Future directions in genetic counseling: practical and ethical considerations

The accelerated discovery of gene mutations that lead to increased risk of disease has led to the rapid development of predictive genetic tests. These tests improve the accuracy of assigning risk, but at a time when intervention or prevention strategies are largely unproved. In coming years, however, data will become increasingly available to guide treatment of genetic diseases. Eventually genetic testing will be performed for common diseases as well as for rare genetic conditions. This will challenge genetic counseling practice. The ethical principles that now guide this practice take into account the personal nature of test decision making, the need to respect individual self-determination, and the importance of client confidentiality. Certain of these principles may have to be modified as genetic testing becomes more widespread in order to meet the changing needs of clients and society. This paper offers recommendations to ensure that genetic counselors will take a leading role in the future delivery of ethical genetic services.     

Observing anger and aggression among preadolescent girls and boys: ethical dilemmas and practical solutions

To understand how children manage anger and engage in various forms of aggression, it is important to observe children responding to peer provocation. Observing children's anger and aggression poses serious ethical and practical challenges, especially with samples of older children and adolescents. This article describes 2 laboratory methods for observing children's responses to peer provocation: 1 involves participants playing a game with a provoking child actor, and the other involves a pair of close friends responding to an actor posing as a difficult play partner. Both methods are described in detail, ethical safeguards are discussed, and evidence is presented to show that children understand their research rights in these types of investigations.     

Situational antecedents of children's anger experiences and subsequent responses to adult versus peer provokers

The purpose of this study was to examine children's reported experiences of anger and their means of expressing anger in their interactions with high versus equal status individuals. Parents and teachers represented high status while siblings and peers represented equal status. Sixth grade children were asked to cite situations in which they experience anger in interaction with peers versus adults and to indicate their typical responses to these situations. We identified 13 categories of situations in which anger was experienced and 11 categories of response to these situations. Anger was experienced in interaction with both high and equal status provokers but of the situations that were identified as producing experiences of anger, nine were reported as occurring differentially in interaction with adults versus peers of the responses to the experience of anger, seven responses were cited differentially in interaction with peers versus adults. The typical responses to adult provoked anger were generally more passive than those to peer provoked anger. Girls more than boys indicated experiencing anger due to adult's task demands but tended to express less overt anger in their interactions with adults than did boys. These findings are consistent with the view that high status of the provoker servers only to inhibit the expression of anger but does not lessen the anger experience itself.     

The stability and consequences of young children's same-sex peer interactions

This article addresses whether young children's play-partner choices are stable over time and how these choices influence behavior. Sixty-one children (28 boys and 33 girls; mean age = 53 months) were observed over 6 months, and type of play behavior and sex of play partners were recorded. Children's partner preferences were highly sex differentiated and stable over time, especially when larger aggregates of data were used. Two types of consequences were identified: a binary effect that influenced differences between the sexes and a social dosage effect that influenced variations within the sexes. The binary effect reflected a pattern in which the more both girls and boys played with same-sex partners, the more their behavior became sex differentiated. The social dosage effect reflected a pattern in which variations in levels of same-sex play in the fall contributed significantly to variations in the spring above initial levels of the target behaviors.     

Contextual determinants of mothers' interventions in young children's peer interactions

In this study, the role of context in mothers' interventions in their preschool children's peer relationship problems was investigated. Event theme (aggression, peer rebuff, or initiating play), the child's role in the event (actor or target), the child's age and sex, and the mother's emotional reaction were examined as predictors of the extent to which mothers (N = 71) said they would discuss peer relationships, encourage peer interaction, and use power assertion in response to a series of videotaped vignettes depicting common peer relationship problems. Mothers suggested using more discussion in aggressive situations and more encouragement in initiating play situations. Mothers said they would use more power assertion when the child was the actor (i.e., provocateur), rather than the target, in an aggressive situation. Findings are discussed in terms of (a) the importance of considering context in understanding how mothers intervene in their children's peer relationships and (b) the need to examine moderators of cross-contextual consistency in mothers' interventions.     

Parental consent for psychological evaluations: Legal,ethical and practical considerations

This article explores the legal, ethical, and practical considerations underlying the requirement for acquiring parental consent prior to a psychological assessment of children in school settings. Publ. L. 94-142 now mandates that parents for all children potentially labeled as handicapped give permission for a preplacement evaluation. This article reviews in detail specific aspects of that mandate, argues that this procedure be generalized to all situations where psychologists propose to evaluate children by reviewing both current ethical codes and standards for practice and public policy which favors such an undertaking. Finally, the authors indicate methods for implementing the mandate by discussing such issues as who should obtain consent and what information parents should receive prior to giving consent.     

