Who Are the Next Generation of Genetic Counselors? A Survey of Students

Genetic counseling students were surveyed about their backgrounds, application process to genetic counseling programs, and career motivations and plans. Program directors from 27 accredited programs were asked to distribute 362 surveys to students. Fifty-two survey items assess demographics; sources of support for pursuing a genetic counseling career (information about genetic counseling, encouragement/discouragement from others); career motivations (reasons for applying and for becoming a genetic counselor); and career certainty. Two hundred and thirty-five usable surveys were returned (64.9% usable return rate). Most respondents were Caucasian females (mean age = 25.4 years). About 13% identified as ethnic minorities, and about one-third reported family histories of a genetic condition(s). Most respondents learned about the field in classes, and most were strongly encouraged by family and friends to pursue genetic counseling. Reasons rated as most important for becoming a genetic counselor included helping others and intellectual stimulation. Recruitment, training, and research recommendations are given.     

Are there limits to collectivism? Culture and children's reasoning about lying to conceal a group transgression

This study explored the effects of collectivism on lying to conceal a group transgression. Seven‐, 9‐, and 11‐year‐old US and Chinese children (N=374) were asked to evaluate stories in which protagonists either lied or told the truth about their group's transgression and were then asked about either the protagonist's motivations or justification for their own evaluations. Previous research suggests that children in collectivist societies such as China find lying for one's group to be more acceptable than do children from individualistic societies such as the United States. The current study provides evidence that this is not always the case: Chinese children in this study viewed lies told to conceal a group's transgressions less favourably than did US children. An examination of children's reasoning about protagonists' motivations for lying indicated that children in both countries focused on an impact to self when discussing motivations for protagonists to lie for their group. Overall, results suggest that children living in collectivist societies do not always focus on the needs of the group. Copyright © 2010 John Wiley & Sons, Ltd.     

Truths qua Grounds

A number of philosophers have recently found it congenial to talk in terms of grounding. Grounding discourse features grounding sentences that are answers to questions about what grounds what. The goal of this article is to explore and defend a counterpart‐theoretic interpretation of grounding discourse. We are familiar with David Lewis's applications of the method of counterpart theory to de re modal discourse. Counterpart‐theoretic interpretations of de re modal idioms and grounding sentences share similar motivations, mechanisms, and applications. I shall explain my motivations and describe two applications of a counterpart theory for grounding discourse. But, in this article, my main focus is on counterpart‐theoretic mechanisms.     

Behaving as expected: Public information and fairness norms

What is considered to be fair depends on context‐dependent expectations. Using a modified version of the Ultimatum Game, we demonstrate that both fair behavior and perceptions of fairness depend upon beliefs about what one ought to do in a situation—that is, upon normative expectations. We manipulate such expectations by creating informational asymmetries about the offer choices available to the Proposer, and find that behavior varies accordingly. Proposers and Responders show a remarkable degree of agreement in their beliefs about which choices are considered fair. We discuss how these results fit into a theory of social norms. Copyright © 2009 John Wiley & Sons, Ltd.     

Narrative expectations in financial forecasting

How do people form expectations about the future? We use amateur and expert investors' expectations about financial asset prices to study this question. Three experiments contrast the rational expectations assumption from neoclassical economics (investors forecast according to neoclassical financial theory) against two psychological theories of expectation formation—behaviorally informed expectations (investors understand empirical market anomalies and expect these anomalies to occur) and narrative expectations (investors use narrative thinking to predict future prices). Whereas neoclassical financial theory maintains that past public information cannot be used to predict future prices, participants used company performance information revealed before a base price quotation to project future price trends after that quotation (Experiment 1), contradicting rational expectations. Importantly, these projections were stronger when information concerned predictions about a company's future performance rather than actual data about its past performance, suggesting that people not only rely on financially irrelevant (but narratively relevant) information for making predictions but erroneously impose temporal order on that information. These biased predictions had downstream consequences for asset allocation choices (Experiment 2), and these choices were driven in part by affective reactions to the company performance news (Experiment 3). There were some mild effects of expertise, but overall the effects of narrative appear to be consistent across all levels of expertise studied, including professional financial analysts. We conclude by discussing the prospects for a narrative theory of choice that provide new microfoundational insights about economic behavior.     

