Psychosocial Predictors of Young Adolescent Cigarette Smoking: A Sixteen-Month,Three-Wave Longitudinal Study1

Understanding the psychosocial factors that predict cigarette smoking onset in young people is of crucial importance for prevention efforts. The present study examined prospective psychosocial predictors of smoking in a three-wave longitudinal data set. Similar in design to an earlier study by Chassin, Presson, Sherman, Corty, and Olshavsky (1984), the present study replicated their work, and extended it by (a) using composite predictors derived from exploratory factor analysis, (b) including prior behavior as a predictor, (c) using a design extended over three waves of data collection, and (d) using a sample composed primarily of urban teenagers. Subjects were 3295 7th-grade students at the beginning of the study. The subjects completed a questionnaire containing items tapping cigarette smoking behavior and psychosocial items that have previously been shown to predict smoking behavior. Forty-one psychosocial items on the Wave 1 (initial) questionnaire were factor analyzed, and five factors were retained. Subscale scores were constructed based on these factors and were used as predictors. Regression analyses were performed using the subscales and pretest smoking frequency to predict a continuous measure of smoking, and discriminant analyses were performed to predict transitions between qualitative levels of smoking. Prior smoking behavior was the most important predictor of future smoking. Four of the subscales, Social Disapproval, Risk Taking/Rebelliousness, Perceived Smoking Prevalence, and Motivation to Comply, were significant predictors. One subscale, Physical Consequences from Smoking, was not predictive of smoking in any of the analyses. The effect sizes cross-validated well. It is suggested that an integrative model of smoking initiation developed by Flay, d'Avernas, Best, Kersell, and Ryan (1983) best summarizes the results of the present study.     

Training Methods for Delivering Difficult News in Genetic Counseling and Genetics Residency Training Programs

Genetic counselors and clinical geneticists are often in the position of delivering difficult news (DDN) to patients and families. Many studies show that healthcare providers require major improvement in the skills needed in DDN in a manner that is satisfactory to their patients. The purpose of this study was to assess the amount and methodology of DDN training received by genetic counselors and medical genetics residents in their training programs, such as observations of DDN or attending didactic lectures. To our knowledge, there is no previous assessment or study of DDN training in genetic counselor and medical genetics residency programs; therefore, we aim to both assess and compare the training in DDN received by genetic counselors and by genetics residents and determine whether there is a desire for recommendations on DDN training. We invited genetic counseling (GC) and genetics residency program directors to participate in an online survey designed to assess coursework, clinical experiences, and directors’ attitudes toward teaching DDN. Response rate was 85% (28/33) for GC program directors and 26% (14/53) for genetics residency program directors. One hundred percent of GC and genetics residency directors who responded to the survey agreed that it is important for genetic counselors and medical geneticists to be able to deliver difficult news effectively and that training programs should formally teach students how to deliver difficult news. Six of the eight common teaching methods are used by at least 75% of GC programs while two of eight are used by at least 75% of genetics residency programs. Seventy-nine percent of GC and 93% of genetics residency program directors agree that there should be recommendations on how to teach students to deliver this news. Our results show that techniques for DDN are integrated more fully into GC program curricula than genetics residency curricula. Directors of both types of programs desire recommendations and more standardized education for training students to deliver difficult news.     

Spreading suppression and the guidance of search by movement: Evidence from negative color carry-over effects

A growing number of studies have shown that significant impairments to search and selection can occur if the target item carries a feature of the irrelevant distractors currently being ignored Braithwaite, Humphreys, and Hodsoll (Journal of Experimental Psychology: Human Perception and Performance, 29, 758–778, 2003). However, these effects have been documented only when search has been extended over time (i.e., in preview search), and not in standard search displays with simultaneously presented items. Here, we present the first evidence that similar costs to selection can occur in simultaneous displays under appropriate circumstances. In the present experiment, participants searched a display for a moving target letter among static and moving distractors. Search efficiency was significantly enhanced for a moving target when half of the letters moved (and half remained static), allowing the static items to be excluded from search. However, if the moving target then shared its color with the irrelevant static items, significant costs emerged, relative to baselines. These results are consistent with the involvement of a general feature-based suppression mechanism in selection, operating over space as well as time.     

