When You Care Enough to Do Your Very Best: Genetic Counselor Experiences of Compassion Fatigue

Compassion fatigue is a phenomenon that occurs when a caregiver feels overwhelmed by repeated empathic engagement with distressed clients (Figley, 2002). Research demonstrates its existence among nurses, physicians, and mental health professionals, but to date no published study has specifically investigated the nature and prevalence of compassion fatigue among genetic counselors. The present study was an initial attempt to identify and describe the phenomena in genetic counseling by conducting focus group interviews with 12 genetic counselors. Data analysis yielded several themes: a) compassion fatigue occurs and may compromise professional and personal functioning; b) prevalent triggers include delivering bad news and difficult patient issues (e.g., terminal illness, anger, psychopathology); c) effective coping strategies include consulting with colleagues, setting boundaries, and humor; and d) risk factors include personality characteristics and traumatic memories. Training, practice, and research recommendations are provided.     

In‐group reassurance in a pain setting produces lower levels of physiological arousal: direct support for a self‐categorization analysis of social influence

A large body of research demonstrates a strong social component to people's pain experiences and pain‐related behaviours. We investigate this by examining the impact of social‐influence processes on laboratory‐induced pain responses by manipulating the social‐categorical relationship between the person experiencing pain and another who offers reassurance. We show that physiological arousal associated with laboratory‐induced pain is significantly lower in normal, healthy participants following reassurance about the pain‐inducing activity when that reassurance comes from an in‐group member in contrast to reassurance from an out‐group member and a no reassurance control. These data are consistent with predictions derived from self‐categorization theory, providing convincing empirical support of its analysis of social influence using a non‐reactive measure. These data also represent a clear advance within the pain literature by identifying a possible common process to the social‐psychological component of pain responses. Copyright © 2006 John Wiley & Sons, Ltd.     

Cross-examination of the expert witness: Do hostile tactics affect impressions of a simulated jury?

Ninety-one introductory psychology students viewed a videotape of a simulated personal damage trial in which a psychologist expert witness testified about a plaintiff's psychological problems resulting from trauma. The defense attorney's cross-examination tactics, employed against the expert witness, were varied in the videotape. A 2 × 2 factorial design was used, with leading versus nonleading questions and a hostile versus nonhostile attorney. An interaction effect was obtained, in which a hostile attorney using leading questions and a nonhostile attorney using nonleading questions were perceived as least effective.     

A general-purpose facility for adaptive testing in psychoacoustics

We describe a general-purpose, programmable system that provides high-quality, low-cost devices for experimentation in psychoacoustics and speech perception. The system is controlled by a host computer (e.g., an IBM PC), over a serial line. Through the use of a high-level, general-purpose experiment control program, the designed interconnection of devices can be specified logically, and the settings of the devices modified dynamically, during the experiment.     

Rights, justice, and duties to provide assistance: a critique of Regan's theory of rights

In his monograph, The Case for Animal Rights (University of California Press; 1983), Tom Regan seeks to develop an alternative moral theory to utilitarianism, and to apply it to the question of animal rights, including animal experimentation. Here Jamieson presents an overview of Regan's theory and critically examines areas in which he, Jamieson, believes it to be most problematic. He argues that Regan's theory encounters difficulties in its account of our duties to render assistance and its principles for overriding rights. Jamieson concludes that Regan has failed to develop a "compelling and dramatic alternative to utilitarian theories" and that most plausible revisions of his theory lead back in the direction of utilitarianism.     

Progamming time in serial tapping responses as a function of pathway constraint

Summary This study varied the accuracy demand within a linear series of targets to investigate the effect of movement-pathway constraints on response-programming time. Sidaway, Christina, and Shea (1988) have suggested that constraints placed upon movement initiation by the demand for response precision may play an important role in determining the length of the programming process. By varying the subtended angles of a series of three targets, this experiment tested the specific prediction of Sidaway et al. that programming time may be a function of the target, within a line of targets, that subtends the smallest angle at the start position. It is this target that demands the greatest precision in the movement pathway. Subjects participated in a series of conditions in which the size and placement of the target that imposed the maximal constraint was varied. In each condition the subjects were required to strike a series of three targets with a stylus in a simple reaction-time paradigm. Analysis of the reaction-time results revealed a significant effect of size of constraint, but no effect of position of constraint. Analysis of the movementtime data dispelled movement-duration and movement-velocity interpretations of the results and intimated a possible online trajectory-correction process.Portions of these data were first presented at the Annual Meeting of the Psychonomic Society in Atlanta, Georgia, November 1989.     

Explicit syllable and phoneme segmentation in the young child

To write a language, one must first abstract the unit to be used from the acoustic stream of speech. Writing systems based on the meaningless units, syllables and phonemes, were late developments in the history of written language. The alphabetic system, which requires abstraction of the phonemic unit of speech, was the last to appear, evolved from a syllabary and, unlike the other systems, was apparently invented only once. It might therefore be supposed that phoneme segmentation is particularly difficult and more difficult, indeed, than syllable segmentation. Speech research suggests reasons why this may be so. The present study provides direct evidence of a similar developmental ordering of syllable and phoneme segmentation abilities in the young child. By means of a task which required preschool, kindergarten, and first-grade children to tap out the number of segments in spoken utterances, it was found that, though ability in both syllable and phoneme segmentation increased with grade level, analysis into phonemes was significantly harder and perfected later than analysis into syllables. The relative difficulties of the different units of segmentation are discussed in relation to reading acquisition.