Motivations for social withdrawal and academic adjustment in emerging adulthood

While social withdrawal in childhood is typically associated with lower academic functioning, little is known about how motivations for social withdrawal may be connected to academic adjustment in emerging adulthood. The purpose of the present study was to examine associations between social withdrawal motivations (i.e., shyness, avoidance and unsociability) and indices of academic adjustment, including academic achievement (i.e., grade point average [GPA]) and academic motivation (i.e., intrinsic value, self-efficacy and test anxiety), while accounting for gender and conscientiousness. Participants were 623 emerging adults between the ages of 18 and 25 (M_age = 20.15, SD = 1.67; 79% female) who were currently attending university. Hierarchical regression results showed that shyness was negatively associated with intrinsic value and self-efficacy. Whereas shyness was positively associated with test anxiety, avoidance was negatively associated with test anxiety. Social withdrawal motivations were not associated with GPA. The findings suggest that some motivations for social withdrawal play a role in university students’ academic motivation, but not their academic achievement.     

The Changing Age of Individuals Seeking Presymptomatic Genetic Testing for Huntington Disease

Huntington disease (HD) is a progressive neurodegenerative disorder. Presymptomatic genetic testing allows at-risk individuals to clarify their risk status. Understanding the characteristics and motivations of individuals seeking HD presymptomatic genetic testing better equips genetic counselors and other healthcare professionals to provide comprehensive and personalized care. The aims of this study were to (1) determine whether the average age when individuals seek presymptomatic HD genetic testing has decreased over time, (2) assess motivations for seeking testing, (3) explore whether there is a relationship between age and motivations, and (4) explore genetic counselors’ perceptions of the shift in age. Data from the US HD testing centers (N?=?4) were analyzed. A small but statistically significant decrease in age of individuals seeking presymptomatic testing was observed (p?=?0.045). HD community members (N?=?77) were surveyed regarding presymptomatic testing motivations. Younger individuals were more likely than older individuals to cite “To learn whether or not you would develop HD” and “To make choices about further education or a career” compared to older individuals (p?<?0.05). Conversely, older individuals more frequently cited “To give children a better idea of their risk” (p?<?0.002). Sixteen percent of genetic counselors surveyed (6/37) perceived a change in age of testing. All of these respondents had provided HD testing for ten or more years and anecdotally believed the age at testing has decreased over time. Study results help providers personalize counseling based on patient’s age and serve as a starting point for more research into the relationship between age at testing and motivations for testing.     

Volunteer Participation in Context: Motivations and Political Efficacy Within Three AIDS Organizations

Employed quantitative and qualitative data in a contextual examination of participation in three San Francisco-area HIV/AIDS organizations: an urban, gay community-based social change setting; an urban, broadly focused information/referral setting; and a suburban individual support setting. The settings attracted different kinds of volunteers and engaged them differently with the setting, each other, and community. In quantitative analyses external political efficacy (belief in the responsiveness of sociopolitical systems to change efforts) significantly distinguished settings, but was best predicted by setting-moderated relationships to scaled motivations. Qualitative data more clearly illuminated volunteers' motivations for participation, as well as complex, embedded relationships between setting, motivations, attitudes about sociopolitical participation, and personal and community experience and identification. Together the findings underscore three unique but related stories for the three AIDS organizations, and the value of contextual approaches to participation and empowerment.     

The Fortune of a Precocious Awareness

This article affords me an opportunity for après-coup reflection on personal experiences that contributed to shaping the motivations that determined my theoretical choices. The attempt to find explanations for clinical diversity that were not reduced to drive theory led me to draw up a model of thought in psychopathology that allows for different production mechanisms for the same type of symptom and requires differential and specific therapeutic interventions. My dissatisfaction with the Freudian views on femininity showed me the way toward the role of the adult, of the parents, in the evaluation of the self of the child, examining gender differences in the intersubjective theory of sexuality. Symptoms such as hysteria, anorexia-bulimia, and the high incidence of anxiety and depression in women require an understanding of the interpersonal and gender-related factors in its causation.     

The Relation between Motivation and Goal Attainment: A Correlational Meta-Analysis

This meta-analysis investigated the strengths of the relationship between various types of motivations and accompanying future outcomes that individuals intend to change, based upon 337 effect sizes from 62 studies. Considerable variation exists within and between the effect sizes of the 14 types of motivations, ranging from a small negative effect size, r = −.13, I² = 93.85% (k = 13), to a medium positive effect size, r = .38, I² = 0.0% (k = 3). The following factors moderated some of the 14 summary effect sizes: (a) the type of assessment data (self-report vs. physical data); (b) the type of future outcomes (physical behavior, psychological state, and intellectual ability); (c) the use of a motivational intervention; (d) the use of a longitudinal design; and (e) the time period between the point that measured motivation and future outcomes. The moderating effects suggest that the effect size of motivations may fluctuate across various domains, while future outcomes may be almost unaffected or even affected negatively by particular types of motivations, although certain other types of motivations play positive roles.     

