Duty to Re-Contact: A Study of Families at Risk for Fragile X

DNA testing for Fragile X syndrome is now routinely available through a large number of diagnostic laboratories. We have surveyed individuals from British Columbia Fragile X families identified prior to the availability of DNA testing for FMR1 to determine if they are subsequently receiving information about DNA testing. Of the 78 individuals first seen before the cloning of the FMR1 gene, 39 (50%) had not been seen in the clinic to discuss DNA testing. We initiated a contact program with these 39 patients to determine their interest in DNA testing. Contact was made with 28 individuals, 20 of whom stated interest in testing either for themselves or for a relative. Patient opinions about DNA testing were assessed through questionnaires. In those individuals who stated an interest in DNA testing, the most common reason for wishing testing was to provide information to children or grandchildren. The most common disadvantages of testing indicated by this group were that they had finished their families and that they felt the test would not have a direct impact. The most common reasons individuals were not interested in DNA testing were that there were no family members appropriate to test and that the respondent had completed his or her family. DNA testing has been performed for 13 of the 28 (46%) contacted individuals and/or at least one relative. In view of the high level of interest for testing in families who had not been seen since the cloning of the FMR1 gene, we feel that FMR1 screening programs should include actively contacting previously seen individuals.     

Indirect majority and minority influence: An exploratory study

In a 2 × 2 design, 85 subjects were asked to estimate the size of angles (direct influence) that were either 90 or 85°, after being confronted with incorrect judgements of a majority (88 per cent) or a minority (12 per cent) of people estimating the angles at 50°. Additionally, pre- and post-test measures were used to establish indirect influence on subjects' judgements pertaining to acute angles (i.e. on the estimation of the length of lines constituting the angles, and on the imaginary weight of figures represented by these angles). Overall, little direct influence is observed. This may partly be due to the introduction of a denial of the credibility of the source in all conditions. In fact, some evidence of direct influence is only found in the majority–85° angles condition. An instance of indirect influence (on the estimation of length of lines) appeared as the result of a majority stance when the angles in the experimental phase were 90°. When these angles were 85°, indirect minority influence (on the estimation of weight of figures) was observed. These effects had been predicted on the basis of the hypothesis stating that indirect majority influence would be possible when subjects expected consensus on the correct response (in the 90° angles condition), without being able to reach consensus at the manifest level (because of the denial and the restriction imposed by the clear shape of 90° angles). Indirect minority influence was hypothesized to be stronger in a situation that allows for diverse responses (i.e. for 85° angles).     

Efficacy of Parent-Child Interaction Therapy with Parents with Intellectual Disability

Parents with intellectual disability (ID) face many parenting challenges that may affect their ability to parent effectively, and such deficits are often associated with various poor child outcomes. Research findings are inconsistent for interventions targeting systematic skills for parents with ID. Parent-Child Interaction Therapy (PCIT) is an empirically supported treatment that incorporates performance-based training to enhance parenting ability. This study evaluated implementation of PCIT with parents with ID using a multiple baseline design across behaviors. Results suggest increases in positive parenting behaviors and consistent discipline. However, limitations related to poor maintenance and generalization warrant the need for future research.     

Poor readers’ use of orthographic information in learning to read new words: A visual bias or a phonological deficit?

In this study, we examined the ability of 11-year-old poor readers and reading age controls to learn new print vocabulary. It was found that the poor readers were slower than the controls to learn to read a set of nonwords accurately but that, when asked to pick out the nonwords in a visual recognition memory task, they reached criterion much more quickly than did the controls. However, when the groups were compared on auditory recall of the items being learned, the poor readers were at a disadvantage. Thus, the poor readers developed a visual store for the nonwords more quickly than did the controls but were slower to establish phonological representations for the nonwords. It was concluded that the poor readers were slower to establish a form of sight word reading that was well underpinned in memory by connections between the letters in the spelling and the phonemes in the pronunciation, suggesting that they had a greater reliance on an orthographic-semantic pathway in word recognition than did the controls.     

Consumer Racial Discrimination in Tipping: A Replication and Extension

This study examined the effects of server race, customer race, and their interaction on restaurant tips while statistically controlling for customers' perceptions of service quality and other variables. The findings indicate that consumers of both races discriminated against Black service providers by tipping them less than White service providers. Furthermore, this server race effect on tipping was moderated by perceived service quality and dining party size. The theoretical and practical implications of these findings are discussed. Particularly noteworthy is the possibility that the server race effect on tipping represents an adverse impact against Black servers that makes the use of tipping to compensate employees a violation of employment discrimination law in the United States.     

