Pre-screening education in multiple marker screening programs: The effect on patient anxiety and knowledge

Previous studies have shown that unexplained deviations in maternal serum multiple marker screening (MMS) generate considerable anxiety during the remainder of pregnancy. While the role of education in decreasing anxiety is documented, to date there has been no prospective evaluation of which educational practices might minimize this emotional stress. In a pilot study, we prospectively examined the effects on anxiety and knowledge by providing information about MMS (1) by genetic counselor, (2) by pamphlet, and (3) by primary physician. Women randomized to one of these three modalities were administered the Spielberger State- Trait Anxiety Inventory [STAI] and knowledge questionnaires at their initial obstetrics visit, at their second visit after educational intervention and 1–2 weeks after MMS results were provided to patients. Education resulted in an increase in knowledge and post-education knowledge was different between educational modalities. Anxiety declined in patients educated through genetic counseling or a pamphlet.     

The effects of feedback consistency and feedback favorability on self-perceived task competence and perceived feedback accuracy

The present study, employing a 2 × 2 true-experimental design and regression analyses assessed the main and interactive effects of feedback consistency (consistent vs inconsistent), and feedback favorability (acceptable vs superior), for feedback given at two time periods on measures of perceived feedback accuracy and self-perceived task competence. Among the study's findings were that (a) the perceived accuracy of feedback at the second period was a function of the favorability of feedback received at the first time period, (b) the self-perceived task competence levels of subjects were jointly determined by the favorability of feedback received at both time periods, and (c) the perceived accuracy of feedback was a function of its consistency. Organizational implications of the study's results are offered.     

Career change and congruence of personality type: An examination of DOT-derived work environment designations

Holland's theory of congruence of work environments was examined by analyzing the career redirection of 62 men of managerial and professional level who changed occupations between the ages of 33 and 54. Three-letter personality codes for each subject were obtained by administering the Strong-Campbell Interest Inventory. Dictionary of Occupational Titles codes for first and second occupation were obtained and then translated into Holland codes. These were compared to the personality code for each man to determine whether the first or second job was more congruent. It was found that 26 men changed to careers more congruent with their personality, 25 to careers less congruent, and 11 made no change. The results of the study do not lend support to Holland's theory, probably because of the imprecision of DOT categories for research purposes. The need for a more reliable means for coding work environments is discussed.     

Electromyographic indications of laryngeal-area activity during stuttering expectancy

Using surface electrodes, mean microvolt values of laryngeal-area muscle activity were determined for 13 male and 6 female stutterers during 10-sec periods in which single words were silently read and stuttering expectancy was indicated. No significant differences in levels of laryngeal-area muscle activity were found between periods of fluency expectancy and stuttering expectancy preceding both fluent and stuttered speech. The results were interpreted as being nonsupportive of the hypothesis that a breakdown in stutterers' laryngeal-area muscle activity occurs during moments of stuttering expectancy. In addition, the results suggest that the most common rationale for the utilization of laryngeal biofeedback procedures to enhance fluency should be questioned.     

Communicative stress and stuttering frequency during normal,whispered, and articulation-without-phonation speech modes

The effect of communicative stress on the frequency of stuttered syllables in 12 adult stutterers reading six different but equivalent passages using normal voicing, whispering, and articulation-without-phonation speech under a stress and a non-stress condition was studied. Although the frequency of stuttering was significantly greater in the normal voicing mode than in the whispering mode and greater in the whispering mode than in the articulation-without-phonation mode, no differences were found between the stress and the nonstress conditions with respect to stuttering.     

The ecological approach to perceiving as a foundation for understanding the development of knowing in infancy

The ecological thesis of direct realism is used as a framework for examining the development of knowing in human infancy. When information for perceiving is defined ecologically (i.e., relative to the situational context and to the physical dimensions, capabilities, and needs of the perceiver), knowing need not be construed as the act of using representations to give meaning to acts or percepts. Knowing, alternatively, is the act of noticing affordances, situation and perceiverspecific meanings of objects, according to their value to the perceiver for achieving specific goals. Changes with development in infant sensorimotor functioning may, in this view, be explained by a process of increasing economy in noticing potentially available affordances, rather than a process of constructing a representational system for making present something not present. Studies of three infant skills widely attributed to the onset of representation are examined with regard to this ecological thesis. Results indicate that the noticing of affordances is critically involved in each of these skills.     

Role of contextual imagery in associative recall

The advantage of interactive over separation imagery in associative recall was markedly diminished when a unique imaginary context was provided for each imaged pair of words. Separation imagery was much more sensitive to contextual redundancy than was interactive imagery. Context was viewed as facilitating organization at encoding as well as affecting cue loading at retrieval. A three-element associative model is described.     

The role of some definite references in linguistic integration

Definite reference increases thematic integration for semantically related sentences (DeVilliers, 1974). Therefore, definite reference should increase linguistic integration in the Bransford-Franks integrated recognition paradigm. Two recognition and two recall studies demonstrated that, if anything, indefinite reference increases linguistic integration effects, as measured by existing measures of integration. However, definite reference increases topical clustering in recall. Results cast doubt on the validity of existing measures of linguistic integration and indicate that the tally model of performance in integrated recognition tasks (Reitman & Bower, 1973) is not totally adequate, either. Results are compatible with the associative model of Anderson and Bower (1973). Topical clustering appears to be a better measure of integrated memory than are existing measures of linguistic integration. Retention of information about the propositional form in which semantically related sentences are presented and integrated memory are not necessarily incompatible.