Gay, Lesbian, and Bisexual Patients’ Recommendations for Genetic Counselors: A Qualitative Investigation

Gay, lesbian, and bisexual (GLB) individuals comprise a growing patient population in genetic counseling. However, only one article from a genetic counseling journal provides empirical data on GLB patients' genetic counseling experiences and genetic counselor attitudes and practices regarding GLB patients. The present study, an extension of the aforementioned article, gathered further information about patients' genetic counseling experiences through semi-structured telephone interviews. Twelve of the previous study's 29 patient respondents (n?=?10 lesbian women, n?=?1 gay man, n?=?1 bisexual woman) participated. Interview questions concerned the use of medically inclusive forms, factors influencing patient disclosure, counselors' ability to relate to them, and their expectations of genetic counselors. Inductive analysis of the interviews yielded seven themes: 1) Medically inclusive forms with gender neutral terms are important; 2) Genetic counselor ability to relate to a GLB person depends more on the relationship established during the session and less on external symbols; 3) The presence of GLB-friendly symbols increases comfort when disclosing one's orientation; 4) Inclusion of the patient's partner is important and best done by encouraging their active participation in sessions; 5) When GLB patients disclose their orientation, they expect to be treated like any other patient; 6) Providers should ask about orientation if medically pertinent and the remaining discussion should take orientation into consideration; and 7) When a provider inquires about orientation it should be done in a safe and appropriate way. Illustrative quotations, genetic counseling practice implications, and research recommendations are presented.     

What is the Good Life? Positive Psychology and the Renaissance of Humanistic Psychology

Positive and humanistic psychology overlap in thematic content and theoretical presuppositions, yet positive psychology explicitly distances itself as a new movement, despite the fact that its literature implicitly references its extensive historical grounding within humanistic psychology. Consequently, humanistic psychologists both celebrate diffusion of humanistic ideas furthered by positive psychology, and resent its disavowal of the humanistic tradition. The undeniably close alignment of these two schools of thought is demonstrated in the embracing of eudaimonic, in contrast to hedonic, conceptions of happiness by positive psychology. Eudaimonic happiness cannot be purely value-free, nor can it be completely studied without using both nomethetic and idiographic (i.e., quantitative and qualitative) methods in addressing problems of value, which identifies positive psychology clearly as a humanistic approach, despite its protestations.     

Family of Origin Coaching for Clinicians in a Child and Adolescent Mental Health Service

The role of the therapist as a person rather than only as a technician has become increasingly important in family therapy since the post-modern turn. Despite this there is a paucity of research exploring supervision models that focus on self-reflection, as opposed to clinical competence. This study documents the experience of a Family of Origin Coaching group, conducted with six clinicians and one supervisor working in a child and adolescent mental health service. A participatory action framework was used, with data analysed using grounded theory. A variety of benefits were reported, including personal development, an enhanced empathy towards clients and an ability to better cope with stressful team dynamics. Family of Origin coaching has the potential to yield benefits for clinicians as a compliment to traditional supervision. Issues of confidentiality and safety need to be addressed carefully, especially during times of organisational change or stress.     

The Relationship Between Deployment and Turnover in Australian Navy Personnel

Increases in the frequency of operations tempo have focused attention on the relationship between deployment and separation from military service. This retrospective study explored the association between deployment and turnover over a 10-year period in Royal Australian Navy (RAN) personnel. Participants were 2355 males who served in the RAN during the period of the 1991 Gulf War (August 1990–September 1991); approximately half had been deployed to that conflict. Data were collected 10 years later as part of the Australian Gulf War Veterans' Health Study. During that 10-year period, 61% of participants left the RAN. The likelihood of separation decreased as number of deployments increased even when controlling for age, rank, and length of service. Personnel deployed to the 1991 Gulf conflict did not have a significantly higher risk of separation. The results provide evidence that deployment is not necessarily a risk factor for separation.     

