A Pilot Study to Assess the Feasibility of a Multicenter Cluster Randomized Trial for the Management of Asymptomatic Persons with a Thrombophilia

There is controversy whether asymptomatic first-degree relatives (FDRs) of patients with venous thromboembolism (VTE) and thrombophilia should be screened, followed, and prescribed prophylaxis during risk periods. We recruited consecutive probands with idiopathic VTE and thrombophilia from our thrombosis clinics. Those FDRs with thrombophilia were randomized in family clusters to receive one-time verbal counseling and no organized follow-up or counseling, educational material, reminder aids and follow-up. Only 203 of 1,129 FDRs were eligible and consented. Dropouts were common; 1 FDR (1.7%) developed VTE. VTE risk, ability to treat and prevent were underestimated by the participants. Patients with VTE and thrombophilia and their FDRs are often not interested in thrombophilia testing. Despite education to inform their knowledge, interest and follow-up were less than ideal. The question of the best educational approach in these patients remains unanswered. The value of testing and following asymptomatic carriers of probands with VTE and thrombophilia remains unknown.     

Risk comparative judgments while driving a car among competitive road cyclists and non-cyclists

This study examines risk comparative judgments and risky behaviors while driving a car among competitive road cyclists (n = 119) and among controls (i.e., drivers who have almost no cycling experience, n = 142). A questionnaire-based cross-sectional survey was conducted. Results showed that competitive road cyclists assess their own vulnerability to be involved in an accident while riding (VAR) as being lower than that of the average cyclists, and their abilities to manage risks while riding (AMRR) as being higher. They assessed their own vulnerability to be involved in an accident while driving a car (VAD) as being lower than that of the average drivers, and their own quality of reflexes while driving a car (QRD) as being higher. Their tendency to express comparative optimism while assessing their comparative VAD and QRD was higher than that of controls. They also reported more prudent behaviors while driving a car than did controls. Results are discussed, as well as implications in terms of prevention.     

Is Expressed Emotion a Specific Risk Factor for Depression or a Nonspecific Correlate of Psychopathology?

Five Minute Speech Sample Expressed Emotion (FMSS-EE) was examined in families of youth with depressive disorders, nondepressed youth with attention deficit/hyperactivity disorder (ADHD), and community controls screened for the absence of depression and ADHD. Consistent with the hypothesis that FMSS-EE shows some specificity as a risk factor for depression, rates of critical EE were significantly higher among mothers of youth with depression as compared to mothers of nondepressed youth with ADHD, or mothers of controls. When both mothers' and fathers' scores were used to generate family EE ratings, rates of overall EE and critical EE were significantly higher for the depressed group than the control group, but the nondepressed ADHD group did not differ significantly from the other groups. Results support the hypothesis that critical EE in mothers shows some specificity as a risk factor or correlate of depression in youth.     

Contrasting Acquisition-Focused and Performance-Focused Models of Acquired Behavior

What is encoded during a learning experience? In a learning situation, a training (acquisition) phase is often followed by a test phase. Acquisition-focused models (most associative models) emphasize information processing that occurs during training and assume that only summary statistics (associative values) are retained to influence behavior during testing. Performance-focused models (a k a "computational" models) emphasize information processing that occurs at test and often assume fairly comprehensive memory of prior experiences. In this article, we contrast these two families of models. We note that neither family can claim unique support from the various learning phenomena commonly cited as favoring one or the other position. Within each family, there are highly diverse models that preclude blanket generalizations. However, the acquisition-focused view that subjects retain only summary statistics suggests unrealistically impoverished memories relative to the fairly veridical memories that clearly are formed. But this oversimplifying assumption of acquisition-focused associative theories is exactly what has made them superior to performance-focused models to date in stimulating research.     

