Peer Observed Interaction and Structured Evaluation (POISE): A Canadian Experience with Peer Supervision for Genetic Counselors

Peer observation, while often used in other professions, has not been formally applied in genetic counseling. The objective of this study was to pilot a method of peer evaluation whereby genetic counselors observed, and were observed by, each other during patient interaction. All of the available genetic counselors participated in both rounds of the pilot study (six in round one, seven in round two). The genetic counselors that observed the session used an observation room. Most participants reported learning a new skill. Sensitivity to, and comfort with, the feedback process improved. We conclude that Peer-Observed Interaction and Structured Evaluation (POISE) provides an opportunity to refresh counseling approaches and develop feedback skills without causing undue team discord. This new approach to peer supervision in genetic counselling offers a live observation approach for genetic counsellor supervision.     

Analogical insight: toward unifying categorization and analogy

The purpose of this paper is to present two kinds of analogical representational change, both occurring early in the analogy-making process, and then, using these two kinds of change, to present a model unifying one sort of analogy-making and categorization. The proposed unification rests on three key claims: (1) a certain type of rapid representational abstraction is crucial to making the relevant analogies (this is the first kind of representational change; a computer model is presented that demonstrates this kind of abstraction), (2) rapid abstractions are induced by retrieval across large psychological distances, and (3) both categorizations and analogies supply understandings of perceptual input via construing, which is a proposed type of categorization (this is the second kind of representational change). It is construing that finalizes the unification.     

A formal framework for modelling the developmental course of competence and performance in the distance,speed, and time domain

The developmental course in the distance–speed–time domain is still a matter of debate. Traditional stage models are contested by theories of continuous development and adaptive thinking. In the present work, we introduce a formal framework for modelling the developmental course in this domain, grounding on Competence-based Knowledge Space Theory. This framework, as a more general case, widely includes assumptions and facets of previous models and covers empirical findings collected based on different experimental paradigms. By a distinction of latent competences and observable performance, model validation is not bound to a certain experimental paradigm and no one-to-one correspondence between competences and tasks is required. Therefore, the framework has the potential to bridge the gap between stage models and models of continuous development. The approach also precisely defines misconceptions, for example overgeneralization, and empirically investigates their occurrence. In the present work, we established a prototypical model for the development of understanding the distance–speed–time system. We extended this model with definitions based on different perspectives of overgeneralization. The assumptions of the model and its extensions were examined on the basis of the results of two empirical investigations using six judgment task types. The results yielded a reasonably good fit of model and data. No evidence was found for the occurrence of overgeneralization in this domain. The theoretical model and empirical results are discussed with respect to their relationship to other developmental models and theories.     

Social environment and reproduction in female European rabbits (Oryctolagus cuniculus): benefits of the presence of litter sisters

The authors investigated in an observational study the consequences of the presence of litter sisters on the social interactions and on reproductive performance of young female European rabbits (Oryctolagus cuniculus) from a population living under seminatural conditions. In early winter, when all young females were settled in a social group, they were characterized by the presence or absence of litter sisters in their groups. Females with litter sisters in their groups displayed significantly more positive social interaction with females of their social group compared to females without sisters, whereas this difference was mainly due to the high frequency of positive social interactions among the respective sisters. Such differences between the females of both categories were already apparent during the animals' juvenile phase, before the females integrated into a particular group: females which later had litter sisters in their group showed more positive social behavior than females which later no longer had litter sisters. During their first breeding season, females with litter sisters present generally started to breed earlier by an average of 14 days. A more favorable social environment might have possibly facilitated the earlier onset of breeding in females with present litter sisters by attenuating the negative consequences of stress.     

The tooth,the whole tooth and nothing but the tooth: how belief in the Tooth Fairy can engender false memories

To examine how children's fantasy beliefs can affect memory for their experiences, 5‐ and 6‐year‐olds with differing levels of belief in the reality of the Tooth Fairy were prompted to recall their most recent primary tooth loss in either a truthful or fun manner. Many of the children who fully believed in the existence of the Tooth Fairy reported supernatural experiences consistent with the myth under both sets of recall instructions, whereas those who realized the fictionality of the myth recalled mainly realistic experiences. However, those children with equivocal beliefs evidenced a different pattern under each set of instructions, recalling mainly realistic experiences when asked to be truthful and reporting many fantastical experiences when prompted to relate the tooth loss in a fun manner. These findings suggest that children's beliefs in the reality of fantastic phenomena can give rise to genuine constructive memory errors in line with their fantasies. Copyright © 2007 John Wiley & Sons, Ltd.     

