“In Sickness and in Health”? Disclosures of Genetic Risks in Dating

Individuals who have, or are at risk for, various genetic disorders face many challenges concerning disclosures of genetic information in dating situations. We conducted a qualitative interview study of 64 individuals confronting Huntington’s disease, breast cancer, or Alpha-1 antitrypsin deficiency, examining what issues these individuals encountered, and how they viewed and addressed these—including issues of understandings, privacy, and disclosures of genetic information to various groups (e.g., family members). Incidental to the primary research questions addressed, participants also often described a series of dilemmas in dating situations that they and/or family members, friends, and fellow patients faced of whether to date, and if so, whether, what, how, why, and when to disclose their genetic risk or illness. At times, these individuals feared and experienced rejection, and hence delayed, avoided, or opposed disclosure, or disclosed indirectly or inadvertently. These data are reported in this paper and highlight the importance of patients, their loved ones, genetic counselors, and other health care providers being aware of these issues, and appreciating the complex factors involved, which can affect patients’ coping and social support. This paper, the first to explore several key aspects of disclosures of genetic information in dating, thus suggests needs for public and professional education, and future research in this area.     

Profit maximization versus disadvantageous inequality: the impact of self‐categorization

Choice behavior researchers (e.g., Bazerman, Loewenstein, & White, 1992 ) have found that individuals tend to choose a more lucrative but disadvantageously unequal payoff (e.g., self—$600/other—$800) over a less profitable but equal one (e.g., self—$500/other—$500); greater profit trumps interpersonal social comparison concerns in the choice setting. We suggest, however, that self‐categorization (e.g., Hogg, 2000 ) can shift interpersonal social comparison concerns to the intergroup level and make trading disadvantageous inequality for greater profit more difficult. Studies 1–3 show that profit maximization diminishes when recipients belong to different social categories (e.g., genders, universities). Study 2 further implicates self‐categorization, as self‐categorized individuals tend to forgo profit whether making a choice for themselves or another ingroup member. Study 3, moreover, reveals that social categorization alone is not sufficient to diminish profit maximization; individuals must self‐categorize and identify with their categorization. Copyright © 2005 John Wiley & Sons, Ltd.     

Young children's understanding of desire formation

Two studies examined preschoolers' appreciation of how mental states arise. In Study 1, children aged 3 to 5 (24 at each age) better understood perception-generated beliefs (e.g., that looking in a certain location generates a belief about the location's content) and attitude-generated desires (e.g., that positive experiences with an activity generate a desire to partake of the activity again) than physiology-generated desires (e.g., that not eating for a long time generates a desire for food). In Study 2, 4- and 5-year-olds (48 at each age) better understood the effects of quantity of experience (e.g., eating a lot vs. a little) than of time of experience (eating just now vs. a long time ago) on physiological states and desires. The findings suggest that whether children reason in more advanced fashion about desires or beliefs depends on which aspects of these mental states are considered.     

Sex and genes,part 2: A biopsychosocial approach to assess and treat challenging sexual behavior in persons with intellectual disabilities including fragile X syndrome and 22q11.2 deletion syndrome

Individuals with intellectual disabilities (IDs) – and specifically those with genetic disorders – are more prone to medical and psychological challenges that affect their sexual development, experiences, and fertility. In this review paper we first provide an overview of the biopsychosocial (BPS) model and then explain how the model can guide and improve the assessment and treatment of challenging sexual behaviors by persons with IDs. We discuss two genetic conditions – fragile X syndrome and 22q11.2 deletion syndrome – in case studies, showing how the BPS model can be used to assess and treat the sexual problems of individuals with various types of ID. We conclude with BPS-formulated treatment considerations in three key domains: biomedical treatment (e.g., medication side effects; stopping or changing medications), psychological treatment (e.g., providing psychological therapies), and socio-environmental interventions (e.g., providing socio-sexual education and staff training). Together, these treatment interventions can aid clinicians to prevent and/or treat problematic sexual behaviors of people with IDs.     

Many roads lead to Rome: Self‐regulatory strategies and their effects on self‐control

In a self‐control conflict, people face a dilemma between a current goal (e.g., to exercise regularly) and competing impulses, habits, or desires (e.g., to stay on the couch and continue watching TV). To resolve such conflicts in favor of their goals, individuals may capitalize on a variety of self‐regulatory strategies. In this article, we review recent research on the self‐regulatory strategies people use in their daily lives, research on the effectiveness of these strategies, and research on the consequences of self‐regulatory strategy use on well‐being. We furthermore take both an individual‐differences and a situational perspective by linking strategy use to individual differences between people (e.g., in self‐control) and by emphasizing that strategy effectiveness likely depends on situational context (e.g., on current demands). Finally, we introduce ideas and potential future research questions revolving around the role of individual differences in regulatory flexibility (including context‐sensitivity) for determining a person's self‐regulatory success.     

