Providing a Transcultural Genetic Counseling Service in the UK

This paper uses a broad definition of culture to explore the practice of transcultural genetic counseling through three case studies. The first case involves a White genetic counselor seeing an Asian family, the second, an Asian genetic counselor seeing an Asian family and the third, a hearing genetic counselor seeing a culturally Deaf client. Boundaries, transference and countertransference reactions are considered within each transcultural encounter and the author of each case reflects in detail on their role in the client interaction and their impact on the transcultural dynamic. The cases are used to illustrate some cultural beliefs or characteristics that may challenge the genetic counselor’s expectations. The value of identifying and interpreting these differences to facilitate useful clinical work is considered. The paper debates, where possible, whether it is helpful to culturally match genetic counselor and client.     

Using Self‐Regulated Learning Strategies to Develop Students’ Multicultural Counseling Competency

This study examines the effect of self‐regulated learning strategies on students’ multicultural competency development. Quantitative and qualitative data were collected from 26 students who took a semester‐long multicultural counseling course. Results show statistically significant improvement in students’ multicultural awareness and knowledge and statistical insignificance in multicultural skill development compared to their level of competence before the training. Implications of using this approach to teach multicultural counseling courses and future research are discussed. Este estudio examina el efecto de las estrategias de aprendizaje autorregulado en el desarrollo de la competencia multicultural de los estudiantes. Se recopilaron datos cuantitativos y cualitativos de 26 estudiantes que atendieron un curso de consejería multicultural de un semestre. Los resultados muestran una mejora estadísticamente significativa en la conciencia y conocimentos multiculturales de los estudiantes y una insignificancia estadística en el desarrollo de las habilidades multiculturales comparadas con su nivel de competencia antes de la capacitación. Se discuten las implicaciones de usar este enfoque didáctico en cursos de consejería multicultural y para investigaciones futuras.     

The Long-Term Impact of Family Routines and Parental Knowledge on Alcohol Use and Health Behaviors: Results from a 14 Year Follow-Up

Previous research has found significant associations between family routines (e.g., time shared and family meals), parenting characteristics, and later adolescent health behaviors. In general, greater family interactions, parental monitoring, and more optimal parenting style have been associated with less alcohol use during adolescence. We expanded upon this work by examining effects of family and parenting characteristics on alcohol use and health behaviors during young adulthood. We also followed tenets of the Contextual Model of Parenting by examining the moderating effects of parenting style on the associations between parent/family practices and outcomes. Data came from the National Longitudinal Survey of Youth 1997. A total of 5419 youth were surveyed at 12–14 years of age, and then annually for the next 14 years; 4565 were surveyed at a 10 year follow-up and 4539 were examined at the 14 year follow-up (84% retention). Multivariate models, controlling for sex and race/ethnicity, indicated that, in general, family routines and parental knowledge in early adolescence were associated with healthier behaviors at both the 10-year and 14-follow-ups. Results also showed that the protective effects of parental knowledge and family routines were strongest in families characterized by and authoritative parenting style.     

Diaphragmatic breathing as treatment for escape‐maintained aggression

Coping skills, such as diaphragmatic breathing, are commonly recommended to help individuals work through challenging situations. We evaluated diaphragmatic breathing as treatment for aggression of three individuals diagnosed with autism spectrum disorder or Angelman syndrome. Functional analysis results demonstrated that each participant engaged in aggression maintained by social‐negative reinforcement. Diaphragmatic breathing treatment without extinction was conducted in a work context and involved prompting diaphragmatic breathing contingent on precursors to aggression; treatment was effective in reducing the rate of aggression for one of three participants. For the two other participants, other reinforcement‐based interventions (differential reinforcement of other behavior or functional communication training with extinction) were necessary to decrease aggression.     

Age-related differences in emotion matching are limited to low intensity expressions

Multi-label tasks confound age differences in perceptual and cognitive processes. We examined age differences in emotion perception with a technique that did not require verbal labels. Participants matched the emotion expressed by a target to two comparison stimuli, one neutral and one emotional. Angry, disgusted, fearful, happy, and sad facial expressions of varying intensity were used. Although older adults took longer to respond than younger adults, younger adults only outmatched older adults for the lowest intensity disgust and fear expressions. Some participants also completed an identity matching task in which target stimuli were matched on personal identity instead of emotion. Although irrelevant to the judgment, expressed emotion still created interference. All participants were less accurate when the apparent difference in expressive intensity of the matched stimuli was large, suggesting that salient emotion cues increased difficulty of identity matching. Age differences in emotion perception were limited to very low intensity expressions.     

