Resistance and adherence to the norms of genetic counseling

Genetic counseling for women of advanced maternal age who are considering prenatal testing continues to be based on a principle of nondirectiveness. We interviewed 11 genetic counseling students and four counselors about how they experience and manage, in practice, the tensions between the ideology of nondirectiveness and the acknowledged reality that one can never be truly nondirective. We found that our respondents creatively resolve this tension—simultaneously resisting and adhering to the values of nondirectiveness and information-giving—in individual and situation-specific ways. This resolution is facilitated by the extent to which information given to counselees is fluid, mobile and context-dependent, but these very features of information also have critical implications for both the norms and the practice of genetic counseling.     

Gender-Role Differences in Decision-Making Orientations and Decision-Making Skills1

The relationship between gender role identification and decision making orientations was examined. Decision making was analyzed in terms of decision making orientation (behavioral, cognitive, and emotional) and decision making skills (problem definition and formulation, generation of alternative solutions, choice process, solution implementation, and verification). The results revealed a 2-factor characterization of general decision making in terms of approach-avoidance tendencies and self-appraisals of decision skills. A masculinity model was supported for decision making orientation, with masculinity serving as the only significant predictor. In contrast, an androgyny model was supported for decision making skills, with masculinity and femininity serving as significant predictors.     

When More is Better than Less; Three Theories of Psychosis—Projection, Double Bind, and Possession

Three psychological theories of psychosis are described, each of which has standing in psychiatry. Defined by the terms projection, double bind, and possession, they initially appear to have little or nothing in common to explain psychosis, but converge at four points: (1) A high degree of anxiety precipitated by a dilemma or conflict perceived to be unsolvable by the person; (2) the anxiety triggers a shift from one thought or motive in the direction of its opposite, because the original was believed too antagonistic to the wishes of significant others; (3) the opposite, in order to remain opposite, requires that the original thought or motive be forgotten, (4) a singular means to produce and reinforce forgetting is the interposition of psychiatric symptoms. In psychiatry today treatment would fit more consistently with the three theories taken as a whole rather than any one, and a rationale for this viewpoint is elaborated.     

Compassion: An east‐west comparison

Compassion is an emotion that occupies a central position in Mahāyāna Buddhist philosophy while it is often a neglected subject in contemporary western philosophy. This essay is a comparison between an Eastern view of compassion based upon Mahāyāna Buddhist perspectives and a western view of the same emotion. Certain principles found in Mahāyāna Buddhist philosophy such as the Bodhisattva Ideal, and suffering (dukkha) to name two, are explored for the information they contain about compassion. An essay by Lawrence Blum is taken as representative of a Western view (but not exclusively) and it is analyzed for its shortcomings in light of the Buddhist view. The conclusion briefly describes the value of understanding an eastern view on compassion as a means of filling the void one finds in western medical ethics discourse which focuses so heavily, and redundantly, upon issues such as patient autonomy and paternalism.     

Organizational and family systems factors in stress among ministers

Forty-one Protestant ministers completed measures of stress-related symptoms, family of origin contact, church governing body density, history of pastor-parish conflict in the church, and a measure of Bowen's (1959b/1985) concept of emotional triangles. A denominational executive provided ratings of each church's history of pastor-parish conflict. Path analysis using multiple regression showed support for a model in which governing body density and history of conflict predicted emotional triangles, and emotional triangles predicted stress symptoms. Contact with the pastor's family of origin moderated the relationship between emotional triangles and stress symptoms. Results suggest that the organizational and family ecology of the ministerial role can be important in understanding occupational stress among ministers.     

A faith for all seasons

A FAITH FOR ALL SEASONS:ISLAM AND WESTERN MODERNITY. By Shabbir Akhtar. London: Bellew Publishing, 1990. 251pp. Hb. £25.00. ISBN 0–947792–41–4.     

Perceived Responsibility and Blame for Economic Success and Failure: Social Class and Employment Status Comparisons

The present study tested the proposition that social class and employment status would differentially affect attributions of responsibility and blame concerning positive and negative economic outcomes. The hypothesis here is that subjects will not blame a person who fails to get a job after taking a retraining program. The hypothesis is based upon the assumption that individuals on the lower rung of the economic ladder are aware of the external circumstances operating against economic security. As predicted, the person experiencing failure was neither held responsible nor blamed for his outcome. Also social class and employment status affected perceptions of the reasons for the successful outcome.     

Balancing the ledger: An application of Nagy's theories to the study of continuity and change among generations

This study uses an interpretive interview method to examine the micro-processes of generational continuity and change among a group of social activists. Boszormenyi-Nagy's theory of responsibility between generations, alternative models outside the family, and choice are used to explain the instances of change. Implications for research and practice are addressed.     

Strategic Revenue Management under Uncertainty: A Case Study on Real Estate Projects in India

This paper proposes an approach for strategic revenue management under uncertainty for real estate projects. It integrates three modelling techniques: first, artificial neural network integrated support vector machines for forecasting the profit and loss‐making real estate residential projects; second, analytical network process approach using decision making trials and evaluation laboratory methodology for establishing interrelationships among factors; and third, multiobjective genetic algorithm approach for obtaining optimal numbers and types of apartments in a real estate project. We compare the respective revenues generated with the new number of apartments and price from the suggested revenue maximization model and that of the old practiced one through a case study of India. Copyright © 2015 John Wiley & Sons, Ltd.