Cognitive Load and the Equality Heuristic: A Two-Stage Model of Resource Overconsumption in Small Groups

Two studies were conducted to test a two-stage model of the psychological mechanisms underlying the overconsumption of scarce resources in small groups. The model proposes that members of groups sharing resources first anchor their consumption choices on an “equal-division” heuristic and then, given sufficient cognitive capacity, adjust their choices in a self-serving direction. The results from both studies support the model. The first study found that when faced with a common resource pool almost all group members expressed thoughts regarding equality; however, individuals with sufficient cognitive capacity requested more from the pool and expressed more task-relevant thoughts than individuals lacking the necessary cognitive resources. The second study provided additional support for the two-stage model by demonstrating that group members' cognitions occur in the order predicted by the model and by demonstrating that an individual difference, social value orientation, affects thought processes only when individuals are not experiencing high cognitive loads. Implications are discussed.     

When I Became a Refugee,This Became My Refuge: A Proposal for Implementing a Two-Generation Intervention Using Yoga and Narrative to Promote Mental Health in Syrian Refugee Caregivers and School Readiness in Their Preschool Children

ABSTRACT

This article represents our attempt to establish a blueprint for a comprehensive refugee intervention program to be disseminated across the globe. Specifically, we describe a proposal to conduct a two-generation intervention program that addresses the socioemotional needs of both Syrian caregivers and their preschool children who have fled the atrocities of their home country and have settled in Turkey. The goal is to improve the school readiness skills of preschool children ravaged by war, dislocation, and poverty. First, we describe a caregiver intervention, which consists of trauma-sensitive yoga; second, we describe a child intervention, which consists of a storytelling and story-acting activity. Finally, we discuss how to assess the effectiveness of this two-generation intervention program. Our hope is that this novel intervention program will be implemented in other regions experiencing an influx of refugee families who need immediate psychological services.     

The affect heuristic and the attractiveness of simple gambles

Prior studies have observed that the attractiveness of playing a simple gamble (7/36 to win $9; otherwise win nothing) is greatly enhanced by introducing a small loss (7/36 win $9; otherwise lose 5¢). The present studies tested and confirmed an explanation of this finding based on the concept of evaluability and the affect heuristic. Evaluators of the “no‐loss” gamble lack a precise feeling for how good $9 is, hence give it little weight in their judgment. In the second gamble, comparison with the small loss makes $9 “come alive with feeling” and become weighted in the judgment, thus increasing the attractiveness of the gamble. These results demonstrate the importance of contextual factors in determining affect and preference for simple risk‐taking opportunities. They show that the meaning, utility, and weighting of even a very familiar monetary outcome such as $9 is not fixed, but depends greatly on these contextual factors. Copyright © 2007 John Wiley & Sons, Ltd.     

Parental Needs among Children with Birth Defects: Defining a Parent-to-Parent Support Network

The objective of this study was to explore how a parent-to-parent support network could impact parents of a child with a structural birth defect by specifically looking at parents’ continued needs, aspects influencing their participation in support networks, and their recommendations. Structural birth defects occur in approximately 3?% of all infants, representing a significant public health issue. For many reasons, parents are uniquely qualified to provide support to each other. Data were collected retrospectively through a qualitative approach of focus groups or one-on-one interviews. Thirty one parents of infants registered in the Utah Birth Defect Network participated in the study. Three themes emerged, “current sources and inconsistencies in parent-to-parent-support,” “aspects that influence participation in parent-to-parent network,” and “recommendations for a parent-to-parent program.” Health care providers need to be aware of the services and inform parents about these options. A statewide parent-to-parent network integrated into all hospitals would be a valuable resource to facilitate sharing of issues related to caring for an infant or child with a birth defect.     

Working in the Metaphor Commentary on Paper by Stephen Seligman

This paper expands on Seligman's ideas about mentalization and the challenges of working with patients who cannot mentalize. Seligman's clinical presentation demonstrates that much valuable analytic work takes place without explicit reference to the transference. Drawing on Britton's notion of the triangular internal space that allows for reflective thought, we propose that analytic interest in an external object, discovered through the relationship and meaningful to both patient and analyst, helps create the same kind of space. The difference-within-sameness of shared contemplation can increase receptivity to divergent perspectives. Likewise, the “third object” can become a therapeutic metaphor, open to various meanings without being limited to any one interpretation. We trace how Seligman and his patient use a series of third objects in their work together. In this process, the patient moves from a transitional relationship of minimal differentiation to an increasingly secure sense of her own separateness, beginning to accept, and even enjoy, having a motivated mind of her own. Finally, we discuss how Ferro's concept of the analytic field offers a theoretical rationale for the effectiveness of this process.