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141.
Differences in Individual Approaches: Communication in the Familial Breast Cancer Consultation and the Effect on Patient Outcomes 总被引:1,自引:0,他引:1
This multicenter study aimed to assess (i) whether individual clinical geneticists and genetic counselors vary in their communication skills and (ii) whether this variation in communication impacts on patient outcomes, such as anxiety, depression, genetics knowledge, and satisfaction. One hundred and fifty women from high-risk breast cancer families attending their first genetic counseling consultation completed pre and post-consultation self-report questionnaires. The consultations were audiotaped and transcribed verbatim. Univariate analyses showed highly significant differences between individual clinical geneticists and genetic counselors in: facilitating understanding (p 0.001); facilitating active involvement (p 0.001); facilitating partnership building (p = 0.003); addressing emotional concerns (p 0.001); and discussing prophylactic mastectomy (p = 0.017). Multivariate linear regressions showed that this variation in communication resulted in a greater change in patients depression 4 weeks after the counseling session (p = 0.017). These findings suggest clinical geneticists and genetic counselors have achieved some standardization in communicating information, but showed diversity in their facilitation skills. Communication skills may be a useful area to explore further in this field. 相似文献
142.
Are abstract representations of number – representations that are independent of the particular type of entities that are enumerated – a product of human language or culture, or do they trace back to human infancy? To address this question, four experiments investigated whether human infants discriminate between sequences of actions (jumps of a puppet) on the basis of numerosity. At 6 months, infants successfully discriminated four‐ versus eight‐jump sequences, when the continuous variables of sequence duration, jump duration, jump rate, jump interval and duration, and extent of motion were controlled, and rhythm was eliminated. In contrast, infants failed to discriminate two‐ versus four‐jump sequences, suggesting that infants fail to form cardinal number representations of small numbers of actions. Infants also failed to discriminate between sequences of four versus six jumps at 6 months, and succeeded at 9 months, suggesting that infants’ number representations are imprecise and increase in precision with age. All of these findings agree with those of studies using visual–spatial arrays and auditory sequences, providing evidence that a single, abstract system of number representation is present and functional in infancy. 相似文献
143.
Contrasting linguistic and nonlinguistic processing has been of interest to many researchers with different scientific, theoretical,
or clinical questions. However, previous work on this type of comparative analysis and experimentation has been limited. In
particular, little is known about the differences and similarities between the perceptual, cognitive, and neural processing
of nonverbal environmental sounds and that of speech sounds. With the aim of contrasting verbal and nonverbal processing in
the auditory modality, we developed a new on-line measure that can be administered to subjects from different clinical, neurological,
or sociocultural groups. This is an on-line task of sound to picture matching, in which the sounds are either environmental
sounds or their linguistic equivalents and which is controlled for potential task and item confounds across the two sound
types. Here, we describe the design and development of our measure and report norming data for healthy subjects from two different
adult age groups: younger adults (18–24 years of age) and older adults (54–78 years of age). We also outline other populations
to which the test has been or is being administered. In addition to the results reported here, the test can be useful to other
researchers who are interested in systematically contrasting verbal and nonverbal auditory processing in other populations. 相似文献
144.
The Relative Contribution of Sibling Deviance and Peer Deviance in the Prediction of Substance Use Across Middle Childhood 总被引:1,自引:0,他引:1
This study investigated the quality of sibling relationships and sibling deviancy in a sample of children at-risk for substance use and antisocial behavior. Based on a history of empirical and theoretical models suggesting strong associations between children's development in the context of relationships and the emergence of delinquency and drug use, this research extends previous efforts by including sibling relationships in this developmental model, linking siblings with later substance use. Sibling relationship quality as well as peer deviance were examined using a multirater, multimethod assessment procedure. We tested 3 constructs (deviancy, warmth, and conflict) related to sibling behavior. Only sibling deviance and peer deviance directly predicted substance use. When both sibling deviance and peer deviance were examined as predictors of changes in substance use over time, only sibling deviance was significant. Implications for the development of substance use behavior in middle childhood are discussed. 相似文献
145.
