Peering into a Chilean Black Box: Parental Storytelling in Pediatric Genetic Counseling

While genetic counseling has expanded to multiple international settings, research about providing culturally sensitive services to non-U.S. patients is limited. To gain insights, we utilized a process study to explore parental communication in pediatric genetics clinics in Chile. We utilized a phenomenological hermeneutic approach to assess storytelling in six pediatric sessions that were conducted in Spanish, and translated into English. The majority of the sessions focused on information gathering (35 %), and providing medical (20 %) and genetics education (18 %). The 14 instances of storytelling we identified usually emerged during information gathering, genetics education, and the closing of the session. Stories illustrated parental efforts to create a cognitive and emotional context for their child’s genetic diagnosis. Parents emerged as competent caregivers who discussed the role of the child as a social being in the family and the larger community. Our analysis found that genetic counseling sessions in the U.S. and Chile are structured similarly and although communication is not a balanced process, parents use storytelling to participate as active agents in the session. Via storytelling, we learned that parents are working to understand and gain control over their child’s genetic diagnosis by relying on mechanisms that extend beyond the genetics appointment.     

A Review of Psychosocial Factors in Complex Regional Pain Syndrome

Complex regional pain syndrome (CRPS) is a disabling pain condition poorly understood by medical professionals. Because CRPS is particularly enigmatic, and has significant impact on patient function, researchers have examined psychological processes present among patients with this diagnosis. This systematic review examines psychosocial factors associated with CRPS, both predictors and sequelae. Our conclusions are that CRPS is associated with negative outcomes, both psychological (e.g., increased depression and anxiety) and psychosocial (e.g., reduced quality of life, impaired occupational function) in nature. However, research does not reveal support for specific personality or psychopathology predictors of the condition.     

Assessing research on workplace violence, 2000–2012

Since the highly publicized U.S. Postal violence cases in the 1980s, workplace aggression and workplace violence have been the source of much public discussion and concern. Yet, the topic has only recently received sustained empirical attention—most of which has come from the organizational management and business fields. This article provides a review of the empirical research literature on workplace violence in several databases from 2000 to 2012. Our review uncovers that different occupational domains have different experiences with workplace violence, while some occupations are subject to distinct types of violence by unique aggressors. Directions for future theoretical and empirical research are highlighted.     

Play it again: neural responses to reunion with excluders predicted by attachment patterns

Reunion behavior following stressful separations from caregivers is often considered the single most sensitive clue to infant attachment patterns. Extending these ideas to middle childhood/early adolescence, we examined participants' neural responses to reunion with peers who had previously excluded them. We recorded event‐related potentials among nineteen 11‐ to 15‐year‐old youth previously classified on attachment interviews (11 secure and 8 insecure‐dismissing) while they played a virtual ball‐toss game (Cyberball) with peers that involved fair play, exclusion and reunion phases. Compared to secure participants, dismissing participants displayed a greater increment in the N2 during reunion relative to fair play, a neural marker commonly linked to expectancy violation. These data suggest a greater tendency toward continued expectations of rejection among dismissing children, even after cessation of social exclusion. In turn, the link between self‐reported ostracism distress and neural signs of negative expectancy at reunion was moderated by attachment, such that self‐reports were discordant with the neural index of expectancy violation for dismissing, but not for secure children. A video abstract of this article can be viewed at http://www.youtube.com/watch?v=qzoRel5c-4s .     

Attachment Theory as a Framework for Understanding Responses to Social Exclusion

We argue that attachment theory may provide a useful framework for understanding individuals' reactions to social exclusion. Attachment theory suggests that social exclusion should prompt an individual to seek comfort from an accepting attachment figure. However, most experimental studies constrain individuals from seeking out an attachment figure to quell their distress, and may interfere with the process of recruiting internalized attachment figures. When the goal of recruiting attachment figure support is blocked, individuals may adopt deactivating strategies, such as emotional numbing, to reduce their distress. Alternatively, individuals may adopt hyperactivating strategies, such as ingratiating behaviors, to seek proximity to attachment figure substitutes. We conclude with recommendations for future avenues of exclusion research stemming from attachment theory.     

