Volume #10, 2, 2017

Background. Cancer is a chronic disease that significantly affects the quality of life of patients who suffer from it, because they must face stressful situations, including their diagnosis, surgical procedures, and the adverse effects of chemotherapy and radiotherapy. 

Objective. To evaluate the effects of hypnotherapy on breast cancer patients’ quality of life during chemotherapy. 

Design. A quasi-experimental design was used with a convenience sample. Method. Two groups of patients with early breast cancer diagnoses were assigned to either a control group that received standard medical care (n = 20), or a hypnotherapy group (n = 20) that received 12 intensive sessions over the course of 1 month, and 12 additional sessions over the course of 6 months. The patients’ quality of life was evaluated using the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30). 

Results. The hypnotherapy group showed a statistically significant improvement and a large effect size on the cognitive functioning and social functioning scales compared to the control group. The physical functioning, role functioning, and quality of life scales showed improvement with a medium effect size, but the changes were not statistically significant. 

Conclusion. The improvement observed in the cognitive functioning and social functioning scales allows us to suggest that hypnotherapy improves the quality of life of breast cancer patients during chemotherapy.

Background. Throughout the ontogenic development period and life journey, everyone faces numerous threats and challenges. Certain of these challenges are beyond the individual’s control and are caused by social and environmental factors, but others, conversely, are provoked by the individual’s own lifestyle and mental and/or physical health condition. This paper considers how the social adaptation of children with intellectual developmental disorders affects the development of various forms of socially dangerous behavior. 

Objective. The primary goal of the study described in the article is to identify and analyze the potential risk factors related to antisocial behavior among teenagers with intellectual disabilities (mental retardation) based on a survey of teachers in special (correctional) schools. 

The methodological basis of our research uses the provisions of Lev Vygotsky’s theory of socialization among children with intellectual disabilities. This article shows the importance of implementing Lev Vygotsky’s doctrine of correction and compensation of disturbed psychological, emotional and social development of schoolchildren with intellectual disabilities. 

Design. To achieve this purpose, the following methods were used: interviews, questionnaires, and factor analysis. In the first stage of the study, interviews were conducted with teachers working in special (correctional) schools (teachers, child and youth counselors, school psychologists, developmental pediatricians) — of 108 teachers from 10 schools. Analysis of the interviews revealed a list of risk factors related to antisocial behavior among teenagers with intellectual disabilities (only 35 points). The collected data formed the basis for a questionnaire, “Social Safety for Children with Intellectual Disabilities”. In the second stage, 83 teachers working in the special (correctional) schools were surveyed. The survey was completed by teachers of children (12-13 years old) who had a diagnosis of F70 (Mild mental retardation) or F71 (Moderate mental retardation). To determine the significance of risk factors, the respondents were asked to assess children’s exposure to risk factors on a 5-point scale. In the third stage, the results of the risk factor assessment conducted in relation to socially dangerous behavior of adolescents with intellectual disabilities were processed using the factor analysis. 

Results. From the factor analysis of the data collected, as well as an analysis of the relevant theoretical and methodological materials, the following risk factors (with load factors) of socially dangerous behavior among teenagers with intellectual disabilities were identified: antisocial behavior (violation of generally accepted societal norms) (48.7 %); asociality (the lack of motivation to engage in social interaction) (7.96 %); infantilism (5.9 %); social mistrust in the world (4.86 %); propensity for victimizing behavior (4.18 %); virtual addiction (3.98 %); and high self-concept discrepancies (3.14 %). 

Conclusions. The results of our research may be used to prevent antisocial behavior in teenagers with intellectual disabilities through the implementation of psychological and pedagogical follow-up programs aimed at preventing antisocial and asocial behavior, overcoming infantilism and victimization, forming adequate self-esteem, and forming personality-trusting relationships with significant adults and peers.

Background. Coronary artery bypass grafting (CABG) has been one of the most performed surgical procedures for more than 30 years. Recent research has shown severe cognitive disorders accompanying cardiac surgery. However, mild cognitive dysfunction, which is more amenable to prevention and correction, has been less studied because of difficulties in diagnosing it. 

