Case Report: Direct Access Genetic Testing and A False-Positive Result For Long QT Syndrome

We report the case of a woman who pursued direct access genetic testing and then presented with concerns regarding a positive test result for Long-QT syndrome. Although the result ultimately proved to be a false positive, this case illustrates that costs associated with follow-up of direct access genetic testing results can be non-trivial for both the patient and for health care systems. Here we raise policy questions regarding the appropriate distribution of these costs. We also discuss the possibility that, when confronted by a direct access genetic test result that reports high risk for one or more actionable diseases, a family physician might feel compelled to act out of a desire to avoid liability, even when information regarding the accuracy and validity of the testing were not easily accessible. This case outlines lessons that can easily be translated into clinical practice, not only by genetic counselors, but also by family physicians, medical specialists and members of the public.     

Not Boxed In: Acculturation and Ethno-Social Identities of Central American Male Youth in Toronto

This paper examines the acculturation process of male Central American-origin youths in Toronto, a group who are known to have a higher than average risk of dropping out of high school. Using data from semi-structured interviews with a small sample of male youths born in the region or born in Canada to parents from the region, we examine interrelated and shifting friendship patterns, ethno-social identities, and aspirations for schooling. The findings reveal that some youths become marginalized with weak friendship networks, diffuse ethno-social identities and low school completion aspirations, while others develop relatively strong affiliations exclusively with co-ethnic friends who have modest school completion goals. The strongest trend was toward being integrated with a mix of co-ethnic friends and those from other backgrounds, hybrid ethno-social identities, and higher schooling goals. The analysis examines whether the youths are aware of the relationships between social belonging and academic belonging, and whether they feel it possible to escape from being “boxed in” to acculturation patterns associated with poor school completion. These findings add to research on efforts to understand and improve schooling outcomes for “at risk” minority youth in a multicultural city.     

Diverging Paths: Understanding Racial Differences in Civic Engagement Among White,African American,and Latina/o Adolescents Using Structural Equation Modeling

There is increasing concern about the large civic engagement gap between Whites and Latina/o and African American youth. Some suggest this may be because traditional models and measures of civic engagement may not be as applicable for youth from historically marginalized groups. With an urban sample of middle and high school‐age youth (n = 903, 52% female), we used structural equation modeling to identify differences in civic pathways between youth from different racial/ethnic backgrounds. We found significant differences between groups including much stronger relationships between exposure to democratic practices and civic self‐efficacy and knowledge for African American and Latina/o youth than for White youth and a stronger relationship between civic knowledge and future civic engagement for Whites and Latina/os than for African Americans. These findings suggest that educators and researchers interested need to take into account the diversity of youths' racial experiences when examining youth civic development.     

Expectations About Couple Therapy Over Time

One common factor of therapy, expectations, has been demonstrated to be a significant contributor to outcome in individual therapy. Despite this, little is known about expectations about couple therapy. This paper presents the qualitative results of a study exploring clients’ expectations before beginning couple therapy and after six sessions. Results indicate that clients form pre-therapy expectations about their therapist, the process of therapy, and their partner. Results also showed that after six sessions, clients’ expectations about therapy were often met or modified in ways that were positive. Implications for therapists and researchers are included.     

Executive and attentional contributions to Theory of Mind deficit in attention deficit/hyperactivity disorder (ADHD)

Attention deficit/hyperactivity disorder (ADHD) in children has been associated with attentional and executive problems, but also with socioemotional difficulties possibly associated with deficits in Theory of Mind (ToM). Socioemotional problems in ADHD are associated with more negative prognoses, notably interpersonal, educational problems, and an increased risk of developing other psychiatric disorders that emphasize the need to clarify the nature of their ToM deficits. In this study, we hypothesized that ToM dysfunction in children with ADHD is largely attributable to their attentional and/or executive deficits. Thirty-one children with ADHD (8–12 years, IQ > 85) and 31 typically developing (TD) children were assessed using executive functions (inhibition, planning, and flexibility) and attentional tasks, as well as two advanced ToM tasks (Reading the Mind in the Eyes and Faux Pas) involving different levels of executive control. Children with ADHD performed more poorly than TD children in attentional, executive function, and ToM tasks. Linear regression analyses conducted in the ADHD group indicated that inhibition scores predicted performance on the “Faux Pas” task the best, while attention scores were the best for predicting performance on the Reading the Mind in the Eyes task. When controlled for inhibition and attentional variables, ToM performance in children with ADHD was actually similar to TD children. Contrarily, controlling for ToM scores did not normalize performance for inhibition and attentional tasks in children with ADHD. This unidirectional relationship suggests that deficits in the EF and attentional domains are responsible for ToM deficits in ADHD, which therefore may contribute to their socioemotional difficulties.     

Associations between parental gendered attitudes and behaviours and children’s gender development across middle childhood

The present study used a longitudinal, multi-informant approach to examine which specific elements of parents’ gendered attitudes and behaviours were predictive of multiple dimensions of children’s gender development. One hundred and six families with two children (older sibling M = 7.45 years and younger sibling M = 5.19 years at Time 1) were assessed at two time points four to five years apart. At Time 1, parents reported on division of household labour, their own gender-role attitudes (GRAs), and children’s gendered preferences. At Time 2, children reported on their gendered preferences, GRAs and gendered personality traits. Results from multilevel modelling showed that fathers’ egalitarian GRA and egalitarian division of household tasks were predictive of egalitarian child GRA and outcomes, but child sex did not moderate these relationships. As some gender measures were more strongly correlated than others, these findings highlight the importance of examining multiple dimensions of both children’s and parents’ gendered attitudes and behaviours.     

Effects of Age on Dual-Task Walking While Listening

This study examined the effects of age on single- and dual-task listening and walking during virtual street crossing. Seventeen younger and 12 older adults participated. In each listening trial, three sentences were presented simultaneously from separate locations. Participants were instructed to report the target sentence. Predictability of the target sentence location was varied. Treadmill walking was measured using motion analysis. Measures included word recognition accuracy, head and trunk angles, and spatiotemporal gait parameters. Older adults exhibited a more upright head alignment and less variability in stride time during dual-tasking, particularly under less certain target sentence location conditions. Younger adults’ walking was unaffected by dual-task demands. Together, the results indicate greater postural prioritization in older adults than young.     

Against Creativity

Creativity is typically defined as a disposition to produce valuable ideas. We argue that this is a mistake and defend a new definition of creativity in terms of the imagination. It follows that creativity has instrumental value at most and then only in the right circumstances. We consider the role of tradition and judgment in worthwhile creativity and argue that there is frequently a tension between greater creativity and the production of value.