Assessing a New Dimension of Empathy: Empathic Anger as a Predictor of Helping and Punishing Desires

The present research addressed the question of whether empathy can be experienced in terms of anger on behalf of a victimized person (i.e., empathic anger). The present research also tested whether empathic anger motivates desires intended to help a victim, or desires intended to punish a transgressor, or both. Four studies were conducted. Studies 1–3 developed and validated a measure of trait empathic anger. Study 4 validated a measure of state empathic anger and tested whether participants' empathic anger has an effect on their desire to engage in helping and punishing behaviors. State empathic anger had direct, positive effects on both helping and punishing desires, and trait empathic anger had positive mediated effects (via state empathic anger) on both desires. The effects of trait and state empathic anger were unique from the effects of existing measures of empathy-as-sadness. Implications for future empathy and prosocial behavior research are discussed.     

Child personality and parental behavior as moderators of problem behavior: variable- and person-centered approaches

Parenting x Child Personality interactions in predicting child externalizing and internalizing behavior were investigated in a variable-centered study and a person-centered study. The variable-centered study used data from a 3-year longitudinal study of 600 children 7 to 15 years old at Time 1 and 512 children 10 to 18 years old at Time 2. Parents rated child personality (five factor model), negative control, positive parenting, and child problem behavior, whereas children rated parental behavior. Hierarchical moderated regression analyses showed significant Parenting x Child Personality (benevolence and conscientiousness) interactions, principally for externalizing behavior. The interactions were largely replicable across informants and across time. The person-centered study, which classified participants into 3 types, showed that negative parental control was more related to externalizing behavior for undercontrollers than for resilients. Negative parental control enhanced internalizing behavior for overcontrollers.     

Motherhood and Maternal Fitness of Mothers Whose Parental Rights Were Terminated in Israel: The Importance of Sexual Heteronormality and Legitimacy

Motherhood represents a social construct that is given meaning within patriarchal systems of law and custom. The present study analyzes the Israeli legal discourse surrounding motherhood, parenting capacity, and sexual conduct of marginalized women whose parental rights were terminated. It examines how information about a mother’s sexual heteronormal life style played a role in the construction of her motherhood as maternal unfitness. Drawing from 80 court decisions terminating parental rights, three themes emerged: the bad wife as a marker of the bad mother, “legitimate” sexual life as a pre-condition to desirable parenting, and negative views of women who give birth out of marriage. Maternal unfitness was associated with sexual immorality, illegitimacy, and “inappropriate” sexual choices. Alternative explanations of the findings are discussed from a critical feminist and legal perspective. Implications of the findings are outlined, particularly the need for women’s voices to be heard in every decision-making process regarding state control of their parenting, and the need for professionals to avoid bias against socially marginalized women and engage in critical reflective thinking regarding why information about a mother’s sexual conduct and life style is considered relevant to any assessment of her parental fitness and the child’s best interest.

     

Variation of meningioma in response to cyproterone acetate in a trans woman

Background: Meningiomas express estrogen and progesterone receptors, suggestive of hormonal responsiveness. So far, eight cases of trans women with a meningioma have been reported in the literature.

Methods: Detailed report of the symptoms, treatment, and follow-up of an individual transgender patient with a meningioma.

Results: A trans woman treated long-term with gender affirming hormone therapy, including cyproterone acetate, a synthetic progestin and anti-androgen, was diagnosed with a meningioma, significantly expanding in volume over 10 years. After stopping cyproterone acetate a substantial volume decrease of the meningioma was noticed within 3 months.

Conclusion: This addition to the literature demonstrates that a conservative approach with interruption of cyproterone acetate may be a sufficient intervention, obviating the need for additional neurosurgical treatment.     

Genetic Counseling Milestones: A Framework for Student Competency Evaluation

Graduate medical education has recently increased focus on the development of medical specialty competency milestones to provide a targeted tool for medical resident evaluation. Milestones provide developmental assessment of the attainment of competencies over the course of an educational program. An educational framework is described to explore the development of Genetic Counseling Milestones for the evaluation of the development of genetic counseling competencies by genetic counseling students. The development of Genetic Counseling Milestones may provide a valuable tool to assess genetic counseling students across all program activities. Historical educational context, current practices, and potential benefits and challenges in the development of Genetic Counseling Milestones are discussed.     

A Therapeutic Recreation Camp for Children with Congenital Heart Disease: Examining Impact on the Psychosocial Well-Being of Parents

Therapeutic recreation camps have been considered to be an effective context for improving the psychosocial functioning of children with congenital heart disease (CHD). However, there is limited research regarding their impact on parents. Nine parents participated in two semi-structured interviews before and after their children attended a camp for children with CHD. Parents described their perceptions of their children’s camp experiences and identified the psychosocial utility of camp for themselves. Camp enabled parents to let their children grow and be independent, and helped reduce parents’ restricting and overprotective behaviours. Camp also provided parents with respite care, which alleviated their need to be ‘cardiac’ parents. These findings strengthen the case for therapeutic recreation camps and underscore the importance of expanding camp access to more families affected by CHD.     

Duchenne Muscular Dystrophy: a Survey of Perspectives on Carrier Testing and Communication Within the Family

Carrier testing is widely available for multiple genetic conditions, and several professional organizations have created practice guidelines regarding appropriate clinical application and the testing of minors. Previous research has focused on carrier screening, predictive testing, and testing for X-linked conditions. However, family perspectives on carrier testing for X-linked lethal diseases have yet to be described. In this study, we explored communication within the family about carrier testing and the perspectives of mothers of sons with an X-linked lethal disease, Duchenne muscular dystrophy (DMD). Twenty-five mothers of sons with DMD participated in an anonymous online survey. Survey questions included multiple choice, Likert scale, and open ended, short answer questions. Analysis of the multiple choice and Likert scale questions revealed that most mothers preferred a gradual style of communication with their daughters regarding risk status. In addition, most participants reported having consulted with a genetic counselor and found it helpful. Comparisons between groups, analyzed using Fisher’s exact tests, found no differences in preferred style due to mother’s carrier status or having a daughter. Thematic analysis was conducted on responses to open ended questions. Themes identified included the impact of family implications, age and maturity, and a desire for autonomy regarding the decision to discuss and undergo carrier testing with at-risk daughters, particularly timing of these discussions. Implications for genetic counseling practice are discussed.     

Of monkeys and men: Impatience in perceptual decision-making

For decades sequential sampling models have successfully accounted for human and monkey decision-making, relying on the standard assumption that decision makers maintain a pre-set decision standard throughout the decision process. Based on the theoretical argument of reward rate maximization, some authors have recently suggested that decision makers become increasingly impatient as time passes and therefore lower their decision standard. Indeed, a number of studies show that computational models with an impatience component provide a good fit to human and monkey decision behavior. However, many of these studies lack quantitative model comparisons and systematic manipulations of rewards. Moreover, the often-cited evidence from single-cell recordings is not unequivocal and complimentary data from human subjects is largely missing. We conclude that, despite some enthusiastic calls for the abandonment of the standard model, the idea of an impatience component has yet to be fully established; we suggest a number of recently developed tools that will help bring the debate to a conclusive settlement.