A Prospective Comparison Study of Different Methods of Gathering Self-Reported Family History Information for Breast Cancer Risk Assessment

Currently there is much debate regarding the ability of mathematical models incorporating epidemiological information or mutation-based risk algorithms to accurately predict a woman's risk of developing breast cancer. Without access to accurate family history information these models have limited use. This study compares different methods of gathering family history information and the impact on subsequent risk assessment. These methods were compared to the gold standard interview with a trained genetics' professional. The amount and accuracy of information provided by primary care doctors' letters was found to be poor and better information was obtained by sending a postal questionnaire directly to the patient. Because of the high number of low-risk women referred to clinic a questionnaire (the FCAT) was designed to provide reassurance and piloted as part of this study. This paper highlights the importance of using appropriate methods to gather the family history information. It presents evidence for the importance of a skilled assessor and the need to allow time for women to discuss the importance of this information with their family.     

"You learn and learn and learn.... and then you are an adult": parental perceptions of adolescence in contemporary Swaziland

The developmental period of adolescence is explored in Swaziland from a multidisciplinary perspective. The study compares early anthropological research with contemporary interviews of Swazi parents. While the Swazi language, siSwati, does not have a term for "adolescent," there is evidence of a definite developmental period which could be defined as adolescence. Parents view this period as being qualitatively different from childhood and adulthood, but they also have gender-related interpretations of its nature and length. While biological maturation (especially menarche for females) is viewed as a vital step in becoming an adult, behaviors must be learned during this time (i.e., "adolescence") before one is completely of adult status.     

Evaluation of counselling in primary care: How can research be made more useful for practitioners?

The paper presents a literature review of research on counselling in general practice critiqued from the perspective of the Practice Counsellor. It is noted that existing studies all focus primarily on outcome of psychological interventions in comparison to routine GP care. The contributions and limitations of these studies are discussed, and the methodological difficulties of conducting controlled trials in this context are explored. It is proposed that future research on counselling in primary care needs to draw on the paradigm shift in psychotherapy and a range of alternative research methodologies which will be more likely to produce research of relevance to Practice Counsellors.     

Book reviews

GRAY, J. A. Elements of a Two-Process Theory of Learning. London: Academic Press. 1975. Pp. 423. £6.60.

STOCKBRIDGE, H. C. W. Behaviour and the Physical Environment :Case Studies in Psychology and Ergonomics. London: Batsford. 1975. Pp. 191. £7.50.

CRYSTAL, D. The English Tone of Voice-Essays in Intonation, Prosody and Paralanguage. London: Edward Arnold. 1975. Pp. 198. £3.75.

MCFARLAND, D. J. (Ed.). Motivational Control Systems Analysis. London and New York: Academic Press. 1974. Pp. xii + 523. £11.00.

IVERSEN, S. D. and IVERSEN, L. L. Behavioral Pharmacology. New York and London: Oxford University Press. 1975. Pp. xiv + 310. £2.75.

LEVITT, R. A. Psychopharmacology. A Biological Approach. New York: Wiley. 1975. Pp. x + 502. £9.45.

DOWNS, R. M. and STEA, D. (Eds). Image and Environment. Chicago: Aldine. 1973. (London: Arnold). Pp. xxii + 439. £6.75.

MACCOBY, E. E. and JACKLIN, C. N. The Psychology of Sex Differences. London: Oxford University Press. 1975. Pp. 634. £7.00.

MASSARO, D. W. (Ed.). Understanding Language. New York: Academic Press. 1975. PP. 438. £7.90.

HILGARD, E. R., ATKINSON, R. C., and ATKINSON, R. L. Introduction to Psychology. Sixth Edition. New York: Harcourt Brace Jovanovich. 1975. Pp. 658. £8.10.     

Book reviews

SANDERS, A. F. (Ed.). Attention and Performance III. Amsterdam: North Holland Publishing Company. 1970. Pp. viii + 442. (Price not known.)

CORCORAN, D. W. J. Pattern Recognition. Harmondsworth: Penguin Books Ltd. 1971. Pp. 223. £0.50.

SCHRIER, A. M. and STOLLNITZ, F. (Eds.) Behaviour of Nonhuman Primates Vol. III. New York: Academic Press Inc. 1971. £4.45.

KINTSCH, W. Learning, Memory, and Conceptual Processes. New York: Wiley and Sons. 1970. Pp. 498. £4.40.

MORTON, J. (Ed.) Biological and Social Factors in Psycholinguistics. London: Logos Press. 1971. Pp. 215. £3.50.

RITCHIE RUSSELL, W. The Traumatic Amnesius. London: Oxford University Press. Pp. 84. £2.00.

MILLER, N. E. Selected Papers. Chicago: Aldine Publishing. 1971. Pp. 874. £15.00.

SUTHERLAND, N. S. AND MACKINTOSH, N. J. Mechanisms of Animal Discrimination Learning. New York: Academic Press. 1971. Pp. 559. $18.50.

FURCHTGOTT, E. (Ed.). Pharmacological and Biophysical Agents and Behavior. New York: Academic Press. 1971. Pp. xii+402. $14.50.

EYSENCK, H. J., ARNOLD, W. AND MEILI,R. (Eds). Encyclopedia of Psychology. Volume I. London: Search Press. 1972. Pp. 396. £8.00.     

Executive function across the life span

The development and determinants of executive function (EF) were studied in children (mean age=8.8 years), young adults ( M= 22.3 years), and elderly adults (M = 7 years). EF was indexed by perseverative responding on two bidimensional sorting tasks (Visually Cued Color-Shape task and Auditorily Cued Number-Numeral task), and age-related changes in EF were considered in relation to estimates of conscious vs. unconscious memory that were obtained using the process dissociation procedure (PDP). Results revealed the rise and fall of EF across the life span, with significant quadratic trends found for performance on both sorting tasks and for the conscious recollection component (C) of the PDP task. Regression analyses indicated that PDP estimates of conscious memory accounted for variation in performance on the visual sorting task, but not on the auditory sorting task. The findings are discussed in terms of their implications for hierarchical models of EF and its development.