Using E-Z Reader to examine the concurrent development of eye-movement control and reading skill

Compared to skilled adult readers, children typically make more fixations that are longer in duration, shorter saccades, and more regressions, thus reading more slowly (Blythe & Joseph, 2011). Recent attempts to understand the reasons for these differences have discovered some similarities (e.g., children and adults target their saccades similarly; Joseph, Liversedge, Blythe, White, & Rayner, 2009) and some differences (e.g., children’s fixation durations are more affected by lexical variables; Blythe, Liversedge, Joseph, White, & Rayner, 2009) that have yet to be explained. In this article, the E-Z Reader model of eye-movement control in reading (Reichle, 2011 and Reichle et al., 1998) is used to simulate various eye-movement phenomena in adults vs. children in order to evaluate hypotheses about the concurrent development of reading skill and eye-movement behavior. These simulations suggest that the primary difference between children and adults is their rate of lexical processing, and that different rates of (post-lexical) language processing may also contribute to some phenomena (e.g., children’s slower detection of semantic anomalies; Joseph et al., 2008). The theoretical implications of this hypothesis are discussed, including possible alternative accounts of these developmental changes, how reading skill and eye movements change across the entire lifespan (e.g., college-aged vs. older readers), and individual differences in reading ability.     

Approach and avoidance relationship goals and couples’ nonverbal communication during conflict

Approach relationship goals are pursued in order to achieve desirable outcomes, whereas avoidance relationship goals are pursued to prevent undesirable outcomes in relationships. We investigated how partners’ approach and avoidance relationship goals are related to their nonverbal communication during conflict. A sequential analysis of observational data from 365 couples (28,470 observations) revealed that individuals with more (vs. fewer) approach goals displayed more positive involvement (e.g., head nods, smiles) and less avoidant withdrawal (e.g., shaking head, folded arms). The reverse pattern emerged for avoidance goals. Furthermore, women (but not men) matched their partner's positive involvement to a greater extent the more approach goals and the fewer avoidance goals they pursued. In contrast, approach/avoidance relationship goals were not associated with how much individuals matched their partner's avoidant withdrawal. Results suggest that relationship goals are related to partners’ nonverbal communication and the extent to which women match their partner's positive involvement during conflict.     

What makes people happy? Decoupling the experiential-material continuum

Extant literature suggests that consumers derive more happiness from experiences (e.g., vacations) than from material possessions (e.g., furniture). However, this literature typically pits material against experiential consumption, treating them as a single bipolar construct of their relative dominance: more material or more experiential. This focus on relative dominance leaves unanswered questions regarding how different levels of material and experiential qualities each contribute to happiness. Four preregistered studies (N = 3,288), using hundreds of product categories, measured levels of material and experiential qualities using two unipolar items. These studies investigate recalled, evoked, and anticipated happiness. Results show a more nuanced view of the experiential advantage that is critical for future research and consumer theory: material and experiential qualities both have positive relationships with happiness. Further, there is no inherent trade-off between experiential and material qualities: consumers can enjoy consumption that is high on both (e.g., swimming pools and home improvements).     

Misunderstandings Concerning Genetics Among Patients Confronting Genetic Disease

Critical questions arise about misunderstandings of genetics. We interviewed for 2 h each, 64 individuals who had or were at risk for Huntington’s disease (HD), breast cancer or Alpha-1 antitrypsin deficiency. These individuals revealed various misunderstandings that can affect coping, and testing, treatment and reproductive decisions. A therapeutic misconception about testing appeared: that testing would be helpful in and of itself. Many believed they could control genetic disorders (even HD), yet these beliefs were often incorrect, and could impede coping, testing, and treatment. Misunderstandings about statistics and genetics often fueled each other, and reflected denial, and desires for hope and control. Emotional needs can thus outweigh understandings of genetics and statistics, and providers’ input. Individuals often maintained non-scientific beliefs, though embarrassed by these. These data have implications for care, and public and professional education. Misunderstandings’ persistence, despite realization of their inaccuracy, suggests that providers need to address not just cognitive facts, but underlying emotional issues.     

