Sources of Uncertainty About Daughters’ Breast Cancer Risk that Emerge During Genetic Counseling Consultations

Uncertainty is central to the experience of genetic decision making and counseling about cancer risk. Women seeking genetic counseling about their breast cancer risk may experience a great deal of uncertainty about issues related to their daughters. We used a theory of Communication and Uncertainty Management to guide analysis of sources of uncertainty about daughters that emerged during 16 video-recorded and transcribed conversations between mothers at risk for a BRCA 1/2 mutation and their genetic healthcare practitioners. An interpretive design and constant comparative method revealed three dominant patterns or themes representing sources of uncertainty mothers have relating to their daughters: disease risk, future cancer screening, and communication of related information to daughters. Both practitioners and mothers discussed these aspects of uncertainty. The findings identify the significant role uncertainty and familial concerns play in mothers’ genetic testing decision making process. To assist genetic practitioners, we highlight daughter-related concerns that mothers are uncertain about and which are vital to their genetic counseling needs.     

Examining Estimates of Effect Using Non-Overlap of All Pairs in Multiple Baseline Studies of Academic Intervention

The inclusion of single-case design (SCD) studies in meta-analytic research is an important consideration in identifying effective evidence-based practices. Various SCD effect sizes have been previously suggested; non-overlap of all pairs (NAP) is a recently introduced effect size. Preliminary field tests investigating the adequacy of NAP are promising, but no analyses have been conducted using only multiple baseline designs (MBDs). This preliminary study investigated typical values of NAP in MBDs, investigated agreement with visual analysis, and suggested cut scores for interpreting a NAP effect size. Typical values of NAP in MBDs were larger compared to a previous meta-analysis of studies using AB, MBD, or ABAB withdrawal designs, and agreement of suggested cut scores and visual analysis was moderate.     

What is the Right Thing to Say? Agreement among Perceivers on the Supportiveness of Statements

Most social support theory implies that there are objectively supportive people and statements. Yet there is little agreement among perceivers that some people are more supportive than others. Nonetheless, there might be better agreement regarding supportive statements. In three studies, children, college students, and members of a clinical training program rated the supportiveness of specific statements presented by text or video. Agreement among perceivers accounted for only 11% of the variance (range = 8%–12%). Perceivers disagreed because of their traitlike perceptual biases, as well as perceivers’ idiosyncratic tastes. Implications for social support theory were discussed.     

In Search of Complexity: Seeking to Integrate Feminist and Evolutionary Perspectives in Psychology

This Special Section of Sex Roles, “Commentaries on the Special Issue: Feminist Reappraisals of Evolutionary Psychology” (Smith and Konik 2013), continues the interchange among researchers who are approaching psychology from evolutionary and/or feminist perspectives that began in the May 2011 issue. This introduction to the current Special Section focuses on two themes: (1) constraints caused by both disciplinarity and the researcher’s location need to be transcended, and (2) nature and nurture must be recognized as interrelated concepts when utilizing evolutionary and feminist frameworks. In addressing these themes, we highlight how they are apparent in the collection of works published in this Special Section. It is clear that both feminist and evolutionary scholarship has matured to the point where, given appropriate conceptual complexity, both can continue to develop.     

The Relation Between Norm Accessibility,Pornography Use,and Parental Mediation Among Emerging Adults

Widespread access to and use of pornography has led to concern about the potentially negative effects of exposure to pornography on emerging adults—its largest user group. Past research shows that salient social norms can influence subsequent behavior. This study, therefore, explored the relationship between salient pornography-related norms and pornography use among emerging adults, as well as the relationship between parental mediation of pornography during adolescence and emerging adults’ salient pornography-related norms. Results revealed that emerging adults are more likely to view pornography when they hold a salient belief (norm) that their peers both approve of viewing and regularly view pornography. The study also found that parents’ provision of rules about viewing pornography during adolescence may reduce future pornography use by instilling the salient belief that the parent disapproves of viewing pornography. These findings suggest that the effect of rules in the home about adolescents’ use of pornography may persist into emerging adulthood.     

Relations Between Instructional Practices and On-Task Behavior in Classrooms Serving American Indian Students

Achievement disparities between American Indian students and non-American Indian peers are persistent and well documented. Student engagement is a promising target for intervention given its relation to academic achievement. This study investigated the relation between specific teacher practices (opportunities to respond [OTRs], praise, and reprimands) and classroom on-task behavior in an urban, public K–8 school that serves primarily American Indian students. OTRs and praise were positively associated with student on-task behavior, whereas reprimands were negatively associated with on-task behavior. Results from multilevel logistic regression indicated that OTRs significantly increased the likelihood that a classroom was highly on-task, whereas the reprimands significantly decreased the likelihood. Praise did not have a significant effect after controlling for the other variables in the model. Results are interpreted in a context of evidence-based instructional practices for increasing OTRs and praise, decreasing reprimands, and ultimately enhancing on-task behavior in an urban classrooms serving primarily American Indian youth.     

Using Planned Adaptation to Implement Evidence-Based Programs with New Populations

The Interactive Systems Framework (ISF) for Dissemination and Implementation (Wandersman et al. 2008) elaborates the functions and structures that move evidence-based programs (EBPs) from research to practice. Inherent in that process is the tension between implementing programs with fidelity and the need to tailor programs to fit the target population. We propose Planned Adaptation as one approach to resolve this tension, with the goal of guiding practitioners in adapting EBPs so that they maintain core components of program theory while taking into account the needs of particular populations. Planned Adaptation is a form of capacity building within the Prevention Support System that provides a framework to guide practitioners in adapting programs while encouraging researchers to provide information relevant to adaptation as a critical aspect of dissemination research, with the goal of promoting wider dissemination and better implementation of EBPs. We illustrate Planned Adaptation using the JOBS Program (Caplan et al. 1989), which was developed for recently laid-off, working- and middle-class workers and subsequently implemented with welfare recipients.     

Knowing who knows: Metacognitive and causal learning abilities guide infants’ selective social learning

Given the widespread interest in the development of children's selective social learning, there is mounting evidence suggesting that infants prefer to learn from competent informants (Poulin‐Dubois & Brosseau‐Liard, Current Directions in Psychological Science, 2016, 25). However, little research has been dedicated to understanding how this selectivity develops. The present study investigated whether causal learning and precursor metacognitive abilities govern discriminant learning in a classic word‐learning paradigm. Infants were exposed to a speaker who accurately (reliable condition) or inaccurately (unreliable condition) labeled familiar objects and were subsequently tested on their ability to learn a novel word from the informant. The predictive power of causal learning skills and precursor metacognition (as measured through decision confidence) on infants' word learning was examined across both reliable and unreliable conditions. Results suggest that infants are more inclined to accept an unreliable speaker's testimony on a word learning task when they also lack confidence in their own knowledge on a task measuring their metacognitive ability. Additionally, when uncertain, infants draw on causal learning abilities to better learn the association between a label and a novel toy. This study is the first to shed light on the role of causal learning and precursor metacognitive judgments in infants' abilities to engage in selective trust.