Role of the Disease in the Psychological Impact of Pre-Symptomatic Testing for SCA2 and FAP ATTRV30M: Experience with the Disease, Kinship and Gender of the Transmitting Parent

To identify possible factors affecting the psychological impact of pre-symptomatic testing for spinocerebellar ataxia type 2 (SCA2) and familial amyloid polyneuropathy (FAP ATTRV30M), we studied (1) the effect of previous experience with the disease in the family, (2) kinship with the closest affected relative and (3) gender of affected parent, when adapting to test results; as well as (4) differences in the course of psychological wellbeing in 63 subjects ( 28 at-risk for FAP ATTRV30M, and 35 at risk for SCA2), who pursued predictive testing for these diseases, in Cuba and in Portugal. Our research shows that individuals with little or no experience with the disease in their family exhibited more anxiety; at-risk subjects for SCA2 or FAP ATTRV30M who had a first degree relative with the disease showed lower levels of anxiety and depression during pre-symptomatic testing. Also those with an affected mother had lower levels of depression, either immediately, or one year after receipt of test results. Adaptation to pre-symptomatic testing results differed for subjects at-risk for the two different conditions. Unlike the FAP ATTRV30M families, carriers for SCA2 reported pathological levels of depression immediately after-testing (3 weeks), although those levels had returned to normal levels at 6 months. Subjects at-risk for FAP ATTRV30M tended to have less anxiety than those tested for SCA2, at the one-year follow-up. Overall, depression levels improved over time, while anxiety remained more constant. A longer awareness of the disease in the family, closer kinship, and a transmitting mother all lessened the impact of pre-symptomatic testing, as expressed by the post-test levels of anxiety and depression.     

There aren't plenty more fish in the sea: A causal network approach

The current research investigated how lay representations of the causes of an environmental problem may underlie individuals' reasoning about the issue. Naïve participants completed an experiment that involved two main tasks. The causal diagram task required participants to depict the causal relations between a set of factors related to overfishing and to estimate the strength of these relations. The counterfactual task required participants to judge the effect of counterfactual suppositions based on the diagrammed factors. We explored two major questions: (1) what is the relation between individual causal models and counterfactual judgments? Consistent with previous findings (e.g., Green et al., 1998, Br. J. Soc. Psychology, 37, 415), these judgments were best explained by a combination of the strength of both direct and indirect causal paths. (2) To what extent do people use two‐way causal thinking when reasoning about an environmental problem? In contrast to previous research (e.g., White, 2008, Appl. Cogn. Psychology, 22, 559), analyses based on individual causal networks revealed the presence of numerous feedback loops. The studies support the value of analysing individual causal models in contrast to consensual representations. Theoretical and practical implications are discussed in relation to causal reasoning as well as environmental psychology.     

Measuring the automatic negative self-schema: New evidence for the construct and criterion validity of the Depression Implicit Association

The construct and criterion validity of the Depression Implicit Association Test (Depression IAT) as a marker of an automatic negative self-schema was investigated. The Depression IAT and other measures were administered to a sample of 116 participants (72 females) aged 37.28 (SD = 15.69) that was composed by 56 patients with an history of suicide ideation (SI) and by 60 university students. Combining students and patients’ sub-samples, results revealed that the Depression IAT was significantly and positively correlated with self-report scales of depression and hopelessness as well as with implicit and explicit measures of death-life identification. On the contrary, it was negatively correlated with life satisfaction, optimism, and self-esteem scales. These results give new evidence for the construct validity of the Depression IAT. Moreover, considering only the patients’ sub-sample, significant correlations between Depression IAT scores and SI in the last year, month, and week, as well as in a follow-up observation two months later, were found. These correlations remain unchanged even when the Death IAT was controlled for, supporting the incremental validity of the Depression IAT. Overall, these results provide new evidence for the construct and criterion validity of the Depression IAT as a marker of an automatic negative self-schema.     

The frequency of actions and thoughts scale: development and psychometric validation of a measure of adaptive behaviours and cognitions

This paper describes the development and preliminary psychometric evaluation of an instrument that measures the frequency of adaptive behaviours and cognitions related to therapeutic change during cognitive behavioural therapy (CBT), for symptoms of anxiety and depression. Two studies were conducted. In study one, 661 participants completed an online survey with 28 items targeting adaptive behaviours and cognitions. Exploratory factor analysis performed on part of the sample (n = 451) revealed that a four-factor solution ‘characterised’ the data. This led to the development of a 12-item instrument, the Frequency of Actions and Thoughts Scale (FATS). Confirmatory factor analysis was used to confirm the factor structure of the FATS using the remaining sample (n = 210), which revealed an acceptable model fit. In study two, 125 participants with clinically significant symptoms of anxiety, depression, or both were recruited to an Internet-delivered CBT (iCBT) treatment course. Participants completed the FATS and other measures throughout treatment, after treatment, and at three-month follow-up. Correlations and residual change scores of the FATS and its subscales with measures of anxiety, depression, behavioural activation, and CBT-related skills usage supported the construct validity of the FATS. A significant increase in FATS scores over treatment was also observed. The findings provide preliminary support for the psychometric properties of the FATS, which appears to have utility in research investigating mechanisms of change in CBT.     