Motivational Interviewing as an Adjunct to Cognitive Behavior Therapy for Anxiety Disorders: A Critical Review of the Literature

Cognitive behavior therapy (CBT) is efficaciously and effectively used in the treatment of anxiety disorders; however, as CBT for anxiety routinely utilizes exposure components, clients often experience ambivalence about treatment and their clinicians often must deal with resistance. Motivational Interviewing (MI) is a therapeutic strategy that addresses ambivalence about change in clinical interventions. MI has been applied as an adjunct for treatments such as CBT in order to increase motivation for and commitment to the intervention, especially when components of the treatment may be challenging (e.g., exposure, cognitive restructuring). Though researchers have commented specifically on the use of MI as a supplement to CBT for anxiety disorders, no comprehensive review has systematically assessed the strengths and limitations of extant literature on the topic, nor across anxiety disorders. Findings are summarized from 6 case studies and uncontrolled trials and 11 randomized controlled trials published through March 2016. An integrated critique of this literature also is offered. Limitations and the preliminary nature of the work in this area notwithstanding, it appears that it is feasible to supplement or integrate CBT with MI and that doing so has the potential to improve treatment initiation and engagement, as well as clinical outcomes. A number of directions for future research are addressed, such as determining which MI approaches to implement, with whom, when, and in what contexts.     

Between a Rock and a Hard Place: The Deficit Model,the Diffusion Model and Publics in STS

The start of the twenty-first century witnessed the flourishing of both the biosciences (particularly genomics) and initiatives around public engagement in science, particularly in the UK and USA. STS researchers have both followed and fuelled this latter trend. Hence, it may be helpful to review the genealogy of these recent developments and of STS concern for the publics of science. This provides a way of assessing whether STS activities have been contributing to making the sciences more open and accountable to their publics. One trail returns to the institutionalisation of Public Understanding of Science (PUS) in the mid-1980s. The critique of this movement by STS scholars through reference to the deficit model (of public understanding of science) also figures here. However, less attention has been given to other modes of conceptualising science and publics, including what Cooter and Pumfrey label as the ‘diffusionist’ or ‘diffusion’ model (of scientific knowledge), which they contend entrenched traditional views of scientific knowledge and of publics as receivers of such knowledge. More recently, investigations of the making of science in diverse locations, attention to multiplicity and co-production have taken STS in new directions. Nevertheless, the legacies of both the deficit and diffusion models of science and publics continue to influence STS and its ‘regimes of truth’. Questions remain around STS researchers' persistent failure to acknowledge the diffusion model, in particular, and the consequent retrenchment of traditional views of how science works, limiting prospects for substantial public engagement and more open, democratic modes of science.     

Word length,phonemic, and visual similarity effects in poor and normal readers

Serial order recall for visually and auditorily presented stimuli was examined in a group of 12-year-old poor readers and 7-year-old reading-age controls. With pictorial presentation, the poor readers showed a visual similarity effect, no word length effect, and a smaller phonemic similarity effect than that of controls. However, with visual presentation of printed words and with auditory presentation, poor readers showed word length and phonemic similarity effects of similar magnitude to that of controls. It is concluded that poor readers rely on visual information in tasks where the presented images are highly codable, and where verbal recoding is not obligatory, but that they will make use of phonological coding when the stimuli are not as easily codable visually in memory.     

Cuing interacts with perceptual load in visual search

We tested the strong form of the perceptual-load hypothesis, which posits that the amount of perceptual load is the only factor determining whether attention can be effectively focused. Participants performed a visual search task under conditions of low and high load and with either a 100% valid spatial cue or no spatial cue. With no cue, participants showed evidence of processing to-be-ignored stimuli when perceptual load was low but not when it was high, consistent with the perceptual-load hypothesis. However, with a 100% valid spatial cue, participants showed little evidence of processing to-be-ignored stimuli, even when perceptual load was low. These results suggest that although perceptual load may be an important factor in attentional selectivity, load alone is not sufficient to explain how and when selective attention is effective.     

Anxiety sensitivity in the prediction of pain-related fear and anxiety in a heterogeneous chronic pain population

The present study evaluated anxiety sensitivity, along with depression and pain severity, as predictors of pain-related fear and anxiety in a heterogeneous chronic pain population (n=68). The results indicated that the global anxiety sensitivity factor, as indexed by the Anxiety Sensitivity Index (ASI: Reiss, Peterson, Gursky & McNally, 1986: Reiss, S., Peterson, R. A., Gursky, M. & McNally, R. J. (1986). Anxiety, sensitivity, anxiety frequency, and the prediction of fearfulness. Behaviour Research and Therapy, 24, 1-8) total score, was a better predictor of fear of and anxiety about pain relative to the other relevant variables. Additionally, the physical concerns subscale of the ASI was a better predictor of pain-related fear dimensions characterized by high degrees of physiological symptoms and behavioral activation on both the Fear of Pain Questionnaire-III (FPQ-III; McNeil & Rainwater, 1998: McNeil, D. W. & Rainwater, A. J. (1998). Development of the Fear of Pain Questionnaire-III. Journal of Behavioral Medicine.) and Pain Anxiety Symptoms Scale (PASS; McCracken, Zayfert & Gross, 1992: McCracken, L. M., Zayfert, C. & Gross, R. T. (1992). The Pain Anxiety Symptoms Scale: Development and validation of a scale to measure fear of pain. Pain, 50, 67-73). In a related way, the ASI psychological concerns subscale was a better predictor of pain-related anxiety dimensions characterized by cognitive symptoms of anxiety. Overall, these findings reiterate the importance of anxiety sensitivity in understanding pain-related fear and anxiety, and suggest anxious and fearful responding can be predicted more accurately with higher levels of correspondence between a particular anxiety sensitivity domain and events that closely match that fear.