Genetic Counseling/Consultation in South-East Asia: A Report from the Workshop at the 10th Asia Pacific Conference on Human Genetics

This paper reports on the workshop ‘Genetic Counseling/Consultations in South-East Asia’ at the 10^th Asia Pacific Conference on Human Genetics in Kuala Lumpur, Malaysia, in December 2012. The workshop brought together professionals and language/communication scholars from South-East Asia, and the UK. The workshop aimed at addressing culture- and context-specific genetic counseling/consultation practices in South-East Asia. As a way of contextualizing genetic counseling/consultation in South-East Asia, we first offer an overview of communication-oriented research generally, drawing attention to consultation and counseling as part of a communicative continuum with distinctive interactional features. We then provide examples of genetic counseling/consultation research in Hong Kong. As other countries in South-East Asia have not yet embarked on communication-oriented empirical research, we report on the current practices of genetic counseling/consultation in these countries in order to identify similarities and differences as well as key obstacles that could be addressed through future research. Three issues emerged as ‘problematic’: language, religion and culture. We suggest that communication-oriented research can provide a starting point for evidence-based reflections on how to incorporate a counseling mentality in genetic consultation. To conclude, we discuss the need for creating a platform for targeted training of genetic counselors based on communication-oriented research findings.     

Sport Psychological Characteristics of Talented 13-Year Old Adolescents

The objective of this study was to determine whether the sport psychological profiles of talented 13-year-old sport participants differ from less talented participants. 162 grade 8 learners with a mean age of 13.2 ± 0.33 years voluntarily participated in the study. The participants were subjected to the Australian Talent Search protocol and completed the Athlete Coping Skills Inventory for Sport (ACSI-28). The group was categorize according to the median of all the tests of the talent identification protocol (TID) in a talented (TG) and a less talented group (LTG). The TG obtained higher means in all seven sport psychological characteristics: coping with adversity, peaking under pressure, goal setting, confidence, coachability and the average coping profile, concentration and freedom from worry. The results indicate that talented adolescents exhibit specific sport psychological characteristics compared to less talented adolescents.     

Looking back at ‘looking back’: operationalising referential gaze for dingoes in an unsolvable task

This paper examined the performance of dingoes (Canis dingo) on the rope-pulling task, previously used by Miklósi et al. (Curr Biol 13:763–766, 2003) to highlight a key distinction in the problem-solving behaviour of wolves compared to dogs when in the company of humans. That is, when dogs were confronted with an unsolvable task, following a solvable version of the task they looked back or gazed at the human, whereas, wolves did not. We replicated the rope-pulling task using 12 sanctuary-housed dingoes and used the Miklósi et al. (Curr Biol 13:763–766, 2003) definition of looking back behaviour to analyse the data. However, at least three different types of look backs were observed in our study. We, then developed a more accurate operational definition of looking back behaviour that was task specific and reanalysed the data. We found that the operational definition employed greatly influences the results, with vague definitions potentially overestimating the prevalence of looking back behaviour. Thus, caution must be taken when interpreting the results of studies utilising looking back as behaviour linked to assistance seeking during problem solving. We present a more stringent definition and make suggestions for future research.     

Group Therapy with Sexually Abused Boys: Leadership,Projective Identification,and Countertransference Issues

Group therapy is an essential component of the treatment of sexually abused children. Since the painful affects associated with the abuse are often dissociated or acted out, the group leaders learn of the affective experience of the abuse through the process of projective identification. The leaders must be aware of this process, set limits on the abusive acting out in the group, and help moderate, label, and empathize with the affect. It is through this difficult process that the children have a chance to reintegrate and work through their abuse experiences so they no longer feel compelled to act them out through repetitive abusive relationships. Specific leadership, countertransference, and projective identification issues in group therapy with sexually abused boys are discussed.     

A Direct Method of Assessing Underlying Cognitive Risk for Adolescent Depression

An enduring tendency towards negative thinking is thought to increase vulnerability for future depression. However, it has not been possible to assess this tendency in non-depressed mood states. We examined if response latency to endorse dysfunctional attitudes is associated with depressive outcomes in a longitudinal study. A sample of young people at familial risk of depression (N?=?252, aged 10–19, 56.3 % female) completed a computer-administered dysfunctional attitude scale. The main outcome measure was the difference in reaction time to agree versus disagree with dysfunctional attitudes. Cross-sectional differences between current and previous depression and no psychiatric disorder groups as well as longitudinal associations with depressive symptoms were examined. Young people with current and previous depression were quicker to agree with dysfunctional attitudes than those without disorder. In young people free from depressive disorder, faster agreements with dysfunctional attitudes were specifically associated with increased depressive symptoms over time. Self-reported dysfunctional attitudes did not differentiate the formerly depressed and no disorder groups and showed a longitudinal association with depressive symptoms for older adolescents only. Reaction time to endorse dysfunctional attitudes may indicate changes in affective processing that represent an early risk for future depression that is not indexed by self-report measures of negative thought.     

