Direct-to-Consumer Genetic Testing: What Are We Talking About?

The term Direct-to-Consumer (DTC) genetic testing refers to many different categories of testing. This editorial addresses the issues related to DTC testing for large effect and small effect variants associated with disease. In particular, there are issues of clinical validity and utility, informativeness and residual risk. Genetic counselors are poised to address these issues because of their training in probability and statistical models. The authors suggest that genetic counselors can impact the general public’s understanding of DTC test results by: including evaluation of DTC concepts in graduate program curricula, holding AEC plenary sessions about emerging DTC concepts, and helping other professionals understand DTC concepts. Importantly, genetic counselors are advised to continue doing and promoting rigorous research on how people access and use DTC genetic testing and results, as well as gathering empirical data so that discussions of harms and benefits can go beyond theory. It is our hope that genetic counselors in practice will continue to critically evaluate claims made about emerging new tests, including those marketed DTC, in order to provide the best possible services to our patients.     

Children's Emotional Security in the Interparental Relationship

ABSTRACT— In response to the societal premium placed on understanding the difficulties faced by children from high-conflict homes, emotional security theory aims to understand precisely how and why interparental discord is associated with children's psychological problems. One of its main premises is that interparental discord increases children's vulnerability to mental illness by undermining their sense of safety or security in the context of the interparental relationship. In this article, we highlight the main assumptions of a new ethological formulation of emotional security theory and its predictions and findings regarding the organization, precursors, and consequences of individual differences in children's emotional insecurity. We conclude with a synopsis of the value of the new formulation for future work.     

Helicopter Parenting and Drinking Outcomes Among College Students: The Moderating Role of Family Income

Journal of Adult Development - Helicopter parenting, a form of overcontrol defined by intense levels of monitoring and supervision, has been linked to an increase in risky behaviors in emerging...