Effects of Second Language Usage on Genetic Counseling Training and Supervision

We conducted an exploratory study of the experiences of genetic counselors who have either trained or supervised in a second language to assess the relevance of this issue to genetic counseling training and supervision. Two hundred-thirty NSGC members, CAGC members and genetic counseling students completed the online questionnaire. Many of the respondents reported that training and supervision differed when another language was involved. Supervisors reported difficulty in assessing students’ counseling skills and discomfort with an incomplete understanding of session content. Students described a greater focus on vocabulary at the expense of psychosocial dimensions. Despite this, most felt that using another language enhanced their training experience. As such, training programs might consider increasing support to these learners and supervisors by explicitly acknowledging the challenges they face, providing students with language tools to aid in their acquisition of basic skills and providing supervisors with new methods for assessing student counseling skills when using other languages.     

Older and Younger Adults�� Attitudes Toward Feminism: The Influence of Religiosity, Political Orientation, Gender, Education, and Family

The present study explored attitudes toward feminism in 245 U.S. college students and their older relatives. Participants completed a scale of attitudes towards feminism, political orientation, a religiosity measure, and a demographic questionnaire. Results indicated that older adults were more conservative than younger adults on their attitudes towards feminism, religiosity, and political orientation measures. In the young adult sample, attitudes towards feminism were predicted by gender and political orientation, compared to older adults in which religiosity and political orientation were the best predictors. When exploring generational influence, older adults?? attitudes and demographic information were not associated with younger adults?? attitudes towards feminism and the women??s movement. In contrast, young adults?? political views were associated with older adults?? attitudes towards feminism.     

Competence to make treatment decisions in anorexia nervosa: thinking processes and values

This paper explores the ethical and conceptual implications of the findings from an empirical study of decision-making capacity in anorexia nervosa. In the study, ten female patients aged 13 to 21 years with a diagnosis of anorexia nervosa, and eight sets of parents, took part in semi-structured interviews. The purpose of the interviews was to identify aspects of thinking that might be relevant to the issue of competence to refuse treatment. All the patient participants were also tested using the MacCAT-T test of competence. This is a formalised, structured interviewer-administered test of competence, which is a widely accepted clinical tool for determining capacity. The young women also completed five brief self-administered questionnaires to assess their levels of psychopathology.The issues identified from the interviews are described under two headings: difficulties with thought processing, and changes in values. The results suggest that competence to refuse treatment may be compromised in people with anorexia nervosa in ways that are not captured by traditional legal approaches or current standardised tests of competence.     

Explanation and the Language of Thought

In this paper we argue that the insistence by Fodor et. al. that the Language of Thought hypothesis must be true rests on mistakes about the kinds of explanations that must be provided of cognitive phenomena. After examining the canonical arguments for the LOT, we identify a weak version of the LOT hypothesis which we think accounts for some of the intuitions that there must be a LOT.We then consider what kinds of explanation cognitive phenomena require, and conclude that three main confusions lead to the invalid inference of the truth of a stronger LOT hypothesis from the weak and trivial version. These confusions concern the relationship between syntax and semantics, the nature of higher-level causation in cognitive science, and differing roles of explanations invoking intrinsic structures of minds on the one hand, and aetiological or evolutionary accounts of their properties on the other.We are indebted to Frank Jackson, Philip Pettit, Huw Price, and Kim Sterelny for their generous and useful comments on an earlier draft of this paper, and to discussions with Martin Davies on these and related issues.     

BEHAVE—An automated data analysis system for observed events

This paper first defines the context of automated data analysis systems and then mentions approaches to analysis of data by systems of this type. It then briefly describes the BEHAVE data structure and proceeds to a discussion of the BEHAVE data analysis package which provides the user with summary information concerning organization of data.     

Perspectives on self and other: Male-female differences in perceptions of communication behavior

Two studies were conducted to examine male-female differences in perceptions of subjects' own and their best-liked others' communication behavior. The results of the first study indicated that males and females hold relatively stereotypical views of their own communication behavior. Males perceived themselves as more controlling and detached, while females saw themselves as more nurturant and more dependent. The results from the second study indicated that the discriminating dimensions for the same-sex friendships of both males and females were attention-seeking and self-dramatizing communication behaviors. In an opposite-sex relationship, however, the discriminating communication behaviors for males and females were nurturance and dependency. The implications of these findings are discussed.Both authors would like to thank Edmund Kaminski, currently a doctoral candidate at Michigan State University, for his valuable assistance on this project.     

Methylphenidate speeds evaluation processes of Attention Deficit Disorder adolescents during a continuous performance test

Fortysix Attention Deficit Disorder (ADD) adolescents took a Continuous Performance Test (CPT) under placebo and methylphenidate (35.33 mg/day). The task required pressing one button for targets (p=133),and another button for nontargets. Subjects displayed a strong bias to make the more frequent negative response before completely evaluating stimuli. Consistent with this assumption, subjects responded faster (by an average of 87 ms) to nontargets than to targets. Methylphenidate increased accuracy and speeded reaction times (RTs) to targets. The drug also increased the amplitude of the P3b component of the eventrelated potential for nontargets and shortened the latency of P3b for both targets and nontargets. These results suggest increased capacity allocation to and faster evaluation of task stimuli. Finally, the stimulant lengthened relative motor processing time (RT-P3b latency) for nontargets, a finding implying that response processing was accomplished with the benefit of earlier completion of evaluation processes for these stimuli.Portions of these findings were reported at the meeting of the Society for Research in Child and Adolescent Psychopathology, Costa Mesa, California, January 24–26, 1990. This research was supported by NIMH grant MH38118 to the first author. We thank the late Helen Pollock and the University of Rochester's Strong Memorial Hospital Pharmacy Manufacturing Department for their help.     

Randomized controlled trial of a brief problem-orientation intervention for suicidal ideation

Empirical evaluations suggest that problem orientation, the initial reaction to problems, differentiates suicidal youth from nonchnical controls and nonideating psychiatric controls. One promising area for intervention with suicidal youth relates to enhancing this specific coping skill. Nonclinical participants (N = 110) with active suicidal ideation were randomly assigned to receive a brief problem-orientation intervention or a control procedure. The current study evaluated the benefits of a brief prevention intervention based on the Problem-Solving Therapy model. Exposure to a brief video intervention regarding problem solving and coping skills was sufficient to elicit significant decreases in suicidal ideation and depression, but the intervention did not elicit improvements in problem orientation or other problem-solving abilities. These findings provide preliminary support for a brief, video-based problem-solving and coping skills module. However, considerable work in developing secondary prevention interventions remains.     

Mobile phone mood charting for adolescents

Mobile phones may provide a useful and engaging platform for supporting therapeutic services working with adolescents. This paper examines the potential benefits of the mobile phone for self-charting moods in comparison to existing methods in current practice. The paper describes a mobile phone application designed by the authors which allows adolescents to record moods on their personal mobile phones. The authors propose that a personal mobile device is more suitable for adolescents than other devices. A pilot study with a non-clinical adolescent group in schools comparing a mobile and a paper diary is presented, along with discussion and analysis of the results. The main finding of the study was that compliance was significantly higher on mobile phones than paper, and the task was not found to be any more difficult to complete using mobile phones than with paper charts. A number of salient issues requiring further research are also identified.