Ethical and Professional Challenges Posed by Patients with Genetic Concerns: A Report of Focus Group Discussions with Genetic Counselors, Physicians, and Nurses

Ninety-seven physicians, nurses, and genetic counselors from four regions within the United States participated in focus groups to identify the types of ethical and professional challenges that arise when their patients have genetic concerns. Responses were taped and transcribed and then analyzed using the Hill et al. (1997, Counsel Psychol 25:517–522) Consensual Qualitative Research method of analysis. Sixteen major ethical and professional domains and 63 subcategories were identified. Major domains are informed consent; withholding information; facing uncertainty; resource allocation; value conflicts; directiveness/nondirectiveness; determining the primary patient; professional identity issues; emotional responses; diversity issues; confidentiality; attaining/maintaining proficiency; professional misconduct; discrimination; colleague error; and documentation. Implications for practitioners who deal with genetic issues and recommendations for additional research are given.     

The effects of stimulus density on children’s analysis of hierarchical patterns

In three experiments, 4‐, 5‐, 6‐ and 8‐year‐olds and adults were asked to draw hierarchical letter and geometric forms from memory. Across the experiments, the number of elements comprising the hierarchical models was systematically varied. For each drawing of a hierarchical form, the quality of the participant’s reproduction of global and local level information was evaluated separately. Results showed that young children demonstrated significant analytic competence. However, the data also suggested that changes in stimulus density were more disruptive, in specific ways, to 4‐ and 5‐year‐old children’s processing than to that of the older children and adults.     

Intrasensory attention: kinaesthetic versus cutaneous inputs

Blindfolded participants felt pairs of raised-line drawings simultaneously, one with each index finger. The stimuli presented at each fingertip were 180 degrees rotations of each other (eg 6 and 9). One finger moved (either actively or passively), and this in turn caused movement of a matched raised line underneath the stationary finger on the other hand, in a yoked manner. Thus, a 6 at the moving finger would be felt as a 9 on the stationary finger. On all trials there was a raised line moving underneath the stationary fully passive finger. For the moving finger, a raised line was present on only half of the trials. When a raised line could be felt at the moving fingertip, the shape followed by this finger was more often reported than was the shape present at the other (stationary) fingertip. However, when no line was present under the moving finger (ie when movement became the major cue for shape), subjects reported experiencing the shape moved under the stationary fingertip. Results are interpreted as an indication that cutaneous information can be more 'attention-getting' than kinaesthetic information, and are considered to support the modality-appropriateness theory.     

Restoring the self: Positive affect helps improve self-regulation following ego depletion

Previous work has shown that acts of self-regulation appear to deplete a psychological resource, resulting in poorer self-regulation subsequently. Four experiments using assorted manipulations and measures found that positive mood or emotion can counteract ego depletion. After an initial act of self-regulation, participants who watched a comedy video or received a surprise gift self-regulated on various tasks as well as non-depleted participants and significantly better than participants who experienced a sad mood induction, a neutral mood stimulus, or a brief rest period.     

A National Survey of Genetic Counselors’ Personal Values

Personal values are motivational sources for an individual’s actions [Hitlin and Piliavin (Annual Review of Sociology 30:359–393, 2004)]. Genetic counselors’ values may influence their behaviors in clinical practice, but a profile of their personal values has not been identified empirically. In this study, 292 genetic counselors completed the Schwartz Universal Values Questionnaire (SUVQ; Schwartz, S. H. (1992). Universals in the content and structure of values: Theoretical advances and empirical tests in 20 countries. In M. Zanna (Ed.), Advances in experimental social psychology (pp. 1–65). Boston, MA: Academic.), a widely used measure of value types, and provided information about their demographic characteristics. Results indicate that respondents highly valued benevolence, self-direction, achievement, and universalism indicating a strong pattern of concern for the welfare of others. They placed considerably less value on stimulation, tradition, and power, which reflect personal interests. Respondents who reported practicing a religion scored significantly lower on stimulation and hedonism and higher on tradition and spirituality than those not practicing; married respondents and parents scored significantly lower on stimulation and achievement; and males scored higher on power than females. The value types are described, and training and research recommendations are provided.     

Inter-male aggression in mice: Influence of gonadectomy and prior fighting experience

Groups of adult male mice of the Rockland-Swiss strain were paired 0, 2, 7, or 15 times with adult male stimulus animals rendered non-aggressive by extirpation of olfactory bulbs. All animals were castrated and tested until fighting ceased, following which each was given testosterone replacement and tested until fighting was reinstated. More than 50% of mice with no pre-castration fighting experience fought following gonadectomy. Castrated animals permitted 15 pre-castration pairings fought significantly longer than did animals of any of the other treatment groups. Finally, there was no difference among the groups with regard to the latency to resume fighting following the commencement of testosterone replacement. It is concluded that fighting experience enhances the persistence of the behavior following castration.     

The Ethical Orientation of Russian Entrepreneurs

Ethics has been a significant concern in the management literature and recent efforts have investigated ethical orientations across culture. However, little, if any, work has looked at ethical orientations among entrepreneurs and managers in the transforming Russian economy. This study surveyed the ethical orientations of Russian owner-managers ( n =194) involved in entrepreneurial and privatisation activities. A cross-cultural comparison to US normative responses found no difference in Machiavellian orientation in general, though female Russian entrepreneurs perceived themselves as more likely to engage in opportunistic behaviour. Additionally, Russian entrepreneurs in general perceived themselves as more ethically rigid. These respondents also felt Russian organisations fostered more interpersonally collective but structurally opportunistic organisational climates.     

Effects of paraprofessional training on one aspect of generalized interpersonal effectiveness

American Journal of Community Psychology -     

Evaluating Food Policy Councils Using Structural Equation Modeling

At least 282 Food Policy Councils (FPCs) are currently working to improve access to healthy foods in their communities by connecting food system sectors, gathering community input, and advising food policy. Empirical research on FPCs is limited. This study empirically evaluates FPCs to better understand the relationships between Organizational Capacity, Social Capital, and Council Effectiveness by testing a FPC Framework adapted from Allen and colleagues (2012). Members of all FPCs in the U.S., Canada, and Native American Tribes and First Nations were invited to complete the Food Policy Council Self‐Assessment Tool (FPC‐SAT). Structural equation modeling was used to test the FPC Framework. Three hundred and fifty‐four FPC members from 95 councils completed the FPC‐SAT. After slight modification, a revised FPC Framework was a good fit with the data (χ² = 40.085, df = 24, p‐value = .021, comparative fit index = 0.988, Tucker Lewis index = 0.982, root mean squared error of approximation = 0.044, p‐close = .650). A moderation analysis revealed that community context influences the relationship between Social Capital and Council Effectiveness within the FPC Framework. The FPC Framework can guide capacity building interventions and FPC evaluations. The empirically tested framework can help FPCs efficiently work toward achieving their missions and improving their local food system.