Decision-Making About Inherited Cancer Risk: Exploring Dimensions of Genetic Responsibility

Since genetic information has implications for family members, some choices about genetic risk may be influenced by perceptions of responsibility to relatives. Drawing upon 25 semi-structured interviews with test recipients in Canada, this study explored decisions about inherited breast-ovarian and colon cancer. Qualitative data analysis revealed the pervasive significance of genetic responsibility in test decisions. We highlight three dimensions of genetic responsibility: 1) to know about the self for self; 2) to know about the self for others; 3) to know about the self to oblige others to know. It is argued that these dimensions of genetic responsibility have implications for test decisions, family relationships and other family members’ desire to know (or not know) and to act (or not act) with respect to their own genetic risk. In particular, genetic responsibility may play out as a framing of a relative’s moral obligation to know their risk that could obviate any interest they might have in not knowing. We conclude that perceptions of responsibility to—and of−other family members be thoroughly explored in genetic counseling sessions.     

Development of a Substance Abuse Consultation and Referral Service in an Academic Medical Center: Challenges, Achievements and Dissemination

Approximately 25% of US hospital beds are occupied by individuals with active substance use disorders (SUD). Acute medical hospitalization provides an opportunity to address SUDs and provide patient-centered intervention and referral for treatment. Nationally, some hospitals have developed substance abuse consultation departments to improve the care of hospitalized substance users. In this paper we describe the Addiction Psychiatry Service (APS) in a large urban hospital which provides bed-side SUD consultation, screening, intervention and referral to treatment. APS utilizes the multiple disciplines of psychology, social work and medicine to integrate substance abuse services throughout the hospital and educate future generations of medical and psychology trainees. We conclude with how the APS service is informing the development of similar programs in other academic departments within our hospital and best practice recommendations to further disseminate this service model.     

Bridging the idiographic-nomothetic divide: a follow-up study

In a replication and extension of Grice (2004), participants in the current study rated themselves and other known individuals on scales constructed from their own personal constructs and on marker items for the Big Five model personality traits. Confirmatory components analyses revealed excellent fit for the Big Five Model when applied to aggregate trait ratings but highly variable fit when applied to participants' individual ratings. Comparisons of the personal construct and trait ratings indicated an approximate average overlap of only 51%, and additional analyses revealed several factors that contributed to the uniqueness of the personal constructs. These findings were discussed in the context of the idiographic-nomothetic distinction drawn in personality psychology.     

Neural Correlates of Reward Processing in Adolescents With a History of Inhibited Temperament

ABSTRACT— Functional imaging data were acquired during performance of a reward-contingency task in a unique cohort of adolescents (ages 14–18 years) who were characterized since infancy on measures of temperamental behavioral inhibition. Neural activation was examined in striatal structures (nucleus accumbens, putamen, caudate) with a known role in facilitating response to salient reward-related cues. Adolescents with a history of behavioral inhibition, relative to noninhibited adolescents, showed increased activation in the nucleus accumbens when they believed their selection of an action would affect reward outcome. Neural responses did not differ between the two groups when participants made a prespecified response that they knew would result in reward or when they produced random motor responses that they knew would not be rewarded. These results link inhibited temperament and perturbed neural responses to reward-contingency cues.     

What is education? The inhibiting effect of three agendas in schooling

The article seeks to further debate on what we mean by education and how it is to be distinguished from incipient indoctrination. Starting from the politicisation of education, it draws attention to three powerful agendas impacting on the education systems of the West: positivism, utilitarianism, and inclusivism. Intertwined in various ways, these agendas have had the effect of silently restricting understanding of education, moving it closer to a form of control and policing. Some discussion of their impact on music education is given to help clarify what is at stake. A substantial critique of these agendas is then offered before concluding with a brief indication of a way forward.     

