Pre-counseling Education for Low Literacy Women at Risk of Hereditary Breast and Ovarian Cancer (HBOC): Patient Experiences Using the Cancer Risk Education Intervention Tool (CREdIT)

The Cancer Risk Education Intervention Tool (CREdIT) is a computer-based (non-interactive) slide presentation designed to educate low-literacy, and ethnically and racially diverse public hospital patients at risk of Hereditary Breast and Ovarian Cancer (HBOC) about genetics. To qualitatively evaluate participants’ experience with and perceptions of a genetic education program as an adjunct to genetic counseling, we conducted direct observations of the intervention, semi-structured in person interviews with 11 women who viewed CREdIT, and post-counseling questionnaires with the two participating genetic counselors. Five themes emerged from the analysis of interviews: (1) genetic counseling and testing for breast/ovarian cancer was a new concept; (2) CREdIT’s story format was particularly appealing; (3) changes in participants’ perceived risk for breast cancer varied; (4) some misunderstandings about individual risk and heredity persisted after CREdIT and counseling; (5) the context for viewing CREdIT shaped responses to the presentation. Observations demonstrated ways to make the information provided in CREdIT and by genetic counselors more consistent. In a post-session counselor questionnaire, counselors’ rating of the patient’s preparedness before the session was significantly higher for patients who viewed CREdIT prior to their appointments than for other patients. This novel educational tool fills a gap in HBOC education by tailoring information to women of lower literacy and diverse ethnic/racial backgrounds. The tool was well received by interview participants and counselors alike. Further study is needed to examine the varied effects of CREdIT on risk perception. In addition, the implementation of CREdIT in diverse clinical settings and the cultural adaptation of CREdIT to specific populations reflect important areas for future work.     

Model of Effects of Adult Attachment on Emotional Empathy of Counseling Students

The effects of adult attachment on emotional empathy were investigated using a sample of master's‐degree level counseling students. Through structural equation modeling, the authors found that the latent attachment dimensions of avoidance and anxiety work in tandem in their effects on empathy. Lower avoidance and higher anxiety were associated with highest levels of empathy. Results are discussed in terms of attachment theory and the wounded healer concept, with implications for counselor trainees, counselor educators, and counselor supervisors.     

Recovering enchantment: addiction,spirituality, and Charles Taylor’s malaise of modernity

This article illuminates the nature of ‘spirituality’ as it relates to addiction in modernity. It does so by using philosopher Charles Taylor’s conception of the malaise of modernity and the meta-narrative he presents in A Secular Age as theoretical starting points. It then draws from qualitative data collected through semi-structured interviews and ongoing ethnographic fieldwork conducted with Canadian millennials who self-identify as ‘spiritual but not religious’. The young people’s experiences of addiction provide insight into the trappings of free-market capitalist modernity and its inability to provide an overarching source of meaning to their lives. Addiction becomes the means by which these individuals experience the malaise of modernity, which in turn leads them to seek an alternative understanding of the good life—a process they equate with ‘spirituality’. Therefore, an interest in ‘spirituality’ ought to be understood as a personalized attempt to re-enchant what is experienced as a disenchanted world.     

Bias at the intersection of race and gender: Evidence from preschool‐aged children

There is ample evidence of racial and gender bias in young children, but thus far this evidence comes almost exclusively from children's responses to a single social category (either race or gender). Yet we are each simultaneously members of many social categories (including our race and gender). Among adults, racial and gender biases intersect: negative racial biases are expressed more strongly against males than females. Here, we consider the developmental origin of bias at the intersection of race and gender. Relying on both implicit and explicit measures, we assessed 4‐year‐old children's responses to target images of children who varied systematically in both race (Black and White) and gender (male and female). Children revealed a strong and consistent pro‐White bias. This racial bias was expressed more strongly for males than females: children's responses to Black boys were less positive than to Black girls, White boys or White girls. This outcome, which constitutes the earliest evidence of bias at the intersection of race and gender, underscores the importance of addressing bias in the first years of life.     

RELIGION,SCIENCE, AND DISENCHANTMENT IN LATE MODERNITY

Late modernity has witnessed a growing semantic shift from “religion” to “spirituality.” In this article, I argue what underlies this shift is a cultural structure I call the religion of the heart. I begin with an explication of what I mean by the “religion of the heart,” and draw on the work of Ernst Troeltsch and Colin Campbell to identify what I take to be its historical antecedents. Second, I analyze the ambiguous relationships fostered between the religion of the heart and the discourses of science and religion, respectively, in late modernity. I illuminate how the social conditions of late modernity undermine or challenge what we conventionally think of as scientific and religious authorities, while at the same time creating existential needs that the religion of the heart is well adapted to meet. I conclude with a brief discussion of the implications of this process, especially as it relates to the sustainability of science and religion, as independent enterprises, in the twenty‐first century.     

Social Categorization and Stereotyping In vivo: The VUCA Challenge

A substantial literature has examined the nature of social categorization, a fundamental process having important implications for a wide variety of social phenomena. The great majority of this research has focused on the role of particular, clearly identified social categories (e.g. race, nationality, etc.) while ignoring or holding constant other identity dimensions. This approach has afforded considerable leverage for understanding how salient social identities influence perception, judgment, and behavior. However, it leaves unaddressed many questions about how particular social identities become salient and how (and whether) identities might be inferred when category membership is ambiguous or unknown. Everyday social perception often occurs under conditions of volatility (dynamic contexts), uncertainty (missing information), complexity (multiple bases for categorization), and ambiguity (unclear meaning of available cues). As a consequence, research must address how these factors might qualify basic processes of social categorization. Available evidence is reviewed, and directions for future research are discussed.     

Fiber tracking using magnetic resonance diffusion tensor imaging and its applications to human brain development

Diffusion tensor imaging is unique in its ability to noninvasively visualize white matter fiber tracts in the human brain in vivo. Diffusion is the incoherent motion of water molecules on a microscopic scale. This motion is itself dependent on the micro-structural environment that restricts the movement of the water molecules. In white matter fibers there is a pronounced directional dependence on diffusion. With white matter fiber tracking or tractography, projections among brain regions can be detected in the three-dimensional diffusion tensor dataset according to the directionality of the fibers. Examples of developmental changes in diffusion, tracking of major fiber tracts, and examples of how diffusion tensor tractography and functional magnetic resonance imaging can be combined are provided. These techniques are complimentary and allow both the identification of the eloquent areas of the brain involved in specific functional tasks, and the connections between them. The noninvasive nature of magnetic resonance imaging will allow these techniques to be used in both longitudinal developmental and diagnostic studies. An overview of the technique and preliminary applications are presented, along with its current limitations.