Bilingual Cancer Genetic Education Modules for the Deaf Community: Development and Evaluation of the Online Video Material

Health information about inherited forms of cancer and the role of family history in cancer risk for the American Sign Language (ASL) Deaf community, a linguistic and cultural community, needs improvement. Cancer genetic education materials available in English print format are not accessible for many sign language users because English is not their native or primary language. Per Center for Disease Control and Prevention recommendations, the level of literacy for printed health education materials should not be higher than 6th grade level (~?11 to 12 years old), and even with this recommendation, printed materials are still not accessible to sign language users or other nonnative English speakers. Genetic counseling is becoming an integral part of healthcare, but often ASL users are not considered when health education materials are developed. As a result, there are few genetic counseling materials available in ASL. Online tools such as video and closed captioning offer opportunities for educators and genetic counselors to provide digital access to genetic information in ASL to the Deaf community. The Deaf Genetics Project team used a bilingual approach to develop a 37-min interactive Cancer Genetics Education Module (CGEM) video in ASL with closed captions and quizzes, and demonstrated that this approach resulted in greater cancer genetic knowledge and increased intentions to obtain counseling or testing, compared to standard English text information (Palmer et al., Disability and Health Journal, 10(1):23–32, 2017). Though visually enhanced educational materials have been developed for sign language users with multimodal/lingual approach, little is known about design features that can accommodate a diverse audience of sign language users so the material is engaging to a wide audience. The main objectives of this paper are to describe the development of the CGEM and to determine if viewer demographic characteristics are associated with two measurable aspects of CGEM viewing behavior: (1) length of time spent viewing and (2) number of pause, play, and seek events. These objectives are important to address, especially for Deaf individuals because the amount of simultaneous content (video, print) requires cross-modal cognitive processing of visual and textual materials. The use of technology and presentational strategies is needed that enhance and not interfere with health learning in this population.     

Age Differences and Similarities in Identity Distress Following the Katrina Disaster: Theoretical and Applied Implications of Erikson��s Theory

This study examined predictions from Erikson??s lifespan developmental theory in the context of severe disaster exposure. Relationships among traumatic stress exposure, age, identity distress, and posttraumatic stress (PTS) symptoms were explored among 401 individuals (age 18?C86, mean = 32.83, SD = 14.1 years) exposed to Hurricane Katrina. Traumatic exposure experiences were related to identity distress ratings, but results suggested that the association was a function of PTS symptoms. Identity distress was negatively correlated with age, but the association between identity distress and age was moderated by the level of PTS symptoms. Identity distress was associated with PTS symptoms even while controlling for general psychological symptoms. The utility of the identity distress construct and theoretical implications for identity research in the wake of disaster are discussed.     

Preschoolers’ appreciation of speaker vocal affect as a cue to referential intent

An eye tracking methodology was used to evaluate 3- and 4-year-old children’s sensitivity to speaker affect when resolving referential ambiguity. Children were presented with pictures of three objects on a screen (including two referents of the same kind, e.g., an intact doll and a broken doll, and one distracter item), paired with a prerecorded referentially ambiguous instruction (e.g., “Look at the doll”). The intonation of the instruction varied in terms of the speaker’s vocal affect: positive-sounding, negative-sounding, or neutral. Analyses of eye gaze patterns indicated that 4-year-olds, but not 3-year-olds, were more likely to look to the referent whose state matched the speaker’s vocal affect as the noun was heard (e.g., looked more often to the broken doll referent in the negative affect condition). These findings indicate that 4-year-olds can use speaker affect to help identify referential mappings during on-line comprehension.     

Reader and story,viewer and film: On transference and interpretation2

Two sides in Freud's attitude towards literature and art are presented: Freud the sensitive listener, whose interest in art is a potential springboard for a rich interdisciplinary dialogue; and Freud the conquistador, whose wish for power in ‘invaded’ territories is related to troublesome aspects of ‘pathography’ and ‘applied analysis’. The unique contribution of psychoanalysis may not be discovering objectively the true unconscious content of works of art, but rather enriching the exploration of the potential transitional space evolving between artist, work of art and readers or viewers, enhancing our sensitivity to multiple meanings and complex emotional influences of art. This requires exploring our own subjective experiences of art, which may be described as transferences (when art is mostly perceived as a source of insight) or countertransferences (when artists and their work are basically experienced as troubled patients). Transference (broadly defined) and interpretation tend to intermingle, both in the clinical analytic encounter, and in any reading/viewing of art, be it by laymen, analysts or other scholars. Several examples from the psychoanalytic study of literature and film are given, and three pairs of contrasting interpretations are studied, concerning Kafka's The metamorphosis, Minghella's The English Patient and Polanski's Chinatown.     

