Development of a measure of drinking and driving expectancies for youth

The present study constructs and provides initial validation for a measure of positive expectancies for drinking and driving for use with adolescents and young adults (PEDD-Y). In Study 1, items were generated through open-ended responses from high school- and college-age youth. Data collected from a 2nd sample of college students (n = 404) identified a 29 item, 4 factor questionnaire. Two of the PEDD-Y factors (Convenience, Avoiding Consequences) explained additional variance in drinking and driving behavior above and beyond other cognitions about drinking and driving. Study 2 extended these results to a high school sample (n = 185). Study 3 demonstrated test-retest reliability of the PEDD-Y in college-age youth (n = 165). These results provide initial evidence for the utility of the PEDD-Y in assessing drinking and driving risk in adolescents and college students.     

Is Self-Disclosure Part of the Genetic Counselor's Clinical Role?

The role of genetic counselor self-disclosure in clinical practice is unclear as there are few published investigations of this issue. In the present study, 11 genetic counselors who previously received genetic services were interviewed about their opinions and use of disclosure. Several themes were extracted from their responses. All participants reportedly disclosed to patients; however, not all disclosed their receipt of genetic services. Patient requests for self-disclosure influenced many participants’ disclosure decisions. Opinions regarding potential benefits of disclosure varied. Nearly all participants stressed the importance of self-disclosing judiciously, stating that it may be counterproductive to client goal attainment. Four individuals with expertise in genetic counseling and psychotherapy were invited to react to these themes and to provide their opinions of self-disclosure. Their views are compared to those of the present sample, and practice and research recommendations are given.     

A survey of genetic counselors' strategies for addressing ethical and professional challenges in practice

There is limited research about ethical and professional dilemmas that genetic counselors encounter in their practice and their strategies for addressing them. In this study, 454 genetic counselors rated the frequency with which they encounter each of 16 ethical/professional challenges identified and categorized previously (McCarthy Veach P, Bartels DM, LeRoy BS (2001) J Genet Couns 10(2):97–119). Over 40% indicated these issues occurred frequently: patient emotions, diversity, financial constraints, uncertainty, and colleague error. Two hundred and fifty-five respondents provided personal anecdotes describing exceptionally challenging situations and recommended strategies for addressing them. Most of their anecdotes involved informed consent, value conflicts, confidentiality, colleague error, withholding information, and resource allocation. The most frequently recommended strategies were further discussion with patient, consultation with other professionals, and referral to other health sources. Thirty-five respondents were unable to/did not offer strategies. Respondent demographics were not related to frequency of issues, type of anecdote, or recommended strategies. Practice, policy, and research implications are discussed.     

The influence of exploration mode, orientation, and configuration on the haptic Müller-Lyer illusion

We studied the impact of manner of exploration, orientation, spatial position, and configuration on the haptic Müller-Lyer illusion. Blindfolded sighted subjects felt raised-line Müller-Lyer and control stimuli. The stimuli were felt by tracing with the index finger, free exploration, grasping with the index finger and thumb, or by measuring with the use of any two or more fingers. For haptic judgments of extent a sliding tangible ruler was used. The illusion was present in all exploration conditions, with overestimation of the wings-out compared to wings-in stimuli. Tracing with the index finger reduced the magnitude of the illusion. However, tracing and grasping induced an overall underestimation of size. The illusion was greatly attenuated when stimuli were felt with the index fingers of both hands. Illusory misperception was not altered by the position in space of the Müller-Lyer stimuli. No effects of changes in the thickness of the line shaft were found, but there were effects of the length of the wing endings for the smaller, 5.1 cm stimuli. The theoretical and practical implications of the results are discussed.     

An Investigation of Genetic Counselors' Discussions of Genetic Discrimination with Cancer Risk Patients

Twenty-five genetic counselors who see familial cancer risk patients were interviewed about their definitions of genetic discrimination, perceptions of patient risk for discrimination, frequency and type of discrimination experienced by their patients, sources of information about discrimination, and what they tell patients about genetic discrimination. There was variability in participant definitions and content of discussions of genetic discrimination. Although 82% regarded risk to be low to theoretical, 40% reported possible instances of genetic discrimination, including insurance companies requiring results to cover procedures, denial of life/health insurance, social discrimination, and employment discrimination. Ninety-six percent of the sample reported always or almost always discussing genetic discrimination, and one or more of the following: insurance discrimination risks, protective legislation, no known cases positively documenting discrimination, strategies to avoid discrimination, and uncertainty of protective measures. The majority use current literature and research as information sources. Practice, policy, and research implications are discussed.     

