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941.
The American Board of Genetic Counseling (ABGC) sponsored a consensus development conference with participation from directors of graduate programs in genetic counseling, board members, and expert consultants. Using a collective, narrative, and case-based approach, 27 competencies were identified as embedded in the practice of genetic counseling. These competencies were organized into four domains of skills: Communication; Critical Thinking; Interpersonal, Counseling, and Psychosocial Assessment; and Professional Ethics and Values. The adoption of a competency framework for accreditation has a variety of implications for curriculum design and implementation. We report here the process by which a set of practice-based genetic counseling competencies have been derived; and in an accompanying article, the competencies themselves are provided. We also discuss the application of the competencies to graduate program accreditation as well as some of the implications competency-based standards may have for education and the genetic counseling profession. These guidelines may also serve as a basis for the continuing education of practicing genetic counselors and a performance evaluation tool in the workplace.The Consortium includes Directors of established graduate programs in genetic counseling and members of the ABGC Board of Directors who participated in the Consensus Development Conference held in January 1994: Diane Baker (University of Michigan/ABGC); Bonnie Baty (ABGC); Joan Burns (University of Wisconsin); Debra Collins (ABGC); Virginia Corson (ABGC); Beth Fine (Northwestern University/ABGC); Elizabeth Gettig (University of Pittsburgh); Verle Headings (Howard University); Jacqueline Hecht (University of Texas); Carl Huether (University of Cincinnati); Bonnie LeRoy (University of Minnesota); Joan Marks (Sarah Lawrence College); Anne Matthews (University of Colorado); Roberta Palmour (McGill University); Lorna Phelps (Medical College of Virginia); Kimberly Quaid (Indiana University); Joan Scott (ABGC); Ann Smith (ABGC); Helen Travers (ABGC); Judith Tsipis (Brandeis University); Ann Walker (University of California-Irvine/ABGC); Jon Weil (University of California-Berkeley); S. Robert Young (University of South Carolina); Randi Zinberg (Mount Sinai School of Medicine, New York). 相似文献
942.
Erich H. Loewy 《Theoretical medicine and bioethics》1996,17(1):61-74
This paper makes the assumption that organ transplantation is, under some conditions at least, a proper use of communal medical resources. Proceeding from this assumption, the author: (1) sketches the history of the problem; (2) briefly examines the prevalent models of communal structure and offers an alternate version; (3) discusses notions of justice and obligation derived from these different models; (4) applies these to the practice of harvesting organs for transplantation; and then (5) offers a different process for harvesting organs from the newly dead. If community is viewed as united by a set of shred goals and common values among which the value of community itself is important, then certain reciprocal obligations among members obtain. I suggest that routine salvage of organs from the newly dead be instituted but that it be routine salvage “with a twist”: rather early in life all members of the community are given the opportunity to refuse but their refusal carries the reciprocal condition that they cannot later become the recipients of that which they refuse to others. 相似文献
943.
Frank H. Durgin 《Attention, perception & psychophysics》1996,58(2):207-223
An aftereffect of perceived texture density contingent on the color of a surrounding region is reported. In a series of experiments, participants were adapted, with fixation, to stimuli in which the relative density of two achromatic texture regions was perfectly correlated with the color presented in a surrounding region. Following adaptation, the perceived relative density of the two regions was contingent on the color of the surrounding region or of the texture elements themselves. For example, if high density on the left was correlated with a blue surround during adaptation (and high density on the right with a yellow surround), then in order for the left and right textures to appear equal in the assessment phase, denser texture was required on the left in the presence of a blue surround (and denser texture on the right in the context of a yellow surround). Contingent aftereffects were found (1) with black-and-white scatter-dot textures, (2) with luminance-balanced textures, and (3) when the texture elements, rather than the surrounds, were colored during assessment. Effect size was decreased when the elements themselves were colored, but also when spatial subportions of the surround were used for the presentation of color. The effect may be mediated by retinal color spreading (Pöppel, 1986) and appears consistent with a local associative account of contingent aftereffects, such as Barlow’s (1990) model of modifiable inhibition. 相似文献
944.
