Patient Perceptions of Telephone vs. In-Person <Emphasis Type="Italic">BRCA1/BRCA2</Emphasis> Genetic Counseling

Telephone genetic counseling (TC) for hereditary breast/ovarian cancer risk has been associated with positive outcomes in high risk women. However, little is known about how patients perceive TC. As part of a randomized trial of TC versus usual care (UC; in-person genetic counseling), we compared high risk women’s perceptions of: (1) overall satisfaction with genetic counseling; (2) convenience; (3) attentiveness during the session; (4) counselor effectiveness in providing support; and (5) counselor ability to recognize emotional responses during the session. Among the 554 participants (TC, N?=?272; UC, N?=?282), delivery mode was not associated with self-reported satisfaction. However, TC participants found counseling significantly more convenient than UC participants (OR?=?4.78, 95 % CI?=?3.32, 6.89) while also perceiving lower levels of support (OR?=?0.56, 95 % CI?=?0.40–0.80) and emotional recognition (OR?=?0.53, 95 % CI?=?0.37–0.76). In exploratory analyses, we found that non-Hispanic white participants reported higher counselor support in UC than in TC (69.4 % vs. 52.8 %; OR?=?3.06, 95 % CI?=?1.39–6.74), while minority women perceived less support in UC vs. TC (58.3 % vs. 38.7 %; OR?=?0.80, 95 % CI?=?0.39–1.65). We discuss potential research and practice implications of these findings which may further improve the effectiveness and utilization of TC.     

Supportive Coparenting Relationships as a Haven of Psychological Safety at the Transition to Parenthood

Guided by research on psychological safety, the authors used longitudinal survey data from a sample of 182 dual-earner male–female couples to examine the role of supportive coparenting in mediating relations between adult attachment orientations and parenting stress/satisfaction and further considered whether parenting self-efficacy moderated relations between supportive coparenting and parenting stress/satisfaction. Path analyses using IBM SPSS AMOS 22 and bootstrapping techniques indicated that fathers’ (but not mothers’) perceptions of supportive coparenting at 3 months postpartum mediated the associations between their attachment anxiety in the third trimester of pregnancy and their parenting stress and satisfaction at 9 months postpartum. Additional tests of moderation revealed that mothers’ perceptions of greater supportive coparenting were associated with lower parenting stress only when their parenting self-efficacy was low, but fathers’ perceptions of greater supportive coparenting were associated with greater parenting satisfaction only when their parenting self-efficacy was high. Implications and limitations are discussed.     

Awe’s effects on generosity and helping

It is unclear whether positive emotionality in general, or some specific positive emotions (e.g. other-oriented ones), but not others (e.g. self-oriented and, possibly, stimulus-oriented ones), enhance prosocial thoughts, dispositions, and behavior. We focus here on awe and argue that, although being primarily stimulus-oriented and not necessarily social in its very nature, awe should enhance prosociality for several theoretical reasons. In replicating and extending previous initial research, we found in two online experiments that the induction of awe (video clip or recall), compared to the induction of amusement or a neutral condition, leads to increased prosocial behavioral intentions of generosity (spontaneous sharing of hypothetical gains) and help of a person in need – in hypothetical everyday life situations. Awe’s effect on prosociality was independent from participants’ religiosity (in both experiments) but seemed to be clearer for those in need of such affective stimulation, i.e. less agreeable participants (Experiment 2).     

Resurgence of previously taught academic responses

Resurgence is often discussed in relation to the relapse of undesirable behavior. However, resurgence may also describe the recurrence of socially appropriate behavior, including academic responding. The recurrence of academic responses following periods of extinction may aid in the solution of novel problems. The aims of this study were to evaluate the resurgence of complex, desirable behavior related to college-level instruction and to explore problem form as an aspect of environmental context. Each participant was taught 2 response chains to solve quadratic equations across experimental phases, followed by a phase in which neither chain resulted in the correct solution (extinction). During Experiment 1, the equations presented during extinction resembled those presented during reinforcement of the alternative response. Of the 8 participants in Experiment 1, 4 attempted to use the first-taught chain to solve an equation in the extinction phase. During Experiment 2, the equations presented during extinction resembled those presented during reinforcement of the target response. Of the 8 participants in Experiment 2, 6 attempted to use the first-taught chain to solve an equation in the extinction phase. Results demonstrate the resurgence of academic responses and suggest that the form of the problem may constitute a context that affects resurgence.     