Objective. For this reason, we set out to analyze the dynamics of cognitive functioning in CHD patients undergoing CABG. Our study focuses on the main indicators of cognitive functioning and on comparing cognitive functioning with normative data, as well as on the emotional state which accompanies cardiac surgery. 

Methods. The present study enrolled 70 patients (of average age 59.71 ± 7.32 years) who underwent CABG with the standard cardiopulmonary bypass technique. Our examination used a pathopsychological test battery (including the WAIS, TMT, Stroop test, TAS, Benton test, etc.), and was performed in three stages: two days before, and both 12–14 days and three months after the surgery. 

Results. The results obtained suggest that the majority of cognitive complaints are connected with memory decline after CABG. Patients with CHD experience significant postoperative cognitive decline mostly in verbal memory and attention. A significant cognitive improvement three months after the operation occurred in the following cognitive domains: visual memory, logical memory, and spatial thinking. An analysis of the patients’ trait anxiety leads to the conclusion that the highest intensity of anxiety was observed in relation to the following indicators: “emotional discomfort,” “asthenic component,” and “anxious assessment of the future.” 

Conclusion. Our research demonstrates negative changes in both short- and longterm memory. Possible reasons for postoperative cognitive decline include the conditions and consequences of the surgery, normal aging, brain injury at the time of coronary surgery, and the emotional state of the patients. A positive trend was discovered in the visual and logical memory, active attention, and thinking activity.

Background. This article sets forth the problem of attitudes towards women in connection with the ethno-religious characteristics of their appearance (for example, the hijab [Islamic headscarf]). 

Design. There were 200 subjects: at the first stage 50 women and 50 men aged 22 to 30 (mean age 25); at the second stage 100 females, residents of Rostov-on-Don, Russia. 

Method. The study used the Cook-Medley Hostility Scale (translated and adapted by Yu.A. Mendzheritskaya), as well as the author’s questionnaire, which consisted of stimulus material (two sets of photos of five girls; in the first set, a portrait shot from the front with natural make-up, in the second set, the same girls, but wearing a black hijab). Respondents were asked to rank the girls in the photographs on a scale from friendly to hostile. At the second stage, we added questions about the respondents’ religious beliefs and their assumptions about the religious beliefs of the girls with and without the hijab. 

Results. The results show that the respondent’s level of aggression can lead to a negative, hostile attitude towards a Muslim girl (based only on her external appearance), and more men evaluate the girls wearing the hijab as hostile. We also noted that the color of eyes and hair (even if only the eyelashes and eyebrows could be seen) can form an idea about religious beliefs. 

Conclusion. Based on the received data, we can talk about the role of appearance. In the future, we plan to study specific features of the perception of appearance and discrimination against girls with a different appearance, in particular ethno-cultural clothing, because appearance is one of the most important triggers of discriminatory behavior.

Background. Social anxiety is one of the most common and disturbing conditions of childhood and adolescence. It is defined as an excessive fear of embarrassment or humiliation in social performance situations. Recent studies have identified a number of psychological factors that could explain the maintenance of the condition. 

Objective. The objective of this study was to investigate psychological factors of social anxiety in adolescents with a multifactor psychosocial model. 

Design: The study population comprised 183 Russian-speaking adolescents from Moscow secondary schools, ranging in age from 12 to 16 years. Self-report measures were used to access social anxiety, symptoms of depression, gender role identification, perfectionism, hostility, family emotional communications, and social support. 

Results. The results indicate that social anxiety was positively correlated with symptoms of depression and suicidal thoughts. No quantitative differences in social anxiety between girls and boys were found, while masculinity and undifferentiated gender identification had a strong association with social anxiety. A positive correlation was found between “concern over mistakes” (fear of making a mistake and being negatively compared with peers) and “overdoing” (spending too much time doing homework and too little or none communicating with peers), using the Child Perfectionism Questionnaire (CPQ) subscales and Social Anxiety and Distress Scale (SADS) total score. Positive correlations were found between social anxiety and suppression of emotions and outward well-being subscales, as well in as the Family Emotional Communication (FEC) total score. It is not common to discuss emotions and feelings; it is difficult to share negative experiences; and it is important for the families of socially anxious adolescents to put up a good front. Analysis revealed significant negative correlations between the SADS total score (as well its subscales) and the Social Support scale total score and emotional support subscale; the Practical Support scale negatively correlated with the SADS total score. 