Assessing Motivations for Suicide Attempts: Development and Psychometric Properties of the Inventory of Motivations for Suicide Attempts

This study describes the psychometric properties of the Inventory of Motivations for Suicide Attempts (IMSA). The IMSA was designed to comprehensively assess motivations for suicide emphasized by major theories of suicidality. The IMSA was administered to two samples of recent suicide attempters, undergraduates (n = 66) and outpatients (n = 53). The IMSA exhibited a reliable two‐factor structure in which one factor represented Intrapersonal motivations related to ending emotional pain, and the second represented Interpersonal motivations related to communication or help‐seeking. Convergent validity and divergent validity of IMSA scales were supported by expected patterns of correlations with another measure of suicide motivations. In addition, the IMSA scales displayed clinical utility, in which greater endorsement of intrapersonal motivations was associated with greater intent to die, whereas greater endorsement of interpersonal motivations was associated with less lethal intent and greater likelihood of rescue. Findings suggest the IMSA can be of use for both research and clinical purposes when a comprehensive assessment of suicide motivations is desired.     

Why Care About Gender?

I address motivations that feminist philosophers have for being concerned about the “maleness” of philosophy and the “problem of difference” within feminist theory. An appropriate motivation for caring about both sets of issues is the desire not to oppress others. In order to be able to understand this motivation and to act on it, we need to retain gender as an analytical category.     

Genetic and Environmental Influences on Media Use and Communication Behaviors

A great deal of scholarly work has explored the motivations behind media consumption and other various communication traits. However, little research has investigated the sources of these motivations and virtually no research considers their potential genetic underpinnings. Drawing on the field of behavior genetics, we use a classical twin design study to examine the genetic and environmental influences on nine communication behaviors. Our findings indicate a substantial portion of the total variance in media habits can be attributed to genes, as much as one‐third of the variance in some instances. Mass communication scholars would benefit by paying closer attention to heritability when thinking about the causes as well as the consequences of media traits in contemporary society.     

Critical Notice: Peter Ludlow’s Living Words: Meaning Underdetermination and he Dynamic Lexicon,Oxford: Oxford University Press, 2014

A provocative view has it that word meanings are underdetermined and dynamic, frustrating traditional approaches to theorizing about meaning. Peter Ludlow’s Living Words provides some of the philosophical reasons and motivations for accepting one such view, develops some of its details, and explores some of its ramifications. We critically examine some of the arguments in Living Words, paying particular attention to some of Ludlow’s views about the meanings of predicates, preservation of bivalence and the T-schema, and methods of modulating meaning.     

Love in the Time of Consequentialism

There are several powerful motivations for neutral value‐based deontic theories such as Act Consequentialism. Traditionally, such theories have had great difficulty accounting for partiality towards one's personal relationships and projects. This paper presents a neutral value‐based theory that preserves the motivations for Act Consequentialism while vindicating some crucial intuitions about reasons to be partial. There are two central ideas. The first is that when it comes to working out what you ought to do, your friends’ interests, the needs of your family, the significance of your own projects and ideals, etc. have more weight than the interests and needs of strangers. Your friends’ interests are not (thereby) more neutrally valuable than the interests of others. So there is a difference between the value of an outcome and its deontic significance. The second familiar idea is that reasons are modifiable. Reasons of partiality are reasons the weights of which are a function of the value of the relevant outcome modified by facts about the value of caring about the outcome in question. The resulting principle has various further explanatory advantages; in particular, it accounts for project‐ and relationship‐specific permissions and requirements, both at a time and across time.     

Integrating who “we” are with what “we” (will not) stand for: A further extension of the Social Identity Model of Collective Action

Collective action refers to any action that individuals undertake as group members to pursue group goals such as social change. In this chapter, we further extend the Social Identity Model of Collective Action (SIMCA) by including not just (politicised) identity but also moral motivations into its core, effectively integrating who “we” are with what “we” (will not) stand for. Conceptually, we utilise self-categorisation theory’s notion of normative fit to elaborate this special relationship between the moral and identity motivations for collective action. Empirically, we review two research projects (the experimental and survey-based Value-Identity Fit Project and the longitudinal Politicisation Project) that both suggest that the SIMCA needs to be extended to include, both conceptually and empirically, a broader range of (violated) moral beliefs and a focus on identity content. We discuss key implications of expanding the core of the SIMCA for the social psychology of collective action and social change, and suggest new directions for future theorising and research in this field.     