EARLY PARENTING SUPPORT AND INFORMATION: A CONSUMER PERSPECTIVE

The transition to parenthood is a period of both joy and challenge for most parents. There is a recognized need to support parents during this period, yet existing interventions have shown limited evidence of efficacy. This study takes a consumer‐focused approach to examine the needs and preferences of parents both prenatally (n = 77) and postnatally (n = 123) for parenting support. The study used a cross‐sectional design with a purpose‐built online survey. Parents were recruited via online forums, Facebook and parenting blogs, childcare centers, and playgroups. In general, all parents were satisfied with their current levels of both formal and informal support, and about one fourth of parents had accessed a parenting intervention. Parents expressed a moderate level of interest in additional parenting information, and parents expecting their first baby indicated preferences for information about basic baby care needs whereas postnatally, parents expressed more interest in topics around self‐care and behavior management. The implications for developing interventions and engaging families are discussed.     

The ABCs of categorical perception

Studies of speech perception first revealed a surprising discontinuity in the way in which stimulus values on a physical continuum are perceived. Data which demonstrate the effect in nonspeech modes have challenged the contention that categorical perception is a hallmark of the speech mode, but the psychophysical models that have been proposed have not resolved the issues raised by empirical findings. This study provides data from judgments of four sensory continua, two visual and two tactual-kinesthetic, which show that the adaptation level for a set of stimuli serves as a category boundary whether stimuli on the continuum differ by linear or logarithmic increments. For all sensory continua studied, discrimination of stimuli belonging to different perceptual categories was more accurate than discrimination of stimuli belonging to the same perceptual category. Moreover, shifts in the adaptation level produced shifts in the location of the category boundary. The concept of Adaptation-level Based Categorization (ABC) provides a unified account of judgmental processes in categorical perception without recourse to post hoc constructs such as implicit anchors or external referents.     

Perceptual processing of adjacent and nonadjacent tactile nontargets

Previous research has shown that subjects appear unable to restrict processing to a single finger and ignore a stimulus presented to an adjacent finger. Furthermore, the evidence suggests that, at least for moving stimuli, an adjacent nontarget is fully processed to the level of incipient response activation. The present study replicated and expanded upon these original findings. The results of Experiment 1 showed that an equally large response-competition effect occurred when the nontarget was presented to adjacent and nonadjacent fingers4on the same hand). The results of Experiment 2 showed that the effects observed in Experiment 1 (and in previous studies) were also obtained with stationary stimuli. Although small, there was some indication in the results of Experiment 2 that interference may dissipate more rapidly with distance with stationary stimuli. An additional finding was that interference effects were observed in both experiments with temporal separations between the target and nontarget of up to 100 msec. In Experiment 3, target and nontarget stimuli were presented to opposite hands. Although reduced, interference was still evident with target and nontarget stimuli presented to opposite hands. Varying the physical distance between hands did not produce any change in the amount of interference. The results suggest that the focus of attention on the skin extends nearly undiminished across the fingers of one hand and is not dependent upon the physical distance between sites of stimulation.     

The minimal group paradigm: Categorization into two versus three groups

The minimal group paradigm (Tajfel, Billig, Bundy and Flament, 1971) has been influential in the study of intergroup relations. Thus far, most minimal group experiments have divided the subjects either into two groups, or have categorized them on two separate dichotomous dimensions in cross-categorization experiments. This study examines the minimal group paradigm using three distinct and independent groups. Comparison of the results with three minimal groups with those of a baseline two-group experiment shows that with a three-group structure there is no significant ingroup bias. It is suggested that the two-group minimal group experiment shows ingroup bias because subjects access a dichotomous categorization, and that this dichotomous categorization primes a competitive orientation. A two-group context may be particularly efective in evoking an ‘us versus them’ contrast. Self-categorization as a group member is more likely to occur in the presence of two groups whereas three minimal groups renders an ‘us–them’ contrastive orientation less salient. The absence of intergroup discrimination found in the present minimal group study may be limited to the behaviour of minimal or artificially created groups. In the real world of intergroup relations discrimination towards multiple outgroups is a well-known phenomenon. While this study should be regarded as only preliminary research, further elaboration and specification of the conditions under which multiple group contexts may hinder intergroup discrimination is required.     

On the Right Track: Client Experience of Narrative Therapy

This article presents an ethnographic research on eight families' experience of narrative therapy and discusses six major themes found in the interviews including externalizing conversation, developing the alternate story, personal agency, reflecting/consulting teams, building a wider audience, and the helpful and unhelpful aspects of the therapy. The findings and the notation that families found the therapy to be very effective are also included.