Continuation of Pregnancy Following the Diagnosis of a Fetal Sex Chromosome Abnormality: A Study of Parents' Counseling Needs and Experiences

Parents who decide to continue a pregnancy diagnosed with a sex chromosome abnormality (SCA) experience a variety of emotions as they deal with complex medical and genetic information. To better understand these individuals' psychosocial, educational, and support needs, 26 parents who received prenatal diagnosis of an SCA after 1989 and who had decided to continue their pregnancy were interviewed by telephone. Twenty (77%) reported they initially had a poor understanding of the predicted syndrome. All parents later met with a genetics professional. Twenty-two (92%) parents considered sterility and underdevelopment of secondary sexual characteristics to be the most negative aspects of SCAs. Contact with other parents of children with SCAs and with support organizations were generally viewed as helpful experiences. Insight gained from this study should be useful for genetic counselors and other health care providers involved with patients who have received abnormal prenatal diagnosis results.     

National leadership for children and youth with serious emotional disturbance: Progress and prospects

Despite the federal mandate to identify and provide appropriate educational and related services to children and youth with serious emotional disturbance (SED), the national profile portrays exceptionally low rates of identification; unacceptably low rates of school completion; high rates of placement in segregated environments; evidence that economic and demographic factors substantially affect identification, placement, and school completion; and a mixed, although mostly discouraging picture of outcomes after leaving the educational system. Recent national leadership, comprised of strategic planning, research, and demonstration initiatives has attained considerable momentum and is intended to improve outcomes for children with SED. Significant changes are anticipated as a result of the upcoming reauthorization of the statute governing special education and related services. These changes reflect a 20 year perspective regarding the benefits and shortcomings of current eligibility criteria and discretionary initiatives for improving outcomes for children with disabilities. The manner in which these changes may affect prospects for better serving children with SED is discussed.     

The cotherapy relationship: Special issues and problems in aids therapy groups

This paper examines the special issues and problems in the co-leadership relationship which arise in ongoing AIDS therapy and support groups. A brief review is given outlining some of the advantages and disadvantages of the coleader model. Specific attention is then paid to the issues/themes of physical deterioration of members, disfigurement, frequent absences, and members dying. Four particular patterns of interaction that develop between cotherapists are identified, illustrated, and discussed.The author thanks the Group Services staff and volunteer therapists for their contributions to this article.     

The early resumption of employment by mothers: Implications for parent-infant interaction

Home observations of mother-father-infant interaction and mother-infant interaction were contrasted in middle-class families in which the mother was employed or a full-time caregiver. First-born infants and their parents were observed at 3 months. The results indicate that when mother, father, and infant were together parents in the single wage-earner families provided more tactile stimulation to their babies; fathers in single wage-earner families tended to interact more with their infants than did mothers, while in dual wage-earner families mothers tended to interact more than fathers; and fathers in single wage-earner families exceeded fathers in dual wage-earner families in interactions with their infants. By contrast, mothers in the two groups showed very little difference in their interactions with their babies. No significant differences were found for maternal behavior in the three-person observation, and a single behavior differentiated between the groups in the mother-baby observation, with homemaker mothers more often making visual contact with their babies. The implications of these findings are discussed, both with respect to further research, and with regards to the development of children of employed mothers.     

What Will the Neighbors Think? The Effect of Moral Communities on Cohabitation

In this study, we analyze the relationship between county-level religious adherence rates and county-level cohabitation rates in the year 2000. Based on the concept of moral communities, we test hypotheses that higher rates of affiliation with certain religious traditions and lower levels of religious heterogeneity will correlate with lower rates of cohabitation. The analysis consists of data from two sources: the 2000 U.S. Census and the 2000 Religious Congregations and Membership Study. In well-controlled models, spatial regression analysis indicates significant negative relationships between evangelical adherence rates and percent cohabiting. Our results also show that, although rates of adherence and heterogeneity also matter outside the South, the effects are consistently stronger in the South and among Christian denominations. This study advances research on cohabitation by conducting a county-level examination of the impact of religion and moral communities on the increasingly high levels of cohabitation that we are seeing in the United States.     

Developing a Prevention Synthesis and Translation System to Promote Science‐Based Approaches to Teen Pregnancy,HIV and STI Prevention

The Interactive Systems Framework for Dissemination and Implementation (ISF) is a multi‐system framework that can guide research‐to‐practice efforts by building and supporting the work of three interacting systems: the Prevention Delivery, Support, and Synthesis and Translation Systems. The Synthesis and Translation system is vital to bridging science and practice, yet how to develop it and train support system partners to use it is under‐researched. This article bridges this gap by offering a case example of the planning, development, and use of a synthesis and translation product called Promoting Science‐based Approaches to Teen Pregnancy Prevention using Getting To Outcomes. The case presented documents the process used for developing the synthesis and translation product, reports on efforts to engage the Prevention Support system to use the product, and how we approached building interaction between the Synthesis and Translation System and the Support System partners. Practice‐oriented evaluation data are also presented. Implications for practice, policy and research are discussed. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

Mixed emotions: holistic and analytic perception of facial expressions

In the face literature, it is debated whether the identification of facial expressions requires holistic (i.e., whole face) or analytic (i.e., parts-based) information. In this study, happy and angry composite expressions were created in which the top and bottom face halves formed either an incongruent (e.g., angry top + happy bottom) or congruent composite expression (e.g., happy top + happy bottom). Participants reported the expression in the target top or bottom half of the face. In Experiment 1, the target half in the incongruent condition was identified less accurately and more slowly relative to the baseline isolated expression or neutral face conditions. In contrast, no differences were found between congruent and the baseline conditions. In Experiment 2, the effects of exposure duration were tested by presenting faces for 20, 60, 100 and 120 ms. Interference effects for the incongruent faces appeared at the earliest 20 ms interval and persisted for the 60, 100 and 120 ms intervals. In contrast, no differences were found between the congruent and baseline face conditions at any exposure interval. In Experiment 3, it was found that spatial alignment impaired the recognition of incongruent expressions, but had no effect on congruent expressions. These results are discussed in terms of holistic and analytic processing of facial expressions.     

Predictors of responses to stress among families coping with poverty-related stress

This study tested how poverty-related stress (PRS), psychological distress, and responses to stress predicted future effortful coping and involuntary stress responses one year later. In addition, we explored age, sex, ethnicity, and parental influences on responses to stress over time. Hierarchical linear modeling analyses conducted with 98 low-income families (300 family members: 136 adults, 82 school-aged children, 82 adolescents) revealed that primary control coping, secondary control coping, disengagement, involuntary engagement, and involuntary disengagement each significantly predicted future use of that response. Primary and secondary control coping also predicted less maladaptive future responses to stress, while involuntary responses to stress undermined the development of adaptive responding. Age, sex, and interactions among PRS and prior coping were also found to predict certain responses to stress. In addition, child subgroup analyses demonstrate the importance of parental modeling of coping and involuntary stress responses, and warmth/nurturance and monitoring practices. Results are discussed with regard to the implications for preventive interventions with families in poverty.