Resurgence Following Higher or Lower Quality Alternative Reinforcement

Resurgence is a temporary increase in a previously suppressed target behavior following a worsening in reinforcement conditions. Previous studies have examined how higher rates or magnitudes of alternative reinforcement affect suppression of the target behavior and subsequent resurgence. However, there has been no investigation of the effects of higher versus lower qualities of alternative reinforcement on resurgence. Using a three-phase resurgence preparation with rats, the present experiments examined the effects of an alternative reinforcer that was of higher (Experiment 1) or lower (Experiment 2) quality than the reinforcer that had previously maintained the target behavior. The results of both experiments showed greater reductions in target behavior with a higher quality alternative reinforcer and larger increases in target responding when a higher quality alternative reinforcer was removed. Along with prior findings with higher rates and magnitudes of alternative reinforcement, these findings suggest that variations in reinforcer dimensions that increase the efficacy of alternative reinforcement also tend to increase resurgence when alternative reinforcement is removed. The results are discussed in terms of the resurgence as choice in context model and in terms of potential clinical implications.     

Generalization of learning from picture books to novel test conditions by 18- and 24-month-old children

Researchers know little about whether very young children can recognize objects originally introduced to them in a picture book when they encounter similar looking objects in various real-world contexts. The present studies used an imitation procedure to explore young children's ability to generalize a novel action sequence from a picture book to novel test conditions. The authors found that 18-month-olds imitated the action sequence from a book only when the conditions at testing matched those at encoding; altering the test stimuli or context disrupted imitation (Experiment 1A). In contrast, the 24-month-olds imitated the action sequence with changes to both the test context and stimuli (Experiment 1B). Moreover, although the 24-month-olds exhibited deferred imitation with no changes to the test conditions, they did not defer imitation with changes to the context and stimuli (Experiment 2). Two factors may account for the pattern of results: age-related changes in children's ability to utilize novel retrieval cues as well as their emerging ability to understand the representational nature of pictures.     

Comparison of Single Unit Responses to Tone, Light, and Compound Conditioned Stimuli during Rabbit Classical Eyeblink Conditioning

Unit recordings and lesion studies have implicated the cerebellum as an essential site for the acquisition and maintenance of the conditioned eyeblink response. The current study looked at the neural characteristics of conditioned stimulus (CS) processing in the interpositus nucleus of the cerebellum after training New Zealand white rabbits (Oryctolagus cuniculus) in one of two conditioning paradigms: (a) compound conditioning (CMP), a compound CS consisting of light and tone paired with an air puff unconditioned stimulus (US); or (b) stimulus compounding (ALT), alternating blocks of tone CS and light CS trials paired with the air puff US. Single unit responses were recorded during five sessions after the animals had reached an asymptotic level of responding. Animals were tested for behavioral and neural responses to CS alone trials that included tone alone, light alone, and compound tone-light trials. For the CMP group, the compound CS elicited 80 to 90% conditioned eyeblink responses (CRs), whereas the individual tone and light CSs elicited only 40 to 50% CRs. For the ALT group, all three CSs (tone, light, and compound) elicited very high levels of responding of at least 80% CRs. For the CMP group, there were roughly equal numbers of cells responding to all of the CSs. This includes cells that responded exclusively to one, and only one, of the three stimuli and also those cells that responded to combinations of two or more. Cells from the ALT group were far more likely to respond exclusively to only one of the CSs. Both the behavioral and physiological results suggest that the compound tone-light stimulus was processed as a distinct stimulus, separate from the component tone and light. These results are discussed in the context of multisensory processing.     

Medical students' and residents' gender bias in the diagnosis, treatment, and interpretation of coronary heart disease symptoms.

Two competing hypotheses explaining gender bias in cardiac care were tested. The first posits that women's coronary heart disease (CHD) symptoms are simply misinterpreted or discounted. The second posits that women's CHD symptoms are misinterpreted when presented in the context of stress. In two studies, medical students and residents randomized to 2 (male vs. female) x 2 (stress vs. nostress) experiments read vignettes of patients with CHD symptoms and indicated their diagnosis, treatment, and symptom origin interpretation. Both studies disconfirmed the first hypothesis and strongly supported the second. Only when stress was added did women receive significantly lower CHD diagnoses and cardiologist referrals than men and did the origin interpretation of women's CHD symptoms (e.g., chest pain) shift from organic to psychogenic. Neither participants' gender nor their attitude toward women influenced assessments.