If We Build It … Will They Come? – Establishing a Cancer Genetics Services Clinic for an Underserved Predominantly Latina Cohort

Background: Cancer genetic counseling and testing is a standard of care option for appropriate families and can identify individuals at increased risk prior to diagnosis, when prevention or detection strategies are most effective. Despite documented efficacy of cancer risk reduction in high-risk individuals, underserved and minority individuals have a disproportionate cancer burden and limited access to genetic counseling. Methods: A needs assessment survey documented gaps in knowledge and interest in prevention. Satellite clinics were established at two indigent healthcare systems. Cancer genetics CME lectures were conducted and referral guidelines disseminated to clinicians who referred patients for counseling. Results: An increase in clinician knowledge was demonstrated post-CME and reflected by quality referrals. Eighty-eight percent of patients kept their appointments. In the predominantly Latina⁶ (n=77) clinic population, 71.4% were affected with cancer, and 17 mutation positive families were identified. Preliminary data shows a positive impact on patients' motivation and behavior. The majority has expressed satisfaction and reduction in anxiety. Conclusions: This study demonstrates feasibility and acceptability of cancer genetics services in this population, suggesting the potential to reduce cancer morbidity in underserved, high-risk families.“Latino” is the most common census term for individuals of Spanish, Mexican, Central and South American, Cuban, or Puerto Rican descent, referring to ethnicity, and is generally considered a more ethnically/culturally based term for individuals of the aforementioned groups. As this cohort is female the feminine noun “Latina” is used     

Social Work Education in Suicide Intervention and Prevention: An Unmet Need?

Research shows that social work graduate programs offer little education in suicide prevention and intervention, yet social workers' experiences and attitudes regarding suicide education are unknown. This Web-based survey of 598 social workers found that almost all respondents had worked with at least one suicidal client, but most received little, if any, training in suicide prevention or intervention while in graduate school. Respondents largely viewed their social work program's training in suicide prevention and intervention as inadequate. Implications for social work education and practice are discussed.     

Does longer job tenure help or hinder job performance?

There are two competing theoretical perspectives on how job tenure might affect job performance. Human capital theory suggests that as knowledge and skill increase with greater tenure, job performance will improve as well. In contrast, the literature on job design suggests that as job tenure increases, employees are likely to become more bored and less motivated at work. Consequently, the gains from human capital acquisition might be offset by losses of motivation. To examine these competing perspectives, we conducted meta-analyses on the relationships of job tenure with four types of job performance: core task performance, citizenship behavior, creativity and innovative behavior, and counterproductive work behavior. The results support the second perspective, as both the linear and curvilinear relationships of job tenure with the four types of job performance are weak. Further, the results do not change in strength across type of research design, job industry, age, or gender.     

Context and Prior Impression Effects on Attention, Judgment Standards, and Ratings: Contrast Effects Revisited

The present study extended research on contrast effects by (a) examining the effect of context performances on ratings of a target performance when a prior impression of the target performer already exists, and (b) clarifying the issue of whether contrast is caused by attention to context-discrepant behavior or shifts in judgment standards. The results demonstrated that the existence of a prior impression mitigates the influence of context performances on ratings. Judgment standards were found to be unstable and dependent on information provided to raters by the experimental manipulations. Regression analyses showed that both attention and standards of judgment mediate the relationship between context and ratings. Implications of these findings for contrast effects, performance ratings, and the importance of reliable judgment standards for real-world performance appraisals are discussed.     

Mediation in a sibling context: the relations of older siblings' mediating behaviour and younger siblings' task performance

We investigated the sibling relationship as a context for cognitive development. Forty preschoolers (ages 5–6) and their younger siblings (ages 2–3) were visited at home. Four games were presented to the older siblings and they were asked (a) to estimate how well their younger sibling will perform on each game and (b) to teach the younger sibling how to use the games. The older siblings' mediating behaviours during the teaching session and the younger siblings' performance on the four tasks were coded. The frequency of mediating behaviours—including attention focusing, amplifying affect and providing meaning, fostering a sense of competence, regulating of the learning process, de‐contextualization, and negative feedback in the form of mocking and laughing at errors, predicted the younger siblings' task performance. The older sibling's accurate perception of the younger child's competence was uniquely predictive of task performance. The highest amount of mediation was observed in older‐brother–younger‐brother pairs, in particular the behaviours of negative feedback and amplifying affect. Results contribute to the discussion on the role of siblings as moderators of cognitive development and are discussed in terms of Vygotsky's cultural–historical perspective on apprenticeship. Copyright © 2002 John Wiley & Sons, Ltd.     

Enforcing Social Conformity: A Theory of Authoritarianism

Fifty years after the publication of The Authoritarian Personality, the empirical literature on authoritarianism continues to grow even though there is no widely accepted theory to account for the phenomenon. The absence of a secure theoretical grounding severely limits our understanding of authoritarianism. This paper offers a new conceptualization in which authoritarian predispositions originate in the conflict between the values of social conformity and personal autonomy. Prejudice and intolerance should be observed among those who value social conformity and perceive a threat to social cohesion. These hypotheses were tested with a sample of undergraduate students; the questionnaire included new measures of the dimension of social conformity–autonomy as well as items from Altemeyer's RWA (right–wing authoritarianism) scale.     

Infant–mother and infant–father synchrony: The coregulation of positive arousal

To examine the coregulation of positive affect during mother–infant and father–infant interactions, 100 couples and their first‐born child were videotaped in face‐to‐face interactions. Parents' and infant's affective states were coded in one‐second frames, and synchrony was measured with time‐series analysis. The orientation, intensity, and temporal pattern of infant positive arousal were assessed. Synchrony between same‐gender parent–infant dyads was more optimal in terms of stronger lagged associations between parent and infant affect, more frequent mutual synchrony, and shorter lags to responsiveness. Infants' arousal during mother–infant interaction cycled between medium and low levels, and high positive affect appeared gradually and was embedded within a social episode. During father–child play, positive arousal was high, sudden, and organized in multiple peaks that appeared more frequently as play progressed. Mother–infant synchrony was linked to the partners' social orientation and was inversely related to maternal depression and infant negative emotionality. Father–child synchrony was related to the intensity of positive arousal and to father attachment security. Results contribute to research on the regulation of positive emotions and describe the unique modes of affective sharing that infants coconstruct with mother and father. ©2003 Michigan Association for Infant Mental Health.     

The simplicity principle in human concept learning

How do we learn concepts and categories from examples? Part of the answer might be that we induce the simplest category consistent with a given set of example objects. This seemingly obvious idea, akin to simplicity principles in many fields, plays surprisingly little role in contemporary theories of concept learning, which are mostly based on the storage of exemplars, and avoid summarization or overt abstraction of any kind. This article reviews some evidence that complexity minimization does indeed play a central role in human concept learning. The chief finding is that subjects' ability to learn concepts depends heavily on the concepts' intrinsic complexity; more complex concepts are more difficult to learn. This pervasive effect suggests, contrary to exemplar theories, that concept learning critically involves the extraction of a simplified or abstracted generalization from examples.