Pre-screening education in multiple marker screening programs: The effect on patient anxiety and knowledge

Previous studies have shown that unexplained deviations in maternal serum multiple marker screening (MMS) generate considerable anxiety during the remainder of pregnancy. While the role of education in decreasing anxiety is documented, to date there has been no prospective evaluation of which educational practices might minimize this emotional stress. In a pilot study, we prospectively examined the effects on anxiety and knowledge by providing information about MMS (1) by genetic counselor, (2) by pamphlet, and (3) by primary physician. Women randomized to one of these three modalities were administered the Spielberger State- Trait Anxiety Inventory [STAI] and knowledge questionnaires at their initial obstetrics visit, at their second visit after educational intervention and 1–2 weeks after MMS results were provided to patients. Education resulted in an increase in knowledge and post-education knowledge was different between educational modalities. Anxiety declined in patients educated through genetic counseling or a pamphlet.     

A case-based approach to the development of practice-based competencies for accreditation of and training in graduate programs in genetic counseling

The American Board of Genetic Counseling (ABGC) sponsored a consensus development conference with participation from directors of graduate programs in genetic counseling, board members, and expert consultants. Using a collective, narrative, and case-based approach, 27 competencies were identified as embedded in the practice of genetic counseling. These competencies were organized into four domains of skills: Communication; Critical Thinking; Interpersonal, Counseling, and Psychosocial Assessment; and Professional Ethics and Values. The adoption of a competency framework for accreditation has a variety of implications for curriculum design and implementation. We report here the process by which a set of practice-based genetic counseling competencies have been derived; and in an accompanying article, the competencies themselves are provided. We also discuss the application of the competencies to graduate program accreditation as well as some of the implications competency-based standards may have for education and the genetic counseling profession. These guidelines may also serve as a basis for the continuing education of practicing genetic counselors and a performance evaluation tool in the workplace.The Consortium includes Directors of established graduate programs in genetic counseling and members of the ABGC Board of Directors who participated in the Consensus Development Conference held in January 1994: Diane Baker (University of Michigan/ABGC); Bonnie Baty (ABGC); Joan Burns (University of Wisconsin); Debra Collins (ABGC); Virginia Corson (ABGC); Beth Fine (Northwestern University/ABGC); Elizabeth Gettig (University of Pittsburgh); Verle Headings (Howard University); Jacqueline Hecht (University of Texas); Carl Huether (University of Cincinnati); Bonnie LeRoy (University of Minnesota); Joan Marks (Sarah Lawrence College); Anne Matthews (University of Colorado); Roberta Palmour (McGill University); Lorna Phelps (Medical College of Virginia); Kimberly Quaid (Indiana University); Joan Scott (ABGC); Ann Smith (ABGC); Helen Travers (ABGC); Judith Tsipis (Brandeis University); Ann Walker (University of California-Irvine/ABGC); Jon Weil (University of California-Berkeley); S. Robert Young (University of South Carolina); Randi Zinberg (Mount Sinai School of Medicine, New York).     

Death of a Salesman: A clinical look at the Willy Loman family

A separation-individuation model is used to explore the dynamics of the Willy Loman family as depicted in the play,Death of a Salesman. The concept of differentiation is discussed, with examples from the play used to magnify the applicability of this construct. The family is viewed in three-generational context, using Erickson's definition of identity as it relates to the continuity between the past, present and future. The low level of differentiation inexorably leads to a void of intimacy, reflected in the form of emotional isolation, inability to tolerate differences and lack of problem solving skills. Finally, the discussion accents the difficulties experienced by the Loman children to separate and in individuation.     

An introduction to microcomputer networking concepts

This paper presents a brief history of the use of internal computer networks, an introduction to networking concepts and topology, and suggestions regarding a possible system for use in a psychology laboratory. Considerations about the design and use of a microcomputer network are discussed.     

A self-contained microcomputer system for psychological testing

This paper describes a newly available microcomputer system for the on-line administration, scoring, and interpretation of psychological tests. User response to the system is reported. Results of a validity study of the system’s Minnesota Multiphasic Personality Inventory interpretative program are presented.     

Effects of solution word attributes on anagram difficulty: A regression analysis

A sample of 45 student subjects provided solution scores for 80 five-letter anagrams. These scores were analysed as a function of solution word imagery, con-creteness, familiarity, objective frequency, age-of-acquisition and associative meaningfulness using multiple regression techniques. Two bigram measures together with number of vowels, nature of starting letter (vowel or consonant), anagram pronounceability and anagram-solution similarity scores were also entered into the regression equations. The bigram measures, the starting letter and anagram-solution similarity emerged as having significant associations with the solution scores. Previous reports of imagery effects in anagram are discussed in the light of the present results.     

Effect of effort and latent extinction on resistance to extinction

Sixty-four male Wistar rats were given acquisition training in an enclosed straight-alley runway which could be adjusted for angles of inclination. The 2×2×2 design involved two angles of inclination in acquisition (0° and 40°) and two angles of inclination in extinction (0° and 40°). Between acquisition and extinction, half the subjects were exposed to a latent extinction procedure and half served as controls. Number of responses in a 30-min extinction session was an inverse function of effort required in extinction. Additionally, latent extinction procedures resulted in reduced resistance to extinction, but only when the effort conditions of acquisition and extinction were constant. When the effort conditions of acquisition and extinction were dissimilar, latent extinction procedures resulted in increased resistance to extinction. The results raise questions about the nature of the learning which occurs during latent extinction training.