Meeting the emotional needs of infants and toddlers in foster care: The collaborative mental health care experience

This paper describes a partnership between an infant mental health consultation program and child welfare authorities, with a special focus on the use of a consultation model to support infants and toddlers in foster care. The authors describe a model of practice that incorporates the transactional model with a developmental perspective to help foster parents understand and address the emotional needs of these children. The clinical implications section reviews strategies for addressing attachment and relationship disturbances, promoting self‐regulation, and enhancing social competence in infants and young foster children.     

Narrating emotional events in schizophrenia

Research has indicated that schizophrenia patients report similar amounts of experienced emotion in response to emotional material compared with nonpatients. However, less is known about how schizophrenia patients describe and make sense of their emotional life events. We adopted a narrative approach to investigate schizophrenia patients' renderings of their emotional life experiences. In Study 1, patients' (n=42) positive and negative narratives were similarly personal, tellable, engaged, and appropriate. However, negative narratives were less grammatically clear than positive narratives, and positive narratives were more likely to involve other people than negative narratives. In Study 2, emotional (positive and negative) narratives were less tellable and detached, yet more linear and social compared with neutral narratives for both schizophrenia patients (n=24) and healthy controls (n=19). However, patients' narratives about emotional life events were less appropriate to context and less linear, and patients' narratives, whether emotional or not, were less tellable and more detached compared with controls' narratives. Although schizophrenia patients are capable of recounting life events that trigger different emotions, the telling of these life events is fraught with difficulty.     

Emergent Values and the Experience of Aging

This study examined the role of values or guiding principles emerging from the life histories and reflections of 111 older adults as predictors of the experience of aging. Participants completed a detailed life history interview in which they described themselves on 10 major life dimensions. They also completed standardized questionnaires of well-being, personality traits, and intolerance of uncertainty. Participants expressed a mix of prosocial and self-interest values in their interviews. Multiple regression analyses indicated that social support and intolerance of uncertainty positively predicted the extent of values articulated in the interviews. Better quality of aging was predicted positively by extent of emergent values and greater well-being and negatively by age. The results indicate that an examination of values provides a unique contribution to the understanding of the experience of aging.     

Decision-Making About Inherited Cancer Risk: Exploring Dimensions of Genetic Responsibility

Since genetic information has implications for family members, some choices about genetic risk may be influenced by perceptions of responsibility to relatives. Drawing upon 25 semi-structured interviews with test recipients in Canada, this study explored decisions about inherited breast-ovarian and colon cancer. Qualitative data analysis revealed the pervasive significance of genetic responsibility in test decisions. We highlight three dimensions of genetic responsibility: 1) to know about the self for self; 2) to know about the self for others; 3) to know about the self to oblige others to know. It is argued that these dimensions of genetic responsibility have implications for test decisions, family relationships and other family members’ desire to know (or not know) and to act (or not act) with respect to their own genetic risk. In particular, genetic responsibility may play out as a framing of a relative’s moral obligation to know their risk that could obviate any interest they might have in not knowing. We conclude that perceptions of responsibility to—and of−other family members be thoroughly explored in genetic counseling sessions.     

Complexities in Cancer Risk Counseling: Presentation of Three Cases

Complexities abound in the identification and management of families at increased risk for inherited forms of cancer. One of the ways to learn as a profession how best to provide cancer risk counseling (CRC) is to share counseling experiences. Such cases can provide insight into the issues raised by families and ways in which genetic counselors have handled complex situations. Here we describe three CRC cases initially presented at the 1995 American College of Medical Genetics meeting. The first case involves balancing the importance of informing a family of the presence of an inherited cancer syndrome with the family's right not to know. The second case illustrates the difficulties in assisting an individual to make medical management decisions in the face of uncertain risk information. The third case describes the complex interactions with a woman before and after her decision to have prophylactic surgery. (affiliated with Long Beach Memorial Breast Center at the time of counseling)     

Children's use ofGet passives

Children's use ofget in passivelike constructions was examined in this study. Fifty-eight children at three age levels were tested twice on imitation, comprehension, and production tasks. For the imitation and comprehension tasks, passive sentences withget were modeled in one instance and withbe in the other instance. On both tasks, children performed significantly better on theget items than on thebe items. For the production tasks, active sentences were used as the experimental stimuli. Among 928 production responses possible, children produced 423get passives and 6be passives. The frequency ofget passives increased with increasing age. Qualitative analyses were performed to determine agerelated changes in the pattern of linguistic strategies chosen. These data were consistent with predictions derived from a model of lexical directionality: Children used moreget thanbe passives and more truncated than full passives.     

Visual recognition memory for complex configurations

Previous studies of recognition memory for heterogeneous pictorial stimuli suggest an unusually large storage and retrieval capacity. In the first experiment, three series of homogeneous pictures (faces, ink blots, snow crystals) were presented to six independent groups of Ss, and recognition was tested immediately or 48 h later. Accuracy and sex were related to stimulus configuration; at both time intervals, accuracy was best for faces and poorest for snow crystals. Levels of accuracy were below those attained in studies using heterogeneous arrays. The results of two other experiments suggest the relative unimportance of verbal mediation in recognition of homogeneous pictorial stimuli.