An aerosol spray alternative to cigarette smoking in the study of the behavioral and physiological effects of nicotine

For studies of the behavioral and physiological effects of nicotine in smokers, delivery of nicotine via cigarette smoking is highly variable and difficult to control. A more precise method of delivery is needed in order to accurately manipulate the amount of nicotine being presented and, thus, to determine its quantitative effects. The objective of the study reported here was to test an aerosol nasal-spray method of delivering measured doses of nicotine. Eleven healthy males were presented 0 mg (placebo), 0.5 mg, 1.0 mg, and 2.0 mg of nicotine over 5 min during four separate sessions, and changes were observed in plasma nicotine concentration and cardiovascular activity. Dose-response relationships were observed between nicotine presented via this method and plasma nicotine, heart rate, systolic blood pressure, and, to a lesser extent, diastolic blood pressure. These results suggest that this aerosol spray method of presenting nicotine provides the measured doses necessary for quantification of nicotine’s effects.     

Component probability and component reinforcer rate as biasers of free-operant detection

Six pigeons were trained on multiple schedules whose components were concurrent variable-interval extinction and concurrent extinction variable-interval schedules. In Experiments 1a and 1b the stimuli signaling the components were two different light intensities, and in Experiments 2a and 2b they were two identical intensities. The components of the multiple schedule changed probabilistically after each reinforcer. In Experiments 1a and 2a, the probability of presenting the components was varied over five conditions and a replication. In Experiments 1b and 2b, the component probability was .5 and the component reinforcer rates were varied systematically over five conditions and a replication. The data, analyzed according to the Davison-Tustin behavioral detection model, confirmed that the discriminability of the stimuli signaling the components was high when the stimuli were different, and low when the stimuli were the same. Discriminability, measured by log d, was unaffected by component probability variation and by component reinforcer-rate variation. When discriminability was high, bias, or the response allocation between the two keys, was more strongly affected by variation of reinforcer rate within components than by variation of component probability, but the reverse was found when discriminability was low. The results suggest that free-operant detection performance is controlled by the rates of reinforcers in periods of time in which stimuli signal differential contingencies. These periods comprise the components when the component stimuli are discriminable, and comprise the total session when the components are indiscriminable. An extension of the Davison-Tustin behavioral detection model that incorporates these results is presented.     

Assessing the impact of group treatment for aggressive inpatients

The purpose of this research was to determine if psychodynamic group psychotherapy decreases the occurrence of physical assault by male group members. The design of the study was a randomized clinical trial. Patients assigned to the control group received the customary clinical care. Patients assigned to the Group Therapy attended a psychodynamic psychotherapy group to help them cope with their aggressive impulses. Both quantitative and qualitative measures were used. Group members showed decreased expression of anger at followup, increased effort to control anger at followup, and decline in aggressive behavior. Control subjects demonstrated no change in level of angry feelings, increased expression of anger at follow-up, decrease in effort to control anger at follow-up, and no change in aggressive behavior. A model for conducting a psychodynamic psychotherapy group for assaultive men was developed which describes process and content aspects as well as leader interventions by group phase.     

Formal,systematic, and metasystematic operations with a balance-beam task series: A reply to Kallio's claim of no distinct systematic stage

This reply discusses the measurement of formal, systematic, and metasystematic stages. Recent multidomain studies have shown disparate results and we suggest that these results could be attributed not to actual variations in adult development or the existence or non-existence of stage, but instead may reflect differences in methodology regarding task, domain, and scoring. Our study indicates that when tested in only one domain—balance beams and extensions of those tasks—participants who performed at the higher stage were also able to perform at the lower stages. These results also coincide with similar studies conducted.     

Effects of the discriminability of alternatives in three-alternative concurrent-schedule performance

Six pigeons were trained on two- and three-alternative concurrent schedules in which the alternatives were signaled by different wavelengths of light on the main pecking key. The schedules were arranged according to a switching-key procedure in which pecks on a white side key produced a 3-s blackout and, intermittently, a change in the variable-interval schedule of food programmed on the main (center) key after the blackout. In Part 1, a two-alternative concurrent variable-interval schedule was arranged in which the alternatives were signaled by 560 nm and 630 nm. Parts 2 and 3 arranged three-alternative concurrent variable-interval schedules with the alternatives signaled by 560 nm, 600 nm, and 630 nm (Part 2) and 560 nm, 623 nm, and 630 nm (Part 3). Within each part, the relative rate of food reinforcers available on the alternatives was varied across a wide range. In all parts of the experiment, the ratios of responses emitted between pairs of alternatives were more extreme than the ratios of reinforcers obtained on the pairs of alternatives, a result termed overmatching. In Parts 2 and 3, generalized matching sensitivities between pairs of alternatives were found to be higher when the reinforcer rate on the third alternative was low than when it was high—an apparent failure of the constant-ratio rule. The data were well described by an extension of the Davison and Jenkins (1985) model, which assumes differing discriminabilities between concurrent-schedule alternatives in combination with a punishing effect of blackout following changeovers.