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[PMID]: 29210185 [Au] Autor: Camlin CS; Charlebois ED; Geng E; Semitala F; Wallenta J; Getahun M; Kampiire L; Bukusi EA; Sang N; Kwarisiima D; Clark TD; Petersen ML; Kamya MR; Havlir DV [Ad] Endereço: University of California, San Francisco, CA, USA. [Ti] Título: Redemption of the "spoiled identity:" the role of HIV-positive individuals in HIV care cascade interventions. [So] Source: J Int AIDS Soc;20(4), 2017 Dec. [Is] ISSN: 1758-2652 [Cp] País de publicação: Switzerland [La] Idioma: eng [Ab] Resumo: INTRODUCTION: The concept of "therapeutic citizenship" has drawn attention to ways in which public testimony, the "story-telling in the public sphere" undertaken by people living with HIV (PLHIV), has shaped the global response to the epidemic. This paper presents qualitative findings from two large studies in eastern Africa that reveal how the advent of population-based HIV testing campaigns and efforts to accelerate antiretroviral "treatment for all" has precipitated a rapidly expanding therapeutic citizenship "project," or social movement. The title of this paper refers to Goffman's original conceptualization of stigma as a social process through which a person's identity is rendered "spoiled." METHODS: Data were derived from qualitative studies embedded within two clinical trials, Sustainable East African Research in Community Health (SEARCH) (NCT# 01864603) in Kenya and Uganda, and START-ART (NCT# 01810289) in Uganda, which aimed to offer insights into the pathways through which outcomes across the HIV care continuum can be achieved by interventions deployed in the studies, any unanticipated consequences, and factors that influenced implementation. Qualitative in-depth semi-structured interviews were conducted among cohorts of adults in 2014 through 2015; across both studies and time periods, 217 interviews were conducted with 166 individuals. Theoretically informed, team-based analytic approaches were used for the analyses. RESULTS: Narratives from PLHIV, who have not always been conceptualized as actors but rather usually as targets of HIV interventions, revealed strongly emergent themes related to these individuals' use of HIV biomedical resources and discourses to fashion a new, empowered subjecthood. Experiencing the benefits of antiretroviral therapy (ART) emboldens many individuals to transform their "spoiled" identities to attain new, valorized identities as "advocates for ART" in their communities. We propose that the personal revelation of what some refer to as the "gospel of ARVs," the telling of personal stories about HIV in the public sphere and actions to accompany other PLHIV on their journey into care, is driven by its power to redeem the "spoiled identity:" it permits PLHIV to overcome self-stigma and regain full personhood within their communities. CONCLUSIONS: PLHIV are playing an unanticipated but vital role in the successful implementation of HIV care cascade interventions. [Mh] Termos MeSH primário: Infecções por HIV/terapia Papel do Doente Estigma Social [Mh] Termos MeSH secundário: Adulto Grupo com Ancestrais do Continente Africano Continuidade da Assistência ao Paciente Feminino Infecções por HIV/tratamento farmacológico Infecções por HIV/psicologia Seres Humanos Quênia Masculino Meia-Idade Quartos de Pacientes Pesquisa Qualitativa Identificação Social Uganda Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180307 [Lr] Data última revisão: 180307 [Sb] Subgrupo de revista: IM; X [Da] Data de entrada para processamento: 171207 [St] Status: MEDLINE [do] DOI: 10.1002/jia2.25023

