“My Plate is Full”: Reasons for Declining a Genetic Evaluation of Hearing Loss

The aim of this study was to obtain patient and parent perspectives on genetic evaluation of hearing loss, in order to identify motivators, expectations, and barriers. Three focus groups were conducted following a semi-structured discussion guide, led by an independent moderator. Participants were hearing parents of children with permanent hearing loss or deaf adults. Qualitative content analysis was used to develop a codebook and identify major themes and subthemes. Participant views were compared to national guidelines. The 28 participants comprised 23 parents representing 21 unique families and 5 deaf adults. 13/21 families and 0/5 adults reported comorbidities, 4/21 families and 3/5 adults had a positive family history, and 12/21 families versus 0/5 adults had utilized genetics services. A common theme among adults and parents was a curiosity as to the cause of hearing loss. Parents were motivated to detect comorbidities and optimize care for hearing loss. Some parents felt overwhelmed by the hearing loss and unprepared to pursue early genetic evaluation as recommended in guidelines. Several reported positive experiences following genetics consultation, while others reported unease and unmet expectations. Notably, both parents and adults expressed ambivalence regarding the desire for genetic knowledge. Financial concerns and difficulties obtaining a referral were cited as extrinsic barriers. For parents of children with hearing loss, both the presence of comorbidities and a positive family history were drivers of genetics consultation and/or genetic testing. We identified educational opportunities for both patients and providers that would improve informed decision-making and increase access to genetic services. Consideration of the patient/family perspective and their decision-making processes, along with flexibility in the approach to genetics evaluation and its timing, will optimize both the development and implementation of guidelines.     

The Political Activity of Evangelical Clergy in the Election of 2000: A Case Study of Five Denominations

This article focuses on the political participation of ministers from five evangelical Protestant denominations that differ in theology, polity, and history. Despite such differences, these clergy respond to political influences in much the same fashion. We find that the standard theories of political participation have varying success in accounting for their political involvement. Sociodemographic explanations provide little help, but psychological engagement with politics has more explanatory power. Professional role orientations are the best predictors of actual participation. And the clergy who see moral reform issues as the most important confronting the country—and who hold conservative views on such issues—are most likely to become engaged. Finally, membership in Christian Right organizations serves to elicit more activity than might occur if ministers were left to internally motivated participation. Despite the emphasis on other contextual variables in some work on clerical politics, we find that communications exposures, congregational influences, and even the support of clerical colleagues have very limited independent effects on political involvement.     

Recognizing Spirituality as an Important Factor in Counselor Supervision

Despite the recent, growing emphasis on spirituality in the counseling and psychotherapy literature, information regarding spirituality and the supervision process is limited. The purpose of this article is to help supervisors and supervisees enhance awareness of spiritual values in supervision. Factors such as counselor competency, conceptualization of spirituality, cross‐cultural awareness, and the similarity of clients' and counselors' values form a foundation for developing effective intervention and supervision strategies. A series of research questions is proposed to spur a program of empirical exploration.     

Substance Abuse Counselor Certification Requirements: Is It Time for a Change?

The minimum professional training requirements of 32 state certifying bodies for substance abuse counselors were analyzed. Only 14 of the certifying boards included any of the Council for the Accreditation of Counseling and Related Educational Programs core knowledge areas in their training components for Certified Addictions Counselors. Specific training in counseling and drug and alcohol treatment issues also appeared to be minimal. The lack of specific drug and alcohol training brings the quality of preparation for substance abuse counselors into question.     

Exploring the relationship between children's knowledge of text message abbreviations and school literacy outcomes

This paper presents a study of 88 British 10–12‐year‐old children's knowledge of text message (SMS) abbreviations (‘textisms’) and how it relates to their school literacy attainment. As a measure of textism knowledge, the children were asked to compose text messages they might write if they were in each of a set of scenarios. Their text messages were coded for types of text abbreviations (textisms) used, and the ratio of textisms to total words was calculated to indicate density of textism use. The children also completed a short questionnaire about their mobile phone use. The ratio of textisms to total words used was positively associated with word reading, vocabulary, and phonological awareness measures. Moreover, the children's textism use predicted word reading ability after controlling for individual differences in age, short‐term memory, vocabulary, phonological awareness and how long they had owned a mobile phone. The nature of the contribution that textism knowledge makes to children's word reading attainment is discussed in terms of the notion of increased exposure to print, and Crystal's (2006a) notion of ludic language use.     

Attributes of Suicide in Females

Long-term trends in suicides among females were investigated using data from Sacramento County, California. Of the 3,741 cases, 3,398 were Caucasian and 952 (25.4 percent) were females. These analyses focus on 837 Caucasian and Hispanic females. Female suicide rates in Sacramento County have increased gradually since 1925 with a corresponding decline in the male/female sex ratio. The suicide data suggest that a minimum of three types of female suicides can be identified and that the incidence of each type varies with the age of the women. Indicators that help in identifying cases and in tentatively describing an etiology include marital status, employment status and occupation, physical ill health, familial loss or disruption, and psychiatric symptoms.     

Influence Attempts When Competing Views Are Gender-Related: Sex as Credibility

A study was conducted to examine the effect of sex of subject, sex of majority and minority influence source, and male or female relatedness of the issue on conformity, Male and female subjects indicated their agreement (or disagreement) with male and female related statements following an influence attempt by either four male or four female confederates. The sex of the majority opinion was juxtaposed with a minority opinion held by an opposite-sexed confederate. Two major findings were obtained. First, for male related issues, subjects conformed more when the majority influence source was male than when female. Likewise, on female-related issues, subjects conformed more when the majority influence source was female than when male. Second, male subjects conformed more than female subjects on the female related issues whereas on male related issues they tended to conform less. The theoretical and practical significance of these findings is discussed.