Whose Gene Is It? A Case Discussion About Familial Conflict over Genetic Testing for Breast Cancer

A multidisciplinary group of genetic and other professionals discuss a complex case of familial conflict over access to genetic information. One twin wishes to know the results of her deceased mother's tests for BRCA1 mutations; a second twin objects to researchers making this information available. As the case discussion unfolds, the apparent facts of this case are called into question and the lines of ethical certainty become less clear.     

Opportunities For Learning: Course Sequences and Positional Advantages

Course sequences are strands of courses in particular content areas that span a student's educational career. Courses that are differentiated and sequentially organized, such as mathematics and science course sequences, create opportunities for positional advantages in a school's curricular structure. When students make a nonroutine change of schools – that is, transferring to a school outside of the regular attendance zone – they are at risk of changing their positional advantage. Using data from the National Education Longitudinal Study of 1988–94 (NELS:88–94), we examine the educational outcomes of sequences and explore curricular dislocations within the context of school choice. We find that the strongest predictors of 12th-grade mathematics and science course sequences are a student's course sequences at 10th grade. With regard to outcomes, students in higher mathematics and science sequences show greater achievement gains. Furthermore, students in higher mathematics sequences are less likely to have behavior problems and are more likely to graduate from high school and attend college. Students who make a nonroutine change of schools are more likely to be in lower course sequences than students who do not transfer. Thus, course sequences in mathematics and science are tangible experiences with real consequences for students' lives during and beyond high school and are sensitive to transitions which disrupt the continuity of students' high school careers.     

Resource-Allocation Behavior in Complex but Commonplace Tasks

We all face resource-allocation tasks, yet little is known about how people make resource-allocation decisions. Three earlier papers (Langholtz, Gettys, & Foote, 1993, 1994, 1995) established that people can intuitively solve technical two-dimensional resource-allocation problems, where allocations are made on a continuous scale, reaching solutions that approach the optimum solution determined with Linear Programming (LP). In this research we expand our understanding of how people make resource-allocation decisions by examining how people perform complex but commonplace problems using a discrete scale where optimal solutions are determined with Integer Programming. We also contrast performance under conditions where progressively unequal scheduling is required to reach the optimum solution. The data show people can achieve solutions that provide most of the payoffs found with LP, even when they are faced with a complicated three-dimensional problem, but there is a tendency toward equal scheduling under all conditions.     

Book Reviews

G rünbaum , A dolf . Validation in the Clinical Theory of Psychoanalysis: A Study in the Philosophy of Psychoanalysis
H ollis , J ames . The Middle Passage: From Misery to Meaning in Midlife
B ertoia , J udi . Drawings from a Dying Child: Insights into Death from a Jungian Perspective
H olt , D avid . The Psychology of Carl Jung: Essays in Application and Deconstruction     

ANALYZING ALERTNESS AMONG PEOPLE WITH PROFOUND MULTIPLE DISABILITIES: IMPLICATIONS FOR PROVISION OF TRAINING

We investigated whether variations in alertness among individuals with profound multiple disabilities affected subsequent responsiveness to training programs. Three experiments were conducted involving 5 people. In Experiment 1, results indicated that alertness of 3 individuals increased with provision of skill-acquisition training programs. Results also indicated no predictive relationship between alertness levels prior to training and subsequent responsiveness to training. Experiment 2 replicated results of Experiment 1 with 2 participants from Experiment 1 and an additional participant. Results of Experiment 2 also indicated that the increased alertness levels accompanying provision of training were not a function of the participants simply being in an inactive environment prior to training. Results of Experiment 3 indicated that alertness of an additional participant increased through provision of another training intervention, involving a systematic preference assessment. Responses during the preference assessment appeared to be unrelated to previously existing alertness levels. These findings suggest the need for caution when considering the withholding of scheduled training because an individual appears to be nonalert.     

Book Reviews

F ordham , M ichael . The Making of an Analyst: A Memoir
R edfearn , J oseph . The Exploding Self: The Creative and Destructive Nuckus of the Personality
G ordon , R osemary . Bridges: Metaphor for Psychic Processes
J ackson , M urray and W illiams , P aul . Unimaginable Storms: A Search for Meaning in Psychosis
S tevens , anthony . Jung
W eissman , J udith . Of Two Minds: Poets Who Hear Voices