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[PMID]: 29267424 [Au] Autor: Chapellon S; Houssier F [Ad] Endereço: MINEA (Migrations, Interculturalité et Education en Amazonie), EA-7485, Université de la Guyane; PCPP (Psychologie Clinique, Psychopathologie, Psychanalyse), EA-4056, Université Paris Descartes. [Ti] Título: [Iron Man: Between Confusion of Identity and Addiction to Technology]. [Ti] Título: Iron Man : entre confusion identitaire et addiction à la technologie.. [So] Source: Sante Ment Que;42(2):245-261, 2017. [Is] ISSN: 0383-6320 [Cp] País de publicação: Canada [La] Idioma: fre [Ab] Resumo: The fascination surrounding a successful artwork is linked to the fact it faces the viewer to unknown aspects of his/her own psychic life. The same applies to the comics Iron Man. Behind the armour is hiding a man caught up in the traumatic incidences of life. The hero demonstrates a psychic weakness which, despite being deep, is, however, showing universal aspects.The analysis of his misfortunes reveals a narcissistic disorder. The article intends to set out the identity confusion the Marvel's protagonist is trapped in while highlighting the addictive troublesome linking him to his high-tech armour. This article also seeks to attest the fact the symbiosis between Tony Stark and Iron Man is anticipating the evolution of our behaviour with regard to new technologies.To this end, the authors are recalling the episodes of the series. Through the analysis of the confrontational dialogue the hero is maintaining with his iron armour, they explore how the internal experiment related to the sense of identity disorder is figured out. Thus, going through the key moments of the saga, the authors raise the ambiguity of his hero. The metapsychological analysis of the actions undertaken by Iron Man reflects a little-known facet of his personality, revealing a character more tormented than he really looks. However, the point is not to "treat" a fictional man, but to observe how he can help us to understand the internal behaviour of our patients, and also our own.The Faustian drama this comic leads to is hence understood as a living testimony of our own psychic conflicts. Furthermore, the analysis gives rise to a questioning as to the risk of identity confusion the technological progress can create at a time when the Human is more and more depending on the machines he creates himself. [Mh] Termos MeSH primário: Comportamento Aditivo Desenhos Animados como Assunto Tecnologia [Mh] Termos MeSH secundário: Seres Humanos Masculino Identificação Social [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180306 [Lr] Data última revisão: 180306 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171222 [St] Status: MEDLINE

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[PMID]: 29235948 [Au] Autor: Shaughnessy MJ [Ad] Endereço: 1 Decker School of Nursing, Binghamton University, State University of New York, Oneonta, NY, USA. [Ti] Título: Integrative Literature Review on Shame. [So] Source: Nurs Sci Q;31(1):86-94, 2018 Jan. [Is] ISSN: 1552-7409 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Shame is a universal living experience that is just beginning to be explored within the discipline of nursing. Development of a broad understanding of shame is needed to aid nurse researchers in clarifying this phenomenon from a nursing perspective. Pursuant to this goal, the author in this article reviews the extant literature on shame from the disciplines of nursing, psychology, sociology, philosophy, and theology. Three themes that emerged from the scholarly literature were (a) shame propels miring in paralysis, (b) shame captures the illusionary seen-unseen, and [Mh] Termos MeSH primário: Enfermeiras e Enfermeiros/psicologia Enfermagem/tendências Vergonha [Mh] Termos MeSH secundário: Seres Humanos Identificação Social [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180220 [Lr] Data última revisão: 180220 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 171214 [St] Status: MEDLINE [do] DOI: 10.1177/0894318417741120

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[PMID]: 29194158 [Au] Autor: Williams MG; Burke LL [Ti] Título: Doing Learning Knowing Speaking: How Beginning Nursing Students Develop Their Identity as Nurses. [So] Source: Nurs Educ Perspect;36(1):50-52, 2015 Jan/Feb. [Is] ISSN: 1536-5026 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: : The purpose of this pilot study was to analyze beginning nursing students' stories to understand how students develop a sense of being a nurse while pursuing a nursing degree. The study was a secondary analysis with a nonexperimental descriptive design. The setting was a rural private liberal arts campus. The sample was a purposive sample of 10 sophomore nursing students enrolled in an introductory nursing class. One major theme was identified. Doing Learning Knowing Speaking emerged as the way students begin to develop their professional nursing identity and feel like a nurse. [Mh] Termos MeSH primário: Papel do Profissional de Enfermagem/psicologia Identificação Social Estudantes de Enfermagem/psicologia [Mh] Termos MeSH secundário: Bacharelado em Enfermagem Feminino Seres Humanos Pesquisa em Educação de Enfermagem Projetos Piloto Pesquisa Qualitativa [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180220 [Lr] Data última revisão: 180220 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 171202 [St] Status: MEDLINE [do] DOI: 10.5480/12-908

