Juggling roles and expectations: dilemmas faced by women talking to relatives about cancer and genetic testing

Health professionals do not inform their patients’ kin about BRCA1/2 test results or genetic testing without their written consent. Thus, the onus is on women attending genetic counselling to talk to relatives about the family history and their potential increased risk. This communication process within the family is largely unexplored and provides the focus of the present study. Fifteen healthy women attending a genetics clinic for predictive testing were interviewed prior to receiving their test result and again 6 months later. A grounded theory approach was used. Findings illustrate the dilemmas women faced in juggling social roles and expectations, which had an impact on communication within the family in the context of predictive genetic testing. Tensions between responsibilities towards themselves and others and their fulfilment of social roles had an impact on who women informed and on how they did so. These factors should be considered when assigning patients the role of information provider.     

Expertise differences in a video decision-making task: Speed influences on performance

Video clips of different speeds were used in a simulation of decision-making in Australian football to test the effects on decision accuracy and decision time. Elite and sub-elite and novice Australian footballers watched videos in six speeds (0.75, 1.0, 1.25, 1.5, 1.75 and 2.0 times normal speed). Participants responded by using a mouse-click to indicate where they would pass the ball for that particular video clip. The elite and sub-elite groups also rated each clip for how ‘game-like’ the decision-making felt. The elite group was significantly more accurate than the sub-elite and novice groups, and the sub-elite group was more accurate than the novice group. Within-speed analysis showed the elite group excelled at the faster video speeds. The use of speeded video delineated clear expertise differences between the groups at the 1.5 speed. Elite and sub-elite players identified the 1.25 and 1.5 speeds as most ‘game-like’ for decision-making. These results show that athletes perceive moderately speeded video as more game-like. Speeded video is further speculated to have allowed elite athletes to perform more automatically, with a faster processing efficacy, a key characteristic of elite performance. This study suggests the use of speeded video as a potential new research paradigm to explore expertise and a viable method for future training interventions for decision-making.     

How people think “if only …” about reasons for actions

When people think about how a situation might have turned out differently, they tend to imagine counterfactual alternatives to their actions. We report the results of three experiments which show that people imagine alternatives to actions differently when they know about a reason for the action. The first experiment (n = 36) compared reason – action sequences to cause – effect sequences. It showed that people do not imagine alternatives to reasons in the way they imagine alternatives to causes: they imagine an alternative to an action more than an effect, and to a cause more than a reason. The second experiment (n = 214) and the third experiment (n = 190) both show that different sorts of reasons have different sorts of effects on how people imagine alternatives to actions. People imagine an alternative to an action (the protagonist went to a ball) less often when they know the reason for the action was an obligation (he had to participate in fundraising) compared to when they know about a weaker reason (he wanted to meet a famous violinist) or no reason. The second experiment shows the effect for a social obligation and the third experiment replicates and extends it to a health obligation. We interpret the results in terms of the possibilities that people keep in mind about actions and their reasons.     

Participant recruitment methods and statistical reasoning performance

Optimal Bayesian reasoning performance has reportedly been elusive, and a variety of explanations have been suggested for this situation. In a series of experiments, it is demonstrated that these difficulties with replication can be accounted for by differences in participant-sampling methodologies. Specifically, the best performances are obtained with students from top-tier, national universities who were paid for their participation. Performance drops significantly as these conditions are altered regarding inducements (e.g., using unpaid participants) or participant source (e.g., using participants from a second-tier, regional university). Honours-programme undergraduates do better than regular undergraduates within the same university, paid participation creates superior performance, and top-tier university students do better than students from lower ranked universities. Pictorial representations (supplementing problem text) usually have a slight facilitative effect across these participant manipulations. These results indicate that studies should take account of these methodological details and focus more on relative levels of performance rather than absolute performance.     

On-line Homework/Quiz/Exam applet: Freely available Java software for evaluating performance on line

The Homework/Quiz/Exam applet is a freely available Java program that can be used to evaluate student performance on line for any content authored by a teacher. It has database connectivity so that student scores are automatically recorded. It allows several different types of questions. Each question can be linked to images and detailed story problems. Three levels of feedback are provided to student responses. It allows teachers to randomize the sequence of questions and to randomize which of several options is the correct answer in multiple-choice questions. The creation and editing of questions involves menu selections, buttonpresses, and the typing of content; no programming knowledge is required. The code is open source in order to encourage modifications that will meet individual pedagogical needs.     

The prevention of depressive symptoms in rural Australian women

Two interventions aimed at preventing depressive symptoms in women living in Western Australian rural communities were evaluated against a no‐intervention control condition. The standard intervention was based upon traditional cognitive‐behaviour treatments for depression; the experimental intervention was based upon prevention strategies derived from the learned helplessness model of depression (e.g. Peterson, Maier, & Seligman, 1993 ). Seventy‐six women were randomly assigned to either the standard or the experimental group, and a further 20 women formed a no‐intervention control group. The standard group showed a reduction in depressive symptoms at post‐test, but no effects at 6‐week or 6‐month follow‐ups. In contrast, a reduction in depressive symptoms did not appear for the experimental group until the 6‐week follow‐up at which time a less depressive attributional style was also evident; these effects were even more pronounced at the 6‐month follow‐up. The no‐intervention control group showed no changes across time. It is argued that these results support the applicability of prevention strategies based on the learned helplessness model to this population. Copyright © 2003 John Wiley & Sons, Ltd.     

Diagnostic Utility: Experimental Demonstrations and Replications of Powerful Question Effects in High‐Stakes Deception Detection

The concept of diagnostic utility was used to create questions that would differentially affect deception detection accuracy. Six deception detection studies show that subtle differences in questioning produced accuracy rates that were predictably, substantially, and reliably above and below chance. The first 3 detection studies demonstrate that diagnostically useful questioning can reliably achieve accuracy rates over 70% with student and experienced judges. The fourth and fifth experiments demonstrated negative diagnostic utility among federal investigators but not students. The final experiment crossed 3 sets of interview questions with experience. Strong question effects produced a swing in accuracy from 32 to 73%. A questioning by experience interaction was also obtained.     

Backward conditioning in the rabbit (Oryctolagus cuniculus).

Backward conditioning of the nictitating membrane response of rabbits was studied. The prior exposure to unconditional stimulus-conditional stimulus (US-CS) pairings retarded subsequent forward conditioning. Control procedures eliminated latent inhibition and forward safety-signal effects as accounting for the data. The relevance of this report to other recent studies of backward conditioning is discussed.