Ethical Issues in Cancer Genetics: 1) Whose Information Is It?

This article presents and discusses four clinical cases that exemplify the complexity of ethical dilemmas concerning the provider's obligation to disclose or withhold genetic information from patients. Case 1: What is the responsibility of the cancer genetics provider to ensure that a positive test results is shared with distant relatives? Case 2: To ensure that results go to at-risk relatives, do we have the right to ignore the wishes of the designated next-of-kin? Case 3: Do we have the right to reveal a familial BRCA1 mutation to a patient's relative, who is at 50% risk? Case 4: Do we have an obligation to reveal that a patient is not a blood relative and therefore, not at risk to have inherited a familial mutation? These cases form the basis for discussing the provider's dual obligations to keeping patient confidentiality and informing patients and families about risk (i.e. duty to warn). We also provide a summary of consensus points and additional discussion questions for each case.     

Accuracy of body size estimation: Role of biopsychosocial variables

This study evaluated factors related to the perceptual disturbances of body image. Using a digital body image computer program, 191 participants (107 women, 82 men) adjusted an image of their body to the perceived actual size at five body regions; chest, waist, hips, thighs and calves. A neutral object (a vase) was also adjusted to partial out the level of perceptual distortion present with a neutral object. Men and women overestimated the size of the neutral object and their body image. Among women, overestimation was primarily predicted by high levels of depression, and media and peer influences to be thinner and increase muscles. Among men, overestimation was predicted by high BMI, media influences to lose weight and increase muscles, and peer influences to increase muscles. These findings suggest that perceptual accuracy of body image is primarily predicted by biopsychosocial influences.     

Ethical considerations of the short-term and long-term health impacts, costs, and educational value of sustainable development projects

There are over 800 seventh to tenth grade students at the College d’Enseignment Generale (CEG) School in Azové, Benin. Like most children in the developing world, these students lack access to clean water and basic sanitation facilities. These students suffer from parasitic infection and health ailments which could be directly offset with short term aid to supply water and medical aid. Promoting proper sanitation and providing the technology to implement water and wastewater treatment in the community will decrease childhood and maternal disease and mortality rates in Azové. However, these measures may take several years to implement and will require a significant investment in the infrastructure of the school. Is it ethical to spend $10,000 towards the long-term goals of providing water and sanitation to the students of CEG Azové, compared to spending the same amount on short-term relief efforts? This paper addresses the ethical dilemma of dealing with immediate medical needs in developing countries while trying to implement sustainable technologies. The views and frustration of students working on the project are discussed, as they realize the monetary and short-term impacts on human health when implementing sustainable technologies. The opportunity costs associated with the education principles of sustainable development were also considered. The anticipated costs and health impacts in the short-term and long-term will be evaluated for a period of 1, 2, 5 and 10 years.     

Call recognition in chicks of the Australian brush-turkey (Alectura lathami)

Most birds rely on imprinting and experience with conspecifics to learn species-specific recognition cues. Australian brush-turkeys (Alectura lathami) do not imprint and form no bonds with parents. They hatch asynchronously, disperse widely and meet juvenile conspecifics at an unpredictable age. Nevertheless, in captivity, hatchlings respond to other chicks. A recent study, which involved the use of robotic models, found that chicks prefer to approach robots that emit specific visual cues. Here, we evaluated their response to acoustic cues, which usually play an important role in avian social cognition. However, in simultaneous choice tests, neither 2-day-old nor 9-day-old chicks preferred the choice arm with playback of either chick or adult conspecific calls over the arm containing a silent loudspeaker. Chicks of both age classes, however, scanned their surroundings more during chick playback, and the response was thus consistent in younger and older chicks. We also presented the chicks with robotic models, either with or without playback of chick calls. They did not approach the calling robot more than they did the silent robot, indicating that the combination of visual and acoustic cues does not evoke a stronger response. These results will allow further comparison with species that face similar cognitive demands in the wild, such as brood parasites. Such a comparative approach, which is the focus of cognitive ecology, will enable us to further analyse the evolution and adaptive value of species recognition abilities.     

Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder

Self-reported reasons for suicide attempts and nonsuicidal self-injury were examined using the Parasuicide History Interview within a sample of chronically suicidal women meeting criteria for borderline personality disorder (N = 75). Overall, reasons given for suicide attempts differed from reasons for nonsuicidal self-injury. Nonsuicidal acts were more often reported as intended to express anger, punish oneself, generate normal feelings, and distract oneself, whereas suicide attempts were more often reported as intended to make others better off. Almost all participants reported that both types of parasuicide were intended to relieve negative emotions. It is likely that suicidal and nonsuicidal parasuicide have multiple intents and functions.     

Work time,work interference with family,and psychological distress

Despite public concern about time pressures experienced by working parents, few scholars have explicitly examined the effects of work time on work-family conflict. The authors developed and tested a model of the predictors of work time and the relationships between time, work interference with family (WIF). and psychological distress. Survey data came from 513 employees in a Fortune 500 company. As predicted, several work and family characteristics were significantly related to work time. In addition, work time was significantly, positively related to WIF, which in turn was significantly, negatively related to distress. The results suggest that work time fully or partially mediates the effects of many work and family characteristics on WIF.     

Are performance predictions for text based on ease of processing?

In 4 experiments, the authors evaluated the hypothesis that performance predictions for text are based on ease of processing. In each experiment, participants read texts, predicted their performance for each one, and then were tested. Ease of processing was manipulated by having participants read texts that varied in coherence. Coherence was varied by manipulating causal relatedness across sentence pairs (Experiments 1 and 2) and by altering the structure of sentences within paragraphs (Experiment 3). In these experiments, prediction magnitudes increased as coherence increased, suggesting that predictions were based on processing ease. In Experiment 4, prediction magnitudes were greater for intact paragraphs than for paragraphs with letters deleted from some of the words. Discussion focuses on resolving apparent inconsistencies in the literature concerning whether processing ease influences performance predictions.     

Childhood Temperament and Family Environment as Predictors of Internalizing and Externalizing Trajectories From Ages 5 to 17

Childhood temperament and family environment have been shown to predict internalizing and externalizing behavior; however, less is known about how temperament and family environment interact to predict changes in problem behavior. We conducted latent growth curve modeling on a sample assessed at ages 5, 7, 10, 14, and 17 (N = 337). Externalizing behavior decreased over time for both sexes, and internalizing behavior increased over time for girls only. Two childhood variables (fear/shyness and maternal depression) predicted boys' and girls' age-17 internalizing behavior, harsh discipline uniquely predicted boys' age-17 internalizing behavior, and maternal depression and lower family income uniquely predicted increases in girls' internalizing behavior. For externalizing behavior, an array of temperament, family environment, and Temperament × Family Environment variables predicted age-17 behavior for both sexes. Sex differences were present in the prediction of externalizing slopes, with maternal depression predicting increases in boys' externalizing behavior only when impulsivity was low, and harsh discipline predicting increases in girls' externalizing behavior only when impulsivity was high or when fear/shyness was low.     

Semantic feature knowledge and picture naming in dementia of Alzheimer's type: a new approach

This study addresses continuing controversies concerning the nature of semantic impairment in early dementia of the Alzheimer type (DAT), and the relationship between conceptual knowledge and picture naming. A series of analyses of fine-grained feature knowledge data show that: (1) distinctive features of concepts were more vulnerable than shared; (2) the amount of attribute knowledge about a concept was associated reliably, and in a graded fashion, with the ability to name a picture of that item; (3) sensory features were differentially important in naming; and (4) the degree of disruption to different types of attribute knowledge did not vary between items from living and nonliving domains. These findings are discussed in the context of contemporary cognitive and computational models of semantic memory organisation.