Transition to the Clinical Doctorate: Attitudes of the Genetic Counseling Training Program Directors in North America

In North America, genetic counseling is an allied health profession where entry level practitioners currently must hold a master’s degree earned from a graduate program accredited by the American Board of Genetic Counseling. This is one of many health care professions that could transition to an entry level clinical doctorate degree. This study explored the attitudes of genetic counseling training program directors toward such a transition. Thirty-one North American program directors were invited to complete an online survey and a follow-up telephone interview. Twenty-one program directors completed the survey and ten directors also completed a follow up phone interview. There was disagreement among the respondents on the issue of transitioning to a clinical doctorate degree (nine in favor, six against and six undecided). Respondents disagreed about whether the transition would lead to higher salaries (six yes, eight no, and seven unsure) or increased professional recognition (eight yes, eight no, and four unsure). Approximately half (n = 10) of directors were not sure if the transition to a clinical doctorate would help or hurt minority recruitment; six thought it would help and four thought it would hurt. However, the majority (n = 13) thought a clinical doctorate would help genetic counselors to obtain faculty positions. If the field transitions to a clinical doctorate, 11 of the directors thought their program would convert, seven were unsure and one thought their program would shut down. Themes identified in interview data included 1) implications for the profession 2) institution-specific considerations and 3) perception of the unknown. Opinions are quite varied at this time regarding the possible transition to the clinical doctorate among genetic counseling training program directors.     

The processes of facilitation and inhibition in a cue-target paradigm: insight from movement trajectory deviations

Several researchers have examined the trajectories of aiming movements in cue-target paradigms to investigate the motoric and attentional underpinnings of the inhibition of return (IOR) effect. The results of separate studies have revealed inconsistent patterns of trajectory deviations. These discrepancies may have arisen because the studies used narrow ranges of cue-target onset asynchronies (CTOAs) which may have prevented the time courses of facilitation and inhibition effects to be fully assessed. The present study was designed to conduct an examination of temporal and spatial characteristics of aiming movements over a broader range of CTOAs to provide a more comprehensive assessment of the potential expression of attentional and motoric contributions to cuing effects. Participants aimed to targets which were preceded by a non-predictive cue at CTOAs of 100, 350, 850, and 1100 ms. Analysis of spatial and temporal characteristics of the movements revealed facilitatory and inhibitory cuing effects in the trajectories, but only inhibitory cuing effects in RT. Further, the inhibitory effects in RT appeared at a shorter CTOA than the inhibitory effects in trajectories. This pattern of results suggests that the inhibitory mechanisms underlying IOR affect both attention and motor systems, but that these effects are displaced in time.     

Recognition memory performance as a function of reported subjective awareness

Three experiments introduced a recognition memory paradigm designed to investigate reported subjective awareness during retrieval. At study, in Experiments 1A and 2, words were either generated or read (generation), while modality of presentation (auditory versus visual) was manipulated in Experiment 1B. Word pairs (old/new or new/new) were presented during test trials, and participants indicated if they contained an old word by responding "remember", "know" or "new" in Experiments 1A and 1B, and by responding "strong no", "weak no", "weak yes", or "strong yes" in Experiment 2. Participants were then required to decide which of the 2 words was old. We demonstrated that the proportion measures used in the Remember Know paradigm substantially underestimated the influence of generation on familiarity resulting in an artificial dissociation between indices of knowing (familiarity) and remembering (recollection). We also found a qualitatively different pattern of forced-choice recognition performance as a function of claimed awareness.     

Stories of Relative Privilege: Power and Social Change in Feminist Community Psychology

Stories about community work in New Zealand and Scotland are presented to describe and reflect on issues central to feminist community psychology. Organizing a lesbian festival, Ingrid Huygens describes feminist processes used to equalize resources across Maori (indigenous) and Pakeha (white) groups. Heather Hamerton presents her experiences as a researcher using collective memory work to reflect on adolescent experiences related to gender, ethnicity, and class. Sharon Cahill chronicles dilemmas and insights from focus groups about anger with women living in public housing in Scotland. Each story chronicles experiences related to oppression and privilege, and describes the author's emotions and reflections. Individually and collectively, the stories illustrate the potential offered by narrative methods and participatory processes for challenging inequalities and encouraging social justice.     