Armed and attentive: Holding a weapon can bias attentional priorities in scene viewing

The action-specific perception hypothesis (Witt, Current Directions in Psychological Science 20: 201–206, 2011) claims that the environment is represented with respect to potential interactions for objects present within said environment. This investigation sought to extend the hypothesis beyond perceptual mechanisms and assess whether action-specific potential could alter attentional allocation. To do so, we examined a well-replicated attention bias in the weapon focus effect (Loftus, Loftus, & Messo, Law and Human Behaviour 1, 55–62, 1987), which represents the tendency for observers to attend more to weapons than to neutral objects. Our key manipulation altered the anticipated action-specific potential of observers by providing them a firearm while they freely viewed scenes with and without weapons present. We replicated the original weapon focus effect using modern eye tracking and confirmed that the increase in time looking at weapons comes at a cost of less time spent looking at faces. Additionally, observers who held firearms while viewing the various scenes showed a general bias to look at faces over objects, but only if the firearm was in a readily usable position (i.e., pointed at the scenes rather than holstered at one’s side). These two effects, weapon focus and the newly found bias to look more at faces when armed, canceled out one another without interacting. This evidence confirms that the action capabilities of the observer alter more than just perceptual mechanisms and that holding a weapon can change attentional priorities. Theoretical and real-world implications are discussed.     

Shared representations between self and other: a social cognitive neuroscience view

The abilities to identify with others and to distinguish between self and other play a pivotal role in intersubjective transactions. Here, we marshall evidence from developmental science, social psychology and neuroscience (including clinical neuropsychology) that support the view of a common representation network (both at the computational and neural levels) between self and other. However, sharedness does not mean identicality, otherwise representations of self and others would completely overlap, and lead to confusion. We argue that self-awareness and agency are integral components for navigating within these shared representations. We suggest that within this shared neural network the inferior parietal cortex and the prefrontal cortex in the right hemisphere play a special role in interpersonal awareness.     

Loving the One You Hurt: Positive Effects of Recounting a Transgression against an Intimate Partner

Intimate partners described a past transgression in which one of them had been a victim and the other a perpetrator and then evaluated each other and their relationship. Participants had been randomly assigned to the perpetrator or victim role. Perpetrators described their actions as more justifiable, perceived greater improvement since the transgression, and were more optimistic about the future of their relationship than were their victims or control participants. The results support the authors' contention that temporal appraisals are an important mechanism enabling people to maintain positive images of themselves and their relationships.     

A theoretical exploration and model of consumer expectations,post‐purchase affective states and affective behaviour

Through a detailed review of the service quality and (dis)satisfaction literatures, this paper presents a theoretical model exploring the interrelationship between expectations, affective post‐purchase states and affective behaviour. Drawing together a comprehensive hierarchy of expectations culled from the service quality literature, the authors seek to apply levels of expectation to specific post‐purchase affective states and affective behaviour. The authors argue that consumers have two types of expectation that influence post‐purchase affective states: the core or predictive ‘will be’ expectation; and peripheral expectations—that can range from the ideal standard to the minimum tolerable level. By applying the levels‐of‐expectation approach to the expectation‐disconfirmation paradigm, the authors argue that there are four types of post‐purchase affective states: delight, satisfaction (or positive indifference), acceptance (or negative indifference) and dissatisfaction. These four states may lead onto affective action—ie varying degrees of complaining or complimenting behaviour. The paper presents 11 propositions relating to expectations and their interrelationship with post‐purchase affective states and subsequent consumer behaviour, with the aim of stimulating further scholarly enquiry. The managerial implications of the analysis are also considered. Copyright © 2003 Henry Stewart Publications.     

Habituation in high‐risk infants: reliability and patterns of responding

We examined both the reliability of infant‐controlled habituation and patterns of responding in a group of high‐risk infants (mean age 16 mos). Good test–retest reliability was found for mean, total, and baseline looking time for one of the stimuli. Classification of infants' pattern of performance yielded two groups: linear (57%) and non‐linear (29%) responders; 14% of cases could not be classified because of cross‐session inconsistencies in performance. Linear responders had shorter total looking times, fewer trials to criterion, and showed more habituation than non‐linear responders, thus validating the linear/non‐linear distinction. Our findings indicate that the infant‐controlled habituation task can be used reliably with infants who are at high risk for developmental disorders. Indeed, we provide evidence that this task is not only reliable, but may also provide meaningful distinctions between infants within the high‐risk population. Discussion focuses on the role of attention in distinguishing between short (linear) and long (non‐linear) lookers. Copyright © 2003 John Wiley & Sons, Ltd.