Effects of Anxiety on Novice Genetic Counseling Students’ Experience of Supervised Clinical Rotations

Supervised clinical experiences with patients comprise a critical component of genetic counseling student education. Previous research has found genetic counseling students tend to be more anxiety prone than the general population, and anxiety related to supervision has been found in genetic counseling and related fields. The present study investigated how anxiety affects the experience of supervision for genetic counseling students. Second year genetic counseling students were invited to participate through email invitations distributed via training directors of the 33 programs accredited at the time of the study by the American Board of Genetic Counseling. An initial online survey contained the trait scale of the State-Trait Anxiety Inventory to estimate anxiety proneness in this population and an invitation to participate in a 45-minute semi-structured phone interview focusing on students’ experiences of supervision during their clinical rotations. High and low trait anxiety groups were created using STAI scores, and the groups’ interview responses were compared using consensual qualitative research methodology (CQR; Hill 2012). The high anxiety group was more likely to describe problematic supervisory relationships, appreciate the supervisor’s ability to help them when they get stuck in sessions, and feel their anxiety had a negative effect on their performance in general and in supervision. Common themes included supervisors’ balancing support and guidance, the importance of feedback, ego-centric responses, and supervisors as focal points. The results of the present study are largely consistent with current literature. Further research findings and research, practice, and training recommendations are provided.     

Reactive and proactive aggression as meaningful distinctions at the variable and person level in primary school‐aged children

Reactive and proactive aggression is a dichotomous classification of aggression in adults and children. This distinction has been supported by a number of variable‐based and factor analytic studies. Due to high inter‐correlations, however, the reactive—proactive aggression distinction may not be entirely useful for understanding how group or individual aggressive behavior varies in children and adolescents. Drawing on a sample of primary school‐aged children (N = 242) aged 7–12 years, this study sought to determine whether reactive and proactive aggression could be distinguished at the variable‐level and the person‐level in children. Exploratory Factor Analysis of data from an aggression instrument measuring both functions and forms of aggression, found a two‐factor construct of aggression constituted by a reactive and proactive aggression factor. A person‐based analysis was then conducted after classifying children according to the presence of reactive and/or proactive aggression. Discriminant function analysis was used to discern whether classifications on the basis of aggression function produced meaningful distinctions in terms of antisocial traits and emotional valence and intensity measures. Two functions were identified which distinguished children with different combinations of reactive and proactive aggression. Reactive‐only aggressive children were defined primarily by high levels of impulsivity, while proactive‐only children were defined primarily by higher levels of antisocial traits. Children high in both types of aggression exhibited both the presence of antisocial traits and impulsivity. Contrary to recent findings, this suggests that differences in aggression functions remain meaningful at the person level in children. Implications for interventions are discussed.

     

Relationships between ability requirements and human errors in job tasks

This article describes a program of research investigating the relations between abilities required to perform job tasks and human error probabilities while performing these tasks. Study 1, using objectively derived human errors made in performing Air Force job tasks, evaluated an ability-requirements classification methodology and found that error rates were related to the numbers, types, and levels of different abilities required. In Study 2, subject matter expert panels used the methodology to identify the ability requirements of tasks in 2 different jobs found in each of 2 types of nuclear power plants. This study, using a task-anchored scale of human error probability, replicated the findings of Study 1, identified 2 ability requirements that cross-validated in predicting task-error probabilities across both jobs and plants, and identified other abilities specific to error probabilities in each job.     