Conclusion. These findings confirm our hypothesis that social anxiety has a complex nature and can be dealt with by a multifactor psychosocial model.

Background. This paper analyzes students’ changing perceptions of conflict after training them in mediation skills. The theoretical basis of this paper is an ontological approach of studying conflict, in which the image of the conflict situation determines the specific behavior. This allowed for the development a training program aimed at changing conceptual structures. The processes of constructing conceptual structures are understood not only as explanatory models that are used for the construction of the outer world in social cognition but also as a manifestation of the internal picture of the world and an inducement to control this world as well as certain actions in the conflict. Our training program was designed by considering ontological mechanisms of conflict behavior regulation. Consequently, the most important result of the program efficiency assessment is the change in participants’ image of the conflict situation. 

Objective. This study aims to change the images of the conflict situation in school students learning the basics of mediation. 

Design. This study involved 360 students (grades 7-9; average age of 14 years and 8 months). During the preparatory stage, we tried to identify the characteristics of a conflict situation in 360 school children using the association experiment, which used the word “conflict” as a stimulus. To study the structure of the conflict situation image, we used Kelly’s repertory. The method of the training program regarding the basics of mediation was based on communication techniques used to resolve complex issues, including the involvement of students, a free personal statement, problem discussion and a joint search for solutions. 

Results. We recorded significant changes in all of the structural components of the conflict situation image before and after training, as well as in their interrelated underlying categorization. One of the results of the program was an increase in the variability of behaviors in conflict. Before the program began, teenagers considered themselves and other conflict participants to be oriented to only meet their own interests. Upon completion of training, they developed an efficient model of behavior in conflict that included various forms of behavior, such as agreement, concession and withdrawal. The teenagers saw good reason to take a qualitatively new, organizational position in the conflict. In this regard, they described themselves as being more active in conflict and as initiating conflict resolution more often than before the training program. Educational videos and the experience of being involved in the conflict as a third party made the teenagers believe in the possibility of constructive conflict resolution based on having respect for the other participant. 

Conclusion. Analysis of structural changes in the conflict situation image during the learning process demonstrated the effectiveness of training students in mediation skills. This study contributes to the better understanding of conflictological competence in general and that of school students in particular. This study describes the mechanism of conflictological competence development.

Background. This study addresses a current problem relating to trust and the identification of gender differences in trust/mistrust manifestation. Gender identity is associated with cultural stereotypes and social roles, which facilitate the formation of trust in people. It acts as a significant integral meaning-based component of an individual’s “I”- conception, which contributes to the formation of trust in himself and the world around him. 

Objective. To study features of trust/mistrust towards others in young people with different gender identities. 

Design. The cross-gender-typical sample consisted of 179 representatives, 83 males and 96 females, ages 17 to 23 (M = 19.34 and SD = 1.79). The techniques for collecting data included the MMPI, the Sex-Role Inventory by S. Bem, and the Trust/Mistrust towards Others questionnaire by A. Kupreychenko. The results were processed via the Mann-Whitney U Test, the Kruskal-Wallis H criterion, and cluster analysis. 

Results. Criteria of trust/mistrust among the youth with different gender identities were identified, and basic types of trust — categoric, irrational–emotional, ambivalent– contradictory, and non-differentiated — were singled out. Irrespective of biological sex, bearers of different gender identities do not exhibit the same criteria to determine trust/ mistrust. 

Conclusion. This study makes it possible to enrich our understanding of the role of social gender in the formation of interpersonal trust and differences in the foundations of trust toward others, in people with different gender identities. The empirical typology of trust in youth with different gender identities allows for using the typology in organizing psychological diagnostics, and for support and improvement of their interpersonal relations.

Background. This study addresses a current problem relating to trust and the identification of gender differences in trust/mistrust manifestation. Gender identity is associated with cultural stereotypes and social roles, which facilitate the formation of trust in people. It acts as a significant integral meaning-based component of an individual’s “I”- conception, which contributes to the formation of trust in himself and the world around him. 