Self‐help strategies to reduce emotional distress: What do people do and why? A qualitative study

Background: Some people with psychological distress do not seek professional help but opt instead for self‐help strategies to reduce their symptoms. Little is known about these strategies. Aim: To investigate which self‐help approaches might be employed to reduce the effects of emotional distress, and the reasons for these choices. Method: Semi‐structured interviews with 11 clerical employees generated data analysed using grounded theory. Findings: Managing distress is a complex and multi‐dimensional process unique to each individual. The use of self‐help options is determined by the interconnection between the person's core beliefs, their social networks, and ideas about coping. Such beliefs may hinder help‐seeking. People tend to engage in activities that are familiar to them already, rather than attempt new ones. The purpose of self‐help strategies is to distract the person from their problems and to contribute to physical and mental well‐being. Implications for practice are discussed.     

The burden of filial piety: A qualitative study on caregiving motivations amongst family caregivers of patients with cancer in Singapore

Objective. This study explores (1) the motivations and challenges facing family caregiving for cancer in Singapore and (2) suggests a possible framework to guide culturally sensitive future work on caregivers.

Design. Twenty caregivers of patients being treated for cancer at a public hospital in Singapore were interviewed. A semi-structured interview format and inductive thematic analysis were used to analyse the data. Caregivers were asked about their motivations for caregiving and the challenges they faced.

Results. Caregivers’ motivations grouped into three categories: personal value and fulfilment, giving care because of societal expectations such as filial piety, and practical need. Challenges were grouped into interpersonal challenges, disclosure and finding balance. Caregivers with different primary motivations varied in their responses to these challenges. More autonomous caregivers cited learning points and reprioritised more effectively than less autonomous caregivers, who reported more internal conflict and less control over their situation.

Conclusions. In Singapore and Asia, sociocultural values of family caregiving are not uniformly experienced as positive, and may be burdensome for caregivers who give care primarily for extrinsic motivations. As family caregiving needs increase, targeted psychosocial support for caregivers with less autonomous behavioural orientations may pre-empt caregiver burnout and burden.     

Individuality, Belonging, and Children's Self Concepts: A Motivational Spiral Model of Self-Evaluation, Performance, and Participation in Physical Activities

Problématique. Ce projet avait pour objectif d’étudier les fondements sociaux et personnels des images de soi des enfants en rapport avec les activités physiques selon le modèle de la motivation de l’apprentissage en spirale. Ce modèle rapproche l’image de soi des enfants, leurs sentiments, leurs choix, leurs stratégies de résolution de problèmes et leurs performances, tout ce qui peut stimuler et contraindre les motivations des enfants à participer à des activités physiques dans les années à venir. Méthode. La première étude a porté sur de jeunes enfants (N= 40. Age: m = 6,3; σ= 1,1), mais aussi sur des moins jeunes (N= 36. Age : m = 10,2; σ= 1,2). La seconde concernait des enfants de 4 à 11 ans (N= 56. Age : m = 8; σ= 2,1). Résultats. Dans la première étude, les bases personnelles et sociales des images de soi variaient selon l’âge et les images des soi n’étaient pas nécessairement en rapport avec les performances observées. Dans la deuxième étude, les images de soi et les sentiments relatifs aux activités incitaient à une participation ultérieure fournissant aux enfants des occasions de développer leurs capacités et leur stratégies cognitives. Conclusion. Les résultats confirment les fondements hypothétiques personnels et sociaux des images de soi, ce qui est essentiel dans le modèle de l’apprentissage en spirale des motivations des enfants. Il en ressort qu’il existe des pistes communes et diversifiées qui conduisent les enfants à s’adonner à des activités physiques, ce qui a des retombées importantes sur les programmes cliniques et éducatifs concernant la santé et le bien‐être des enfants. This project examined the personal and social bases of children's self concepts about movement within the Motivational Spiral Model. The model relates children's self concepts, feelings, choices, task strategies, and performance that feed forward to support and constrain children's motivations to participate in physical movement in subsequent years. Study 1 was with younger (N= 40, age 6.3, SD 1.1 years) and older children (N= 36, age 10.2, SD 1.2 years). Study 2 was with 4‐ to 11‐year‐old children (N= 56, age 8.0, SD 2.1). In Study 1, personal and social bases of self concepts varied for younger and older children, and their self concepts were not necessarily associated with actual performance. In Study 2, children's self concepts and feelings about movement feed forward to subsequent participation providing children with opportunities to develop their task strategies and skills. Results support the proposed personal and social bases to self concepts that are central to the Motivational Spiral Model. The findings suggest common and diverse pathways to children's participation in physical activities, that have important applications in educational and clinical programmes for children's health and well‐being.