Trauma memories on trial: is cross-examination a safeguard against distorted analogue traumatic memories?

Trauma memories can feel more disorganised than more mundane memories. That may be problematic in legal contexts. Here we examined: (a) whether that disorganised feeling makes people more susceptible to suggestive questioning during direct examination; and (b) whether cross-examination is the safeguard it is purported to be: that is, we examined whether cross-examination can uncover and correct distorted trauma memories. We showed participants a film depicting a graphic car accident. For some participants, the film unfolded in a temporally disorganised way. We then interviewed participants immediately after the film regarding what they had seen: this ‘direct examination’ included free recall, cued recall and yes/no questions, some of which were misleading. Then, 48 hours later, a second interviewer cross-examined participants. Contrary to our predictions, neither manipulation of the film's temporal organisation, nor participants’ self-reported feelings of event disorganisation significantly affected their accuracy of the film during direct or cross-examination nor their recognition memory of the film. Instead, we found that regardless of whether participants’ memories were distorted by the direct examination, the suggestive nature of the cross-examination introduced sufficient doubt that participants were willing to change their answers. We conclude that traumatic memories are vulnerable to suggestive questioning and, unfortunately, cross-examination is not the legal system's fail-safe corrective influence.     

Healthcare at Your Fingertips: The Professional Ethics of Smartphone Health-Monitoring Applications

Health professionals are inundated by the surfeit of health apps while lacking guidance to help them critically evaluate whether a particular health-monitoring app is safe, likely to lead to clinical benefit, and not introduce additional liability. Our objective is not to argue for or against the use of mobile health-monitoring apps but to illuminate the associated ethical issues and provide recommendations to guide the ethical decision-making process for clinicians who are considering the use of a mobile health-monitoring app. To this end, the Canadian Code of Ethics for Psychologists is used as a framework to situate recommendations.     

Pediatric Whole Exome Sequencing: an Assessment of Parents’ Perceived and Actual Understanding.

Whole exome sequencing (WES) is an integral tool in the diagnosis of genetic conditions in pediatric patients, but concerns have been expressed about the complexity of the information and the possibility for secondary findings that need to be conveyed to those deciding about WES. Currently, there is no validated tool to assess parental understanding of WES. We developed and implemented a survey to assess perceived and actual understanding of WES in parents who consented to clinical WES for their child between July 2013 and May 2015. Fifty-three eligible surveys were returned (57% response rate). Areas with both low perceived and actual understanding about WES included how genes are analyzed and lack of protection against life insurance discrimination. Parents also had low actual understanding for two questions related to secondary findings – reporting of secondary findings in a parent (if tested) and whether secondary findings can be related to traits such as height and hair color. Further work to develop a validated tool to assess understanding of WES would be beneficial as WES is integrated more frequently into clinical care.     

Systematic review of the psychometric properties of transphobia scales

Introduction: Prejudice and discrimination against transgender individuals (i.e., transphobia) is pervasive and has been shown to have pernicious effects on the physical (e.g., substance abuse and other self-harm behaviors) and psychological (e.g., depression and suicidal ideation) well-being of those targeted.

Aims: To date, a review of the psychometric properties of scales assessing transphobia has not been conducted; this gap compromises researchers' ability to make informed measurement decisions.

Methods: In the current study, 61 articles that contained 83 scales were identified, and their adherence to best practices in psychometric testing was evaluated.

Results: Most of the transphobia scales included in the current review did not provide sufficient information about item generation and refinement, scale dimensionality, scale score reliability, or validity. Each scale was entered into a table and was ranked on the basis of its total score. A score of 1 was issued for each psychometric feature that adhered to best practice guidelines, with total scores ranging from 0 to 5 (i.e., higher scores denote greater psychometric soundness).

Discussion: Properties of the reviewed scales are summarized and recommendations are made for future transphobia scale development and validation. The measures that emerged as possessing the highest scores and, subsequently, the greatest utility are identified.     

Views on Abortion: A Comparison of Female Genetic Counselors and Women from the General Population

While literature characterizing individual genetic counselors’ abortion attitudes is sparse, the National Society of Genetic Counselors takes a clear stance for reproductive autonomy. To determine genetic counselors’ views, this study compared (1) genetic counselors’ abortion attitudes to those of women from the general population and (2) genetic counselors’ professional abortion attitudes to their personal abortion attitudes. Genetic counselors were invited to complete an online survey. Response rate was 44.3% (709/1,601). Compared to women from the general population, female genetic counselors were significantly more likely to agree abortion should be an option in all cases (p < .001). Controlling for other possible confounders, regression analyses revealed that being a genetic counselor, religious service attendance and age were significantly predictive of abortion attitudes. Although the vast majority of genetic counselors agree that abortion should be available, they are significantly less likely to personally consider abortion under all circumstances presented (p < .001), and the percentage of genetic counselors who would consider terminating in the case of a severe birth defect is similar to studies of other women.     