Objective. To study features of trust/mistrust towards others in young people with different gender identities. 

Design. The cross-gender-typical sample consisted of 179 representatives, 83 males and 96 females, ages 17 to 23 (M = 19.34 and SD = 1.79). The techniques for collecting data included the MMPI, the Sex-Role Inventory by S. Bem, and the Trust/Mistrust towards Others questionnaire by A. Kupreychenko. The results were processed via the Mann-Whitney U Test, the Kruskal-Wallis H criterion, and cluster analysis. 

Results. Criteria of trust/mistrust among the youth with different gender identities were identified, and basic types of trust — categoric, irrational–emotional, ambivalent– contradictory, and non-differentiated — were singled out. Irrespective of biological sex, bearers of different gender identities do not exhibit the same criteria to determine trust/ mistrust. 

Conclusion. This study makes it possible to enrich our understanding of the role of social gender in the formation of interpersonal trust and differences in the foundations of trust toward others, in people with different gender identities. The empirical typology of trust in youth with different gender identities allows for using the typology in organizing psychological diagnostics, and for support and improvement of their interpersonal relations.

Background. A dentist’s professional activity requires a high level of personality traits that are usually regarded as a combination of both female and male traits. Androgynous gender identity corresponds to dentists’ professional requirements and allows the dentists to retain mental stability and psychological well-being. 

Objective. The goal of this study is to determine the specificity of the androgynous identity in dentists in the context of gender differences as indicators of mental health and subjective well-being. 

Design. The first stage of the research covered 129 dentists of both sexes to reveal their androgynous gender type using the Bem Sex Role Inventory. During the second stage, 117 androgynous dentists were studied using the SCL-90-R and Brief Subjective Well-being Questionnaire in an effort to reveal the specificity of the dentists’ mental health and self-esteem. 

Results. According to the results, individuals with an androgynous type of gender identity constitute the largest part of dentists (90.70 %), regardless of their biological sex. The expression of masculinity does not statistically differ from the expression of femininity within the androgynous sample. Regardless of their sex, these dentists are characterized by a higher level of mental health. No significant differences were revealed between androgynous men and androgynous women in their subjective well-being indicators — self-estimation of health, satisfaction with material status and success motivation. 

Conclusion. We concluded that androgyny is the most common type of gender identity in the men and women engaged in dentistry. The basic gender characteristic in the structure of androgynous identity in dentists is masculinity, which is closely interrelated with mental health and subjective well-being regardless of biological sex.

Objective. The goal of this study was to empirically verify that the combination of negative attitudes of LGB people towards homosexuality in general and to their own personal characteristics associated with a gay orientation has a negative impact on their self-esteem. 

Design. To test this hypothesis we adapted and standardized the Russian version of the personal homonegativity scale (Mayfield, 2001). Using the adapted measure, we studied how personal homonegativity affects the self-esteem of LGB people. We explored the reliability and validity of the adapted measure with 92 gay respondents aged over 21. Confirmatory factor analysis revealed a two-scale structure — the method was proved. The modified measure includes ten statements divided into two scales: Homonegativity (internalized homophobia; Cronbach’s alpha =0.96) and Acceptance of one’s own homosexuality (Cronbach alpha’s = 0.88). The results indicated that the adapted measure was suitable for assessing internalized homonegativity among gay individuals in Russia. 

Results. More than a half of the respondents (55.4 %) had a rather low level of internalized homophobia which was related to fewer neurotic symptoms and emotional discomfort in comparison with other respondents. However, a higher level of internalized homophobia in remaining respondents (44.6 %) was related to a more positive emotional acceptance of their own homosexuality and to a higher level of self-esteem. 

Conclusion. The results of the analyses of the original hypothesis were confirmed only partially. Internalized homophobia of LGB people appeared to adversely affect the severity of neurotic symptoms and subjective well-being.