Fetal brain tissue from the occipital or the frontal cortex was implanted into the damaged occipital cortex of adult rats. The animals receiving grafts of embryonic frontal cortex showed partial restoration of brightness discrimination while recipients given homologous implants of occipital cortex were as impaired as those animals with lesions alone. Neither frontal nor occipital grafts aided in the performance of a pattern discrimination problem; both groups of brain-damaged animals were unable to learn the task. Nonetheless, both groups of animals had viable and enlarged grafts with similar neuronal and glial profiles. 相似文献
945.
Cocaine use in the United States has currently reached epidemic proportions. This has resulted in syndromes of intoxication, overdose, and withdrawal, meeting all DMS-III criteria for a substance that can cause dependence as well as abuse syndromes. This paper reviews the current epidemiology of cocaine, its history and pharmacology with major focus on clinical syndromes. This is followed by a review of the current knowledge of the relationship between cocaine and violence and the forensic-psychiatric issues surrounding cocaine. 相似文献
946.
Brian H. Spitzberg William R. Cupach 《Journal of psychopathology and behavioral assessment》1985,7(3):207-220
The present study attempted to identify behavioral skills associated with global perceptions of communication competence and to determine if the relationship between competence and skills varies as a function of perceptual locus. Fifteen dyadic conversations were videotaped. Each interactant rated self and partner and was rated by four observers who viewed each tape. Results indicated that subjects' perceptions of their partners' skills accounted for 87% of the variance in subjects' ratings of partners' competence and 80% of the variance in subjects'self-perceived confirmation. Observers' ratings of subjects' skills predicted 83% of the variance in observers' ratings of subjects' competence. Observers'ratings of subjects'skills were unrelated to subjects' self-rated competence. 相似文献
947.
Gerald H. Zuk 《Contemporary Family Therapy》1985,7(1):3-10
The truncated nuclear family is defined: it is the garden-variety family pathology found. The critical role of polarized continuity and discontinuity values in producing the truncated nuclear family is discussed. There is a brief review of factors in American society which, over the decades since the Second World War, have evolved the nuclear family as a dominant family unit, and of how those and other factors in society have produced the large numbers of truncated nuclear families seen in clinics, particularly in the past decade. Family therapy is the treatment of choice for the truncated nuclear family, provided there is a readiness of the family to undertake the stress of therapy.Dr. Zuk is family therapy consultant to agencies in New Orleans and elsewhere, and clinical professor (psychology) in the Department of Psychiatry and Neurology at Tulane University Medical School.This paper is a chapter in the forthcoming 2nd edition ofProcess and Practice in Family Therapy, to be published by Human Sciences Press of New York City in 1985. 相似文献
948.
Thirty-two mother-father-infant triads participated in a study to examine whether parents' responsiveness to their own infant's distress was affected by the infant's birth order and gender. After separating from their 10- to 11-month-old baby, one parent from each family (16 mothers and 16 fathers) was selected to hear cries that were attributed to the child. Consistent with previous findings regarding physiological reactions to crying and observations of caretaking behavior, first-time parents gave quicker and more frequent attention to their infants than did multiporous parents. Speedy intervention was related to the amount of caretaking responsibilities that parents reported they assumed and to the age at which parents believed that their infant first recognized them. The results demonstrate the importance of caretaking for promoting parental sensitivity to infant signals. 相似文献
949.
A. H. Thompson 《Personality and individual differences》1985,6(6):775-778
Considering the findings that schizophrenics have been found to show relatively slow reaction times (RTs), and often do not benefit from ordinarily helpful information (e.g. a warning signal), the present study investigated the relationship between these variables and psychoticism (P). One hundred and three male Ss were administered a questionnaire which provides a measure of P. In addition, all Ss were tested on an RT task under unsignalled (i.e. no warning signal) and signalled conditions. The results showed that the expected improvement in reaction speed with a warning signal was of a lesser magnitude for those high on P. Furthermore, the difference was due to the faster RTs for high P scorers in the unsignalled condition. The data suggest that high P scorers are like schizophrenics in that they show less benefit from a warning signal, but are dissimilar in terms of reaction speed in an unsignalled task. 相似文献
950.