Communication of Information about Genetic Risks: Putting Families at the Center

Genetic information is a family affair. With the expansion of genomic technologies, many new causal genes and variants have been established and the potential for molecular diagnoses increased, with implications not only for patients but also their relatives. The need for genetic counseling and intrafamilial circulation of information on genetic risks grew accordingly. Also, the amount and, particularly, the complexity of the information to convey multiplied. Sharing information about genetic risks with family members, however, has never been an easy matter and often becomes a source of personal and familial conflicts and distress. Ethical requisites generally prevent healthcare professionals from directly contacting their consultands' relatives (affected or still at risk), who often feel unsupported throughout that process. We discuss here the communication of genetic risks to family members. We first consider genomic testing as a basis for family‐centered health care, as opposed to a predominant focus on the individual. We reviewed the literature on sharing genetic risk information with family members, and the associated ethical issues for professionals. Some clinical cases are presented and discussed, and key issues for meeting the needs of individuals and families are addressed. We argue that genetic information is inextricably linked to the family and that communicating about genetic risks is a process grounded within the broader milieu of family relationships and functioning. We conclude for the need for a more family‐centered approach and interventions that can promote sensitive attitudes to the provision of genetic information to and within the family, as well as its inclusion in educational and training programmes for genetic healthcare professionals.     

Implicit word learning benefits from semantic richness: electrophysiological and behavioral evidence

Words differ considerably in the amount of associated semantic information. Despite the crucial role of meaning in language, it is still unclear whether and how this variability modulates language learning. Here, we provide initial evidence demonstrating that implicit learning in repetition priming is influenced by the amount of semantic features associated with a given word. Electroencephalographic recordings were obtained while participants performed a visual lexical decision task; the complete stimulus set was repeated once. Repetition priming effects on performance accuracy and the N400 component of the event-related brain potential were enhanced for words with many semantic features. These findings suggest a novel and important impact of the richness of semantic representations on learning and plasticity within the lexical-conceptual system; they are discussed in their relevance for assumptions concerning basic mechanisms underlying word learning.     

Bibliography

Die Ostpolitik des Vatikans by Hansjakob Stehle, R. Piper and Co., Verlag Munich and Zurich, 1975, 487 pp., DM 39.50.

Young Christians in Russia by Michael Bourdeaux and Katharine Murray, Lakeland, 1976, 156 pp., 75P.

The Serbian Orthodox Church 1920–1970 a volume to commemorate the 50th anniversary of the re‐establishment of the Serbian Patriarchate (Srpska Travoslavna Crkva 1920–1970: Spomenica 50‐Godisnjici Vaspostavljanja Srpske Tatriarsije) published by the Holy Episcopal Synod of the Serbian Orthodox Church, Belgrade, 1970,539 pp., no price indicated.

General Survey of the Catholic Church in Yugoslavia (Opci Sematizam Katolicke Crkve u Jugoslaviji) published by the Bishops’ Conference of Yugoslavia, Kaptol 31, Zagreb, 1975, 1, 166 pp. £12.

Kontinent 1: The Alternative Voice of Russia and Eastern Europe edited by Vladimir Maximov, Andre Deutsch, 1976, 180 pp., £3.95.

Theology and Prayer: Essays on Monastic Themes presented at the Orthodox‐Cistercian Conference, Oxford, 1973 (Studies Supplementary to Sobornost No 3), edited by A. M. Allchin, Fellowship of St. Alban and St. Sergius, 1975, 107 pp., 50p.

St. Seraphim of Sarov by Valentine Zander, SPCK, London, 1975, 150 pp. £2.50.     

The development of analogy making in children: Cognitive load and executive functions

The aim of the current study was to investigate the performance of 6-, 8-, and 14-year-olds on an analogy-making task involving analogies in which there are competing perceptual and relational matches. We hypothesized that the selection of the common relational structure requires the inhibition of other salient features, in particular, perceptual matches. Using an A:B::C:D paradigm, we showed that children’s performance in analogy-making tasks depends crucially on the nature of the distractors. Children chose more perceptual distractors having a common feature with C compared with A or B (Experiment 1). In addition, they were also influenced by unstructured random textures. When measuring reaction times instead of accurate responses, only the 8-year-olds’ reaction times were significantly influenced by perceptual distractors. The 6-year-olds seemed to select the first match they noticed, and the 14-year-olds were not influenced (or much less influenced) by featural distractors. These results are compatible with an analogy-making account based on varying limitations in executive functioning at different ages.     

Predicting physically violent misconduct in prison: A comparison of four risk assessment instruments

Violence in correctional facilities is an important issue for both prisoners and prison staff. Risk assessment instruments have demonstrated their accuracy in predicting the risk of (re) offending and institutional violence in psychiatric settings, but less is known about their ability to predict violent misconduct in prison. The present study applied four risk assessment instruments (Structured Assessment of Protective Factors for violence risk, Historical Clinical Risk Management‐20, Psychopathy checklist – Revised, and Violent Risk Appraisal Guide) to 52 violent offenders in a Swiss prison in order to evaluate the instruments' predictive validities. Outcomes were instances of physically violent, other and any misconduct as recorded in prison files during the 12 months following the prisoners' assessments. Approximately 15% of offenders committed physically violent misconduct and approximately 42% committed any misconduct. The results show that mainly dynamic assessment tools are as good predictors of physically violent misconduct as mainly static assessment tools. Targeting dynamic factors could increase the effectiveness of interventions to reduce the risk of physical violence in prison.     

Transdiagnostic assessment of temporal experience (TATE) a tool for assessing abnormal time experiences

Phenomenology and the Cognitive Sciences - Currently, anomalous lived temporality is not included in the main diagnostic criteria or standard symptom checklists. In this article, we present the...