A survey of reimbursement for cystic fibrosis carrier testing

To assess the current status of reimbursement for cystic fibrosis (CF) carrier testing, we surveyed individuals tested in the Mid-Atlantic region. Results show that CF testing was covered by insurance in part or in full for greater than 50% of respondents. The test was nearly always covered when performed during pregnancy because of a positive family history, but it was also covered for more than 50% of pregnant respondents with a negative family history. There were no significant differences in coverage by type of insurance. Many respondents needed to supply additional information about the testing to their insurance company before a coverage decision could be made. Before population-based CF screening programs are initiated, more data are needed on insurance reimbursement for testing, especially when performed pre-conceptually.     

Linguistic Phenomena and Language Selection in the REM Dreams of German-English Bilinguals

Sixteen German-English bilinguals were studied in a sleep laboratory for four nonconsecutive nights each. Half were native English speakers living in Zürich, and half native German speakers living in Atlanta. Presleep thought samples were solicited each evening and REM dream reports each night; subjects judged the waking appropriateness of their imagined speech and language phenomena, and also identified waking sources of their dream imagery, the following mornings. Incidences of dreaming and of speech therein generally were similar to those of monolinguals. Whether sessions were conducted in German (two nights) or English (two nights) did directly influence language selection in subjects' dreams. Judged appropriateness of language selection to imagined events was very high for thought samples, and high for REM dreams. Sources for thought samples were generally consonant with the language dominant at study site; for REM dreams this relationship was considerably weaker. Judged waking appropriateness to imagined situations was more strongly related to language selection than was the language reference of the supposed sources of those situations.     

Affective interactions of depressed and nondepressed mothers and their children

The expressed affect of clinically depressed and nondepressed mothers as measured by the Schedule for Affective Disorders and Schizophrenia: Lifetime Version (SADSL) and their children (1 1/2 to 3 1/2 years) was observed in seminatural situations. The objectives were to investigate how maternal depression enters into affective interactions between mother and child and how the affect patterns of mother and child are related. Fortynine unipolar and 24 bipolar depressed mothers and 45 nondepressed mothers were observed on 2 days, 2 weeks apart, for a total of 5 h. Each minute was coded for the predominant affect of mother and child. Affects relevant to depression (anxioussad, irritableangry, downcast, pleasant, tenderaffectionate) were coded. Depressed mothers expressed significantly more negative affect than did control mothers. Mothers' expressed affect and their selfreports of affect on days of observation were unrelated. Mother's and child's affects, measured on different days, were significantly correlated. Unipolar mothers and mothers severely depressed spent significantly more time in prolonged bouts of negative affect. There was significant synchrony between their bouts and the negative bouts of their daughters. Gender of child was related to mother's and child's affect, and to relations between mother's and child's affect.     

Book Reviews

S amuels , A. The Plural Psyche. Personality, Morality and the Father
S egaller , S., B erger , M. Jung, The Wisdom of the Dream
S tork , A nthony . Freud
H aynal , A ndre . The Technique at Issue. Controversies in Psychoanalysis from Freud and Ferenczi to Michael Balint
B rähler , E. (Ed.) Body Experience. The Subjective Dimension of Psyche and Soma     

Cultural Differences in Attitudes Toward Smoking: Developing Messages Using the Theory of Reasoned Action1

The theory of reasoned action was used to identify the culturally appropriate beliefs of Hispanic smokers that might be targeted in an anti-smoking campaign. In-depth interviews were conducted with 263 Hispanics and 150 non-Hispanic whites. Intentions to quit smoking were predicted most strongly by the attitudinal rather than the normative component of the model. A pattern of cultural differences between the two ethnic groups was identified. Family-related consequences and concerns about bad smell contributed more to Hispanic attitudes toward quitting than to those of non-Hispanic whites, while the effects of withdrawal from cigarettes contributed more to non-Hispanic whites'attitudes than to Hispanics'. The bad smell of cigarettes, improving relationships with the family, weight gain, breathing more easily, and having a better taste in the mouth were the consequences of smoking and quitting that most strongly discriminated between those Hispanics intending and not intending to quit. These results should be used in the creation of culturally appropriate anti-smoking messages for this group.     

Changes in information as a function of a culturally appropriate smoking cessation community intervention for Hispanics

Tested a 7-month, media-based, community intervention among Hispanics in San Francisco designed to change levels of information on the damaging effects of cigarette smoking and on the availability of culturally appropriate cessation services. Three community-wide surveys of Hispanics were conducted with independent random samples, two as baselines (n = 1,660 and 2,053) and one postintervention (n = 1,965). Results showed that changes in the level of awareness of cessation services had taken place after implementation of the intervention. Furthermore, those changes took place primarily among the less acculturated Spanish-speaking Hispanics who were the target of the intervention. The changes in information reported here demonstrate that a culturally appropriate information dissemination campaign that utilizes multiple channels can produce changes in a community's level of information even when the campaign is implemented for a relatively short period.     

Opportunities For Learning: Course Sequences and Positional Advantages

Course sequences are strands of courses in particular content areas that span a student's educational career. Courses that are differentiated and sequentially organized, such as mathematics and science course sequences, create opportunities for positional advantages in a school's curricular structure. When students make a nonroutine change of schools – that is, transferring to a school outside of the regular attendance zone – they are at risk of changing their positional advantage. Using data from the National Education Longitudinal Study of 1988–94 (NELS:88–94), we examine the educational outcomes of sequences and explore curricular dislocations within the context of school choice. We find that the strongest predictors of 12th-grade mathematics and science course sequences are a student's course sequences at 10th grade. With regard to outcomes, students in higher mathematics and science sequences show greater achievement gains. Furthermore, students in higher mathematics sequences are less likely to have behavior problems and are more likely to graduate from high school and attend college. Students who make a nonroutine change of schools are more likely to be in lower course sequences than students who do not transfer. Thus, course sequences in mathematics and science are tangible experiences with real consequences for students' lives during and beyond high school and are sensitive to transitions which disrupt the continuity of students' high school careers.