Religion and Madness

The question I try to answer in this paper is: How should we distinguish mad from sane religious belief? After looking at the clear-cut but opposed answers of Freud and Jung, I then examine the modern psychiatric answer, particularly as presented in the DSM IV. After arguing that each of the three answers is unsatisfactory, I look at what I take to be the more promising approach of Con Drury, Wittgenstein’s friend and biographer, in an essay called “Madness and Religion,” where, drawing on the religious histories of Joan of Arc, George Fox and Tolstoy and three of his own psychiatric patients, Drury suggests that there is no objective yet ethical way to make the distinction. This leads to my own answer, which is that the best we can do is to distinguish mad from neurotic religious belief; and hence that the safest position, although not the most comfortable, is the neurotic one.     

The Effect of Employee Trust of the Supervisor on Enterprising Behavior: A Cross-Cultural Comparison

This study examines the effects of an employee’s affect-based and cognition-based trust of the supervisor on that employee’s enterprising behavior. The extent to which two cultural dimensions, power distance and in-group collectivism, moderate the relationship between the trust measures and enterprising behavior is considered. Trust ratings were provided by 130 U.S. employees, 202 Turkish employees, 101 Polish employees, and 86 Russian employees. Their 519 supervisors then provided ratings of those employees’ enterprising behavior. The results show that both affect-based trust and cognition-based trust have a significant, but modest, effect on the employee’s enterprising behavior. Our findings indicate that both power distance and in-group collectivism do not moderate the proposed trust-behavior relationship although power distance almost reaches the level of significance. We call for further research on other moderating variables to explain the findings.     

The Relation Between Anxiety Sensitivity and Attachment Style in Adolescence and Early Adulthood

Given the accumulating evidence for a role of anxiety sensitivity in the etiology of panic, it is important to understand the developmental origins of anxiety sensitivity. To this end, this study examined the relation between attachment beliefs and anxiety sensitivity in a sample of high school students (n = 203; mean age 15.7 years) and university students (n = 324; mean age 21.7 years). The Experiences in Close Relationships (ECR; K. Brennan, C. Clark, &; P. Shaver, 1998) was used to assess attachment beliefs and to classify participants into attachment groups. The Anxiety Sensitivity Index (ASI; R. A. Peterson &; S. Reiss, 1987) was used to assess participants' levels of anxiety sensitivity. Results supported the hypothesis that individuals with insecure attachment, specifically those classified as preoccupied and fearful (i.e., those with a negative model of self), had significantly higher anxiety sensitivity scores than securely attached individuals in both the high school and college samples.     

Age and Gender Differences in Young People's Perceptions of Sport Participants1

Pre‐ and middle‐adolescent girls’ and boys’ perceptions of sport were examined using the Draw a Sportsperson test. Almost all the boys drew male figures, while the girls drew figures of both sexes. However, older girls drew a majority of male figures, many of whom were sports celebrities, while younger girls drew similar numbers of male and female figures, most of the latter being peers. A substantial number of drawings of sports celebrities were produced. The majority of these were of male, high‐profile soccer players. The possible significance of these results for the increase in the gender gap in sporting interest at adolescence, and the influence of the media on boys’ and girls’ perceptions of sport are discussed.     

Family systems training in psychiatric residencies

Both extensive research and common sense dictate that attention to families is necessary for appropriate care of psychiatric patients. However, training in family skills has often been difficult to integrate into psychiatric residency programs because of conflicting paradigms, turf battles, constraints of time and money, and confusion over whether family-centered care or family therapy should be taught. Current changes in residency accreditation mandate that family skills (not necessarily family therapy in its sophisticated form) be part of all residency programs. This article reviews the history of systems training in residencies, current accreditation requirements, and the GAP proposal for family systems skills, knowledge, and attitudes that that are teachable within the limited time available to residents. The application of these core skills is described using a case example and formulation. Challenges in teaching and ways of overcoming programmatic constraints are outlined.