FUNCTIONAL ANALYSIS AND TREATMENT OF MULTIPLY CONTROLLED INAPPROPRIATE MEALTIME BEHAVIOR

Functional analyses identified children whose inappropriate mealtime behavior was maintained by escape and adult attention. Function‐based extinction procedures were tested individually and in combination. Attention extinction alone did not result in decreases in inappropriate mealtime behavior or a significant increase in acceptance. By contrast, escape extinction alone resulted in a decrease in inappropriate mealtime behavior and an increase in acceptance. However, inappropriate mealtime behavior did not decrease to clinically acceptable levels. A combined extinction technique (i.e., escape and attention extinction) resulted in a decrease in inappropriate mealtime behavior to clinically acceptable levels and high and stable acceptance.     

Predicting Treatment and Follow-up Attrition in Parent–Child Interaction Therapy

Predictors of attrition from individual parent–child interaction therapy were examined for 99 families of preschoolers with disruptive behavior disorders. Seventy-one percent of treatment dropouts were identified by lower SES, more maternal negative talk, and less maternal total praise at pretreatment. Following PCIT, families were randomly assigned to an Assessment-Only or Maintenance Treatment condition. Higher maternal distress predicted 63% of dropouts in the Assessment-Only condition. Lower maternal intellectual functioning predicted 83% of dropouts from Maintenance Treatment. Findings highlight a continuing need for evidence-based retention strategies at various phases of engagement in PCIT. This study was funded by the National Institute of Mental Health (RO1 MH60632). We thank the members of the UF Child Study Laboratory for their contributions to this study.     

Temporal dynamics of awareness for facial identity revealed with ERP

In this study, we investigated the scalp recorded event-related potential (ERP) responses related to visual awareness. A backward masking procedure was performed while high-density EEG recordings were carried out. Subjects were asked to detect a familiar face, presented at durations that varied parametrically between 16 and 266 ms. ERPs were computed and awareness was assessed using a sensitivity measure from signal detection theory (d'). Modifications in the electrical scalp topographies were found to reflect visual awareness of the stimulus. In particular, an early map topography was found to emerge progressively around 230 ms, showing a pattern of increase similar to the measure of visual awareness. This was followed by an increase in duration of a second, P300-like map. Source localisation for the early awareness-related topography revealed the activation of a distributed network of brain areas including frontal and temporo-occipital regions. Our results suggest that conscious experience emerges in parallel with the activation of a specific neural network that occurs in a time window beginning from about 200 ms.     

Orientation perception in Williams Syndrome: Discrimination and integration

Williams Syndrome (WS) is a rare neurodevelopmental disorder, which stems from a genetic deletion on chromosome 7 and causes a profound weakness in visuospatial cognition. Our current study explores how orientation perception may contribute to the visuospatial deficits in WS. In Experiment 1, we found that WS individuals and normal 3–4 year olds had similar orientation discrimination thresholds and had similar prevalence of mirror-reversal errors for diagonal targets (±45 deg). In Experiment 2, we asked whether this immaturity in orientation discrimination would also be reflected in a task requiring integration of oriented elements. We found that sensitivities of WS individuals for detecting orientation-defined contours were higher than sensitivities of normal 3–4 year olds, and were not significantly different from sensitivities of normal adults. Together, these results suggest that orientation discrimination and orientation integration have different maturational trajectories in normal development and different susceptibilities to damage in WS. These may reflect largely separate visuospatial mechanisms.     

Eye remember you: the effects of gaze direction on face recognition in children and adults

Children and adults were tested on a forced‐choice face recognition task in which the direction of eye gaze was manipulated over the course of the initial presentation and subsequent test phase of the experiment. To establish the effects of gaze direction on the encoding process, participants were presented with to‐be‐studied faces displaying either direct or deviated gaze (i.e. encoding manipulation). At test, all the faces depicted persons with their eyes closed. To investigate the effects of gaze direction on the efficiency of the retrieval process, a second condition (i.e. retrieval manipulation) was run in which target faces were presented initially with eyes closed and tested with either direct or deviated gaze. The results revealed the encoding advantages enjoyed by faces with direct gaze was present for both children and adults. Faces with direct gaze were also recognized better than faces with deviated gaze at retrieval, although this effect was most pronounced for adults. Finally, the advantage for direct gaze over deviated gaze at encoding was greater than the advantage for direct gaze over deviated gaze at retrieval. We consider the theoretical implications of these findings.