Depression and Suicidal Ideation After Predictive Testing for Huntington's Disease: A Two-Year Follow-up Study

The present study reports a two-year follow-up of psychological effects of predictive testing for Huntington's disease. Questionnaires assessing depression, general health, well-being, self injurious behavior, life satisfaction, and lifestyle were completed by 35 carriers and 58 non-carriers before the predictive test, and 2, 6, 12, and 24 months afterwards. Both carriers and non-carriers showed high suicidal ideation before the predictive testing. Depression scores and frequency of suicidal thoughts increased for carriers, compared to non-carriers, over time. There were no differences regarding life satisfaction or life style between carriers and non-carriers. Predictive testing was beneficial in reducing overall ill-health symptoms and increasing well-being for those initially expressing concern about Huntington's disease. The importance of assessing suicidal ideation and of continuing to provide adequate support is emphasized.     

Young children's use of a delayed video representation to solve a retrieval problem pertaining to self

The experiments reported here were concerned with the development of delayed self-recognition. Children were videotaped playing a game and were marked covertly with a sticker on their forehead while doing so. The findings, of both a cross-sectional sample and a prospective longitudinal one, revealed that 3- but not 2.5-year-old children reached to remove this sticker reliably during video playback only after they had been trained to use the video to guide their search for an object that was not directly visible to the unaided eye. It appears that by 3 years of age children understand that their briefly delayed self video-representation is related to their present self. In contrast, while 2.5-year-olds can use delayed video information to locate objects in space that cannot be seen by the unaided eye, they cannot use this type of information to locate an object that pertains to a part of self that is not directly visible, such as a sticker on one's hair. The findings are discussed in terms of the emergence of an extended sense of self.     

Damage compounded: disparities, distrust, and disparate impact in end-of-life conflict resolution policies

For a little more than a decade, professional organizations and healthcare institutions have attempted to develop guidelines and policies to deal with seemingly intractable conflicts that arise between clinicians and patients (or their proxies) over appropriate use of aggressive life-sustaining therapies in the face of low expectations of medical benefit. This article suggests that, although such efforts at conflict resolution are commendable on many levels, inadequate attention has been given to their potential negative effects upon particular groups of patients/proxies. Based on the well-documented tendency among many African Americans to prefer more aggressive end-of-life medical interventions, it is proposed that the use of institutional policy to break decision making impasse in cases for which aggressive treatment is deemed "medically inappropriate" will fall disproportionately on that group. Finally, it is suggested that the development and application of institutional conflict-resolution policies should be evaluated in the context of historical and current experiences of marginalization and disempowerment, lest such policies exacerbate that experience.     

Relations of parental status with alcohol use patterns and attitudes about underage drinking

In a sample of 143 adults from a population of households in Idaho, significant differences in patterns of alcohol use and attitudes about underage drinking were related to parental status. Nonparents reported drinking alcohol more frequently than parents. Parents were significantly more likely than nonparents to report that it is never acceptable for minors to drink alcohol, that minors should not be allowed to drink alcohol at parties with no parents present, and that "sting" operations by police are warranted. Surprisingly, nonparents were significantly more likely than parents to report stores and bars are not careful enough about selling alcohol to minors.     

Teenagers' attitudes about seeking help from telephone crisis services (hotlines)

The purpose of this study was to examine the attitudes toward the use of telephone crisis services (hotlines) among 519 adolescents in 9th through 12th grade mandatory health courses in six high schools in New York State. Few adolescents (2.1%) used hotlines and negative attitudes were stronger toward hotlines than they were toward other formal sources of help. The most common reasons for hotline nonuse related to feelings of self-reliance and shame. Objections to hotlines were strongest among students most in need of help by virtue of impaired functioning or feelings of hopelessness. The results underscore needed outreach efforts to youth.     

Anticipating partners’ responses: Examining item and source memory following interactive exchanges

Within the context of an interactive anagram-solving task, the present studies tested predictions about the role of cognitive anticipation in both source and item memory. After working in pairs to solve anagram problems, participants were surprised by a source-monitoring test focused on the source of solutions (self vs. partner, Experiment 1) or a standard recognition test focused on the solutions themselves (Experiment 2). With the intention of affecting the opportunity to anticipate partners' solutions, two variables were manipulated: anagram difficulty (easy vs. hard) and the delaybetween the presentation of an anagram problem and theprompt tha t designated one member of each pair as the anagram solver. Consistent w i th predictions, asthe opportunity t oanticipate partners'solutions increased, there was a decrease in source accuracy suggesting increased confusion about whether the solution had been self- or partner-generated. Generation-effect failures were observed in item memory. However, these failures reflected increases in item memory for partners' responses rather than decreases in memory for self-generated ones. These studies suggest that when opportunities to anticipate partners' responses are available, self-generative activities may be associated with both self-and partner-generated items, influencing the expression of the generation effect.     

Conceptions of career choice and attainment: Developmental levels in how children think about careers

Children’s Conceptions of career choice and attainment were evaluated in two studies to test whether reasoning levels varied by grade level (Studies 1 and 2) and perspective-taking complexity (Study 2). Results indicated that younger children (Grade K) were more likely to use reasoning strategies associated with fantasy and magical thinking and older children (Grade 6) were more likely to consider personal interests, abilities, and job requirements. Study 2 replicated these results and also found that children evaluated as able to use more complex perspective-taking reported higher reasoning levels when discussing their Conceptions of career choice and attainment.     

On the susceptibility of adaptive memory to false memory illusions

Previous research has shown that survival-related processing of word lists enhances retention for that material. However, the claim that survival-related memories are more accurate has only been examined when true recall and recognition of neutral material has been measured. In the current experiments, we examined the adaptive memory superiority effect for different types of processing and material, measuring accuracy more directly by comparing true and false recollection rates. Survival-related information and processing was examined using word lists containing backward associates of neutral, negative, and survival-related critical lures and type of processing (pleasantness, moving, survival) was varied using an incidental memory paradigm. Across four experiments, results showed that survival-related words were more susceptible than negative and neutral words to the false memory illusion and that processing information in terms of its relevance to survival independently increased this susceptibility to the false memory illusion. Overall, although survival-related processing and survival-related information resulted in poorer, not more accurate, memory, such inaccuracies may have adaptive significance. These findings are discussed in the context of false memory research and recent theories concerning the importance of survival processing and the nature of adaptive memory.