Diurnal cycle of salivary cortisol in older adult men and women with subjective complaints of memory deficits and/or depressive symptoms: relation to cognitive functioning

In populations of young and older adults, it has been shown that individuals may be categorized into one of three diurnal subgroups when salivary cortisol levels are assessed over a 2-day period and compared for their consistency across days: a typical subgroup, a flat subgroup, and an inconsistent subgroup. Interestingly, recent studies have reported that the typical subgroup represents the majority of the young and older adult population, a finding that is difficult to reconcile with previous studies showing increased cortisol levels in older adults with depression or cognitive impairments. In order to assess whether a typical diurnal cortisol profile is representative across different subgroups of older adults, we assessed diurnal cortisol cycle representation in a sample of older adults with subjective complaints of depression and/or memory problems. Furthermore, given the robust relationship between cortisol and cognitive function, the present study examined the association between the three diurnal subgroups and cognitive performance. Forty-two older individuals were recruited on the basis of reporting subjective complaints of either memory problems and/or depressive mood. Participants were asked to sample their saliva over a 2-day period and were then asked to undergo a neuropsychological evaluation that taps into short-term memory, declarative memory and language. The results showed that 69% of the sample presented a Flat cycle of salivary cortisol over a 2-day period while 19% presented an inconsistent pattern and 12% presented a typical pattern. Participants in the flat subgroup were significantly impaired on letter verbal fluency. Furthermore, a relationship was found between diurnal cortisol subgroup representation and subjective complaint profile. These findings show that older adults with complaints of memory problems and/or depressive symptoms do not present the typical profile of the diurnal cortisol cycle, and they provide a preliminary view of how diurnal cortisol profile relates to cognitive function during human aging.     

A randomized controlled trial of cognitive behavior therapy for borderline personality disorder: rationale for trial, method, and description of sample

This paper describes the rationale for a randomized controlled trial, comparing cognitive behavior therapy in addition to treatment as usual with treatment as usual alone, for borderline personality disorder. Previous pioneering randomized controlled trials of psychotherapies have suffered from methodological weaknesses and have not always been reported clearly to allow adequate evaluation of either the individual study or comparisons across studies to be undertaken. We report on the recruitment and randomization, design, and conduct of an ongoing randomized controlled trial of one hundred and six patients with borderline personality disorder. Primary and secondary hypotheses and their planned analyses are stated. The baseline characteristics of 106 patients meeting diagnostic criteria for borderline personality disorder are described.     

Is there an age-related positivity effect in visual attention? A comparison of two methodologies

Research suggests a positivity effect in older adults' memory for emotional material, but the evidence from the attentional domain is mixed. The present study combined 2 methodologies for studying preferences in visual attention, eye tracking, and dot-probe, as younger and older adults viewed synthetic emotional faces. Eye tracking most consistently revealed a positivity effect in older adults' attention, so that older adults showed preferential looking toward happy faces and away from sad faces. Dot-probe results were less robust, but in the same direction. Methodological and theoretical implications for the study of socioemotional aging are discussed.     

Very first impressions

First impressions of people's personalities are often formed by using the visual appearance of their faces. Defining how quickly these impressions can be formed has critical implications for understanding social interactions and for determining the visual properties used to shape them. To study impression formation independent of emotional cues, threat judgments were made on faces with a neutral expression. Consequently, participants' judgments pertained to the personality rather than to a certain temporary emotional state (e.g., anger). The results demonstrate that consistent first impressions can be formed very quickly, based on whatever information is available within the first 39 ms. First impressions were less consistent under these conditions when the judgments were about intelligence, suggesting that survival-related traits are judged more quickly. The authors propose that low spatial frequencies mediate this swift formation of threat judgments and provide evidence that supports this hypothesis.     

Construct validity of the relationship profile test: impact of gender, gender role, and gender role stereotype

Research supports the construct validity of the Relationship Profile Test (RPT; Bornstein & Languirand, 2003), a 30-item, self-report measure of destructive overdependence (DO), dysfunctional detachment (DD), and healthy dependency. In this investigation, we assessed the relationships of gender, gender role, and gender role stereotype ratings to RPT subscale scores. In Study 1, we replicated earlier patterns of gender differences in RPT scores, assessed cross-sample consistency in gender difference effect sizes, and provided preliminary nonclinical norms for the RPT subscales. Study 2 showed that--as expected--DO items are perceived as stereotypically feminine, whereas DD items are perceived as stereotypically masculine. In Study 3, we examined the relationships of RPT subscale scores to masculinity, femininity, and androgyny scores. We discuss the theoretical, empirical, and clinical implications of these findings.