Peer acceptance: The correspondence between children's sociometric scores and teachers' ratings of peer interactions

In view of the current interest in children's peer relationships and social skills, and the need for valid assessment procedures for children's peer problems, the intent of the present study was to examine the correspondence between peer ratings of acceptance and teacher ratings of a child's social behavior and likability. The 92 children were males and females from the third, fourth, and fifth grades. Classroom teachers rated each of the children on withdrawn, aggressive, and likable behavior using the Pupil Evaluation Inventory. Peer ratings of the child's acceptance in play and work situations were obtained from same-sex classmates. The teacher rating of likability was the best predictor of peer acceptance scores for males; withdrawn behavior was the best predictor of peer acceptance scores for females. Ratings of withdrawn and aggressive behavior contributed to the prediction of peer acceptance scores for males; for females, only withdrawn behavior contributed to the prediction of peer acceptance. In terms of the clinical utility of teacher ratings for assessing children with peer problems, the use of the withdrawn and/or aggressive ratings scales appeared to offer promise as a means of identifying such children. Implications for the area of children's social skills and directions for future research were discussed.     

Differences in children's peer sociometric and attribution ratings due to context and type of aggressive behavior

Sociometric and attribution (internality and responsibility) ratings of boys performing different kinds of aggression (hostile and instrumental hitting and pushing) and of neutral behavior occurring in two contexts (provoked and unprovoked) were investigated in an analogue fashion. Thirty fifth- and sixth-grade boys viewed and rated 12 brief videotaped scenes of two unfamiliar male peers interacting, presented in one of six random orders. Provoked aggression resulted in less dislike, less worthiness of punishment, and greater attribution to external causes than unprovoked aggression. Instrumental and hostile aggression produced lower liking ratings and were viewed as more deserving of punishment than neutral behavior but did not differ from each other. Results support distinctions between provoked and unprovoked aggression but not between hostile and instrumental aggression, at least in terms of their functional impact on peer judgements.     

Prayer in psychotherapy: a model for its use, ethical considerations, and guidelines for practice

Although few guidelines exist, many therapists use prayer as a part of psychotherapy. The immense variance inherent in prayer behaviors and the paucity of literature on its use beckons the profession to develop a model for its use in therapy, examine the ethical implications for such use, and prepare guidelines for practice. A tripartite model for the conceptualization and localization of prayer in therapy is presented, ethical issues of therapist bias and competence and clients' right to autonomous decision making are considered, and guidelines for employing prayer in psychotherapy are developed.     

Individual differences in children's materialism: the role of peer relations

Associations between materialism and peer relations are likely to exist in elementary school children but have not been studied previously. The first two studies introduce a new Perceived Peer Group Pressures (PPGP) Scale suitable for this age group, demonstrating that perceived pressure regarding peer culture (norms for behavioral, attitudinal, and material characteristics) can be reliably measured and that it is connected to children's responses to hypothetical peer pressure vignettes. Studies 3 and 4 evaluate the main theoretical model of associations between peer relations and materialism. Study 3 supports the hypothesis that peer rejection is related to higher perceived peer culture pressure, which in turn is associated with greater materialism. Study 4 confirms that the endorsement of social motives for materialism mediates the relationship between perceived peer pressure and materialism.     

The effects of young children's affiliations with prosocial peers on subsequent emotionality in peer interactions

Preschoolers’ (60 boys and 64 girls, M age = 50.73 months) affiliations with prosocial peers were observed in naturally occurring interactions and then examined in relation to positive and negative emotionality within their peer interactions one semester later. Greater affiliation with prosocial peers in the fall was related to enhanced positive emotionality (especially for girls) and decreased negative emotionality (especially for boys) in later peer interactions. These findings held when initial levels of the emotion were controlled and were found above and beyond variations in classroom levels of prosociality. The findings suggest that peers exert influence in early childhood and that these effects can positively affect the quality of young children's later peer interactions.     

Positive, negative, and neutral peer interactions as indicators of children's social competency: the issue of concurrent validity

Many studies examining the effects of treatments for socially isolated/withdrawn children have used behavioral measures to assess children's peer relations. In an attempt to examine the concurrent validity of these measures, we observed 258 preschool children during free play and coded their interactions into the categories of positive, negative, and neutral behaviors. We also interviewed these children individually, using a sociometric nomination procedure, and asked them to indicate liked and disliked peers. Our examination of the results revealed that, consistent with other research, the correlation between the sociometric measures and the children's total rate of interaction with peers was low. In addition, measures of positive, negative, and neutral behaviors were also only weakly correlated with the children's sociometric scores. We agree with others in concluding that multiple methods of assessment are needed to properly assess the adequacy of children's peer relations.     

Under the volcano: varieties of anger and their transformation

This paper seeks to illustrate the ambiguity of the affect of 'anger' which masks a number of subtly different emotions observable in clinical work. The author differentiates between anger, rage and hatred in terms of the dialectical relationship between ego and self and pays particular attention to why it is that for some patients, experiences of anger may be harnessed creatively into development, whereas for others, they remain self destructive. Using illustrations from work with two patients in analysis, the author describes how a persistent grievance originating in the earliest stages of life is linked with hatred and can lead to a defensive self structure. It is suggested that the clues to the presence of a grievance and to its potential transformation are likely to be observable first in the analyst's countertransference in the form of an all-embracing emotional strait jacket. Analysts' capacity to tolerate their own hatred is crucial to the transformation of a patient's grievance.     

