Risk Perception and Psychological Distress in Genetic Counselling for Hereditary Breast and/or Ovarian Cancer

Oncological Genetic Counselling (CGO) allows the identification of a genetic component that increases the risk of developing a cancer. Individuals’ psychological reactions are influenced by both the content of the received information and the subjective perception of their own risk of becoming ill or being a carrier of a genetic mutation. This study included 120 participants who underwent genetic counselling for breast and/or ovarian cancer. The aim of the study was to examine the relation between their cancer risk perception and the genetic risk during CGO before receiving genetic test results, considering the influence of some psychological variables, in particular distress, anxiety and depression. Participants completed the following tools during a psychological interview: a socio-demographic form, Cancer Risk Perception (CRP) and Genetic Risk Perception (GRP), Hospital Anxiety and Depression Scale (HADS) and Distress Thermometer (DT). The data seem to confirm our hypothesis. Positive and significant correlations were found between the observed variables. Moreover, genetic risk perception determined an increase in depressive symptomatology and cancer risk perception led to an increase in anxious symptomatology, specifically in participants during cancer treatment. The present results suggest the importance of assessing genetic and cancer risk perception in individuals who undergo CGO, to identify those who are at risk of a decrease in psychological well-being and of developing greater psychological distress.     

The 'open circle' in counsellor education and training: Rationale and criticisms

The apparently simple open circle is described and five elements of a rationale are discussed: that it acts as a 'buffer'; contributes efficiently towards developing trust; highlights aspects of self-disclosure; enhances awareness of emotions, biases etc; and, most subtly, provides practice of feeling sympathetic but not 'rescuing'. In the final section, four criticisms of the open circle are countered: that it is pointless; artificial; taxing; and insensitive.     

Phonemic and semantic generation norms

Independent groups of subjects generated restricted free associations that either rhymed with the cue or were members of the semantic category designated by the cue. The data include both a listing of the responses to each cue and a cross-index of all words appearing as responses to more than one cue. These data will permit researchers to take into account the a priori associative strength between cues and targets at these two levels of processing.     

Generalization of teacher behavior as a function of subject matter specific discrimination training

The effect of training on the rate of behavior-specific praise for two fourth-grade teachers was investigated within a multiple-baseline design. Training teachers to identify instances of behavior-specific praise on videotaped presentations (discrimination training) combined with instructions to use praise, and audiotape recordings of the teachers' classroom interactions as feedback, increased the rates of behavior-specific praise. However, the effects were restricted to subject-matter areas in which training was conducted.