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[PMID]: 28317426 [Au] Autor: Martin LJ; Balderson D; Hawkins M; Wilson K; Bruner MW [Ad] Endereço: a School of Kinesiology and Health Studies , Queen's University , Kingston , ON , Canada. [Ti] Título: The influence of social identity on self-worth, commitment, and effort in school-based youth sport. [So] Source: J Sports Sci;36(3):326-332, 2018 Feb. [Is] ISSN: 1466-447X [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: ​​​The current study examined the influence of social identity for individual perceptions of self-worth, commitment, and effort in school-based youth athletes. Using a prospective research design, 303 athletes (M = 14.89, SD = 1.77; 133 female) from 27 sport teams completed questionnaires at 2 time points (T1 - demographics, social identity; T2 - self-worth, commitment, effort) during an athletic season. Multilevel analyses indicated that at the individual level, the social identity dimension of in-group ties (IGT) predicted commitment (b = 0.12, P = .006) and perceived effort (b = 0.14, P = .008), whereas in-group affect (IGA) predicted commitment (b = 0.25, P = .001) and self-worth (b = 2.62, P = .006). At the team level, means for IGT predicted commitment (b = 0.31, P < .001) and self-worth (b = 4.76, P = .024). Overall, social identity accounted for variance at both levels, ranging from 4% (self-worth) to 15% (commitment). Identifying with a group to a greater extent was found to predict athlete perceptions of self-worth, commitment, and effort. More specifically, at the individual level, IGT predicted commitment and effort, and IGA predicted commitment and self-worth. At the team level, IGT predicted commitment and self-worth. [Mh] Termos MeSH primário: Autoimagem Identificação Social Esportes Juvenis/psicologia [Mh] Termos MeSH secundário: Adolescente Feminino Seres Humanos Masculino Percepção/fisiologia Esforço Físico Estudos Prospectivos Instituições Acadêmicas [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180215 [Lr] Data última revisão: 180215 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170321 [St] Status: MEDLINE [do] DOI: 10.1080/02640414.2017.1306091

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[PMID]: 28455192 [Au] Autor: Levasseur M; Roy M; Michallet B; St-Hilaire F; Maltais D; Généreux M [Ad] Endereço: School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Québec, Canada; Research Centre on Aging, Health and Social Services Centre-Eastern Townships Integrated University Centre for Health & Social Services-Sherbrooke Hospital University Centre ( [Ti] Título: Associations Between Resilience, Community Belonging, and Social Participation Among Community-Dwelling Older Adults: Results From the Eastern Townships Population Health Survey. [So] Source: Arch Phys Med Rehabil;98(12):2422-2432, 2017 12. [Is] ISSN: 1532-821X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To examine the associations between resilience, community belonging, and social participation, and the moderating effect of resilience on the association between community belonging and social participation among community-dwelling older adults. DESIGN: Cross-sectional; secondary analyses of the Eastern Townships Population Health Survey. SETTING: Community. PARTICIPANTS: A sample (N=4541) of women (n=2485) and men (n=2056) aged ≥60 years was randomly selected according to area. Most participants had <14 years of schooling, owned their dwelling, were retired, had 1 or 2 chronic conditions, and did not have depressive symptoms. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Self-reported data on age, education, depressive symptoms, social participation, community belonging, and resilience were collected by phone interviewer-administered questionnaire. A social participation scale measured frequency of participation in 8 community activities. A 4-point Likert scale ranging from "very strong" to "very weak" estimated sense of belonging to the local community. Social participation and sense of belonging questions came from Statistics Canada surveys. Resilience was assessed with the 10-item Connor-Davidson Resilience Scale, capturing the ability to cope with adversity. RESULTS: Controlling for age, education, and psychological distress, greater resilience and community belonging were associated with greater social participation among women (R =.13; P<.001) and men (R =.09; P<.001). The association between community belonging and social participation varied as a function of resilience, especially in men. Greater community belonging further enhanced social participation, especially among women (P=.03) and men (P<.01) with greater resilience (moderator effect). CONCLUSIONS: Resilience moderates the association between community belonging and social participation among community-dwelling older women and, especially, men. Interventions targeting social participation should consider the potential impact of resilience on improving community belonging. Future studies should investigate why resilience moderates associations between community belonging and social participation, and how to enhance resilience among older adults. [Mh] Termos MeSH primário: Distribuição Espacial da População Resiliência Psicológica Participação Social/psicologia [Mh] Termos MeSH secundário: Atividades Cotidianas Idoso Idoso de 80 Anos ou mais Envelhecimento Canadá Doença Crônica Estudos Transversais Meio Ambiente Feminino Inquéritos Epidemiológicos Seres Humanos Masculino Meia-Idade Fatores Sexuais Meio Social Identificação Social Fatores Socioeconômicos [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 180205 [Lr] Data última revisão: 180205 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170430 [St] Status: MEDLINE

