A Survey of Patients’ Experiences with the Cancer Genetic Counseling Process: Recommendations for Cancer Genetics Programs

In order to promote ongoing quality improvement of not only the Penn State Cancer Genetics Program, but also other cancer risk assessment programs throughout the country, we developed, piloted and conducted a survey to explore patient expectations, experiences, and satisfaction with the cancer genetic counseling process. The comprehensive survey was mailed to 340 eligible patients, 156 (45.9%) of whom returned the completed survey within the allotted time. Responses to closed-ended questions were tallied and open-ended questions were content analyzed. Major findings show that: (1) Patients were seeking cancer-related information and support throughout the cancer risk assessment process and were interested in participating in available research studies; (2) The setting in which patients are seen for cancer risk assessment may pose potential emotional ramifications; (3) Misperceptions regarding insurance discrimination and lack of insurance coverage persist; (4) Patients view the genetic counselor as responsible for updating them about new discoveries. Specific recommendations for cancer genetics programs are included.     

Possible knowledge of unknown truth

Fitch’s argument purports to show that for any unknown truth, p, there is an unknowable truth, namely, that p is true and unknown; for a contradiction follows from the assumption that it is possible to know that p is true and unknown. In earlier work I argued that there is a sense in which it is possible to know that p is true and unknown, from a counterfactual perspective; that is, there can be possible, non-actual knowledge, of the actual situation, that in that situation, p is true and unknown. Here I further elaborate that claim and respond to objections by Williamson, who argued that there cannot be non-trivial knowledge of this kind. I give conditions which suffice for such non-trivial counterfactual knowledge.     

The new face of war

Postmodern War: The New Politics of Conflict, by Chris Hables Gray, New York: Guilford Press, 314 pp., 825.50.     

Relative Validity of Distinct Spatial Abilities: An example with implications for diversity

Despite the increasingly recognized importance of spatial ability in STEM (science, technology, engineering, and mathematics) fields, research to date has largely ignored distinctions in the criterion‐related validity and subgroup differences associated with theoretically distinct spatial abilities. This study aims to enhance practical understanding by spotlighting a prominent military context as an example wherein specific spatial abilities may be both differentially relevant and differentially apt to result in adverse impact. Analyses compared the relative importance of (i) spatial orientation, (ii) visualization, (iii) closure flexibility, and (iv) perceptual speed for predicting U.S. Air Force pilot performance (N = 1440), and compared subgroup differences in a large applicant sample (N = 10,643). Given that specific spatial abilities vary substantially in the extent to which gender differences exist, this study highlights the practical implications associated with the choice of particular spatial ability measures in personnel selection.