Secondary psychopathy,but not primary psychopathy,is associated with risky decision-making in noninstitutionalized young adults

Although risky decision-making has been posited to contribute to the maladaptive behavior of individuals with psychopathic tendencies, the performance of psychopathic groups on a common task of risky decision-making, the Iowa Gambling Task (IGT; Bechara, Damasio, Damasio, & Anderson, 1994), has been equivocal. Different aspects of psychopathy (personality traits, antisocial deviance) and/or moderating variables may help to explain these inconsistent findings. In a sample of college students (N = 129, age 18–27), we examined the relationship between primary and secondary psychopathic features and IGT performance. A measure of impulsivity was included to investigate its potential as a moderator. In a joint model including main effects and interactions between primary psychopathy, secondary psychopathy and impulsivity, only secondary psychopathy was significantly related to risky IGT performance, and this effect was not moderated by the other variables. This finding supports the growing literature suggesting that secondary psychopathy is a better predictor of decision-making problems than the primary psychopathic personality traits of lack of empathy and remorselessness.     

Temporal Sequences Quantify the Contributions of Individual Fixations in Complex Perceptual Matching Tasks

Perceptual tasks such as object matching, mammogram interpretation, mental rotation, and satellite imagery change detection often require the assignment of correspondences to fuse information across views. We apply techniques developed for machine translation to the gaze data recorded from a complex perceptual matching task modeled after fingerprint examinations. The gaze data provide temporal sequences that the machine translation algorithm uses to estimate the subjects' assumptions of corresponding regions. Our results show that experts and novices have similar surface behavior, such as the number of fixations made or the duration of fixations. However, the approach applied to data from experts is able to identify more corresponding areas between two prints. The fixations that are associated with clusters that map with high probability to corresponding locations on the other print are likely to have greater utility in a visual matching task. These techniques address a fundamental problem in eye tracking research with perceptual matching tasks: Given that the eyes always point somewhere, which fixations are the most informative and therefore are likely to be relevant for the comparison task?     

Political Inequality and the ‘Super-Rich’: Their Money or (some of) Their Political Rights

The ability of very wealthy individuals (or, as I will call them, the ‘super-rich’) to turn their economic power into political power has been—and remains—an important cause of political inequality. In response, this paper advocates an original solution. Rather than solving the problem through implementing a comprehensive conception of political equality, or through enforcing complex rules about financial disclosure etc., I argue that we should impose a choice on the super-rich. The super-rich must choose between (i) forfeiting the things that make them super-rich, i.e., pay a 100 % tax on their wealth above a certain level, or, (ii) they must forfeit some of their political rights. These rights include entitlements to fund political parties; to stand for office; and to work or volunteer for political parties. The right to vote, though, is not limited. I defend my proposal against non-consequentialist and consequentialist objections. I also argue that it avoids two problems that many attempts to reduce political inequality face; these are the political egalitarian’s dilemma and the problem of political equality’s relative moral importance.     

Screening for cognitive impairment in the elderly: Impact of physical function measures added to cognitive screening instruments

This study examines the relationship between cognitive impairment and impaired physical function to determine if the sensitivity and specificity of the Modified Mini-Mental State Examination (3MS) can be improved by the addition of physical function measures. One hundred and sixty-two subjects from the Nova Scotia sample of the Canadian Study of Health and Aging were studied. Subjects were tested using the 3MS and physical function measures prior to undertaking a detailed clinical examination. Receiver Operating Characteristic (ROC) curves were constructed to determine optimal cutpoints for the 3MS and a new 3MS score which included physical function measures. While the 3MS distinguished demented from unimpaired subjects (.9618), it showed less efficiency for classification of unimpaired subjects and subjects who have cognitive impairment without dementia (.7536). the addition of physical function data increased performance of the 3MS in its ability to discriminate unimpaired from demented subjects (.9854), but not significantly. the relationship between cognitive impairment and functional impairment needs clearer definition in cognitively impaired yet non-demented individuals. the addition of widely used function measures is inadequate in improving the parameters of the 3MS as a screening instrument.     

Quality and purpose,quantity and chance

Because rumination may allow an idea to stay in one's conscious longer and indecision may result in more time on a given task, it was expected that these two cognitive processes may predict creativity. Self-report measures of rumination, indecision, and creativity were electronically distributed to 85 adults (28 men, 57 women; M age = 32.96 years old). Reflective rumination significantly predicted creativity, moderated by high levels of indecision. This study may resolve previous conflicts between findings on rumination and creativity and introduces indecision as beneficial in the creative process. This study also provided important clinical implications in distinguishing between adaptive and maladaptive rumination suggesting a new cognitive link between creativity and depression.