The regional genetic and newborn screening service collaboratives: the first two years

Newborn screening and genetic technologies are expanding and changing rapidly, increasing the demand for genetic specialty services. Because of the scarcity and geographic maldistribution of genetic specialty services, access to these services is a critical issue. This article discusses some of the efforts initiated by the Maternal and Child Health Bureau of the Health Resources and Services Administration, particularly the establishment of regional genetic and newborn screening collaboratives to improve access to these services and expertise.     

Detecting true lies: police officers' ability to detect suspects' lies

Ninety-nine police officers, not identified in previous research as belonging to groups that are superior in lie detection, attempted to detect truths and lies told by suspects during their videotaped police interviews. Accuracy rates were higher than those typically found in deception research and reached levels similar to those obtained by specialized lie detectors in previous research. Accuracy was positively correlated with perceived experience in interviewing suspects and with mentioning cues to detecting deceit that relate to a suspect's story. Accuracy was negatively correlated with popular stereotypical cues such as gaze aversion and fidgeting. As in previous research, accuracy and confidence were not significantly correlated, but the level of confidence was dependent on whether officers judged actual truths or actual lies and on the method by which confidence was measured.     

Suicidal behavior in schizophrenia and schizoaffective disorder: examining the role of depression

Understanding the relationship between depression and suicidal behavior among individuals with schizophrenia and schizoaffective disorder can aid assessment and treatment. In this study, 86 individuals with schizophrenia and schizoaffective disorder were assessed for past and current suicidal behavior, depression, hopelessness, and reasons for living. Thirty-four percent reported a history of suicide attempts. Suicidal behavior typically occurred 4.5 years after the onset of psychosis and 7.5 years after the onset of the first major depressive episode for those who had a history of major depression. Depression was frequent among both attempters and non-attempters, but only half of the attempters reported a suicide attempt during an episode of major depression. And almost half of those with depression never made a suicide attempt despite a long history of illness. Although depression is a potential stressor for triggering suicidal behavior in a vulnerable subset of individuals with schizophrenia, schizophrenia research must identify other risk factors for suicidal behavior. Clinicians should remember that even without a depressive episode there is still a significant risk for suicidal behavior in schizophrenia.     

Perceptual order and the effect of vocalic context of fricative perception

This three-part study demonstrates that perceptual order can influence the integration of acoustic speech cues. In Experiment 1, the subjects labeled the [s] and [sh] in natural FV and VF syllables in which the frication was replaced with synthetic stimuli. Responses to these "hybrid" stimuli were influenced by cues in the vocalic segment as well as by the synthetic frication. However, the influence of the preceding vocalic cues was considerably weaker than was that of the following vocalic cues. Experiment 2 examined the acoustic bases for this asymmetry and consisted of analyses revealing that FV and VF syllables are similar in terms of the acoustic structures thought to underlie the vocalic context effects. Experiment 3 examined the perceptual bases for the asymmetry. A subset of the hybrid FV and VF stimuli were presented in reverse, such that the acoustic and perceptual bases for the asymmetry were pitted against each other in the listening task. The perceptual bases (i.e., the perceived order of the frication and vocalic cues) proved to be the determining factor. Current auditory processing models, such as backward recognition masking, preperceptual auditory storage, or models based on linguistic factors, do not adequately account for the observed asymmetries.     

Perceptual order and the effect of vocalic context on fricative perception

This three-part study demonstrates that perceptual order can influence the integration of acoustic speech cues. In Experiment 1, the subjects labeled the [s] and [∫] in natural FV and VF syllables in which the frication was replaced with synthetic stimuli. Responses to these “hybrid” stimuli were influenced by cues in the vocalic segment as well as by the synthetic frication. However, the influence of the preceding vocalic cues was considerably weaker than was that of the following vocalic cues. Experiment 2 examined the acoustic bases for this asymmetry and consisted of analyses revealing that FV and VF syllables are similar in terms of the acoustic structures thought to underlie the vocalic context effects. Experiment 3 examined the perceptual bases for the asymmetry. A subset of the hybrid FV and VF stimuli were presented inreverse, such that the acoustic and perceptual bases for the asymmetry were pitted against each other in the listening task. The perceptual bases (i.e., the perceived order of the frication and vocalic cues) proved to be the determining factor. Current auditory processing models, such as backward recognition masking, preperceptual auditory storage, or models based on linguistic factors, do not adequately account for the observed asymmetries.     

When do ego threats lead to self-regulation failure? Negative consequences of defensive high self-esteem

High self-esteem (HSE) is increasingly recognized as heterogeneous. By measuring subtypes of HSE, the present research reevaluates the finding that HSE individuals show poor self-regulation following ego threat (Baumeister, Heatherton, & Tice, 1993). In Experiment 1, participants with HSE showed poor self-regulation after ego threat only if they also were defensive (high in self-presentation bias). In Experiment 2, two measures--self-presentation bias and implicit self-esteem--were used to subtype HSE individuals as defensive. Both operationalizations of defensive HSE predicted poor self-regulation after ego threat. The results indicate that (a) only defensive HSE individuals are prone to self-regulation failure following ego threat and (b) measures of self-presentation bias and implicit self-esteem can both be used to detect defensiveness.     

Approach/avoidance motivation, message framing, and health behavior: understanding the congruency effect

Health messages framed to be congruent with individuals’ approach/avoidance motivations have been found to be more effective in promoting health behaviors than health messages incongruent with approach/avoidance motivations. This study examines the processes underlying this congruency effect. Participants (undergraduate students, N=67) completed a measure of approach/avoidance orientation (the BIS/BAS scales) and read either a gain- or loss-framed message promoting dental flossing. Results demonstrated a congruency effect: Participants who read a congruently framed message had greater flossing efficacy, intended to floss more, and used more dental flosses than did the participants who read an incongruent message. Moreover, intention to perform the behavior predicted the congruency effect and self-efficacy mediated participants’ intentions to perform the health behavior. Discussion centers on the role of personality factors and situational factors in models of behavior change.

Joseph and His Brothers: A Biblical Paradigm for the Optimal Handling of Traumatic Stress

The long-lasting effects of emotional trauma and the important role of unconscious emotional defenses have become increasingly recognized only in the past century. Yet their role is actually manifest, although still overlooked, in one of the most well-known of biblical stories. This paper presents the story of Joseph and his brothers, and the important lessons it teaches about unconscious defenses and the optimal handling of emotional trauma.