The utilization of genetic counselors within a newborn screening program

Genetic counselors have participated in the Michigan Newborn Screening Program on a contractual basis since 1988. Their role includes newborn screening education and training, newborn nursery site visits, and monitoring newborn screening in hospitals. Their impact has been to improve the quality of newborn screening services by reducing errors and increasing completion of data fields on newborn screening cards, improving hospital nursery cooperation and problem solving, and enhancing health department response to specific problems.     

Assessing the acceptability of staff management procedures to direct care and supervisory staff

Direct care and supervisory staff in five residential training programs for persons with mental retardation in North Dakota rated the acceptability of six staff management procedures. Overall, staff rated “Instructions”, “Instructions and Modeling”, “Feedback and Praise”, and “Instructions, Feedback, and Praise”, as significantly more acceptable than “Self-Management” and “Self-Management, Feedback and Praise”. There was a significant group by treatment interaction in which supervisors and direct care staff had significantly different acceptability rating for four of the six procedures. The results were further analyzed by group and implications and future research are discuessed.     

Setting and response generalization in rational-emotive therapy: A case study

A single case study (n=1) conducted during therapy investigated the relationship between disputing irrational beliefs in vivo and setting and response generalization. Irrational beliefs associated with the subject's anger and depression were disputed at different intervals over a ten week period utilizing a multiple baseline design across four classes in a school setting (setting 1). Depression and anger were rated several times each week. The subject's level of anxiety was also rated in setting 1 but the irrational beliefs associated with it were not disputed. Anger, depression, and anxiety were rated without disputation in a separate work setting (setting 2). Affect ratings significantly decreased across both settings throughout the ten week period. Results indicated that 1) disputing irrational beliefs associated with anger and depression in setting 1 led to reductions in anxiety in this setting (response generalization), 2) anger and depression reductions in setting 2 paralleled setting 1 reductions (setting generalization), and 3) anxiety reductionsWilliam J. Ruth, PhD, Staff Psychologist and practicum supervisor, Institute for Rational-Emotive Therapy, NY City; School Psychologist, Board of Cooperative Educational Services, Southern Westchester.Raymond DiGiuseppe, PhD, ABPP, Director of Training and Research, Institute for Rational-Emotive Therapy, NY City; Graduate Professor, St. John's University, NY City; co-author,Practitioner's Guide to Rational-Emotive Therapy and RET with Alcoholics and Substance Abusers.     

The effects of staff self-management on positive social interactions in a group home setting

The purpose of this study was to evaluate the effectiveness of a participative management (self-management) procedure directed toward increasing the frequency of positive interactions between direct-care staff and group home residents. A component of the self-management procedure, goal setting, was also evaluated. This study took place in two group homes housing a total of 16 male and female adults with moderate to mild mental retardation. Ten direct-care staff served as subjects. It was found that self-management produced an increase in the frequency of positive interactions of staff and residents, but did not produce changes in other behaviors being measured (e.g., negative interactions, self-stimulation, etc.). Goal setting did not result in changes in positive interactions or other target behaviors. Reasons for the different results of self-management versus goal-setting are discussed and further research is suggested.     

Covert visual orienting: Hemifield-activation can be mimicked by zoom lens and midlocation placement strategies

How is attention distributed over visual space when an observer expects a target to occur at one of several possible locations? Two experiments sought to understand the source of the conflict between studies leading to the notions of hemifield activation (Hughes and Zimba 1985) and attentional gradients (Downing and Pinker 1985; Shulman et al. 1985, 1986). Subjects were cued to attend one of the 4 corners of an imaginary square centered at fixation, allowing comparison of uncued locations in the cued and uncued hemifields. In one experiment marking of the 4 locations was varied to determine if providing a ‘target’ for attention is necessary to obtain within-hemifield gradients. RT was faster at the cued location than at the three uncued locations which had equivalent latencies, a pattern that was unaffected by marking of the potential target locations. This result, which is consistent with the notion of a gradient around the attended location is a strong disconfirmation of the hemifield activation hypothesis. The second experiment demonstrated that an unusual procedure for presenting the probe stimuli in Hughes and Zimba (1985) is at least partially responsible for their evidence for uniform hemifield activation. It is proposed that visual attention is directed to visuo-spatial channels with fixed structural properties, and that when attention to two locations is desired, the subject may attend a spatial channel located between them.     

