Billing and Record-Keeping for Familial Cancer Risk Counseling: A National Survey

We surveyed 111 genetic counselors providing cancer risk counseling (CRC) in order to document their billing and record-keeping practices. Of the 75 respondents, billing was generally done under the supervising physician with a wide variation in charges. Follow-up telephone interviews with 28 counselors who charge patients revealed that billing was usually done using the CPT codes for consultations, and the ICD-9 diagnostic codes for cancer (if applicable), a medical complaint, or a family history of cancer code. Most counselors exclude some clinical information from the patient's medical record. In consultation notes, 81% of counselors document a discussion of genetic testing, but only 37% document the patient's actual testing decision, and only 19% document test results. In anticipation of increased referrals for CRC, data are needed on the components of a CRC visit, the amount of time required to provide CRC, patient outcomes measures, and charges and reimbursement. The feasibility and advisability of keeping results separate from the patient's medical record also needs to be addressed.     

The Incarcerated Female Felon and Substance Abuse: Demographics,Needs Assessment,and Program Planning for a Neglected Population

Incarcerated women (203 of 237) completed a needs survey designed by an inmate steering committee. The typical inmate was a European American mother of 2 children. Relevant programming (substance abuse education classes, self-study programs, didactic groups and workshops) is discussed.     

Multicultural Training for Undergraduates: Developing Knowledge and Awareness

The changing demographics of the United States have lead to increased training of multicultural issues in graduate counseling programs. Graduate students report higher levels of multicultural competencies after completing a multicultural counseling course. Similarly, this study indicates increased multicultural awareness and knowledge among undergraduates completing a multicultural course.     

Program evaluation in community psychology

American Journal of Community Psychology -     

Evaluation of the Performance of Experimenters as a Function of Their Sex and Competence1

A study was conducted to investigate evaluations of experimenters as a function of their sex and competency. It was hypothesized that (a) competent male and female experimenters would be evaluated as equal in competence, but that females acting incompetently would be judged as less competent than would males who were also acting incompetently and (b) competent females would be judged as less feminine relative to incompetent females; whereas incompetent females would be judged as extremely feminine. Undergraduate males and females viewed videotapes of male or female experimenters acting either competently or incompetently and then rated these experimenters on a 20-item semantic differential scale. It was found that when the female experimenters unambiguously displayed competence, they were judged as of equal competence to male experimenters acting in a similar manner; in the incompetent condition, however, female experimenters were judged as less competent than male experimenters. Competent females were perceived as less feminine than incompetent females; incompetent females were perceived as more feminine than females in any other experimenter condition. It was postulated that these findings were due to (a) subjects’expecting incompetency of women and (b) subjects’equating competence with the masculine role and incompetence with the feminine role.     

An illusion of ingestion

Three experiments were conducted to find out why subjects ingest substantially more liquid than required when asked to match a visually displayed volume. All three experiments replicated the basic illusion phenomenon, and Experiments 1 and 2 indicated that it was attributable to the subjects’ underestimating the volume of liquid in their mouths. Experiment 3 revealed that the illusion was not present with solid substances, but it was evident with liquids when a quite different measurement procedure was employed.     

Decision making under time pressure: An independent test of sequential sampling models

Choice probability and choice response time data from a risk-taking decision-making task were compared with predictions made by a sequential sampling model. The behavioral data, consistent with the model, showed that participants were less likely to take an action as risk levels increased, and that time pressure did not have a uniform effect on choice probability. Under time pressure, participants were more conservative at the lower risk levels but were more prone to take risks at the higher levels of risk. This crossover interaction reflected a reduction of the threshold within a single decision strategy rather than a switching of decision strategies. Response time data, as predicted by the model, showed that participants took more time to make decisions at the moderate risk levels and that time pressure reduced response time across all risk levels, but particularly at the those risk levels that took longer time with no pressure. Finally, response time data were used to rule out the hypothesis that time pressure effects could be explained by a fast-guess strategy.     

Landmark Discrimination Learning in the Dog

Allocentric spatial memory was studied in dogs of varying ages and sources using a landmark discrimination task. The primary goal of this study was to develop a protocol to test landmark discrimination learning in the dog. Using a modified version of a landmark test developed for use in monkeys, we successfully trained dogs to make a spatial discrimination on the basis of the position of a visual landmark relative to two identical discriminanda. Task performance decreased, however, as the distance between the landmark and the “discriminandum” was increased. A subgroup of these dogs was also tested on a delayed nonmatching to position spatial memory task (DNMP), which relies on egocentric spatial cues. These findings suggest that dogs can acquire both allocentric and egocentric spatial tasks. These data provide a useful tool for evaluating the ability of canines to use allocentric cues in spatial learning.