Background. Against the background of the dominance of patriarchy and heteronormativity in Africa and the resultant stigma, discrimination and victimisation of sexually and gender-diverse people, this article reports on the development of an affirmative position statement by the Psychological Society of South Africa (PsySSA) for psychology professionals working with sexually and gender-diverse people. The position statement is an attempt to contribute positively to the de-stigmatisation, amongst psychology professionals, of all people with diverse sexual and gender identities. 

Objective. In documenting and reflecting on the process of developing the statement — a first on the African continent — the article aims to contribute to the potential resources available to others in their work on similar projects around the world. 

Design. Although initially intended to be relevant to the African continent, the position statement is appropriate to the South African context specifically, but developed in consultation with a range of stakeholders, also from other African countries. 

Results. Concerns expressed during stakeholder consultations, and thus taken into account in the development of the statement, include relevance to other African countries, negotiating the politics of representation and language, the importance of including gender and biological variance in addition to sexuality, and the need to be sensitive to how Western influence is constructed in some African contexts. 

Conclusion. Other national psychology organisations stand to benefit by ‘lessons learned’ during this country-specific process with global implications, especially with respect to broadening the lens from lesbian, gay, bisexual, transgender and intersex (LGBTI) to sexual and gender diversity, as well as an acknowledgement of the multiple and fluid developmental pathways around sexuality and gender, in general.

Background. The concept of a securityscape is an emerging approach to understanding human (in)securities. It derives from the concept of scapes that was initially proposed by anthropologist and cultural theorist Arjun Appadurai in 1996. Securityscapes are imagined individual perceptions of safety motivated by existential contingencies or otherwise theorized as givens of existence, according to psychotherapist Irvin Yalom: death, freedom, existential isolation, and meaningfulness. A recent study on securityscapes in Kyrgyzstan and Tajikistan described different securityscapes among selected socially and politically vulnerable communities, including the LGBT community. It listed securityscapes of LGBT people but did not provide details as to how such securityscapes are formed. Disclosure of a stigmatized identity was one such securityscape. 

Objective. This article elaborates on research on how LGBT people consider disclosure of their stigmatized identity a securityscape. 

Design. This study was conducted using a semistructured biographical interview with LGBT people in Kyrgyzstan. 

Results. It found that both voluntary identity disclosure and the decision to conceal the stigmatized identity are considered contrasting securityscapes by LGBT people, depending on how central the stigmatized identity is to their self-conception. 

Conclusion. The study concludes that identity disclosure as a securityscape should be considered on a continuum, with identity concealment as a securityscape on one end and complete identity disclosure as a securityscape on the other.

Background. Whereas reciprocal relationships between autobiographical memory and self are broadly emphasized, there is no empirical research that examines how major life changing transitions affect the graphically expressed life story. 

Objective. The paper focuses on the novel topic of autobiographical memory in transsexual individuals. 

Design. Twenty-eight volunteers who had undergone gender-affirming surgery and 28 non-transgender participants were asked to produce a Life Line which required them to identify the most memorable events in their lives. The level of acquisition of affirmed gender-typed traits was measured by the Bem Sex-Role Inventory (BSRI). 

Results. Compared to cisgender individuals, transsexual participants have self-focused Life Lines with a high proportion of vivid flashbulb-like memories and unhappy recollections of childhood. The emotional profile of autobiographical memory addressing childhood was more negative in transsexual participants who deviate from BSRI norms reflecting derogation of past gender category in favour of affirmed gender identity. Those with high acquisition of affirming gender-typed traits assigned more space on the timeline for childhood, revealing the process of self-continuity restoration that leads to an increase in the proportion of positive memories. Accordingly, transsexuals recollected fewer events relevant to their gender identity performing a psychological defence toward the topic of gender. 

Conclusion. We interpreted the results by focusing on the utility of autobiographical memories as a cognitive resource for filling the gap between past and current selves and maintaining self-continuity across the lifespan.

Background. Based on a long personal story of dealing with LGBTQ rights in Russia, the author reviews several transformations in the psychological approach and research to gender and sexual identity. The author describes his professional growth as a psychologist. First his interest was in child sex-role development and then transformed to prevention of sexual crimes, AIDS prevention and sexual education among adolescents. The author shows how his area of expertise in human sexuality brought him to professional ethics for psychologists. 

