Reflections on the Experience of Counseling Supervision by a Team of Genetic Counselors from the UK

Despite it being generally acknowledged that counseling supervision is a vital part of the work for experienced genetic counselors and not just students, not all practising genetic counselors in the United Kingdom and Eire have access to this yet. This case study documents the supervision experience of our team of genetic counselors from Cambridge in the U.K. We document our retrospective thoughts on working practice before supervision was available in our department. We also give an overview of the individual and collective views of having one-to-one supervision only and then one year later, the impact of adding group supervision. Our ‘supervision journey’ is recorded using a practitioner-centred approach with a mixed method of data collection. Two focus group discussions and two written questionnaires were used, at different time points to gather attitudes. This paper captures experiences as our practice of supervision has evolved. This work is relevant to practising genetic counselors around the world who either do not yet have access to supervision, are planning its implementation or else are adding different types of supervision to their practice.     

The Impact of Physical Maltreatment History on the Adolescent Mother–Infant Relationship: Mediating and Moderating Effects During the Transition to Early Parenthood

Using attachment theory as a framework, this paper examines how pregnant adolescents' experiences of physical maltreatment during childhood influence the subsequent mother-infant relationship in 203 low-income adolescents followed from the 3rd trimester of pregnancy through the 1st year of parenthood. The relation between physical maltreatment history and early difficulty in the mother-infant relationship was mediated by adolescents' evaluations of the relationship with their primary caretaker and the feelings they associated with motherhood measured prior to childbirth. In addition, a supportive romantic relationship during pregnancy acted as a protective factor by moderating the impact of maltreatment history on the quality of the subsequent mother-infant relationship. Findings support the importance of assessments and interventions that consider the social context and relational history of pregnant and parenting adolescents.     

RELATIONSHIP VIOLENCE AMONG ADOLESCENT MOTHERS: FREQUENCY, DYADIC NATURE, AND IMPLICATIONS FOR RELATIONSHIP DISSOLUTION AND MENTAL HEALTH

This article examines whether the frequency, dyadic nature, and potential implications of relationship violence differ in parenting ( n = 163) and nulliparous (i.e., never given birth; n = 165) adolescent females from low-income, urban communities. We found the frequency and dyadic nature of violence did not differ between parental status groups. Over half of the adolescents in both groups reported relationship violence in the past year, with female-enacted violence more common than male-enacted violence. However, significant group differences emerged in the relationship between violence and subsequent relationship dissolution and mental health. Higher levels of female-enacted violence predicted relationship dissolution among nulliparous adolescents but predicted increases in depression in parenting adolescents. Findings highlight the need for violence prevention programs tailored specifically to the developmental and contextual needs of adolescent mothers.     

Multiple paths to transfer and constraint relaxation in insight problem solving

In two experiments participants received various training methods designed to relax constraints present in the Four-Tree problem (deBono, 1967 deBono, E. 1967. The use of lateral thinking, London: Jonathan Cape.  [Google Scholar]), a difficult insight problem. Geometry misconceptions were corrected via direct instruction. Participants’ difficulty with developing three-dimensional representations was addressed via spontaneous analogical transfer (Experiment 1) or via cued analogical transfer (Experiment 2). We found that, while both training methods were effective, alleviating multiple constraints was more effective than the alleviation of single constraints via training programmes (c.f. Kershaw & Ohlsson, 2004 Kershaw, T. C. and Ohlsson, S. 2004. Multiple causes of difficulty in insight: The case of the nine-dot problem. Journal of Experimental Psychology: Learning Memory and Cognition, 30: 3–13. doi: 10.1037/0278-7393.30.1.3[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). Providing single difficulty hints was ineffective in promoting solution. Implications for multiple paths to transfer (Nokes, 2009 Nokes, T. J. 2009. Mechanisms of knowledge transfer. Thinking & Reasoning, 15: 1–36. doi: 10.1080/13546780802490186[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]; Nokes & Ohlsson, 2005 Nokes, T. J. and Ohlsson, S. 2005. Comparing multiple paths to mastery: What is learned?. Cognitive Science, 29: 769–796. doi: 10.1207/s15516709cog0000_32[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and multiple constraints are discussed.     

Misperceived risk among female adolescents: social and psychological factors associated with sexual risk accuracy.

This study of 411 urban female adolescents had 3 objectives: (a) assess the relationship between perceived risk and sexual risk behavior (condom use, number of partners, partner risk, presence of STDs, and aggregate sexual risk), (b) assess the accuracy of risk perceptions, and (c) identify variables related to inaccurate sexual risk perceptions. Participants were classified as accurate or inaccurate risk perceivers on the basis of actual sexual behavior and perceived risk. Accurate versus inaccurate risk perceivers were compared on psychological maintenance variables (self-esteem, distress, and coping), relationship context variables (partnership duration and pressure to have unprotected sex), and risk knowledge at different levels of sexual risk. Approximately half of the participants underestimated the risk of their sexual behavior. Accurate and inaccurate risk perceivers differed on risk knowledge, partnership duration, and pressure to have unprotected sex.     

“R U Mad?”: Computerized text analysis of affect in social media relates to stress and substance use among ethnic minority emerging adult males

Objective: This study examined the interactive role of affectivity and stress in substance use severity among ethnic minority, emerging adult males, using linguistic indicators of affect obtained through social media.

Method: Participants were 119 emerging adult, ethnic minority males (ages 18–25) who provided access to their mobile phone text messaging and Facebook activity for 6-months. Computerized text analysis (LIWC2015) was used to obtain linguistic indices of positive and negative affect from texts and Facebook posts. The Perceived Stress Scale was used to measure stress, and items from the Drug Abuse Screening Test were used to measure substance use severity.

Results: Generalized estimating equations showed that higher negative affect in texts was associated with greater substance use severity. Stress moderated the relationship between positive affect expressed in Facebook posts and substance use such that higher positive affect in Facebook posts was associated with less substance use at higher stress and greater substance use at lower stress.

Conclusions: Findings highlight the complexities of interactions between stress and affectivity. Findings could inform development of substance use interventions for young males that employ social technologies.