CLOSE RELATIONSHIPS AS SOURCES OF STRENGTH OR OBSTACLES FOR MOTHERS COPING WITH HIV

The current study explores the impact of HIV disease on the interpersonal relationships and social support experiences of mothers living with HIV. Analysis of interviews with 25 mothers with HIV focused on their perceptions of the impact of HIV on close relationships with significant others, including family of origin, children, friends, intimate partners, and parents. The results revealed the following major relationship challenges that mothers had to cope with after the discovery of their HIV-positive status: weighing reasons for and against disclosure of their HIV status, whether HIV disclosure brings relationship partners closer together, finding future caregivers for young children if one's health declines, and coordinating safer-sex practices with sexual partners, especially with the many males who are reluctant to use condoms. The study suggests the importance of understanding both the positive and negative aspects of social interactions in coping with HIV and the struggles that mothers have with the consequences of the HIV diagnosis for both themselves and their significant others.     

EMS Treatment of Families in an Ambiguous Out-of-Hospital Child Death: The Role of Attribution Errors

Sometimes children die from maltreatment. However, when first responders enter a scene to save the life of a dying child, the cause of the health problem cannot be immediately determined. EMS professionals are taught to enact the medically appropriate protocols in a family-centered way. This study examines five case studies of infant deaths. When there is ambiguity as to why the death might have occurred, EMS and other emergency personnel seem to be more judgmental and this attitude affects their behavior toward family members. Family members have a more difficult time coping with the loss as a result.     

An Analogue Study of the Psychological and Psychosocial Processes Associated With Post‐concussion Symptoms

This study used an analogue design to investigate post‐concussion syndrome and the psychological and psychosocial processes associated with post‐concussion symptom (PCSx) reporting. The study examined the role of expectation in reporting of PCSx, the nature of associated psychological and psychosocial difficulties, and the “good‐old‐days” phenomenon. Forty‐five healthy participants were randomly assigned to one of two groups: (1) a control group or (2) an expectation group who were asked to perform as if they had experienced a mild traumatic brain injury. Fourteen psychiatric patients comprised the clinical group. Self‐report questionnaires assessing PCSx and psychological and psychosocial variables were administered. It was hypothesised that PCSx would be non‐specific, that the expectation group would report greater dysfunction than controls, and that the “good‐old‐days” phenomenon would cause the expectation and clinical groups to underestimate pre‐morbid PCSx. All participants reported some degree of dysfunction, and the expectation and clinical groups underestimated past PCSx. The expectation group reported more PCSx and psychological and psychosocial dysfunction than controls, resembling the clinical group. The results demonstrate that expectation can cause otherwise healthy individuals to resemble a clinical group in terms of their level of endorsement of psychological and psychosocial dysfunction.     

Symbolic Politics and the Prediction of Attitudes Toward Federal Regulation of Reduced‐Exposure Tobacco Products1

The present study relies on symbolic politics theory to predict public attitudes toward the federal regulation of conventional tobacco products (a familiar attitude object) and reduced‐exposure tobacco products (a relatively novel attitude object). We predicted that attitudes toward most forms of regulation would be more strongly influenced by symbolic beliefs about the role of government in society than by self‐interested concerns, with the exception of taxation. We predicted that the financial consequences of taxation policies would be less ambiguous for those who are affected, resulting in a stronger relationship between self‐interest and policy attitudes. The results strongly supported our hypotheses, suggesting a process by which symbolic beliefs and self‐interested concerns influence attitude formation. Theoretical and policy implications are discussed.     

Obstacle crossing with lower visual field restriction: shifts in strategy

In this study, the authors investigated how restriction of the vertical viewing angle influences obstacle-crossing behavior. Twelve participants stepped over obstacles of different dimensions while wearing visual-field-restricting goggles. Using full-body motion capture, several kinematic measures were extracted and analyzed. Results indicate that both a 40° and 90° vertical viewing angle yielded increased step length and toe clearance as compared to an unrestricted view (i.e., 135°), whereas speed remained unaltered. A further decrease (to 25°) caused participants to slow down in addition to a further increase of step length and toe clearance. These results are discussed in terms of a change in priorities, from conservation of energy and time to safety.