Predicting Contraceptive Efficacy: A Discriminant Analysis of Three Groups of Adolescent Women1

The relationship of knowledge and attitudes to adolescent contraceptive efficacy was investigated in a multivariate study, with demographic and sexual history variables covaried. Subjects were unmarried, sexually active 15- to 19-year-old women. Two studies were conducted: one using a large and representative sample and the second using a smaller, high socioeconomic status sample that is more typical of samples generally used in earlier research. Subjects were classified as effective, ineffective, or nonusers of contraception, based on both frequency of use and effectiveness of the method(s) they used. Two discriminant function analyses were performed to determine (a) whether knowledge and attitudes contributed to discrimination among the groups over and above discrimination attributable to demographic and sexual history variables, and (b) which variables distinguished ineffective users from both other groups. The results of both studies indicate that attitudes, particularly attitudes toward contraception, are strong predictors of patterns of contraceptive use. Ineffective users were distinguished from nonusers by their greater knowledge of contraception, and from both other groups by their greater sexual activity and more positive attitudes toward intercourse. The discussion focuses on the theoretical implications of the results, the usefulness of the effective/ineffective/nonuser categorization, and applications of these findings to design of interventions.     

Implications of memory and language dysfunction in the naming deficit of senile dementia

Young normals, elderly normals, and patients with either mild-to-moderate or severe senile dementia of the Alzheimer type (SDAT) were administered several tests of language function and remote memory. On all of the language tests examined, elderly normals exhibited a mild, nonsignificant performance decrement relative to the young normals. Advanced SDAT patients were markedly impaired on all of the tests. Early dementia patients were most impaired, relative to aged normals, on tests of object naming, category instance fluency, and remote memory. The deficit was smaller on the WAIS vocabulary subtest, on selecting the name of a visually presented object, and on recalling the function of an object. Early SDAT patients were least impaired in selecting the picture of an object after its name had been provided and in selecting objects that belong to a specified functional category. The results are consistent with the notion that the language dysfunction in early SDAT is due to a deficit in semantic memory function in which general, categorical information remains available whereas information about specific attributes becomes less accessible. The object naming test might be useful in the assessment of treatment effects upon SDAT because of its sensitivity and specificity to dementia, its high face validity, and its independence of recent memory.     

Alcohol and drug use in stressful times: The influence of the masculine role and sex-related personality attributes

In times of stress, men and women sometimes turn to the use of alcohol and drugs as an avenue for relieving their discomfort and distress. One explanation of this finding implicates traditional male tendencies as predisposing factors. The purpose of the present investigation was to study how the relationship between stress and substance use is moderated (1) by the masculine role, as measured by the Masculine Role Inventory; and (2) by socially desirable and undesirable masculine-instrumental and feminine-expressive personality attributes, as measured by the Extended Personal Attributes Questionnaire. The results indicated that during stressful episodes men characterized by socially undesirable instrumental personality attributes reported using tranquilizers and sedatives. By contrast, it was found that during stressful times, women characterized by success preoccupation reported less use of mind-altering drugs and more use of tranquilizers-sedatives. In addition, it was found that socially desirable expressive attributes served to buffer the impact of stressful experiences on women's use of alcohol.A preliminary report of these data were presented at the 1985 annual meeting of the Southwestern Psychological Association, Austin, Texas. Gratitude is extended to Toni Falbo for her assistance with this research.     

Completion norms for 40 three-letter word stems

This is a report of the completion responses for 40 three-letter word stems (e.g., ABO) produced by 100 undergraduate students at the University of California at San Diego. The report includes a list of the different words that were written as stem completions, their frequency of occurrence as completions, and their frequency of occurrence in English according to published norms. This list of materials is useful for the construction of completion tests for future investigations of direct priming phenomena, and it may provide an important covariate in the analysis of performance on completion tests. Preliminary analyses of the results reveal three primary factors that determine overall performance on a stem-completion test: word frequency, word length, and meanings per word. Analyses of the completions produced for each individual word stem, however, reveal that usually only one of these factors makes a significant contribution to performance.