The preferred level of face categorization depends on discriminability

People usually categorize objects more quickly at the basic level (e.g., “dog”) than at the subordinate (e.g., “collie”) or superordinate (e.g., “animal”) levels. Notable exceptions to this rule include objects of expertise, faces, or atypical objects (e.g., “penguin,” “poodle”), all of which show faster than normal subordinate-level categorization. We hypothesize that the subordinate-level reaction time advantage for faces is influenced by their discriminability relative to other faces in the stimulus set. First, we replicated the subordinate-level advantage for faces (Experiment 1) and then showed that a basic-level advantage for faces can be elicited by increasing the perceptual similarity of the face stimuli, making discrimination more difficult (Experiment 2). Finally, we repeated both effects within subjects, showing that individual faces were slower to be categorized in the context of similar faces and more quickly categorized among diverse faces (Experiment 3).     

Concerns of South Korean Patients and Family Members Affected with Genetic Conditions: A Content Analysis of Internet Website Messages

The genetic counseling profession is expanding globally, and many countries, such as South Korea, are in the early stages of developing programs to prepare healthcare professionals specifically trained as genetic counselors. However, little research has investigated the concerns of South Korean patients and family members that have genetic conditions. The present study assessed their concerns by accessing and analyzing messages posted to websites devoted to genetic conditions. Eighteen websites were accessed—1 website concerns general genetic conditions, and 17 concern specific conditions. A sample of 700 messages was translated into English and analyzed using grounded theory analysis. Three major themes and 30 categories were extracted. The themes are: 1) Medical Concerns (e.g., clinical symptoms, diagnosis, prognosis, recurrence risk, prevention, inheritance); 2) Psychosocial Concerns (e.g., emotions, social stigma, social support); and 3) Management Concerns (e.g., therapy and alternative treatments, education, financial support, nutrition, medical facilities, folk remedies). The findings provide insight into the types of information and genetic counseling services that might benefit South Korean individuals and family members.     

A Longitudinal Examination of Serious Adolescent Offenders’ Perceptions of Chances for Success and Engagement in Behaviors Accomplishing Goals

We examined antisocial adolescents’ perceptions of the importance of and their ability to accomplish positive life outcomes (e.g., employment) and avoid negative ones (e.g., arrests) during their transition from adolescence to young adulthood. Participants were 1,354 adolescents from the Pathways to Desistance project, a multisite longitudinal study of seriously antisocial adolescents. Participants’ perceptions of the importance and likelihood of accomplishing positive adult goals at one age uniquely predicted how often they engaged in behaviors that were consistent with these goals the following year. Our findings suggest that among serious adolescent offenders aspirations to achieve positive goals are related to engaging in behaviors that bring adolescents’ current selves more in line with their aspired-to future selves. We discuss the implications of these findings for prevention and intervention efforts.     

When Two Heads Aren't Better Than One: AIDS Risk Behavior in College-Age Couples1

Individuals in intimate relationships engage in higher levels of HIV risk behavior than do individuals engaging in casual sex (e.g., Bowen & Michal-Johnson, 1989; Misovich, Fisher, & Fisher, 1996). While there are many possible reasons for this consistent pattern of effects, few studies have focused on identifying the underlying causes. Therefore, same-gender focus groups were conducted with college-age men and women in intimate relationships as participants in order to examine, qualitatively, factors particular to relationships which are associated with HIV risk. Focus-group members indicated that concerns about questioning interpersonal trust and commitment in their relationship through the introduction of condoms or HIV testing were often strong impediments to these practices. Recommendations for future HIV-prevention interventions specific to individuals in relationships are discussed.     

Estimating the frequency of nonevents: The role of recollection failure in false recognition

Participants studied lists of multiply presented converging associates (e.g.,bed, dream, pillow, etc.) and were timed as they estimated how often they saw list items, related foils (e.g.,blanket), and non-presented critical items (SLEEP). Average number of repetitions (few [3] vs. many [6]) and repetition variability (fixed vs. variable) were manipulated between subjects. Participants responded more slowly to critical items (3.18 sec) than to list items (2.45 sec) or foils (2.22 sec). In addition, critical-item judgments of frequency (JOFs) were about as large as list-item JOFs, and false recognition (i.e., nonzero JOFs) of critical items was most likely in the few-fixed condition (96%) and least likely in the many-fixed condition (74%). These findings suggest that people can userecollection failure—the absence of an anticipated recollective experience, coupled with strong familiarity—to distinguish critical items from list items and that recollection failure is weighted most heavily when people expect familiar probes to access episodic information.     

