Report from the National Society of Genetic Counselors Service Delivery Model Task Force: A Proposal to Define Models, Components, and Modes of Referral

The Service Delivery Model Task Force (SDMTF) was appointed in 2009 by the leadership of the National Society of Genetic Counselors (NSGC) with a charge to research and assess the capacity of all existing service delivery models to improve access to genetic counseling services in the context of increasing demand for genetic testing and counseling. In approaching this charge, the SDMTF found that there were varying interpretations of what was meant by "service delivery models" and the group held extensive discussions about current practices to arrive at consensus of proposed definitions for current genetic service delivery models, modes of referral and components of service delivery. The major goal of these proposed definitions is to allow for conversations to begin to address the charge to the committee. We propose that current models of service delivery can be defined by: 1) the methods in which genetic counseling services are delivered (In-person, Telephone, Group and Telegenetics), 2) the way they are accessed by patients (Traditional referral, Tandem, Triage, Rescue and Self-referral) and 3) the variable components that depend upon multiple factors unique to each service setting. This report by the SDMTF provides a starting point whereby standardized terminology can be used in future studies that assess the effectiveness of these described models to overcome barriers to access to genetic counseling services.     

Effect of alcohol on quantity of creative production using the Purdue tests

An experiment was performed to test whether a moderate dose of alcohol (1 ml of 100% alcohol/kg body weight) facilitates the production of creative solutions as measured with a standard creativity test and whether a creative attitude interacts with alcohol in this respect. The 60 subjects were randomly assigned to either an alcohol, a placebo, or a control group, with 10 women and 10 men in each group. Two different personality tests measuring the creative attitude were administered a priori. Analysis indicated that both the placebo and alcohol groups produced significantly less creative solutions to the ten stimulus pictures. The a priori attitude scores significantly predicted the creativity scores for the placebo and alcohol subjects but not for the control subjects. Results were discussed in terms of disinhibition and cognitive changes under alcohol.     

Decision support systems effectiveness: Conceptual framework and empirical evaluation

Decision Support Systems (DSS) are designed to help human beings in solving problems more efficiently or making better decisions. While an increasing number of DSS have been and are developed, the effectiveness of such systems has not yet been demonstrated. This study proposes a conceptual framework for measuring the effectiveness of DSS and reports the results of a before-and-after study designed to compare two experimental groups of problem solvers assisted by one of two technologies for conflict resolution with a control group without any technology. The two technologies that are examined in this paper consist of a computerized DSS for conflict resolution, Resolve(!), and a videotape on conflict resolution, Video. Various measures of the problem solving episode were recorded, including both process and outcome measures. Overall, the groups with access to the technologies perceived a significantly better resolution of the problem they addressed than their control group counterpart. The two technologies differed essentially on two out of 11 variabales: subjects assigned to the computerized DSS technology generated more alternative solutions to the problem they tried to solve and reported a higher perceived progress in the resolution of the problem, than did subjects who were assigned to the videotape technology.     

When Another Stumbles: Gender and Self-Presentation to Vulnerable Others

Pursuing answers to the twin questions of whenand why women engage in “modest”self-presentation, this study examined theself-presentation of academic achievement in a collegesetting. Gender of the participants, gender of the partners,and vulnerability (concern over his/her low grades ornot) of the partner were completely crossed.Participants were 85 first-year students, drawn from acollege population that was 6% African-American, 9%Asian, 79% Euro-American, and 5% Latinola. They heardinformation about a partner's academic record, and thenwere induced to predict their own grade point average, in a context in which they anticipatedinteracting closely with the partner on a joint task.Women's grade point average predictions were lower thanmen's, and particularly so when the partner wasvulnerable. Vulnerable male partners were particularlysalient for women in both the grade point averagepredictions and self-report data; the nonvulnerable malepartners were particularly salient for men. Results are discussed with reference toself-in-relation and social comparisontheories.     

Prenatal Testing for Adult-Onset Conditions: the Position of the National Society of Genetic Counselors

Advances in genetic testing and the availability of such testing in pregnancy allows prospective parents to test their future child for adult-onset conditions. This ability raises several complex ethical issues. Prospective parents have reproductive rights to obtain information about their fetus. This information may or may not alter pregnancy management. These rights can be in conflict with the rights of the future individual, who will be denied the right to elect or decline testing. This paper highlights the complexity of these issues, details discussions that went into the National Society of Genetic Counselors (NSGC) Public Policy Task Force’s development of the Prenatal testing for Adult-Onset Conditions position statement adopted in November 2014, and cites relevant literature on this topic through December 2015. Issues addressed include parental rights and autonomy, rights of the future child, the right not to know, possible adverse effects on childhood and the need for genetic counseling. This paper will serve as a reference to genetic counselors and healthcare professionals when faced with this situation in clinical practice.     

Male alcohol‐related aggression as a function of type of drink

The present study tested the so‐called type‐of‐drink effect on aggression, that is, the idea that moderate acute alcohol intoxication elicits more aggression when the alcohol is drunk in the form of spirits than in the form of beer or wine. A computerized version of the Taylor “aggression machine” was used. Spirits‐drinking subjects drank 1.0 ml of 100% alcohol per kg body weight. To compensate for the lower alcohol concentration, beer‐ and wine‐drinking subjects drank 20% more. No significant differences were found between drinkers of different beverages in terms of blood alcohol levels. Results indicated that spirits elicited more direct physical aggression than either beer or wine. Three different possible explanations for this finding were discussed. Aggr. Behav. 25:401–408, 1999. © 1999 Wiley‐Liss, Inc.     

Frustration and successful vs. Unsuccessful aggression: A test of Berkowitz' completion hypothesis

Author experiment using a modified version of the Buss' aggression paradigm tested Berkowitz' completion hypothesis, which states unsuccessful aggressive attempts at the frustrator serve as further frustration and intensify aggression. Testing was done by varying the number of successful aggressive attempts for different experimental groups. The experiment indicated first a positive relationship between subjective levels of frustration and aggression, which supports a general frustration-aggression hypothesis, and second that unsuccessful aggressive attempts lead to increased aggression in terms of shock intensity. This was interpreted as supportive of Berkowitz' completion hypothesis, although alternative interpretations in terms of cognitive and behavioral strategies cannot be excluded.     

Supporting Survivors: The Roles of Rape Myths and Feminism in University Resident Assistants’ Response to Sexual Assault Disclosure Scenarios

Sex Roles - Sexual assault is a widespread and deleterious issue on U.S. college campuses. Resident assistants (RAs) in university housing are in a unique position to support students who...