Mentoring Nurses in Familial Cancer Risk Assessment and Counseling: Lessons Learned From a Formative Evaluation

Background. As familial cancer genetic services moves into community practice increased numbers of trained health professionals are needed to counsel individuals seeking cancer risk information. Nurses have been targeted to provide cancer risk assessment and counseling. To help prepare nurses for this role, a 5-day training in familial cancer risk assessment and counseling followed by a long-distance mentorship to support continued skill development in the work environment was conducted by Fox Chase Cancer Center, Philadelphia, PA. Methods. Four cohorts (N = 41) have completed the training and were randomized to either an immediate or delayed mentorship. A formative evaluation assessed the nurse’s ability to consult with other genetic health professionals and build self-efficacy in counseling skills via responses to questionnaire. A post-mentorship interview evaluated the usefulness, timing and length of the mentorship. Results. For both groups, there was a statistically significant improvement in self-efficacy for all skills from baseline to 6 months and an increased number of nurses consulting with genetic health professionals. All the nurses reported the value of the mentorship and those with less cancer risk counseling experience prior to the training needed support and resources for further skill and program development. Lessons learned from this formative evaluation are provided.     

Examen d'une erreur fondamentale dans la perception du hasard

Un des principaux facteurs expliquant le jeu excessif serait les perceptions erronées qu'entretiennent les individus concernant le hasard. Cet article vise à préciser les perceptions du joueur en analysant ses verbalisations lors de la production ou de la reconnaissance de suites aléatoires. Deux études empiriques ont été réalisées. E est prédit que la majorité des gens ont une perception erronée à l'égard du hasard et qu'il existe une relation entre le nombre d'issues possibles (par exemple deux lors du tir d'une pièce de monnaie ou six lors du tir d'un dé) et le nombre de verbalisations erronées faisant référence aux événements passés de la suite. Comme on le prévoyait, près de 70% des verbalisations sont l'expression d'une perception erronée, la plupart se référant à des liens de dépendance entre les événements de la suite. Cependant, l'augmentation du nombre d'issues possibles n'a pas d'effet significatif sur la proportion de perceptions erronées. La discussion met en relief les implications pratiques et théoriques des perceptions inadéquates des joueurs sur l'illusion du contrôle du jeu et des comportements excessifs en résultant.     

Effet de l'intensité sur la catégorisation des prototypes émotionnels faciaux chez l'enfant et l'adulte

This study examines whether the intensity of facial emotional prototypes influences the process of their categorization in children and young adults. Two facial prototypes, one of happiness and one of disgust, including action units of three different intensities, were shown to 30 children and 30 adults who were submitted to a categorization task. As predicted, categorization accuracy was found to increase, in general, as a function of the intensity of action units. Adults were better than children but only for the categorization of disgust when the action unit intensity was weak. The happiness prototype was better categorized than the disgust prototype, and two types of errors were clearly more frequent than the others in the categorization of the disgust prototype: disgust/anger and disgust/sadness. The results are discussed in relation to the regulative processes involved in the socialization of emotion.     

Does a prototypical argumentative schema exist? Text recall in 8 to 13 years olds

120 students in grades 3 to 7 (aged 8 to 13) heard an argumentative text and were immediately submitted to a free recall task. The results show that before grade 7, the subjects did not view the text as argumentative. The discussion centers on the relevancy of a prototypical argumentative schema in accounting for these findings.     

MEMORY, AMNESIA, AND DISSOCIATIVE IDENTITY DISORDER

Abstract— Virtually all patients with dissociative identity (or multiple personality) disorder manifest interpersonality amnesia, whereby events experienced by a particular personality slate or identity are retrievable by that same identity but not by a different one Though considered a hallmark of dissociative identity disorder (DID), interpersonality amnesia has to date attracted little empirical attention. Further, the few studies on the topic typically include just 1 DID patient and a single index of retention. In contrast the current experiment involved 9 DID patients and several measures of either explicit or implicit memory Replicating and extending the single-case study of Nissen, Ross, Willingham, MacKenzie, and Schacter (1988), the present results revealed that implicit testing is a necessary but not a sufficient condition for demonstrating transfer of information from one identity to another Specifically, whereas priming in word-stem completion occurred only if the same personality state performed at both study and at test, priming in picture-fragment completion was as robust between different identities as it was within the same identity Discussion focuses on prospects for future research aimed at understanding the nature and scope of interpersonality amnesia.