Dream content: Individual and generic aspects

Dream reports were collected from normal subjects in an effort to determine the degree to which dream reports can be used to identify individual dreamers. Judges were asked to group the reports by their authors. The judges scored the reports correctly at chance levels. This finding indicated that dreams may be at least as much like each other as they are the signature of individual dreamers. Our results suggest that dream reports cannot be used to identify the individuals who produced them when identifiers like names and gender of friends and family members are removed from the dream report. In addition to using dreams to learn about an individual, we must look at dreams as telling us about important common or generic aspects of human consciousness.     

State-dependent thinking: a comparison of waking and dreaming thought

Thinking is known to be state dependent but a systematic study of how thinking in dreams differs from thinking while awake has not been done. The study consisted of analyzing the dream reports of 26 subjects who, in addition to providing dream reports also provided answers to questions about their thinking within the dream. Our hypothesis was that thinking in dreams is not monolithic but has two distinct components, one that is similar to wake-state cognition, and another that is fundamentally different. We found that cognition within a dream scenario was similar to that of wake-state cognition, but that thinking about the scenario itself was deficient and very different than wake-state thinking.     

The Making of Mind

To understand how human beings come to have the mental faculties that they do, one would do well to consider the making of mind in at least two senses. First, an evolutionary perspective promises to specify what distinguishes Homo sapiens from nonhuman primate kin, and to set whatever is unique against a background of psychological abilities that we share with our ancestral relatives. Second, an account of individuals’ development from infancy onwards should enable one to see how humans’ species-specific biological endowment dovetails with what the environment provides to yield specifically human psychological capacities. In this article, I argue that to arrive at an overarching theoretical explanation, we should set the capacity to identify with the attitudes of other people at the very core of evolutionary and developmental accounts.     

Training Methods for Delivering Difficult News in Genetic Counseling and Genetics Residency Training Programs

Genetic counselors and clinical geneticists are often in the position of delivering difficult news (DDN) to patients and families. Many studies show that healthcare providers require major improvement in the skills needed in DDN in a manner that is satisfactory to their patients. The purpose of this study was to assess the amount and methodology of DDN training received by genetic counselors and medical genetics residents in their training programs, such as observations of DDN or attending didactic lectures. To our knowledge, there is no previous assessment or study of DDN training in genetic counselor and medical genetics residency programs; therefore, we aim to both assess and compare the training in DDN received by genetic counselors and by genetics residents and determine whether there is a desire for recommendations on DDN training. We invited genetic counseling (GC) and genetics residency program directors to participate in an online survey designed to assess coursework, clinical experiences, and directors’ attitudes toward teaching DDN. Response rate was 85% (28/33) for GC program directors and 26% (14/53) for genetics residency program directors. One hundred percent of GC and genetics residency directors who responded to the survey agreed that it is important for genetic counselors and medical geneticists to be able to deliver difficult news effectively and that training programs should formally teach students how to deliver difficult news. Six of the eight common teaching methods are used by at least 75% of GC programs while two of eight are used by at least 75% of genetics residency programs. Seventy-nine percent of GC and 93% of genetics residency program directors agree that there should be recommendations on how to teach students to deliver this news. Our results show that techniques for DDN are integrated more fully into GC program curricula than genetics residency curricula. Directors of both types of programs desire recommendations and more standardized education for training students to deliver difficult news.     

Avoiding affect in intergroup relations: The roles of dispositional and intergroup empathy in the relationship between alexithymia and prejudice

Alexithymia, that is, difficulties in recognizing, communicating, and processing one's own emotions, is associated with poorer interpersonal relations. Emotional processes are key drivers and mechanisms of prejudice and its reduction, and alexithymia is thought to influence individuals' empathic responses. This research examined the relationship between alexithymia and prejudice, and the role of empathy in this relationship. Three studies were conducted in three intergroup contexts to test whether alexithymia is also associated with poorer intergroup relations with lesbian, gay, bisexual, and transgender+ individuals (Study 1, N = 126 heterosexual late adolescents) and Asian British people (Study 3, N = 300 White adults) in the United Kingdom, and immigrants in Italy (Study 2, N = 381 Italian adults). Participants completed the Toronto Alexithymia Scale (TAS-20), measures on dispositional and intergroup empathic concern (EC) and perspective taking (PT) as well as measures of prejudice (anti-outgroup hostility, anti-outgroup attitudes, and anti-outgroup behavioral intentions). Lower dispositional EC (Studies 1, marginal effect in Study 2) and intergroup EC and PT (Study 3) mediated the relationship between the Externally Oriented Thinking subscale of the TAS-20 (i.e., avoiding emotions and affective thinking) and greater prejudice. The findings are important for understanding the challenges of late adolescents and adults with alexithymia in intergroup relations, highlighting the role of dispositional and intergroup empathy for individual differences such as alexithymia in endorsing prejudice.     

Breaking Difficult News in a Cross-cultural Setting: a Qualitative Study about Latina Mothers of Children with Down Syndrome

Giving difficult news to patients represents a common dilemma for health care professionals. Based on three decades of research, various authors have proposed guidelines outlining the ideal setting, delivery, and timing. Existing publications focus on patients of European descent and may not be applicable in cross-cultural settings. We explored perceptions of Spanish-speaking mothers who have a child with Down syndrome and how they preferred to receive the news of their child's diagnosis. We conducted semi-structured qualitative interviews (n?=?14), which were coded and analyzed by thematic networks to identify common themes. Six significant themes emerged: Cultural Belief System, Communication, Support/Lack of Support, Feelings Engendered, Medical Issues, and Medical System. One overarching theme of mother-child bonding encompassed all sub-themes. The mothers desired the news in a more positive, balanced light and with more complete explanations about the condition. Mothers felt excluded from the diagnostic process and wanted to be better informed about the need for diagnostic studies. Participants used religious beliefs to explain the reason for their child's condition. Many factors influenced Latina mothers' ability to bond initially with their children with Down syndrome. Ideally, these factors should be acknowledged during informing interviews to assist Latino families in adjustment.     

A mind to go out of: reflections on primary and secondary consciousness

Dreaming and waking are two brain-mind states, which are characterized by shared and differentiated properties at the levels of brain and consciousness. As part of our effort to capitalize on a comparison of these two states we have applied Edelman's distinction between primary and secondary consciousness, which we link to dreaming and waking respectively. In this paper we examine the implications of this contrastive analysis for theories of mental illness. We conclude that while dreaming is an almost perfect model of organic psychosis, it is less so for schizophrenia and major affective disorder where it must serve a primarily heuristic role helping us to model hallucinations and delusions but not the diseases themselves.