LINKAGES BETWEEN WOMEN'S PROVIDER-ROLE ATTITUDES, PSYCHOLOGICAL WELL-BEING, AND FAMILY RELATIONSHIPS

The primary aim of this investigation was to examine the extent to which the meanings women attach to their provider-role responsibilities are differentially related to their psychological well-being and family relationships and to the division of labor in the home. The sample included 43 dualearner and 50 single-earner families. In home interviews, wives reported on role overload, depression, satisfaction with the marriage, and attitudes regarding women's and men's roles. Their children completed two measures assessing daily hassles and their relationship with their mother. Reports of daily involvement in household work were obtained from wives and husbands during four telephone interviews. Discriminant function analyses indicated that aspects of women's psychological well-being and marital and parent-child relationships and of the division of labor discriminated women in four different provider groups: maidsecondary providers, ambivalent coproviders, coproviders, and homemakers. Wives who were ambivalent about their provider responsibilities tended to report higher levels of depression and overload and significantly lower marital satisfaction. Wives who saw their employment as secondary to that of their husbands reported relatively higher levels of depression and overload but also the highest levels of marital satisfaction.     

Conceptual Locations and Pronominal Reference in American Sign Language

We report the results of an experiment investigating the ramifications of using space to express coreference in American Sign Language (ASL). Nominals in ASL can be associated with locations in signing space, and pronouns are directed toward those locations to convey coreference. A probe recognition technique was used to investigate the case of "locus doubling" in which a single referent is associated with two distinct spatial locations. The experiment explored whether an ASL pronoun activates both its antecedent referent and the location associated with that referent. An introductory discourse associated a referent (e.g, MOTHER) with two distinct locations (eg., STOREleft, KITCHENright), and a continuation sentence followed that either contained a pronoun referring to the referent in one location or contained no anaphora (the control sentence). Twenty-four deaf participants made lexical decisions to probe signs presented during the continuation sentences. The probe signs were either the referent of the pronoun, the referent-location determined by the pronoun, or the most recently mentioned location (not referenced by the pronoun). The results indicated that response times to referent nouns were faster in the pronoun than in the no-pronoun control condition and that response times to the location signs did not differ across conditions. Thus, the spatial nature of coreference in ASL does not alter the processing mechanism underlying the on-line interpretation of pronouns. Pronouns activate only referent nouns, not spatial location nouns associated with the referent.     

Psychosocial correlates of eczema in a non-treatment-seeking population

Data from the Vietnam Experience Study were used to examine psychosocial correlates of eczema. Based upon the results of dermatologic examinations, three groups of male veterans were identified: (a) subjects with eczema (n = 80), (b) subjects with tinea (n = 282), and (c) subjects with no medical diagnosis (n = 176). These three groups were compared on measures of anxiety, depression, hostility, and social support. The Diagnostic Interview Schedule (Version III-A) was used to determine diagnoses of anxiety and depression and level of social support. MMPI Scales 2 and 7, the Wiggins content scale of Depression, and the Cook-Medley Hostility Scale were used to assess anxiety, depression, and hostility. Eczema subjects did not differ from tinea or no-disease control groups on dependent measures. These results are contrasted with previous studies of treatment-seeking patients, which showed greater prevalence of anxiety and depression among individuals with eczema. Directions for future research are suggested.This paper is taken from the first author's dissertation.     

A prospective investigation of the relationship between just-world beliefs and the desire for revenge after September 11, 2001

We prospectively examined the relationship between individuals' belief in a just world and their desire for revenge against the perpetrators of the September 11 terrorist attacks against the United States. Eighty-three undergraduate students who had completed a measure of just-world beliefs prior to the terrorist attacks were assessed approximately 2 months following the attacks. The more strongly they had endorsed just-world beliefs prior to the attacks, the more distressed they felt about the attacks and the more they desired revenge. Furthermore, the relationship between belief in a just world and the desire for revenge was mediated by feelings of distress in response to the terrorist attacks. The results point to the importance of justice beliefs in understanding responses to the terrorist attacks.