Games in Clinical Genetic Counseling Supervision

Games are defined as ongoing series of complementary ulterior transactions that are superficially plausible but have a concealed motivation to maximize pay-offs and minimize penalties for the initiator. While some games are harmless and part of socialization, others are destructive. Destructive game-playing in clinical supervision, in which game-playing (initiated by either supervisors or students) interferes with a student's realization of internship goals, has been documented in some allied healthcare professions but has not yet been studied in genetic counseling. Genetic counselors and clinical supervisors of genetic counseling students were anonymously surveyed regarding their experiences with destructive game-playing. Results show that such games do occur in genetic counseling clinical supervision. Some games are the same or similar to ones previously described in other health-care professions; others may be unique to genetic counseling. The purpose of this paper is to document these games as a first step to facilitating dialogue, understanding and awareness of them.     

Specific phobia: a disorder of fear conditioning and extinction

Specific phobia is the most prevalent of the anxiety disorders. Although there have been relatively few studies of its psychobiology and pharmacotherapy, there is a rich laboratory of literature on fear conditioning and extinction and a clear evolutionary perspective. Advances in the cognitive-affective neuroscience of fear processing may ultimately lead to new approaches to the clinical management of phobias.     

Two studies examining the negative effect of self-efficacy on performance

Although hundreds of studies have found a positive relationship between self-efficacy and performance, several studies have found a negative relationship when the analysis is done across time (repeated measures) rather than across individuals. W. T. Powers (1991) predicted this negative relationship based on perceptual control theory. Here, 2 studies are presented to (a) confirm the causal role of self-efficacy and (b) substantiate the explanation. In Study 1, self-efficacy was manipulated for 43 of 87 undergraduates on an analytic game. The manipulation was negatively related to performance on the next trial. In Study 2, 104 undergraduates played the analytic game and reported self-efficacy between each game and confidence in the degree to which they had assessed previous feedback. As expected, self-efficacy led to overconfidence and hence increased the likelihood of committing logic errors during the game.     

Adaptationism--how to carry out an exaptationist program

Adaptationism is a research strategy that seeks to identify adaptations and the specific selective forces that drove their evolution in past environments. Since the mid-1970s, paleontologist Stephen J. Gould and geneticist Richard Lewontin have been critical of adaptationism, especially as applied toward understanding human behavior and cognition. Perhaps the most prominent criticism they made was that adaptationist explanations were analogous to Rudyard Kipling's Just So Stories (outlandish explanations for questions such as how the elephant got its trunk). Since storytelling (through the generation of hypotheses and the making of inferences) is an inherent part of science, the criticism refers to the acceptance of stories without sufficient empirical evidence. In particular, Gould, Lewontin, and their colleagues argue that adaptationists often use inappropriate evidentiary standards for identifying adaptations and their functions, and that they often fail to consider alternative hypotheses to adaptation. Playing prominently in both of these criticisms are the concepts of constraint, spandrel, and exaptation. In this article we discuss the standards of evidence that could be used to identify adaptations and when and how they may be appropriately used. Moreover, building an empirical case that certain features of a trait are best explained by exaptation, spandrel, or constraint requires demonstrating that the trait's features cannot be better accounted for by adaptationist hypotheses. Thus, we argue that the testing of alternatives requires the consideration, testing, and systematic rejection of adaptationist hypotheses. Where possible, we illustrate our points with examples taken from human behavior and cognition.     

The crucial roles of stimulus matching and stimulus identity in negative priming

Negative priming refers to the situation in which an ignored item on an initial prime trial suffers slowed responding when it becomes the target item on a subsequent probe trial. In this experiment (and a replication), we demonstrate two ways in which stimulus consistency (matching) governs negative priming. First, negative priming for identical words occurred only when the prime distractor changed color when it became the probe target (i.e., constant cue to read the red word); negative priming disappeared when the prime distractor retained its color as the probe target (i.e., cue switches from read the red prime word to read the white probe word). Second, negative priming occurred for identical words, but not for semantically related words, whether related categorically or associatively. This pattern of results is consistent with a memory retrieval account, but not with an inhibition account of negative priming, and casts doubt on whether there is semantic negative priming for words.     

What does "being American" mean? A comparison of Asian American and European American young adults

Two studies found that the meaning of "being American" differs for Asian Americans and European Americans. In Study 1, Hmong and European American undergraduates described what "being American" meant to them. In Study 2, Chinese American and European American undergraduates described what "American culture" meant to them. Responses were coded for references to cultural exposure, customs/traditional behavior, ethnic diversity, political ideology, and patriotism. Across both studies, Asian Americans referred to American customs and traditional behavior more than European Americans. European Americans referred to patriotism more than Hmong (in Study 1) and to ethnic diversity more than Chinese Americans (in Study 2). The authors suggest that these differences reflect the distinct statuses, concerns, and experiences of Asian Americans and European Americans.     

Effect of socioeconomic status on aphasia severity and recovery

Low levels of educational attainment and low socioeconomic status have been significantly linked to poor health and increased incidence of disease, including Alzheimer's disease and diseases of the cardiovascular, pulmonary, renal, and gastrointestinal systems. Our goal in the present study was to determine the degree to which educational level and socioeconomic status influence initial severity of aphasia and subsequent recovery. We evaluated the records of 39 persons with aphasia twice: at about 4 months and 103 months postonset. We found early severity of aphasia to be significantly greater for subjects in the lower educational and occupational groups. However, rate of recovery (the slope of the recovery curve) was the same regardless of educational or occupational status.     

韦克斯勒儿童智力量表中国修订版(WISC-CR)上海市区常模(WISC-CRs)制订报告

本研究是在WISC-CR的基础上制订的上海地区(市区)常模,代表我国经济文化较高的大城市水平。常模样组为6至16岁学龄儿童共660人。常模形式是:(1)各年龄组的《与原始分等值的量表分》;(2)《与量表总分等值的IQ分》(本文略)。 本常模经信度、效度检验,表明WISC-CR是适合测量中国学龄儿童的智力量表。 论文还分析了本样组与美国WISC-R样组在分测验上的差异。     

童年中晚期孤独感的发展轨迹：一项潜变量增长模型分析

使用问卷法和同伴提名法对884名小学二年级学生进行历时三年的四次追踪测试, 采用潜变量增长模型建模, 检验小学2~5年级学生孤独感的变化趋势, 并考察不同性别儿童孤独感变化的差异性以及同伴接纳对孤独感变化的影响。结果发现：(1) 2~5年级小学生孤独感呈曲线递减趋势, 递减速度逐渐减缓, 起始水平及发展速度均存在显著的个体差异; (2)女孩起始的孤独感水平显著低于男孩, 而发展速度、加速度则不存在显著的性别差异; (3)较高的同伴接纳对当时儿童孤独感的降低具有显著的促进作用。研究采用孤独感发展的情境观, 并结合儿童认知、自我发展的特点对结果进行了分析。