Discussion. In the second part of the article the author reviews changes in social attitudes towards same sex- relationships from their criminalization and medicalization to acceptance and respect. The author emphasizes the pioneering role of Professor Igor Kon in changes of mass attitudes towards sexuality and same sex relationships. The author sees Kon’s legacy in his statement that “As long as gays and lesbians are objects of bullying and discrimination, everybody who considers himself/herself as a thinking person must support LGBTQ people’s fight for their human rights.” At the end of this part of the article, the author describes a recent hate crime based in homophobia, and its victim, the talented St. Petersburg journalist, Dmitry Tsilikin. Tsilikin was involved in sex education in the 1990s and published a book about these issues. His murder was not considered by the court to be a hate crime against an LGBTQ person, despite enormous protest from progressive-minded people all over Russia. 

Conclusion. The author recommends the Russian Psychological Ethics Code as a way to help psychologists support and advocate for people regardless of sexual orientation or gender identity.

Background. Negative attitudes toward Gay, Lesbian, and Bisexual people in Russia are common, and may have become more prevalent due to recent policy changes. 

Objective. This study explored whether interpersonal contact and personality characteristics predicted Hateful Attitudes Toward GLB people and Endorsement of GLB Rights. 

Design. The design of the study included 154 heterosexual undergraduate students in Moscow and Volgodonsk who were surveyed about their attitudes toward GLB people as well as their personality characteristics assessed with the NEO-FFI. Results. Results suggested that Moscow students held less hateful attitudes and endorsed greater GLB Rights than Volgodonsk students. Women were also more favorable toward GLB Rights than men. In terms of Hateful Attitudes, having GLB friends or acquaintances was a negative predictor of Hateful Attitudes, while neuroticism and conscientiousness were positive predictors. In conclusion, living in a large urban area, knowing GLB individuals, and low levels of neuroticism and conscientiousness appear to be associated with positive attitudes toward GLB people in Russia, however, personality characteristics and knowing GLB people did not appear to relate to endorsement of GLB Civil Rights. 

Conclusion. Current sociopolitical policies such as the propaganda ban, and historical censure of GLB rights during the Soviet era, may impact how “out” GLB Russian people can be, particularly outside of large urban centers, and may reinforce general lack of support for GLB Civil Rights in the Russian population.

Background. Validated measures of sexual minority stress (Meyer, 2003), including that caused by experiences of discrimination directed toward gay, lesbian and bisexual (GLB) people, GLB-related stigma, and internalized homonegativity, are not readily available in Russia. Given the particular context of Russia with respect to GLB rights, it is to be expected that there would be cross-cultural variations in dimensions of minority stress, including internalized homo-negativity. 

Objective. For the present study, we aimed to back and forward translate the commonly used Szymanski and Chung’s (2001) Lesbian Internalized Homonegativity Scale (LIHS), and explore its cross-language validity. 

Design. Our design consisted of a completion of the adapted LIHS by a sample of 74 Russian lesbian-identified women; participants were asked about their age of coming out to self, friends, and family. 

Results. Based upon an examination of construct validity and internal consistency, the results suggest support for a modified four-component, 24-item Russian version of the LIH (R-LIH).The components were: Connection with Lesbian Communities (9 items); Public Identification as a Lesbian (7); Public Visibility as a Lesbian (5); and Cultural Awareness of Lesbian Communities (3). From the original LIHS scale, Personal Feelings about Being a Lesbian, Moral and Religious Attitudes toward Lesbians, and Attitudes toward Other Lesbians failed to demonstrate cross-cultural validity. 

Conclusion. The adapted R-LIH scale suggests there are some constructs of internalized homonegativity that are salient in both U.S. and Russian communities, however, there are others (i.e., Moral and Religious Attitudes, Attitudes Toward Other Lesbians) that may not be relevant in Russian lesbian communities. The implications for the use of the translated version are described.

This issue of "Psychology in Russia: State of the Art", focused on sexual orientation and gender identity, is a step toward meeting that obligation of contributing to the welfare of a stigmatized population, through highlighting current research and theory related to LGBT concerns.