the relationship between beliefs about women's and men's emotional natures and beliefs about caregiving. The gendered representation of caregivers' emotion is remarkably consistent across time, parenting genre, and author characteristics. Books directed to parents portray women as at risk for excessive emotions (both positive and negative) that have negative developmental impact on the child. In contrast, men are largely encouraged to be emotionally expressive, and when they are cautioned about their emotional display, the caution is restricted to negative emotions that are elicited by external emotional hazards: the children, the spouse (or ex-spouse), or the situation. In contrast, marriage manuals portray spouses as mutually responsible for their own and their spouse's emotional well-being. Husbands and wives are encouraged to express unlimited positive emotion and to engage in moderated ventilation of negative emotion. In our discussion of these results we consider the role of emotion representation in promoting a culture of mother blaming.We are indebted to Diane Early, Diane Hayashino, Nancy Kohn, and Sonja Jensen for their assistance in collecting and interpreting the data. This research was supported by University of California, Davis, Faculty Research Grants to S. Shields.     

“My big sister the town supervisor”: Family leadership training is not just for boys

This study investigates gender similarity in the effects of birth order upon political leadership. Town supervisors were the leaders studied as there are a considerable number of women who attain this level of leadership. Questionnaires about birth order and family size were gained from 66 women who were town supervisors in New York State in 1992, and compared to a randomly selected sample of 57 male town supervisors. It was found that women as well as men town supervisors were more likely to have been first born in their families. However, whereas gender does not apparently influence the relevance of birth order for leadership, it clearly does exert an influence on the level of political leadership attained. Women town supervisors gained their positions in towns that were considerably smaller than the towns led by the male supervisors. Discussion concerned the nature of family experiences that contribute to leadership training, including those that may be different for girls and boys. Further research is needed to clarify barriers to female assertion of political leadership at more senior levels, because as this study shows, female leadership is being trained in families.     

MOTHERS' ALCOHOL CONSUMPTION DURING PREGNANCY:

Abstract— Fourteen-year-old adolescents' behavior on a spatial-visual reasoning task was associated with self-report of their mothers' alcohol consumption during pregnancy, IS years earlier The task was arranged so that it was possible to evaluate the examinees' tendency to respond rapidly and less accurately, or slowly and more accurately The greater the mother's reported drinking, the faster and less accurately the adolescent responded The decrement in visual-spatial reasoning related to alcohol appears to be linked to a tendency toward impulsive responding