Grounded Theory in Genetic Counseling Research

The practice of genetic counseling is in need of evidence-based theoretical frameworks. Although strategies used in genetic counseling are increasingly evidence-based, the field of genetic counseling does not have a generally accepted theoretical basis for development of therapeutic interventions. We know very little about (1) what actually happens in genetic counseling and (2) the impact it has on clients and their families. A number of researchers have used a variety of approaches in an attempt to introduce some theoretical basis for genetic counseling research and practice. Other workers have used experience in their clinical practice to write theoretically about the kinds of processes that might be going on in and around genetic counseling. However, there are few studies to date, which have attempted to build theory modeling the psychosocial processes that take place in and around the genetic counseling clinic using empirical data. This paper describes a methodology (grounded theory) that is designed specifically to build theory about psychosocial processes from a strong evidence base, and explains how it can contribute to the development of practice in genetic counseling.     

Stereotype Threat,Social Class,Gender, and Academic Under-Achievement: When Our Reputation Catches Up to Us and Takes Over

According to Steele (1997), negative stereotypes about intellectual abilities can act as a threat that disrupts the performance of students targeted by bad reputations. Previous research on stereotype threat has showed that on a stereotype-relevant test, stigmatized group members (e.g., African Americans) performed worse than others on an intellectual verbal task. However, when the instructions accompanying the test did not create stereotype threat, stigmatized group members' performance was equal to that of other participants. In this paper, we present studies documenting the effect of stereotype threat and discuss ways to counter it. Two strategies derived from Self-Categorization Theory (Turner & Oakes, 1989) and Self-Affirmation Theory (Steele, 1988) are presented, tested, and discussed. This revised version was published online in August 2006 with corrections to the Cover Date.     

It's for your own good: benevolent sexism and women's reactions to protectively justified restrictions

Three studies examined women's reactions to ostensibly protective restrictions. In Study 1, only benevolently sexist women accepted a protectively justified (hypothetical) prohibition against driving on a long trip, but only when imposed by a husband (not a coworker). In Study 2, when women's actual romantic partners opposed their participation in a practicum counseling dangerous men, most reacted positively to a personalized protective justification ("I am concerned for your safety"), but only benevolently sexist women reacted positively when no justification was given. In Study 3, only benevolently sexist women accepted an explicitly group-based protective justification ("It is not safe for any woman") for a partner's imagined opposition to an internship that involved interviewing criminals. By fusing benevolence with dominance, protective paternalism can lead women (especially those who are high on benevolent sexism) to accept restrictions.     

Description of a Behavioral Intervention to Reduce Substance Use and Related Risk and Increase Positive Parenting among Urban Mothers with Alcohol and Other Drug Problems

The abuse of alcohol and other substances by mothers raising adolescent children has serious adverse effects on family functioning and youth outcomes, and on mothers’ own health and adaptation. Mothers who are also HIV-infected face additional challenges. In the present report, we describe a multi-session intervention conducted in individual sessions for mothers with alcohol and other substance use problems who are raising adolescent children. We outline the primary components of the intervention and include case studies and examples of exercises and tools. We found that engagement with the intervention and high rates of attendance were facilitated by tapping into mothers’ desires to improve their relationships with their adolescent children, the use of a harm reduction approach toward substance use, and intensive outreach. We also discuss lessons learned in the course of implementing and evaluating the intervention.     

The Impact of Teasing on Children’s Body Image

Being teased about one’s physical appearance in childhood has been found to have a strong impact on the way in which adolescent and adult women perceive their bodies. Teasing is also strongly related to self-esteem in children. However, little is known about the impact of teasing on the development of body image in childhood. Through a quantitative study of the experience of being teased and body image satisfaction in a group of 431 primary aged children, we examined the prevalence, type and impact of teasing on children’s perceived body image satisfaction. The results of our study indicated that many children, especially those who are over or underweight experience being teased. This experience does have a negative impact on children’s body image. This is especially significant for young girls and boys who are overweight. Underweight young boys also suffer negatively from this experience. It is important for parents and others to understand that what may be perceived as friendly banter with their children may not necessarily be innocuous. Further research exploring the concept and construct of teasing in childhood is warranted.     

Unique pathways to resilience across cultures

An international mixed methods study of resilience of 14 sites in eleven countries identified seven tensions that youth resolve in culturally specific ways. Resolution of these tensions is foundational to experiences of resilience. This paper reports on the qualitative findings from interviews with 89 youth. Results support a culturally embedded understanding of positive youth development that better accounts for young people's resilience in western and non-western countries. Specifically, the seven tensions identified include: access to material resources, relationships, identity, cohesion, power and control, social justice, and cultural adherence. Findings show that no one pattern in the resolution of these tensions predicts resilience better than another. A case study of a Palestinian boy demonstrates the intersection of the seven tensions and the uniqueness of their resolution. The implications of this work for interventions is discussed.     

Night waking in 6-month-old infants and maternal depressive symptoms

Relations between night waking in infants and depressive symptoms in their mothers at 6 months postpartum were examined using the data from the National Institute for Child Health and Human Development Study of Early Child Care. Although more depressive symptoms were only weakly correlated with a higher frequency of infant waking, longer wake times, and more total time awake, the rate of clinically significant depression scores was about double in mothers of chronically waking infants in comparison with mothers whose infants did not awaken during the night. The value of comparing subgroups to elucidate relations identified through correlations is discussed.     

EVALUATIONS OF SEXY WOMEN IN LOW- AND HIGH-STATUS JOBS

We hypothesized that women who dress in a sexy versus business-like manner evoke negative emotions and perceptions of lesser competence if employed in high- (but not low-) status jobs. Male and female undergraduates evaluated a videotaped female target whose physical attractiveness was held constant, but who was (a) dressed in sexy or business-like attire and (b) allegedly either a manager or a receptionist. Participants exhibited more negative affect toward the sexily attired manager and rated her as less competent than the neutrally attired manager. This effect was fully mediated by emotional reactions. In contrast, the appearance manipulation had no effect on emotions toward or competence ratings of the receptionist. These findings suggest that a sexy self-presentation harms women in high-, but not low-, status jobs.