Attitudes of Genetic Counselors Towards Genetic Susceptibility Testing in Children

Genetic susceptibility research and testing is leading to an era of personalized medicine. Genetic counselors act as liaisons between the medical genetics community and the public. Understanding the opinions of genetic counselors will be important in developing testing guidelines. Attitudes towards genetic susceptibility testing in children were assessed for 216 NSGC members. Genetic counselors were likely to support testing if the results would determine: disease progression or prognosis, likelihood of survival after a specific treatment, or risk for an adverse drug reaction. Genetic counselors were unlikely to support testing to determine susceptibility to later disease development or in the absence of available intervention. There was a strong positive correlation between attitudes associated with desire to test their own child, if at risk and their support for genetic testing in any child at risk. Respondents strongly favored parent/guardian and child’s rights over doctor or insurance rights. They indicated assent should be obtained prior to testing, when appropriate, and that a copy of results should be kept in a permanent medical record. Respondents expressed concerns about insurance discrimination, testing in the absence of medical necessity, and taking away a child’s autonomy.     

Parents' Attitudes and Expectations About Children's Cross-Gender Behavior

The goals of the present study were to assessparents' attitudes toward crossgender boys and girls, aswell as to explore possible reasons for differentialevaluations. A total of 224 White parents of five-year old children completed questionnaires probingtheir attitudes toward cross-gender behavior inchildren, and their expectations regarding the futureadult behavior of typical boys, typical girls,cross-gender boys and cross-gender girls. The resultsrevealed that cross-gender boys were more negativelyregarded than crossgender girls and thatmen perceivedmore societal acceptance of cross-gender boys thanwomen. Cross-gender children were predicted tocontinue to show cross-gender behavior in adulthood andto be less psychologically welladjusted as adults thantypical boys and girls. Cross-gender boyswere expected to be less psychologicallywell-adjusted than cross-gender girls. When predictingfuture sexual orientation, cross-gender boys were deemedto have a greater likelihood of being gay thancross-gender girls of being lesbian. Men expectedcross-gender boys to be more likely to show male-malesexual behavior than typical boys inadulthood while women predicted typicalgirls to be more likely to show female-female sexual behavior in adulthoodthan cross-gender girls.     

Implicit Attitudes Towards Feminism

This study employed the Implicit Association Test to assess implicit attitudes towards feminism among 68 U.S. undergraduates. On some trials, participants matched either good or bad words with a feminist or a traditionalist target person. On other trials, they matched feminine or masculine traits with these targets. We predicted (1) faster reaction times to feminist–bad pairings than to feminist–good pairings, (2) faster reactions to traditionalist–good pairings than to traditionalist–bad pairings, (3) faster reactions to traditionalist–feminine pairings than to traditionalist–masculine pairings, and (4) faster reactions to feminist–masculine pairings than to feminist–feminine pairings. The results supported the first three predictions. These results suggest an implicit negativity bias and masculinity bias towards feminists and an implicit positivity bias and femininity bias towards traditionalists.     

Authoritarian Predispositions and Attitudes Towards Redistribution

Authoritarian predispositions are associated with a preference for order, certainty, and security. Using data from European Social Surveys (ESS), we show that this association extends to attitudes towards redistributive policies. We demonstrate that support for redistributive policies that emphasize the government’s responsibility to provide old age, health, and unemployment benefits are positively associated with authoritarian predispositions. We also provide evidence that perceived economic threats moderate this relationship such that, for individuals who perceive higher levels of economic threat, the relationship between authoritarian predispositions and support for government responsibility is stronger. These results show that authoritarian predispositions are not only associated with social preferences but also attitudes towards economic policies.     

Genetic Testing and Parkinson Disease: Assessment of Patient Knowledge,Attitudes, and Interest

The most common genetic contributor to late-onset Parkinson disease (PD) is the LRRK2 gene. In order to effectively integrate LRRK2 genetic testing into clinical practice, a strategy tailored to the PD population must be developed. We assessed 168 individuals with PD for baseline knowledge of genetics, perceived risk, and interest and opinions regarding genetic counseling and testing. Most participants felt that they were familiar with general genetics terms but overall knowledge levels were low, with an average score of 55%. The majority of participants thought it was likely they inherited a PD gene (72%), believed genetic testing for PD would be useful (86%), and were interested in genetic testing (59%) and genetic counseling (56%). However, only a few participants had heard of any genetic tests for PD (29%) or LRRK2 (10%). There appears to be a significant level of interest in genetics and genetic testing within the PD population, but a considerable deficit in genetics knowledge and an over-estimation of risk. Genetic education and counseling tools to address these needs were developed to provide patients with the ability to make informed and knowledgeable genetic testing decisions.     