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[PMID]: 29240346 [Au] Autor: Bakke A [Ti] Título: Empowering Our Youth: Initiating Sexual Health Education on the Inpatient Unit for the Chronically Ill Pediatric Patient. [So] Source: Urol Nurs;36(6):267-73, 2016 Nov-Dec. [Is] ISSN: 1053-816X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Chronicaly ill pre-teens and adolescents often spend months as inpatients while undergoing treatment. This population includes but is not limited to oncology, transplant, physically disabled, and medically fragile pediatric patients. Sexual health education is often considered less important than the complex disease states and medical issues faced by pediatric inpatients. Many clinicians fail to realize the value of providing this guidance as a necessary part of the physical and psychosocial health of these young patients. Chronically ill youth lack normal social interactions while hospitalized and may have body image issues related to physical disabilities. A need for sexual health education stems from the high sexually transmitted disease prevalence in this population. Lack of formal provider education on sexual health, provider discomfort in discussing sexual health topics, and overlooking the importance of adolescent sexual health have delayed integration of sexual education into inpatient teaching, discharge planning, and outpatient follow up. With few guidelines and minimal published research on this topic, clinicians and parents often have no experience, education, or guidance to provide this specific knowledge effectively. The goal of this discussion of sexual health education for chronically ill adolescents is to highlight the need for additional research, improved training for healthcare providers, and development of evidence-based guidelines in the inpatient and outpatient settings. [Mh] Termos MeSH primário: Adolescente Hospitalizado/educação Criança Hospitalizada/educação Educação Sexual/métodos [Mh] Termos MeSH secundário: Adolescente Imagem Corporal Criança Doença Crônica Fertilidade Seres Humanos Hospedeiro Imunocomprometido Doenças Sexualmente Transmissíveis/prevenção & controle Identificação Social Sexo sem Proteção/prevenção & controle [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180123 [Lr] Data última revisão: 180123 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 171215 [St] Status: MEDLINE

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[PMID]: 28459261 [Au] Autor: Cikara M; Van Bavel JJ; Ingbretsen ZA; Lau T [Ad] Endereço: Department of Psychology, Harvard University. [Ti] Título: Decoding "us" and "them": Neural representations of generalized group concepts. [So] Source: J Exp Psychol Gen;146(5):621-631, 2017 May. [Is] ISSN: 1939-2222 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Humans form social coalitions in every society on earth, yet we know very little about how the general concepts us and them are represented in the brain. Evolutionary psychologists have argued that the human capacity for group affiliation is a byproduct of adaptations that evolved for tracking coalitions in general. These theories suggest that humans possess a common neural code for the concepts in-group and out-group, regardless of the category by which group boundaries are instantiated. The authors used multivoxel pattern analysis to identify the neural substrates of generalized group concept representations. They trained a classifier to encode how people represented the most basic instantiation of a specific social group (i.e., arbitrary teams created in the lab with no history of interaction or associated stereotypes) and tested how well the neural data decoded membership along an objectively orthogonal, real-world category (i.e., political parties). The dorsal anterior cingulate cortex/middle cingulate cortex and anterior insula were associated with representing groups across multiple social categories. Restricting the analyses to these regions in a separate sample of participants performing an explicit categorization task, the authors replicated cross-categorization classification in anterior insula. Classification accuracy across categories was driven predominantly by the correct categorization of in-group targets, consistent with theories indicating in-group preference is more central than out-group derogation to group perception and cognition. These findings highlight the extent to which social group concepts rely on domain-general circuitry associated with encoding stimuli's functional significance. (PsycINFO Database Record [Mh] Termos MeSH primário: Encéfalo/diagnóstico por imagem Conhecimento Comportamento Social Identificação Social [Mh] Termos MeSH secundário: Mapeamento Encefálico Cognição Feminino Seres Humanos Imagem por Ressonância Magnética Masculino Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180112 [Lr] Data última revisão: 180112 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170502 [St] Status: MEDLINE [do] DOI: 10.1037/xge0000287