Modality,invariance, and logical truth

Conclusion Let us sum up. We began with the question, What is the interest of a model-theoretic definition of validity? Model theoretic validity consists in truth under all reinterpretations of non-logical constants. In this paper, we have described for each necessity concept a corresponding modal invariance property. Exemplification of that property by the logical constants of a language leads to an explanation of the necessity, in the corresponding sense, of its valid sentences. I have fixed upon the epistemic modalities in characterizing the logical constants: to be a logical constant in the language of a population is to be invariant over a modality describing complete possible epistemic states of that population (or an idealized analogue thereof). The grounds for this characterization are these: (1) It leads, I believe, to an extensionally reasonable demarcation of the logical constants, including clear cases and excluding clear non-cases. It gives a principled criterion for deciding unclear cases. (2) It provides an analysis of the topic-neutrality of logic. (3) It leads to an explanation of the epistemic necessity of the logical truths in terms of the topic-neutrality of the logical constants.All the same, it is reasonable to ask, even if the suggested demarcation of logic is extensionally correct, whether it can reasonably be expected to be fundamental. The epistemic invariance of an expression is a rather striking property, one which we should want to explain. What is missing, then, is an explanation of the distinguishing epistemic properties of the constants in terms of more fundamental properties involving their understanding and use. It would be these that properly define the nature, not just the extent, of logic.     

Social evaluation and the empathy-altruism hypothesis

Archer, Diaz-Loving, Gollwitzer, Davis, and Foushee (1981) suggested that feeling empathy for a person in need may lead to increased helping because the empathic individual wants to avoid negative social evaluation. As support for this suggestion, they claimed that empathy leads to increased helping only under socially evaluative circumstances. We conducted two studies to test this claim. In Study 1 subjects were led to believe that no one--including the person in need--would ever know if they declined to help. In this situation, which was designed to be totally devoid of the potential for negative social evaluation for not helping, there was still a positive relationship between self-reported empathic emotion and offering help. In Study 2 empathy (low versus high) and social evaluation (low versus high) were manipulated in a 2 X 2 design. Once again there was a positive relationship between empathy and offering help when the potential for social evaluation was low as well as high. Results of both studies, then, suggest that the motivation to help evoked by empathy is not egoistic motivation to avoid negative social evaluation. Instead, the observed pattern was what would be expected if empathy evokes altruistic motivation to reduce the victim's need.     

Psychotherapy and religion: The emmanuel movement

This paper reconsiders the significance of the Emmanuel movement, a pre- Freudian psychotherapeutic system founded by Dr. Elwood Worcester as a method of church-sponsored healing. Its significance lies in three areas: (1) Historically, it was a popular effort by Protestant clergy to claim religious authority over psychological and psychosomatic ailments, a struggle that the medical profession eventually won almost completely. (2) The Emmanuel movement was an effort to combat the scientific materialism and medical somaticism of its time, including the excessive use of drugs. It aimed at greater individual control over emotional wellbeing through a self-help movement taught by religious leaders using some Christian ideas. Significant parallels can be found with present-day holistic health efforts. (3) Theoretically, Worcester's conception of the person is of interest as an effort to construct a nonreductionist view of the interactions of body, mind, and spirit.     

Cigarette Smoking,Academic Lifestyle,and Social Impact Efficacy: An Eight-Year Study from Early Adolescence to Young Adulthood1

Two hundred and twenty-one males and 518 females were followed for 8 years from early adolescence. A causal model was proposed that related five constructs measured in adolescence to four corresponding constructs measured 8 years later. The predictor constructs included smoking involvement, academic lifestyle orientation, emotional well-being, social impact efficacy, and peer smoking behavior. Academic lifestyle orientation was found to be a central organizing construct, with the strongest within-time and across-time correlations with other constructs. The relatively weak causal influences of teenage smoking and teenage social impact efficacy suggested an explanation for the limited impact of past drug abuse prevention programs. Policy implications are discussed.     

Social Structure, Self-Conception and Well-Being: An Examination of Four Models with Unemployed People

A cross-sectional questionnaire design ( n = 88) was used to investigate the relationship between social structure, self-conception and well-being. Distinctions were drawn between public and private self-esteem and, within private self-esteem, between self-evaluation and self-affection. Significantly poorer public and private self-esteem scores were observed for unemployed subjects than for an employed control group. The predictions of four accounts of psychological well-being/distress that draw upon these self-concept dimensions were tested. Results supported symbolic interactionist and self-discrepancy theory and, to a lesser extent, self-enhancement theory. No support was found for a self-verification theory approach. Implications of the study for social psychological research on the consequences of unemployment and for accounts of negative affect are outlined.