Mediators of the shame-guilt-psychological adjustment relationship

Lynch, J. S., Hill, E. D., Nagoshi, J. L. & Nagoshi, C. T. Mediators of the shame-guilt-psychological adjustment relationship. Scandinavian Journal of Psychology 53, 437-443. A college student sample (109 women, 90 men) was administered measures of psychological adjustment, shame, guilt, personal fear of invalidity, and aspects of empathy, including personal distress in emergencies and fantasy involvement. Consistent with previous studies, shame but not guilt was significantly positively correlated with poor psychological adjustment. Path analyses with bootstrapped mediation tests indicated that the shame-adjustment relationship was significantly mediated by fear of invalidity, personal distress, and fantasy involvement. A novel finding was that the relationship between guilt and maladjustment was significantly mediated by proneness to fantasy. The findings are discussed in terms of an integrated theory of the shame-fear/distress-maladjustment relationship as a framework for understanding the maladaptive, individualistic shame experience.     

The driving anger expression inventory: a measure of how people express their anger on the road

Four ways people express their anger when driving were identified. Verbal Aggressive Expression (alpha=0.88) assesses verbally aggressive expression of anger (e.g., yelling or cursing at another driver); Personal Physical Aggressive Expression (alpha=0.81), the ways the person uses him/herself to express anger (e.g., trying to get out and tell off or have a physical fight with another driver); Use of the Vehicle to Express Anger (alpha=0.86), the ways the person uses his/her vehicle to express anger (e.g., flashing lights at or cutting another driver off in anger); and Adaptive/Constructive Expression (alpha=0.90), the ways the person copes positively with anger (e.g., focuses on safe driving or tries to relax). Aggressive forms can be summed into Total Aggressive Expression Index (alpha=0.90). Aggressive forms of expression correlated positively with each other (rs=0.39-0.48), but were uncorrelated or correlated negatively with adaptive/constructive expression (rs=-0.02 to -0.22). Aggressive forms of anger expression correlated positively with driving-related anger, aggression, and risky behavior; adaptive/constructive expression tended to correlate negatively with these variables. Differences in the strengths of correlations and regression analyses supported discriminant and incremental validity and suggested forms of anger expression contributed differentially to understanding driving-related behaviors. Theoretical and treatment implications were explored.     

Silence in context: Ethnomethodology and social theory

Ethnomethodologists (or at least many of them) have been reticent about their theoretical sources and methodological principles. It frequently falls to others to make such matters explicit. In this paper I discuss this silence about theory, but rather than entering the breach by specifying a set of implicit assumptions and principles, I suggest that the reticence is consistent with ethnomethodology's distinctive research 'program'. The main part of the paper describes the pedagogical exercises and forms of apprenticeship through which Garfinkel and Sacks aimed to develop ethnomethodology as a practice. These efforts were not entirely successful, partly because ethnomethodological 'practice' required an engagement with other fully-fledged practices. Aside from the difficulties of mastering such practices, it was unclear what an ethnomethodological study would add to, or take from, them. Whether successful or not, ethnomethodological research points to the specificity of discourse and action in any given practice which a general theory is bound to misconstrue. Current disputes about cultural constructivist versions of natural science illustrate the problems that arise when the terms of a general theory are used to describe and evaluate specific domains of practice. The paper concludes by recommending ethnomethodology as a way to dissolve an unbridgeable gap between cultural theories and socially located practices.     

Communication of Genetic Information by Other Health Professionals: The Role of the Genetic Counsellor in Specialist Clinics

Many children with chronic genetic diseases are followed by specialty clinics that provide genetic information as part of the care. Health services restrictions in the Republic of Ireland (ROI) can make the wait for an appointment with a genetic counsellor long. We examined whether genetic information was being adequately understood when presented by medical, but non-genetics staff to long term patients, using our national metabolic service as an example. The aim was to inform health professionals about the need or role of a genetic counsellor in a specialist setting. A questionnaire was used to assess knowledge among parents and patients affected by galactosaemia and Maple Syrup Urine Disease (MSUD). Twenty seven families with galactosemia and 10 with MSUD were interviewed in clinic. Comparative analysis showed significant differences in knowledge between parents of children with galactosemia and adult patients (p = 0.001) and between ethnicities (p > 0.05). While parents are well informed, the majority expressed a wish for more information about the condition and its transmission. Adult patients with galactosemia and parents from certain ethnic backgrounds could especially benefit from genetic counselling. This study highlights the need for a genetic counsellor in specialist clinics.     

Does binge eating play a role in the self-regulation of moods?

Self-reported emotional experiences and eating behaviors were studied in college students in an attempt to determine what types of emotional experiences precede and follow binge eating and how specific types of compensatory behaviors modify these experiences. First-year male and female students (N=390) were surveyed for depression, anxiety, health status, life satisfaction, and eating attitudes (EAT-26). Those reporting recurrent binge eating episodes were asked to describe their emotional feelings before and after bingeing and before and after compensatory activities. EAT-26 scores corresponding to scores previously reported for eating disordered patients were found in 9.7% of students. Binge eating was nearly twice as frequent among females (16.4%) as males (8.6%). Among females, positive relationships were found between specific EAT-26 factors scores and both anxiety and depression scores. The emotional antecedents and consequences of binge eating and of compensatory activities were compared in three sub-groups of individuals who reported recurrent bingeing with loss of self-control during binges. The three sub-groups consisted of individuals who reported, 1) bingeing without engaging in compensatory activities, 2) bingeing and compensating by means other than vomiting (fasting, exercising, or use of laxatives or diuretics), and 3) bingeing and compensating by vomiting. Regardless of the type of activity, those individuals who engaged in compensatory activities reported greater negative affect preceding binge episodes than those who did not compensate. In addition, contrary to expectations, negative affect did not decrease, but instead increased significantly, following binge episodes and decreased immediately before and after compensatory activities.     

Media Coverage of Direct-to-Consumer Genetic Testing

Media coverage of Direct-to-Consumer (DTC) genetic testing shapes public perception of such testing. The purpose of this study was to determine and assess the themes presented by U.S. news media regarding DTC genetic testing. We performed a Lexis-Nexis search with the keywords “Direct-to-Consumer” and “genetic test” for news stories published from 2006–2009. The sample was coded on themes of genetic determinism, privacy, discrimination, validity, regulation, the Genetic Information Nondiscrimination Act (GINA), utility, and cost. Ninety-two news stories were included. Stories displayed moderate genetic determinism and were neutral about validity and utility. Stories indicated that insurance and employers were the most likely sources of discrimination, yet identified the physicians and DTC companies as groups most likely to violate privacy. Stories claimed lack of regulation would harm consumers, but most post-GINA stories did not discuss the law. The costs of tests were frequently included. The results of this study show a broad range of views toward DTC genetic testing and its potential impacts. The genetics community should be aware that the public has been exposed to multiple views of DTC genetic testing when discussing these tests.