Rankings,standards, and competition: Task vs. scale comparisons

Research showing how upward social comparison breeds competitive behavior has so far conflated local comparisons in task performance (e.g. a test score) with comparisons on a more general scale (i.e. an underlying skill). Using a ranking methodology ( Garcia, Tor, & Gonzalez, 2006) to separate task and scale comparisons, Studies 1–2 reveal that an upward comparison on the scale (e.g. being surpassed in rank), rather than in the mere task (e.g., being outperformed), is necessary to generate competition among rivals proximate to a standard (e.g. ranked #3 vs. 4, near “the top”); rivals far from a standard (e.g. ranked #203 vs. 204), on the other hand, still tend to cooperate. Study 3 illustrates this finding with player trades in Major League Baseball. Study 4 further shows how an implicit scale comparison, instead of the commonly assumed explicit task comparison, may account for those classical competition findings in the literature. Study 5 then reveals how scale ranking becomes all important in the proximity of a standard, leading rivals to tolerate even an upward scale comparison to increase their proximity to the standard. Implications for the increasingly popular “forced ranking” management systems (e.g., at General Electric) are also discussed.     

Subjective impact, meaning making, and current and recalled emotions for self-defining memories

Two studies examined the impact of self-defining events on individuals (i.e., subjective impact), meaning making with regard to these events, and how subjective impact may account for the pattern of current and recalled emotions for these self-defining memories (Singer & Moffitt, 1991-1992). In Study 1, participants recalled self-defining memories, indicating how much impact the recalled events have had on them and described meaning making for these events. Subjective impact was shown to be a good marker for meaning making. Participants in Study 2 each recalled five self-defining memories, reporting their current emotions about the events, the emotions they recalled feeling at the time, and the impact the events have had on them. As expected, for negative memories, people reported less negative emotion (e.g., sadness) and more positive emotion (e.g., pride) compared to how they recalled feeling at the time. For positive memories, people reported equally intense positive emotion (e.g., love) and less negative emotion (e.g., fear) compared to how they recalled feeling at the time. These patterns of current and recalled emotions were accounted for by impact ratings.     

Interpersonal consequences of joint food consumption for connection and conflict

For centuries, the preparation and eating of a meal has brought people together, making food consumption an inherently social process. Yet the way in which people connect over food is changing. Rising health concerns, due in part to the increase in food allergies and obesity, have shifted attention away from the social aspects of food to food's nutritional aspects. Recognizing the social context in which food consumption takes place, this article reviews research highlighting the interpersonal consequences of joint food consumption. We first examine research on how sharing food connects people together, both via the type of food consumed (e.g., incidental food similarity) and the manner in which people serve and eat food (e.g., from shared vs. separate plates). We then turn to research that addresses the opposite side of the coin, discussing how the inability to share in a meal can be isolating, as well as how people navigate conflicting preferences when making food decisions with others. We conclude with a discussion of promising future directions for research on joint food consumption.     

Do Preschoolers Appreciate That Identical Actions May Be Motivated by Different Intentions?

Four studies investigated whether 4- and 5-year-olds recognize the potential for diversity in the intentions that motivate a given action. Children heard stories in which 2 characters performed the same action (e.g., running) yet had different desires (e.g., to be home for dinner vs. to be healthy and strong). Children were asked to determine what each character was trying to do (e.g., get somewhere fast vs. get some exercise). Five-year-olds successfully assigned different intentions to the characters, despite the fact that their actions were identical. Four-year-olds, in contrast, tended to attribute the same intention to characters performing the same action, even though their desires clearly differed. Children of this age were, nevertheless, capable of attributing different intentions to characters performing different actions (Study 2). Four-year-olds' difficulty differentiating two intentions for a given action persisted despite several task simplifications (Studies 3 and 4), suggesting that children's early concept of intention may be intimately tied to action.     

Questioning the preparatory function of counterfactual thinking

Why do individuals mentally modify reality (e.g., “If it hadn’t rained, we would have won the game”)? According to the dominant view, counterfactuals primarily serve to prepare future performance. In fact, individuals who have just failed a task tend to modify the uncontrollable features of their attempt (e.g., “If the rules of the game were different, I would have won it”), generating counterfactuals that are unlikely to play any preparatory role. By contrast, they generate prefactuals that focus on the controllable features of their ensuing behavior (e.g., “If I concentrate more, I will win the next game”). Here, we test whether this tendency is robust and general. Studies 1a and 1b replicate this tendency and show that it occurs regardless of whether individuals think about their failures or their successes. Study 2 shows that individuals generate relatively few controllable counterfactuals, unless explicitly prompted to do so. These results raise some questions regarding the generality of the dominant view according to which counterfactuals mainly serve a preparatory function.