Training Genetic Counsellors to Deliver an Innovative Therapeutic Intervention: their Views and Experience of Facilitating Multi-Family Discussion Groups

Innovations in clinical genetics have increased diagnosis, treatment and prognosis of inherited genetic conditions (IGCs). This has led to an increased number of families seeking genetic testing and / or genetic counselling and increased the clinical load for genetic counsellors (GCs). Keeping pace with biomedical discoveries, interventions are required to support families to understand, communicate and cope with their Inherited Genetic Condition. The Socio-Psychological Research in Genomics (SPRinG) collaborative have developed a new intervention, based on multi-family discussion groups (MFDGs), to support families affected by IGCs and train GCs in its delivery. A potential challenge to implementing the intervention was whether GCs were willing and able to undergo the training to deliver the MFDG. In analysing three multi-perspective interviews with GCs, this paper evaluates the training received. Findings suggests that MFDGs are a potential valuable resource in supporting families to communicate genetic risk information and can enhance family function and emotional well-being. Furthermore, we demonstrate that it is feasible to train GCs in the delivery of the intervention and that it has the potential to be integrated into clinical practice. Its longer term implementation into routine clinical practice however relies on changes in both organisation of clinical genetics services and genetic counsellors’ professional development.     

Consumption Effort: The Mental Cost of Generating Utility and the Role of Consumer Energy Level in Ambitious Consumption

We propose that the essence of consumption is the mental process of generating utility from products, that this process expends consumption effort, and that consumers take consumption effort into account in their decision making. In 2 studies, we tested the hypothesis that consumption preferences become more ambitious—individuals become more inclined to choose challenging‐to‐consume products—when consumer energy levels are elevated. In Study 1, energy induced by ingesting caffeine increased participants’ tendency to choose subtitled foreign movies rather than domestic remakes of those same movies. Study 2 demonstrated the same effect with naturally occurring energy levels and with consumption experiences whose effortfulness and quality were varied independently. In choosing among sets of poems to read, participants with higher levels of energy exhibited less effort aversion but neither more nor less quality seeking. A reanalysis of Study 1 showed that the energy effect is not simply a case of consumers using more energy when they have more energy, because the energy effect disappeared when participants were made aware of the energy source, suggesting that a preference‐correction process occurred. The energy dependence of consumer preferences affords tactical opportunities for marketers, but the welfare implications for consumers are intriguingly unclear, because in both studies we found that energy increased participants’ choice of challenging consumption experiences without increasing their liking of those experiences.     

Understanding Attachment: Beliefs About Conflict

This study examined attachment prototype, attachment‐related feelings about conflict, style of expressing conflict, and conflict tactics using self‐report questionnaires from 188 volunteer college students. Analysis indicated that (a) persons who endorsed secure attachment reported feeling less threat from arguing than those endorsing preoccupied or fearful attachment and less concern with closeness during conflict than those endorsing preoccupied attachment, (b) persons endorsing dismissing attachment reported significantly more conflict avoidance than the securely attached, and (c) those endorsing secure attachment reported significantly less fighting and more effective arguing than those endorsing fearful attachment. Implications for preventive and remedial counseling are discussed.     

Using heart rate as a physical activity metric

Physical activity (PA) is critical for a healthy lifestyle. The current study assessed heart rate (HR) as a primary measure of moderate and vigorous PA with four typically developing children. First, individualized HR assessments were conducted to determine moderate and vigorous HR zones. Next, participants engaged in various exercises at a local YMCA facility (i.e., biking, elliptical, basketball, and exergame boxing) to determine how HR during these activities aligned with their individualized HR zones. During exercise bouts, HR was typically above moderate, but below vigorous HR zones for all participants. Additionally, exercises that restricted range of motion (i.e., biking and elliptical) engendered generally lower HR than exercises with greater range of motion. Vocal instructions to exercise at vigorous levels were effective at increasing HR to vigorous levels for one participant. The advantages of using HR as a metric of PA during assessment and intervention are discussed.     

Basing for the Bayesian

Synthese - There is a distinction between merely having the right belief, and further basing that belief on the right reasons. Any adequate epistemology needs to be able to accommodate the basing...     

Syllable onsets are perceptual reading units

Syllable onsets are defined as the initial consonant or consonant cluster in a syllable (e.g., BR in BREAD). In the present study, using a letter detection paradigm and French words, we tested whether syllable onsets are processed as units by the reading system. In Experiment 1, we replicated Gross, Treiman, and Inman's (2000) result of observing no difference between the detection latencies of letters embedded in a multi-letter syllable onset (e.g., c in ECLATER) relative to a single-letter syllable onset (e.g., C in ECARTER). In Experiment 2, participants took longer to detect the target letter when it was in the second position of a multi-letter onset (e.g., L in TABLIER) than when it was a single-letter onset (e.g., L in ECOLIER). In Experiment 3, this position effect was replicated for graphemes. In Experiment 4, we tested and ruled out an alternative explanation of the unitization effect, in terms of lateral masking. These results indicate that syllable onsets are processed as perceptual units by the reading system and that the unitization effect is position dependent.     