Increasing Utilization of Cancer Genetic Counseling Services Using a Patient Navigator Model

Rarely has utilization of genetic counseling for Hereditary Breast and Ovarian Cancer (HBOC) been studied separately from utilization of testing. At Kaiser Permanente Colorado, consistently only 30% of all members referred for HBOC attend genetic counseling. To increase the volume of genetic counseling appointments, a patient navigator approach was pilot tested in a randomized-controlled trial over 3 months. A total of 125 members were referred for HBOC genetic counseling (55 randomized to PN, 70 randomized to usual care). Utilization of referrals for Navigator-assisted members was 44%, compared to 31% in the usual care arm (p=0.16). The patient navigator significantly decreased time to appointment, with over 80% of Navigator-assisted members seen for genetic counseling less than three months from referral date, compared to 32% in usual care (p=0.002). patient navigator assistance shortens time from referral to appointment for HBOC genetic counseling, and may increase utilization of such services.     

Moral Foundations and Attitudes Towards the Poor

Why does the public have such polarizing views on the poor? This paper attempts to understand this issue by examining and exploring what predicts attitudes towards the poor. The exploration of this issue begins with a reference to the Moral Foundations Theory (MFT) and how this particular framework has been used to explain polarizing issues such as abortion, gay marriage and stem cell research, among others. This paper argues that the MFT can provide a similar insight on attitudes towards the poor. With the MFT as a backdrop, the current study tested out the hypothesis using hierarchical multiple regression and explored the results further by using dominance analysis. Results showed that the Moral Foundations were good predictors of attitudes towards the poor. While Harm emerged as the only significant predictor, dominance analysis revealed the importance of each foundation as predictors. Harm is the strongest predictor followed by Fairness, Authority, Ingroup, and Purity. All five foundations appear to be better predictors as compared to one’s political affiliation.     

Exposure to Violence and Attitudes Towards Transitional Justice

Transitional justice has emerged to address victims' needs as a means of restoring relations broken by violence. Yet we know little about victims' attitudes towards different transitional justice mechanisms. Why do some victims prioritize retributive justice while others favor other forms of dealing with the violent past? What determines victims' attitudes towards transitional justice policies? To address these questions, we offer a new theoretical framework that draws upon recent insights from the field of evolutionary psychology and links both war exposure and postwar environments to transitional justice preferences. We argue that both past experiences of wartime violence and present‐day social interdependence with perpetrators impact transitional justice preferences, but in divergent ways (resulting in greater support for retributive vs. restorative justice measures, respectively). To test our framework, we rely upon a 2013 representative survey of 1,007 respondents focusing on general population attitudes towards transitional justice in Bosnia two decades after the implementation of the Dayton Accords. Specifically, we examine the impact of displacement, return to prewar homes, loss of property, loss of a loved one, physical injury, imprisonment, and torture on attitudes towards transitional justice. On the whole, our findings confirm our two main hypotheses: Exposure to direct violence and losses is associated with more support for retributive justice measures, while greater present‐day interdependence with perpetrators is associated with more support for restorative justice measures. While acknowledging the legacy of wartime violence, we highlight the importance of the postwar context and institutional mechanisms that support victims in reconstructing their lives.     

Traditional God Images and Attitudes Towards Voluntary Euthanasia

I use data from the General Social Survey (N = 8905) to evaluate whether imagining God in traditional ways is associated with attitudes towards voluntary euthanasia. Bivariate analysis reveals that individuals who imagine God as a father, a master, and a king have negative attitudes towards voluntary euthanasia. The associations between imagining God as a father and as a master and attitudes towards voluntary euthanasia hold after controlling for religious affiliation, frequency of religious attendance, views of the Bible, and other sociodemographic characteristics that predict attitudes towards voluntary euthanasia; however, the association between imagining God as a king do not. I also find that while there is no association between imagining God as a judge on voluntary euthanasia attitudes at the bivariate level, there is a significant and positive association with having favorable voluntary euthanasia attitudes in the full model, revealing a suppression effect. These findings highlight the importance of evaluating if different, distinct beliefs about the same religious object have differential associations with social attitudes and behaviors.     

儿童对待欺负问题态度的研究

欺负(bullying)是一种特殊类型的攻击行为。它与一般的攻击性行为的区别在于行为双方力量的非均衡性．即欺负是力量相对较强的一方对力量相对弱小或处于劣势的一方进行的攻击。欺负通常还具有重复发生的特点．欺负者会在较长的一段时间内重复对某个或某些个体实施欺负。欺负对行为双方．尤其是受欺负者的身心健康和人格发展有着多方面的消极影响。学校欺负在各种文化中都具有很高的发生率。     

Pre-Entry Expectations,Attitudes, and Intentions to Join Predict Military Tenure

The objective of this study was to examine pre-entry expectations, attitudes, and intentions as predictors of tenure among military members. Data from nationally representative (U.S.) samples of youth on attitudes toward military service, expectations about the effect of joining the military on quality of life, and intentions to join the military were linked to tenure among those who later joined the military as adults. Results from survival analyses indicate that those who initially had no desire to join the military and did not expect military service to have positive effects on their quality of life, but ultimately joined the military nonetheless, tended to have shorter military careers. Explanations for these findings are offered along with implications for military staffing.     