Technological advances in the assessment of impulse control in offenders: A systematic review

Deficits in impulse control have been linked to criminal offending, risk of recidivism, and other maladaptive behaviours relevant to the criminal justice system (e.g. substance use). Impulse control can be conceptualized as encompassing the broad domains of response inhibition and impulsive/risky decision‐making. Advancements in technology have led to the development of computerized behavioural measures to assess performance in these domains, such as go/no‐go and delay discounting tasks. Despite a relatively large literature examining these tasks in offenders, findings are not universally consistent. This systematic review aims to synthesize the literature using computerized neurocognitive tasks to assess two domains of impulse control in offenders: response inhibition and impulsive/risky decision‐making. The review included 28 studies from diverse geographic locations, settings, and offender populations. The results largely support the general conclusion that offenders exhibit deficits in impulse control compared with non‐offenders, with studies of response inhibition more consistently reporting differences than studies using impulsive and risky decision‐making tasks. Findings are discussed in the context of contemporary neuroimaging research emphasizing dysfunction in prefrontal cortex as a key contributor to impulse control deficits in offenders.     

Nietzsche on the sociality of emotional experience

In this paper, I explore the sociality of emotional experience in the work of Friedrich Nietzsche. Specifically, I describe four key mechanisms through which an individual's sociocultural context shapes her emotional experience on Nietzsche's view—emotional contagion as habitual affective mimicry, the production of emotions' felt character through the assimilation of dominant social beliefs and norms, affective interpretation à la Christopher Fowles, and the imposition of dominant notions of emotional appropriateness—fleshing out a dimension of Nietzsche's thought which is largely taken for granted but remains undertreated. After detailing these mechanisms, I argue that attending to the sociality of emotional experience in Nietzsche's thought is crucial not only for understanding key elements of his moral psychology (including certain of his reflections on freedom and self-transformation), but also for understanding his interpretation of nihilism as a psychological-affective phenomenon produced by the society to which one belongs. On Nietzsche's view, attending to the sociality of emotion helps individuals recognize the way in which the sociocultural contexts they inhabit might undermine their flourishing—and also helps them envision the conditions (especially sociocultural conditions) requisite for healthier, more empowering emotional lives.     

Disparagement humor permits unsafe COVID-19 behaviors: A prejudiced norm perspective

Extending prejudiced norm theory, we hypothesized that memes diminishing the severity of the COVID-19 pandemic promote tolerance of unsafe pandemic behaviors (as in contrary to contemporary advice of public health agencies, i.e., not wearing a protective mask) by establishing a perceived norm of tolerance for such behaviors. In Spring 2021, members of several Reddit communities (n = 106) reported their perceived threat of COVID-19 and then completed a roleplay exercise in which they imagined they were with a group of friends in a church setting. In this context, participants viewed memes shared among their friends that belittled COVID-19 (COVID-19 disparagement condition) or memes unrelated to COVID-19 (control condition). Then, participants responded to a vignette describing a woman confronting an usher about a couple who violated protocol by not wearing masks. The results supported our hypothesis. First, participants in the COVID-19 disparagement condition perceived a greater norm of tolerance of the mask protocol violation among others in the immediate context compared to those in the control condition. Second, for participants who viewed COVID-19 as a low threat, that local norm resulted in greater personal tolerance of the mask protocol violation. However, for participants who view COVID-19 as a high threat, the local norm had no impact on their personal tolerance.     

Loss items on the Schedule of Recent Events (SRE): duration of psychotherapy

High scores on the Schedule of Recent Events (SRE; Holmes & Rahe, 1967) have been correlated with a high number of subsequent visits for medical or psychological intervention. This study examined the relationship between psychotherapy visits and endorsement of loss items on the SRE. Items that correlated significantly with length or duration of psychotherapy were: divorce (p less than .005); death of a close family member (p less than .07); fired at work (p less than .001); and a son or daughter leaving home (p less than .07). Additional variables are predetermined by the therapist and the clinical setting, so that the observed correlation between high SRE scores and subsequent psychotherapy should be validated in other settings.