Behavior modification in schools: ethical issues and suggested guidelines

This paper explores the major problems involved in the ethical and adequate use of behavior modification procedures in social settings. Problems are presented in the form of controversial issues which the concerned behavior change agent should be aware of at each step of a behavior change program: selection of the target child, data collection and record keeping, implementation of a behavior change program, personnel qualifications. Suggested guidelines for addressing the problems are provided.     

Revealing the invisible hand: The role of teachers in children's peer experiences

To introduce this special issue, the concept of the teacher as an “invisible hand” is presented as a metaphor to describe the potentially influential but relatively understudied contribution that educators are likely to have on children’s peer relationships and their broader interpersonal growth. Building from conceptual work distinguishing between the role of adults and peers in children’s social development, we summarize empirical support for the view that teachers are in a position to develop and guide the classroom as a society by simultaneously directing institutional expectations while also providing students with opportunities to collectively construct their own peer culture. Key social development constructs are reviewed from this lens, and the four articles and two commentaries that constitute this special issue are discussed in relation to their contributions to clarifying and extending current views of the role of teachers in school social dynamics. We conclude by considering intervention implications of this work, and we argue that teachers are the one professional in a child’s life who have the opportunity to view the whole child in relation to the social ecology in which he or she is embedded.     

Hyperactive boys in their classroom: Assessment of teacher and peer perceptions,interactions, and classroom behaviors

Teacher ratings, peer perceptions, peer interactions, and classroom behaviors of 17 hyperactive and 17 active elementary school-age boys, nominated by their teachers, were compared using multivariate analyses and planned comparisons in order to better describe and assess hyperactivity in its most probable setting —the classroom. Hyperactive boys were found to be significantly different from actives on measures from all data sources in that they were perceived and interacted more negatively. Cluster analyses of teacher ratings of 90 hyperactives from a clinical sample and 17 hyperactives from the current sample were used to discriminate among different types of hyperactives. Four types were named anxious, conduct problem, inattentive, and low problem hyperactives. The fact that six conduct problem hyperactives were found to be more disruptive and have higher activity level ratings than six inattentive hyperactives, when observed in their classrooms, points to the need to study and treat hyperactives as heterogeneous groups.This study is based in part on a doctoral dissertation submitted to the Psychology Department, Indiana University, by the first author. Thanks are expressed to the students and teachers of the Monroe County School System who took part in the study. The authors also wish to thank Prof. Robert Sprague of the University of Illinois for providing the Conners Rating Scales on 90 hyperactive children.     

Informed consent in the psychosis prodrome: ethical,procedural and cultural considerations

Research focused on the prodromal period prior to the onset of psychosis is essential for the further development of strategies for early detection, early intervention, and disease pre-emption. Such efforts necessarily require the enrollment of individuals who are at risk of psychosis but have not yet developed a psychotic illness into research and treatment protocols. This work is becoming increasingly internationalized, which warrants special consideration of cultural differences in conceptualization of mental illness and international differences in health care practices and rights regarding research participation. The process of identifying and requesting informed consent from individuals at elevated risk for psychosis requires thoughtful communication about illness risk and often involves the participation of family members. Empirical studies of risk reasoning and decisional capacity in young people and individuals with psychosis suggest that most individuals who are at-risk for psychosis can adequately provide informed consent; however ongoing improvements to tools and procedures are important to ensure that this work proceeds with maximal consideration of relevant ethical issues. This review provides a discussion of these issues in the context of international research efforts.     

Neuroimaging of emotion and personality: scientific evidence and ethical considerations

Affective neuroscience has seen an explosion of research efforts using modern neuroimaging approaches to uncover the neural basis of emotion and personality. The first section of this paper reviews studies from the domains of affective and forensic neuroimaging. These studies illustrate some of the topics likely to be the subject of future ethical debates. The second section relates limitations of the neuroimaging approach to ethical considerations in predicting future psychopathology on the basis of brain state analysis.     

Gender differences in anger and fear as a function of situational context

Gender differences in the reported intensity of anger and fear toward hypothetical males and females were explored in three age groups (6–12 year olds, 14–16 year olds, and adults over 30) located in two different geographic areas. The samples were primarily Caucasian and included a wide range of socioeconomic groups. Subjects reported on the intensity of feelings elicited by characters in an emotion story task in which three aspects of situational context were varied: the gender of the story characters eliciting the feeling (all situations), the stereotypic gender-typed or cross-gender behavior of the eliciting character (four situations), and the affective quality of the situations (four situations). Across all three age groups, situations that were frightening, anger-provoking, or that depicted stereotypic male-negative behavior elicited the most consistent subject gender and character gender differences in reported fear and anger. Relative to males, females of all ages reported more fear in frightening, anger-producing, and male-negative stereotypic situations. Males were reported to be more frightening and anger-producing than were females in those same situations. The data also suggested that with development, females reported less intense fear of females, while males reported less intense fear of males.This research was supported by a Gender Roles grant from the Rockefeller Foundation. We appreciate their support. We would also like to thank the public school systems of Milton, Norwood, and Watertown, Massachusetts, and Saskatoon, Saskatchewan, Canada. Finally, we would like to thank Lance Davidow, John Houlihan, and Theodore Cross for statistical consultation and/or computer programming, as well as all the parents, children, and adolescents who participated in the study.