Acceptability of Telemedicine and Other Cancer Genetic Counseling Models of Service Delivery in Geographically Remote Settings

This work examined acceptability of cancer genetic counseling models of service delivery among Maine residents at risk for hereditary cancer susceptibility disorders. Pre-counseling, participants ranked characteristics reflecting models of care from most to least important including: mode-of-communication (in-person versus telegenetics), provider level of training (genetic specialty versus some training/experience), delivery format (one-on-one versus group counseling), and location (local versus tertiary service requiring travel). Associations between models of care characteristic rankings and patient characteristics, including rural residence, perceived cancer risk, and perceived risk for a hereditary cancer risk susceptibility disorder were examined. A total of 149/300 (49.7 % response rate) individuals from 11/16 Maine counties responded; 30.8 % were from rural counties; 92.2 % indicated that an important/the most important model of care characteristic is provider professional qualifications. Among other characteristics, 65.1 % ranked one-on-one counseling as important/the most important. In-person and local counseling were ranked the two least important characteristics (51.8 % and 52.1 % important/the most important, respectively). Responses did not vary by patient characteristics with the exception of greater acceptance of group counseling among those at perceived high personal cancer risk. Cancer telegenetic services hold promise for access to expert providers in a one-on-one format for rurally remote clients.     

Perceptual averaging by eye and ear: Computing summary statistics from multimodal stimuli

Beyond perceiving the features of individual objects, we also have the intriguing ability to efficiently perceive average values of collections of objects across various dimensions. Over what features can perceptual averaging occur? Work to date has been limited to visual properties, but perceptual experience is intrinsically multimodal. In an initial exploration of how this process operates in multimodal environments, we explored statistical summarizing in audition (averaging pitch from a sequence of tones) and vision (averaging size from a sequence of discs), and their interaction. We observed two primary results. First, not only was auditory averaging robust, but if anything, it was more accurate than visual averaging in the present study. Second, when uncorrelated visual and auditory information were simultaneously present, observers showed little cost for averaging in either modality when they did not know until the end of each trial which average they had to report. These results illustrate that perceptual averaging can span different sensory modalities, and they also illustrate how vision and audition can both cooperate and compete for resources.     

Perceived Peer and Family Relationships,Hopelessness and Locus of Control as Factors in Adolescent Suicide Attempts

ABSTRACT: Thirty hospitalized suicidal adolescents were compared with thirty-four hospitalized nonsuicidal teenagers and thirty-five nonhospitalized coping youngsters (controls) on the extent of their problems, their perceptions of peer and family relationships, degree of hopelessness, and locus of control. Suicidals were found to experience the greatest total number of problems, nonsuicidals the next most, and controls the fewest. Significantly more peer problems differentiated the suicidals from the other two groups, while serious family problems discriminated the three groups from each other. The controls viewed their families as the most well-adjusted, followed by the nonsuicidals, while the suicidals felt their families were the most maladjusted. Suicide attempters experienced a significantly greater degree of hopelessness than all the nonattempters, and significantly more external locus of control than the controls. Some sex differences emerged in the study.     

Selective attention modulates implicit learning

The effect of selective attention on implicit learning was tested in four experiments using the "contextual cueing" paradigm (Chun & Jiang, 1998, 1999). Observers performed visual search through items presented in an attended colour (e.g., red) and an ignored colour (e.g., green). When the spatial configuration of items in the attended colour was invariant and was consistently paired with a target location, visual search was facilitated, showing contextual cueing (Experiments 1, 3, and 4). In contrast, repeating and pairing the configuration of the ignored items with the target location resulted in no contextual cueing (Experiments 2 and 4). We conclude that implicit learning is robust only when relevant, predictive information is selectively attended.     

School phobia: An overview

This article discusses general features of school phobia and specific clinical and familial traits and characteristics. Included are overviews of theoretical explanations, types of school phobia, suggested methods of treatment, and their efficacy.