Maternal hen calls modulate memory formation in the day-old chick: the role of noradrenaline

Facilitation of memory for discriminative learning in young chicks is enhanced following exposure to a synthesized rhythmic auditory stimulus. Increased arousal, mediated by noradrenergic activation, is believed to underlie this effect. In this report we examine whether ethologically relevant rhythmic auditory stimuli produce the same noradrenaline-mediated memory enhancement in neonate chicks (Gallus gallus domesticus). Maternal hen attraction calls which contained a rhythmic pattern were found to facilitate retention. Intracerebral injection of noradrenaline or the beta(2)-adrenergic antagonist propranolol demonstrated that this enhancement is likely to be mediated by noradrenergic activation of central beta(2)-noradrenergic receptors. In contrast, a rhythmic alarm call inhibited retention. Subcutaneous injection of the alpha(1)-adrenergic antagonist prazosin revealed that this impairment may be due to higher arousal levels resulting in activation of alpha(1)-noradrenergic receptors. It is concluded that the maternal hen calls of domestic chickens can influence the memory ability of the offspring via noradrenaline release in the brain. The current data suggest that call meaning and rhythmicity interact to yield the appropriate levels of beta(2)-adrenergic activation required to facilitate retention for a discriminative task.     

Cholinergic lesions produce task-selective effects on delayed matching to position and configural association learning related to response pattern and strategy

192IgG-saporin (SAP) was used to selectively destroy cholinergic neurons in the rostral basal forebrain (e.g., medial septum (MS) and vertical limb of the diagonal band of Broca (VDB)) and/or the caudal basal forebrain (e.g., nucleus basalis magnocellularis (NBM)) of ovariectomized Sprague-Dawley rats. The effects of these lesions on two different cognitive tasks, a delayed matching to position (DMP) T-maze task, and a configural association (CA) operant conditioning task, were evaluated and compared. Injecting SAP into either the MS or NBM significantly impaired acquisition of the DMP task. Analysis showed that the effects were due largely to an affect on response patterns adopted by the rats during training, as opposed to an effect on working memory performance. Notably, the impairment in DMP acquisition did not correlate with the degree of cholinergic denervation of the hippocampus. Despite the deficit, most animals eventually learned the task and reached criterion; however by the end of training, controls and animals that received SAP into either the MS or NBM appeared more likely to use an allocentric place strategy to solve the task, whereas animals that received SAP into both the MS and NBM were more likely to use an egocentric response strategy. Cholinergic lesions also produced a small but significant affect on acquisition of the CA task, but only with respect to response time, and only in the SAP-NBM-treated animals. SAP-NBM lesions also produced small but significant impairments in both the number of responses and response time during the acquisition of simple associations, possibly reflecting an effect on alertness or attention. Notably, the effects on CA acquisition were small, and like the effects on DMP acquisition did not correlate with the degree of cholinergic denervation of the hippocampus. We conclude that selective basal forebrain cholinergic lesions produce learning deficits that are task specific, and that cholinergic denervation of either the frontal cortex or hippocampus can affect response patterns and strategy in ways that affect learning, without necessarily reflecting deficits in working memory performance.     

Nasal consonant production in Broca's and Wernicke's aphasics: speech deficits and neuroanatomical correlates

The present study investigated the articulatory implementation deficits of Broca's and Wernicke's aphasics and their potential neuroanatomical correlates. Five Broca's aphasics, two Wernicke's aphasics, and four age-matched normal speakers produced consonant-vowel-(consonant) real word tokens consisting of [m, n] followed by [i, e, a, o, u]. Three acoustic measures were analyzed corresponding to different properties of articulatory implementation: murmur duration (a measure of timing), amplitude of the first harmonic at consonantal release (a measure of articulatory coordination), and murmur amplitude over time (a measure of laryngeal control). Results showed that Broca's aphasics displayed impairments in all of these parameters, whereas Wernicke's aphasics only exhibited greater variability in the production of two of the parameters. The lesion extent data showed that damage in either Broca's area or the insula cortex was not predictive of the severity of the speech output impairment. Instead, lesions in the upper and lower motor face areas and the supplementary motor area resulted in the most severe implementation impairments. For the Wernicke's aphasics, the posterior areas (superior marginal gyrus, parietal, and sensory) appear to be involved in the retrieval and encoding of lexical forms for speech production, resulting in increased variability in speech production.     

Processing of biological motion point-light displays by baboons (Papio papio)

Humans apply complex conceptual judgments to point-light displays (PLDs) representing biological motion (BM), but how animals process this kind of display remains uncertain. Four baboons (Papio papio) were trained to discriminate BM from nonbiological motion PLDs using an operant computerized test system. Transfer tests were given after training with novel BM stimuli representing humans or baboons (Experiment 1), with inverted PLDs (Experiment 2), and with BM stimuli in which body parts had been spatially disorganized (Experiment 3). Very limited transfer was obtained with the novel and inverted displays in Experiments 1 and 2, but transfer was much higher after spatial disorganization in Experiment 3. It is suggested that the baboons did not retrieve and interpret the articulated shape of the human or monkey body from the BM PLD stimuli, but rather focused their attention on the configural properties of subparts of the stimuli. Limits in perceptual grouping and restricted abilities in picture-object equivalence might explain why the baboons did not map BM PLD displays onto what they represent.