The infant and preschool psychiatry clinic: A model of evaluation and treatment

The Infant and Preschool Psychiatry Clinic is an outpatient, subspecialty clinic that serves young children with significant emotional and behavioral problems, in addition to disorders of learning and language. The clinic provides for the psychiatric needs of young children, birth to 5 years of age, and their families. The mission of the clinic is to (1) provide comprehensive diagnostic evaluation, treatment, and advocacy services by an interdisciplinary team; (2) use systematic data collection for empirical research; and (3) provide training in infant psychiatry. The clinic's evaluation process and wide-ranging treatment services are described in detail, along with two clinical case examples that help to illustrate the integration of varied services. Additionally, a critique of the clinic's strengths and weaknesses is presented. © 1997 Michigan Association for Infant Mental Health     

Reviews: Books Photography

RELATIONAL PSYCHOANALYSIS: THE EMERGENCE OF A TRADITION. Edited by Stephen A. Mitchell and Lewis Aron. 514 pp. Hillsdale, NJ: The Analytic Press, 1999. $39.95. D.H. LAWRENCE AND THE PARADOXES OF PSYCHIC LIFE. By Barbara Ann Schapiro. 155 pp. Albany: State University of New York Press, 1999. $17.95. TECHNOLOGY AS MAGIC: THE TRIUMPH OF THE IRRATIONAL. By Richard Stivers. 240 pp. New York: Continuum Press. 1999. $24. REFLECTIONS ON A RAVAGED CENTURY. By Robert Conquest. 317 pp. New York: W. W. Norton & Company, 2000, $27.95. THE MYSTERIES WITHIN A SURGEON REFLECTS ON MEDICAL MYTHS. By Sherwin B. Nuland. 274 pp. New York: Simon & Schuster, 2000, $24.00. DISEASE, PAIN, AND SUICIDAL BEHAVIOR. By Elisabeth Stenager and Egon Stenager. 127 pp. New York: The Haworth Medical Press, 1998. $17.95. TRAUMA ASSESSMENTS: A CLINICIAN'S GUIDE. By E. B. Carlson. 307 pp. New York: The Guilford Press, 1997. $30. ON INFANCY AND TODDLERHOOD: AN ELEMENTARY TEXTBOOK. By David A. Freedman, M.D. 247 pp. Madison: International Universities Press, Inc., 1999. $27.95. TUESDAYS WITH MORRIE. By Mitch Albom. 192 pp. New York: Doubleday, 1997. $21. THE SORROWS OF THE QUAKER JESUS; JAMES NAYLER AND THE PURITAN CRACKDOWN ON THE FREE SPIRIT. By Leo Damrosch. 322 pp. Cambridge, MA: Harvard University Press, 1996, $39.95. THE PASTORAL CARE OF DEPRESSION: A GUIDEBOOK. By Binford W. Gilbert. 127 pp. New York: The Haworth Pastoral Press, 1998. $19.95. LEARNING DISABILITIES AND PSYCHIC CONFLICT: A PSYCHOANALYTIC CASEBOOK. By Arden Aibel Rothstein, Ph.D., and Jules Glenn, M.D. 504 pp. Madison: International Universities Press, Inc., 1999. $78. HAUNTED CHILDREN: RETHINKING MEDICATION OF COMMON PSYCHOLOGICAL DISORDERS. By Arthur F. Roemmelt, MD. 196 pp. New York: State University of New York Press, 1998. $17.95. NAVIGATING THE DEEP RIVER: SPIRITUALITY IN AFRICAN-AMERICAN FAMILIES. By Archie Smith, Jr. 181 pp. Cleveland, Ohio: United Church Press, 1997. $15.95. AL-JUNUN: MENTAL ILLNESS IN THE ISLAMIC WORLD. Edited by Ihsan Al-Issa. 382 pp. Madison: International Universities Press, 2000. $48. Witnessing the Lack of Sanctuary     

Attitudes of Employed Women Toward Parents Who Choose Full-Time or Part-Time Employment Following Their Child's Birth

Perceptions of married parents were examined as a function of their gender and their employment status following their child's birth. Women employed in hourly staff positions at a university (92% White, 8% African American, Asian American, or Hispanic American) evaluated a briefly described married employed parent on thirty-one 7-point bipolar scales that described nurturance behaviors, job performance characteristics, role overload variables, and personal adjustment characteristics. Each participant rated one of four parents portrayed as either a mother or a father who, following their child's birth, either continued to work full-time or reduced her/his work hours. Full-time employees were perceived as experiencing more stress and as being less family-oriented than reduced-hour employees. Mothers were viewed as better adjusted but as experiencing more stress than fathers.