Attitudes Towards Prenatal Genetic Counseling,Prenatal Genetic Testing,and Termination of Pregnancy among Southeast and East Asian Women in the United States

Recognizing the heterogeneity of the Asian population with regards to acculturation, education, health awareness, and cultural values is vital for tailoring culturally sensitive and appropriate care. Prior studies show that cultural values influence perceptions of genetics within Asian populations. The reputation of the family unit factors into decisions such as pregnancy termination and disclosure of family medical history, and the nondirective model of American genetic counseling may conflict with the historical Asian model of paternalistic health care. Previous studies also provide conflicting evidence regarding correlations between education, acculturation, age, and awareness and perceptions of genetic testing. The aims of this study were to describe attitudes towards prenatal genetics among Southeast and East Asian women living in the United States for varying amounts of time and to explore sociocultural factors influencing those attitudes. Twenty-three Asian women who were members of Asian cultural organizations in the United States were interviewed via telephone about their attitudes towards prenatal genetic counseling, prenatal genetic testing, and termination of pregnancy. Responses were transcribed and coded for common themes using a thematic analysis approach. Four major themes emerged. In general, participants: (1) had diverse expectations for genetic counselors; (2) tended to weigh risks and benefits with regards to genetic testing decisions; (3) had mixed views on termination for lethal and non-lethal genetic conditions; and (4) identified cultural factors which influenced testing and termination such as lack of available resources, societal shame and stigma, and family pressure. These findings may allow prenatal genetic counselors to gain a richer, more nuanced understanding of their Asian patients and to offer culturally tailored prenatal genetic counseling.     

Inclusion of Religious Behaviors and Attitudes in Counseling: Expectations of Conservative Christians

In this study of 118 religiously conservative Christians' expectations of counseling, participants were randomly assigned to 1 of 2 treatment conditions: a Christian counselor or a counselor whose religious beliefs were unknown. Participants rated their expectations for the counselor's attitude toward their religious beliefs and use of religious behaviors in counseling using the Behavior and Attitude Expectancies scale (C. Belaire & J. S. Young, 2002). Participants also rated their general expectations for counseling using the Expectations About Counseling: Brief Form (H. E. A. Tinsley, 1985). Results showed that participants expected both a Christian counselor and a counselor whose religious beliefs were unknown to be respectful and accepting of conservative Christian religious beliefs and values and to include multiple religious behaviors in counseling sessions. Participants had overall positive expectations of the counseling process.     

Challenged Expectations: Mere Exposure Effects on Attitudes About Transgender People and Rights

Social categorization processes may be initiated by physical appearance, which have the potential to influence how people evaluate others. Categorizations ground what stereotypes and prejudices, if any, become activated. Gender is one of the first features people notice about others. Much less is known about individuals who may transgress gender expectations, including people who are transgender. Using an experiment, this study investigates whether the attitudes that people have about transgender people and rights are influenced by information and facial images. We hypothesize that mere exposure to transgender people, via information and images of faces, should be a source of prejudice reduction. We randomly provide participants with vignettes defining transgender and also randomize whether these vignettes come with facial images, varying the physical features of gendered individuals. We find our treatments have lower levels of discomfort and transphobia but have little effect on transgender rights attitudes. We further find that the impacts are stronger among Democrats than among Republicans. Our findings support the argument that people are in general unfamiliar with transgender people, and the mere exposure to outgroups can be a source of prejudice reduction.     

The Role of Expectations in Effective Genetic Counseling

The goals for this investigation were to assess individuals' expectations for social support from genetic counselors, and to explore how these expectations influence perceptions of genetic counselor effectiveness. Two studies were conducted to address these goals. Results from the first study show that individuals most frequently expect genetic counselors to provide options and support following the disclosure of distressing test results, while data from the second study demonstrate that expectations play a significant role in individuals' assessment of genetic counselor effectiveness. These findings shed light on what individuals expect from genetic counselors following the disclosure of medically positive test results and inform how these expectations influence the success of genetic counseling sessions.     

语言期望概率、不确定性输入及其对阅读的眼动研究启示(中文)

One nearly ubiquitous assumption in models of linguistic comprehension and of eye movement control in reading alike is of partial modularization between word-level and sentence-level processing: that the outcome of word recognition, and thus the input to sentence-level comprehension, is a categorial representation. Yet such a partial modularization throws away residual uncertainty regarding word identity that might potentially be of value to the comprehender further downstream in the sentence. Here I describe a line of research combining computational modeling with experimental eye-tracking work to explore the consequences of removing this partial modularity assumption.