Adolescent Psychological and Academic Adjustment as a Function of Discrepancies Between Actual and Ideal Self-Perceptions

Actual-ideal discrepancies are associated with adolescent emotional distress and there is evidence that the size of discrepancies matters. However, the direction of discrepancies has not been examined, perhaps due to limitations of widely used self-discrepancy measures. Two hundred and twelve 7th, 9th and 11th grade students (59% female) in a public school in Jamaica described their actual and ideal selves in several different domains—friendship, dating, schoolwork, family, sports, and religion/spirituality—using a Pie measure. Students also completed measures of depressive symptoms, self-esteem, and academic achievement. Discrepancies favoring the ideal self and those favoring the actual self were linked to depressive symptoms, low self-esteem, and poor school grades in the domains of friendship, dating, and schoolwork. Effects were stronger among older adolescents than among younger adolescents. Theories of actual/ideal self-discrepancies have focused on problems arising when the ideal self overshadows the actual self; however, the present study finds that self-discrepancies, regardless of their direction, are a liability. Implications for self-discrepancy measurement, adolescent development, and clinical practice are discussed.     

Comparison of 12-Year-Old Children with Prenatal Exposure to Cocaine and Non-Exposed Controls on Caregiver Ratings of Executive Function

Differences in caregiver reported executive function in 12-year-old children who were prenatally exposed to cocaine (PCE) compared to children who were not prenatally exposed to cocaine (NCE) were assessed. One hundred and sixty-nine PCE and 169 NCE, primarily African-American, low socioeconomic status children participated in a prospective longitudinal study. The Behavior Rating Inventory of Executive Function (BRIEF) Parent Form was administered. Two broadband BRIEF scores (Behavioral Regulation Index (BRI) and Metacognition Index (MI)) and a summary Global Executive Composite (GEC) were computed. Multiple and logistic regression analyses were used to assess the effects of amount of PCE on executive function, controlling for covariates including caregiver (rater) psychological distress, child’s gender and other prenatal drug exposure variables. After adjustment for covariates, amount of PCE was associated with the GEC and two MI subscales, Plan/Organize and Monitor, with heavier exposure associated with more problems of executive function. An amount of PCE by gender interaction revealed amount of PCE effects in other remaining subscales of the MI (Initiate, Working Memory, and Organization of Materials) only among girls. Head circumference did not mediate the effects of cocaine on outcomes. Higher current caregiver psychological distress levels were independently associated with poorer ratings on the executive function scales. Assessment and targeted interventions to improve metacognitive processes are recommended for girls who were prenatally exposed to cocaine.     

Reforming regulatory relationships: The impact of medical revalidation on doctors,employers, and the General Medical Council in the United Kingdom

In 2012, medical regulation in the United Kingdom was fundamentally changed by the introduction of revalidation – a process by which all licensed doctors are required to regularly demonstrate that they are up to date and fit to practice in their chosen field and are able to provide a good level of care. This paper examines the implications of revalidation on the structure, governance, and performance management of the medical profession, as well as how it has changed the relationships between the regulator, employer organizations, and the profession. We conducted semi‐structured interviews with clinical and non‐clinical staff from a range of healthcare organizations. Our research suggests that organizations have become intermediaries in the relationship between the General Medical Council and doctors, enacting regulatory processes on its behalf and extending regulatory surveillance and oversight at local level. Doctors’ autonomy has been reduced as they have become more accountable to and reliant on the organizations that employ them.     

Agricultural cooperatives and social empowerment of women: a Ugandan case study

This article presents a case study of Manyakabi Area Cooperative Enterprise in south-western Uganda, which shows that benefits from agricultural cooperatives can extend beyond monetary tangibles. We discuss several social factors that women members claimed have improved since they became members of the cooperative, including their confidence, their negotiating skills, the ability to be of service to their communities through transferring skills to non-members, and the ability to take control of certain household decisions when dealing with men. We conclude that these social benefits could be enhanced if they were fully acknowledged as important by agents of change.     

A moral emergency and a medical problem: negotiating the control of venereal disease--the Saskatchewan Venereal Disease Protection Act, 1946

The author examines Saskatchewan legislation that regulated venereal disease. Although venereal disease legislation was introduced in Saskatchewan in 1919, the centrepiece of this article is The Venereal Disease Prevention Act, 1946. In an attempt to understand the nuances of and underlying rationale for these laws, the author situates the legislation within its social context. The author demonstrates that the trends and contradictions apparent in society's approach to the regulation of venereal disease were reflected in the legislation. The concept of a continuum is used to illustrate the coexistence of two approaches to the control of venereal disease. On one side of the continuum, venereal disease was a moral problem and a taboo subject. Force was the key to controlling venereal disease; involuntary examinations and intrusions into people's personal lives were the solution. On the other side of the continuum, venereal disease was a medical problem. If approached rationally and openly, control of venereal disease was possible; through education and social acceptance of venereal disease as just another illness, people would voluntarily come forward for treatment. The approaches represented at the extreme ends of the continuum did not exist in isolation; these views existed simultaneously, producing contradictory and colourful rhetoric.     

Developmental changes through adolescence in the spontaneous nomination of reference groups as a function of decision content

The achievement of behavioral autonomy and psychological independence from the family is one of the foremost developmental tasks of the adolescent. This aspect of adolescent socialization is examined with regard to the developmental trends in the individual's nomination of socialization groups as competent referents in different areas of judgment. Eighty subjects, distributed equally between sex and among samples drawn from the fifth, seventh, ninth, and twelfth grades, were interviewed and allowed to nominate spontaneously reference groups of their own choosing for guidance in moral, informational, and social judgments. A significant relation was found between the nomination of a particular reference group and the nature of the decision to be made. The distribution of reference group nominations among the grade levels sampled differed significantly in the case of informational and social judgments. With increasing age during adolescence, peers seemed to be a more acceptable source of information in matters of social judgment than either parents or adults outside the family. Adults outside the family, however, exhibited a marked increase in acceptability as a reference group for judgments of an informational nature. Parents seemed to be the most acceptable referent across all grades for moral judgments. The findings are viewed particularly in relation to the results of studies which have examined developmental trends in simulated group conformity situations and susceptibility to cross-pressures. The possible reasons for the different developmental phenomena revealed by this study and by the conformity studies are discussed.This article is based on a thesis submitted by the first author to Duke University in partial fulfillment of the requirements for the degree of Bachelor of Science with Distinction of Psychology.