Clinical psychology

Background: Cancer incidence and mortality in young Latin American women has increased over the last few decades. In Mexico, breast self-examination (BSE) is recommended from 20 years of age to create awareness of breast cancer and detect body changes. The health belief model (HBM) allows us to identify young women’s beliefs about cancer and BSE, which could help us to design more appropriate strategies to promote BSE in the fight against breast cancer.

Objective: To assess the knowledge, practice, and beliefs about cancer and BSE in female college students; examine the differences between those who practice BSE and those who do not; and determine the most influential variable for performing BSE. 

Design: A descriptive cross-sectional design was used; the Health Belief Model scale for BSE was applied to 949 female college students from a public university.

Results: Major health study field suffered benign breast disease and having a family history of breast cancer was associated with BSE performance; also the dimensions of the health beliefs model such as barriers, benefits, self-efficacy and health motivation were different between women who perform an BSE in. The predicting variables for BSE practice were self-efficacy, the barriers perceived, benign breast disease, and the major subject of  study.

Conclusion: Reports of BSE practice in female students from Latin American countries are similar; however, the predictive variables differ from those found in the general population. Perceived barriers and self-efficacy are factors capable of  modification, and must be addressed by BSE promotion strategies aimed at female college students.

Background. Autism spectrum disorder (ASD) is a lifelong pervasive developmental disorder affecting subjects’ emotions, will, and cognition, and inhibiting their social adaptation.

Objective. To define directions and methods for psychological assistance to autistic people that would let them achieve higher self-actualization and independence, and avoid social maladaptation.

Design. The following methods were used: analysis of the life histories and catamneses of autistic individuals; participant observation of their behavior; analysis of materials (text summaries) of psychological consulting with families who have autistic members; analysis of materials from remedial sessions with people with autism and developmental disorders.

Research participants were autistic individuals age 12 years or more at the beginning and up to 38–40 years at the end.

Results. The long-term manifestations of autistic development in emotions, will, and cognition are described. These manifestations affect subjects’ adaptation and independence negatively, even in cases of remarkable progress.

Two important aspects of psychological assistance are: a) mastering of skills; b) improving comprehension of social relationships, one’s own psychological world, and other people’s minds. The author proposes some methods of psychological remedial work and insists that rules for social interaction should not be learned mechanically.

Conclusions. The general principles of psychological assistance to autistic individuals are: (a) encouraging their long-term activity jointly with others; (b) providing a well-organized and thoughtful social environment where the activity takes place. Autistic persons often need special assistance to become successfully engaged in a more active and more complex social environment. The present work may be useful for professionals working with people with special needs.