Exploring Genetic Counseling Communication Patterns: The Role of Teaching and Counseling Approaches

The educational and counseling models are often touted as the two primary professional approaches to genetic counseling practice. Yet, research has not been conducted to examine how these approaches are used in practice. In the present study, we conducted quantitative communication analyses of BRCA1 genetic counseling sessions. We measured communication variables that represent content (e.g., a biomedical focus) and process (e.g., passive listening) to explore whether genetic counselor approaches are consistent with prevailing professional models. The Roter Interaction Analysis System (RIAS) was used to code 167 pre-test genetic counseling sessions of members of a large kindred with an identified BRCA1 mutation. Three experienced genetic counselors conducted the sessions. Creating composite categories from the RIAS codes, we found the sessions to be largely educational in nature with the counselors and clients devoting the majority of their dialogue to providing biomedical information (62 and 40%, respectively). We used cluster analytic techniques, entering the composite communication variables and identified four patterns of session communication: Client-focused psychosocial, biomedical question and answer, counselor-driven psychosocial, and client-focused biomedical. Moreover, we found that the counselors had unique styles in which they combined the use of education and counseling approaches. We discuss the importance of understanding the variation in counselor communication to advance the field and expand prevailing assumptions.     

Predictors and outcomes of early motherhood in the Australian Longitudinal Study on Women's Health

Early motherhood is identified as a social problem, and having children at an early age is assumed to lead to psychological distress, welfare dependence and socioeconomic disadvantage. Analysis of responses from 9,689 young participants in the Australian Longitudinal Study on Women's Health was used to examine predictors and outcomes of early motherhood in Australia. Survey 1 (1996, aged 18 - 23) and Survey 2 (2000, aged 22 - 27), were used to categorize women as Childless, Existing Mothers (before Survey 1) and New Mothers (became mothers before Survey 2). Multivariate logistic regressions provided comparisons on sociodemographics, gynaecological variables, psychological wellbeing and health behaviours. Survey 1 data show that Existing Mothers experience socioeconomic disadvantages and unhealthy lifestyles. However, those who will go on to become mothers earlier than their peers already experience similar disadvantages. Further, the Survey 2 data show that, when these pre-existing disadvantages are controlled for, the additional deficits experienced by early mothers are relatively minor. Social disadvantage predisposes women to become mothers early, and to adopt unhealthy behaviours. However, young Australian women cope well with the challenges of early motherhood. In the longer term, unhealthy lifestyles and low education may lead to ill health and disadvantage, but early motherhood is not the initiator of this trajectory.     

Imitation of hierarchical action structure by young children

To provide the first systematic test of whether young children will spontaneously perceive and imitate hierarchical structure in complex actions, a task was devised in which a set of 16 elements can be modelled through either of two different, hierarchically organized strategies. Three-year-old children showed a strong and significant tendency to copy whichever of the two hierarchical approaches they witnessed an adult perform. Responses to an element absent in demonstrations, but present at test, showed that children did not merely copy the chain of events they had witnessed, but acquired hierarchically structured rules to which the new element was assimilated. Consistent with this finding, children did not copy specific sequences of actions at lower hierarchical levels.     

Parent-child value transmission among Chinese immigrants to North America: the case of traditional mate preferences

Parent-child similarities in traditional mate preferences were examined in Chinese immigrants to North America. Adult children (n = 63) rated their preferred mate characteristics. Children then completed measures of interdependence, family allocentrism, Chinese identity, and Asian values. Their parents (n = 63) also rated their own preferences for their child's spouse and their own Asian values. Parents reported greater preference for traditional mate characteristics than did their children. Parents' preferences were related to parents' own Asian values. Children's traditional mate preferences were predicted by their parents' preferences and their own family allocentrism. Family allocentrism was a marginally significant partial mediator of parent's influence on children's preferences. Family connectedness may, therefore, facilitate intergenerational transmission of values in immigrant Asian families.     

Spontaneous humor among right hemisphere stroke survivors

We analyzed spontaneous conversational humor production and response among 11 right hemisphere-damaged (RHD) patients, 10 left hemisphere-damaged (LHD) patients, 7 normal controls (NC), and their spouses. RHD patients and their spouses reported a statistically significant decline in the patients' orientation to humor post-stroke. Also, we found a significant positive association between a RHD patient's ability to decode prosody and their self-reported orientation to humor post-stroke.     

Peering into the bias blind spot: people's assessments of bias in themselves and others

People tend to believe that their own judgments are less prone to bias than those of others, in part because they tend to rely on introspection for evidence of bias in themselves but on their lay theories in assessing bias in others. Two empirical consequences of this asymmetry are explored. Studies 1 and 2 document that people are more inclined to think they are guilty of bias in the abstract than in any specific instance. Studies 3 and 4 demonstrate that people tend to believe that their own personal connection to a given issue is a source of accuracy and enlightenment but that such personal connections in the case of others who hold different views are a source of bias. The implications of this asymmetry in assessing objectivity and bias in the self versus others are discussed.     

The Role of Self-Esteem and Social Influences in Aggressive Reactions to Interactional Injustice

Two experiments were conducted to examine the potential negative consequences an organization may face in response to perceptions of interactional injustice. Study 1 found that one potentially negative reaction to perceived injustice can be intended retaliation. In addition, study 1 found that individuals with high self-esteem are most likely to respond negatively to a perceived injustice by indicating that they plan to engage in a retaliatory response. Study 2 explored the effects of one’s situation on intended retaliation behavior. The results again indicate that perceptions of interactional injustice are strongly related to intended retaliation behavior. In addition, the study demonstrates that one’s group can have a significant influence on the perceptions of injustice and one’s subsequent reactions to these injustices.     

Distinctiveness,typicality, and recollective experience in face recognition: A principal components analysis

In this study, participants rated previously unseen faces on six dimensions: familiarity, distinctiveness, attractiveness, memorability, typicality, and resemblance to a familiar person. The faces were then presented again in a recognition test in which participants assigned their positive recognition decisions to either remember (R), know (K), or guess categories. On all dimensions except typicality, faces that were categorized as R responses were associated with significantly higher ratings than were faces categorized as K responses. Study ratings for R and K responses were then subjected to a principal components analysis. The factor loadings suggested that R responses were influenced primarily by the distinctiveness of faces, but K responses were influenced by moderate ratings on all six dimensions. These findings indicate that the structural features of a face influence the subjective experience of recognition.     

The processing of morpheme-like units in monomorphemic words

The word virus is not normally considered polymorphemic, yet it is clearly both semantically and orthographically related to the word viral. Thus, the subunit vir takes on the role of a bound morpheme. In contrast, the words future and futile also share a subunit (fut), but are semantically unrelated. The reported experiment demonstrates facilitation in a masked priming experiment for the semantically related pairs that share an initial orthographic subunit (e.g., virus-viral), but not for the semantically unrelated pairs (e.g., future-futile). Whether the subunit was pronounced the same way in the prime and target was shown to be irrelevant. Furthermore, semantic relatedness was insufficient to produce priming when orthography was not shared. It was concluded that, while the units of processing within the orthographic system may be the same for the two types of item, their representation at a higher level may depend on the correlation between form with meaning. For example, virus and viral might share a higher level representation and thus facilitate each other, whereas future and futile might be represented separately at that higher level and even compete with each other.