An assessment of teratology training provided by masters level genetic counseling programs

The increasing demand in the clinical genetics setting for information about teratogen exposures has created a need for genetic counselors to have the capabilities to appropriately address patient concerns. In order to assess how training in teratogen counseling is currently being conducted, the GLaRGG Teratogen Subcommittee surveyed all 17 genetic counseling training programs in North America in September 1993. Information was obtained from training programs about coursework, resources, and clinical training. In addition, each training program was asked to provide information about how their teratogen training needs could better be met. While all programs responded that some information in their coursework applicable to teratogen counseling was provided, there was wide variation in the amount of time devoted to this topic. The programs also greatly differed in the provision of clinical training in teratogen counseling. For both coursework and clinical work, genetic counselors were the main trainers in teratogen counseling. In spite of this, fewer than 25% of training programs have a defined teratogen clinical rotation. Data from the survey are discussed and recommendations presented.     

The effect of agency and communality on self-esteem: Gender differences in longitudinal data

Prior studies have noted a positive relationship between masculinity (M) and self-esteem (S-E) for both males and females. However, during adolescence, males and females have been described as experiencing a divergence into two domains: agency for males and communality for females. The present study hypothesized that, contrary to the cross-sectional positive correlational relationship between M and S-E for both males and females, an agentic orientation during adolescence would predict heightened S-E at young adulthood for males only. Conversely, a communal orientation was hypothesized to predict heightened S-E for females only at young adulthood. Using structural equation models with latent variables to analyze data from a community sample of 654 subjects (M=192, F=462; White=432; Black=97; Hispanic=64; Asian=61), these hypotheses were confirmed. In addition, as found in typical masculinity-femininity (M-F) studies, both males and females evidenced a positive relationship between S-E and M, as measured on the Personal Attributes Questionnaire and essentially no relationship between F and S-E. Possible reasons for this complexity and implications for future research are discussed.     

Dreams, conscience, and memory

The interpretation of certain dreams, as opposed to the direct examination of behavior, makes it possible to explore the conscience of the dreamer, detect hidden sources of guilt, and interpret them with less likelihood of arousing intractable resistance. Through the recovery of memories and the establishment of an intimate familiarity with one's personal history, it becomes possible to resolve problems of "neurotic" guilt, based ultimately on distortions of repressed childhood memories. The resolution of these conflicts allows a greater role for the operation of "appropriate" guilt, based on genuine transgressions, and the establishment of a more mature ethical structure.     

Peer support telephone dyads for elderly women: The wrong intervention or the wrong research?

Reaction to the intervention paper by Heller et al. (1990) places their work into a larger framework of social support interventions to make explicit the assumptions underlying the project. It is suggested that the intervention was constrained by the experimental design of the evaluation research and overlooked important features in the process of relationship development among dyads. In developing interventions designed to impact personal relationships, it is recommended that community psychologists (a) consider the context in which personal relationships are formed, maintained, and terminated; (b) use the power of their scientific inquiry to create, strengthen, or legitimize new social roles for people who are disenfranchised; (c) promote the use and legitimacy of research methods that compliment rather than dictate the nature of interventions.     

Burnout in counseling psychologists: Type of practice setting and pertinent demographics

Extent of burnout experienced by conseling psychologists and the relationship between levels of burnout and different types of practice settings, selected demographic and work-related variables were investigated in this study. Burnout was defind in terms of the Maslach Burnout Inventory (MBI) subsxales. Multiple regression anslyses were perforned on the data (n = 521). Counseling psychologists in private practice reported the lowest levels of burnout, while those employed in hospital settings reported the highest levels of Burnout. A positive relationship was found between hours of client contact per week and sense of personal accomplishment. Finally, an inverse relationship was reported between age and burnout, and males experienced greater depersonalization of clients than females.     

The shyness spectrum

Debate continues regarding the relationship between shyness and social phobia. Some have proposed that this relationship is best understood by adopting a spectrum approach where increasing levels of shyness eventually merge into the clinical disorder of social phobia. This paper begins to explore the validity of this spectrum by reviewing similarities and differences between shyness and social phobia and investigating how shyness relates to social phobia subtypes. This paper will also explore precursors to social phobia, namely childhood behavioral inhibition.     

Feeling Economically Dependent on One's Job: Its Origins and Functions With Regard to Worker Well-Being

The origins and functions of feeling economically dependent on one's job were examined among a sample of 168 hospital workers. As predicted, economic dependency was found to be greater the more dependents workers have, the less money they earn from their jobs, the less other income they have in their family units, the more they adhere to an instrumental work orientation, and the less mobile they perceive themselves to be. Also as predicted, it was found that economic dependency fully mediated the relationship between 4 of the 5 antecedents (number of dependents, other income, instrumental values, and perceived mobility) and the subjective well-being of workers. Job-related income was observed to have both direct and indirect effects. Further, the relationship between economic dependency and subjective well-being was negative. These latter findings are discussed and implications drawn for the future use of the economic dependency construct.