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[PMID]: 28471313 [Au] Autor: Kotze E; Bowman B [Ad] Endereço: a Department of Psychology , University of the Witwatersrand , Johannesburg , South Africa. [Ti] Título: Coming-Out Confessions: Negotiating the Burden of Lesbian Identity Politics in South Africa. [So] Source: J Homosex;65(1):1-18, 2018. [Is] ISSN: 1540-3602 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: For lesbians, "coming out" or disclosing one's sexual orientation has come to be seen as a marker of self-acceptance, actualization, and the imperative first step in the authentication of a liberated subjectivity and social identity. However, other critical schools of thought, largely informed by Foucault's middle writings, have argued that "coming out" is merely a confessional response to an incitement to discourse about sex. This study explored constructions of coming out by a group of self-identified lesbians in South Africa. Data were collected via eight semistructured interviews and subjected to discourse analysis. Although the coming-out stories appear to conform to some discursive practices characterizing confessional modes of response to incitements to speak, they are also de-emphasized as central to the constitution of selfhood. The changing conditions of possibility for the production of sexual subjectivity in contemporary South Africa seem to disrupt understandings of coming out as either solely a confessional or liberatory practice. [Mh] Termos MeSH primário: Homossexualidade Feminina Autorrevelação [Mh] Termos MeSH secundário: Adulto Feminino Seres Humanos Entrevistas como Assunto Política Minorias Sexuais e de Gênero Identificação Social África do Sul Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171128 [Lr] Data última revisão: 171128 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170505 [St] Status: MEDLINE [do] DOI: 10.1080/00918369.2017.1310545

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[PMID]: 28977000 [Au] Autor: Healy ME; Hill D; Berwick M; Edgar H; Gross J; Hunley K [Ad] Endereço: Department of Anthropology, University of New Mexico, Albuquerque, NM, United States of America. [Ti] Título: Social-group identity and population substructure in admixed populations in New Mexico and Latin America. [So] Source: PLoS One;12(10):e0185503, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: We examined the relationship between continental-level genetic ancestry and racial and ethnic identity in an admixed population in New Mexico with the goal of increasing our understanding of how racial and ethnic identity influence genetic substructure in admixed populations. Our sample consists of 98 New Mexicans who self-identified as Hispanic or Latino (NM-HL) and who further categorized themselves by race and ethnic subgroup membership. The genetic data consist of 270 newly-published autosomal microsatellites from the NM-HL sample and previously published data from 57 globally distributed populations, including 13 admixed samples from Central and South America. For these data, we 1) summarized the major axes of genetic variation using principal component analyses, 2) performed tests of Hardy Weinberg equilibrium, 3) compared empirical genetic ancestry distributions to those predicted under a model of admixture that lacked substructure, 4) tested the hypotheses that individuals in each sample had 100%, 0%, and the sample-mean percentage of African, European, and Native American ancestry. We found that most NM-HL identify themselves and their parents as belonging to one of two groups, conforming to a region-specific narrative that distinguishes recent immigrants from Mexico from individuals whose families have resided in New Mexico for generations and who emphasize their Spanish heritage. The "Spanish" group had significantly lower Native American ancestry and higher European ancestry than the "Mexican" group. Positive FIS values, PCA plots, and heterogeneous ancestry distributions suggest that most Central and South America admixed samples also contain substructure, and that this substructure may be related to variation in social identity. Genetic substructure appears to be common in admixed populations in the Americas and may confound attempts to identify disease-causing genes and to understand the social causes of variation in health outcomes and social inequality. [Mh] Termos MeSH primário: Grupos Étnicos/genética Grupos Populacionais/genética Identificação Social [Mh] Termos MeSH secundário: Feminino Seres Humanos América Latina Masculino Repetições de Microssatélites/genética New Mexico Análise de Componente Principal [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171102 [Lr] Data última revisão: 171102 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171005 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0185503

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