This paper evaluates the economic assumptions of economic theory via an examination of the capitalist transformation of creditor–debtor relations in the 18th century. This transformation enabled masses of people to obtain credit without moral opprobrium or social subordination. Classical 18th century economics had the ethical concepts to appreciate these facts. Ironically, contemporary economic theory cannot. I trace this fault to its abstract representations of freedom, efficiency, and markets. The virtues of capitalism lie in the concrete social relations and social meanings through which capital and commodities are exchanged. Contrary to laissez faire capitalism, the conditions for sustaining these concrete capitalist formations require limits on freedom of contract and the scope of private property rights. 相似文献
146.
The current research investigated one possible mechanism underlying false memories in the Deese-Roediger-McDermott (DRM) paradigm. In the DRM paradigm, participants who study lists of related words (e.g., "table, sitting, bench ...") frequently report detailed memories for the centrally related but non-presented critical lure (e.g., "chair"). One possibility is that participants covertly call to mind the critical non-presented lure during the study phase, and later misattribute memory for this internally generated event to its external presentation. To investigate this, the DRM paradigm was modified to allow collection of on-line thoughts during the study phase. False recognition increased following generation during study. False recognition also increased following study of longer lists; this effect was partially explained by the fact that longer lists were more likely to elicit generations of the critical lure during study. Generation of the lure during study contributes to later false recognition, although it does not explain the entire effect. 相似文献
147.
A detailed examination of the process of genetic counseling has been identified as a priority area for research by previous authors. This multicenter longitudinal study examined the process and content of genetic counseling in initial consultations with women from high-risk breast cancer families. One hundred and fifty-eight consultations with women unaffected and affected with breast cancer were audio taped and transcribed verbatim. A detailed coding system was developed. Clinical geneticists and genetic counselors demonstrated consistently good practice in giving detailed information on essential aspects related to familial breast cancer such as screening and management, genetic testing, breast cancer genetics, and prophylactic surgery. Eliciting emotional concerns and facilitating communication were found to be inconsistently present. As clinical practice guidelines and the general communication literature emphasize the importance of these factors, this is an area where training in or self-monitoring of such behaviors may assist consultants to further develop these skills. 相似文献
148.
Jefferies E Jones R Bateman D Ralph MA 《Cognitive, affective & behavioral neuroscience》2004,4(1):20-42
Patients with semantic dementia can show superior immediate recall of words that they still understand relatively well, as compared with more semantically degraded words, suggesting that conceptual knowledge makes a major contribution to phonological short-term memory. However, a number of studies have failed to show such a recall difference, challenging this view. We examined the effect of several methodological factors on the recall of known and degraded words in 4 patients with semantic dementia, in order to investigate possible reasons for this discrepancy. In general, our patients did exhibit poorer recall of the degraded words and made more phonological errors on these items. In addition, set size affected the magnitude of the recall advantage for known words. This finding suggests that semantic degradation influenced the rate of learning in the immediate recall task when the same items were presented repeatedly. The methods used to select known and degraded items also impacted on the recall difference. List length, however, did not affect the advantage for known words. The coherence of items in phonological short-term memory was affected by their semantic status, but not by the length of the material to be retained. The implications of these findings for the role of semantic and phonological representations in verbal short-term memory are discussed. 相似文献
149.
After studying a list of words related to a nonpresented lure word, people often falsely recall or recognize the nonpresented lure. Older adults are particularly susceptible to these forms of false memories. The age-related false memory enhancement likely occurs because older adults do not encode, or later retrieve, items in enough detail to allow them to discriminate between presented words and other associated but nonpresented items. Pesta, Murphy, and Sanders (2001) suggested that the emotional salience of the lures may provide distinctiveness, so that individuals would be less likely to endorse an emotional lure as a studied item than to endorse a neutral lure. In the present investigation, young and older adults were less likely to falsely recall or recognize emotional, as compared with neutral, lures. Both age groups appeared capable of using the distinctiveness of the emotional lures to reduce, although not to eliminate, false recall and recognition. 相似文献
150.
Meta-analysis was used to review and synthesize existing empirical research concerning the career benefits associated with mentoring for the protégé. Both objective (e.g., compensation) and subjective (e.g., career satisfaction) career outcomes were examined. Comparisons of mentored versus nonmemored groups were included, along with relationships between mentoring provided and outcomes. The findings were generally supportive of the benefits associated with mentoring, but effect sizes associated with objective outcomes were small. There was also some indication that the outcomes studied differed in the magnitude of their relationship with the type of mentoring provided (i.e. career or psychosocial). 相似文献