Acculturation in Women with Mental Retardation and Its Impact on Genetic Counseling

The provision of genetic counseling to women with mild mental retardation poses many challenges, some directly related to their developmental and cognitive disabilities. Traditional genetic counseling models, in which decision-making is largely based on the understanding of factual information, are particularly affected by the intellectual limitations which characterize this population. Equally important, however, are these women's attitudes, perceptions, and behaviors related to their involuntary inclusion into a highly stigmatized social group. Common themes among these women which surface in the genetic counseling setting include the denial of mental retardation, a hierarchical perception of their own and others' disabilities, and a strong motivation to conceive and parent a child. Such attitudes and behaviors may be symptomatic of acculturation, as these women struggle to take on accepted social roles while rejecting the stigma of intellectual disability. In contrast to factual information, the counselee's ability to discuss emotions and perceptions is not necessarily hampered by her intellectual limitations. A focus on the recognition and discussion of psychosocial issues provides a more meaningful approach than traditional genetic counseling models for facilitating informed reproductive decisions among women with mental retardation.     

Gender Differences in Population Versus Media Body Sizes: A Comparison over Four Decades

Mean body mass indices (BMIs, kg/m²)of North Americans aged 18 to 24 collected from 11national health surveys were compared to: Playboycenterfold models, Miss America Pageant winners,andPlaygirl models. The survey samples were representative of themix of different ethnic and racial groups in Canada andthe USA. No racial or ethnic information was availablefor either the Playboy women or the Miss America Pageant winners. Ninety percent of the Playgirlmen were white; 10%, black; 1.5%, Hispanic black; and.8%, American Samoan. From the 1950s to the present,while the body sizes of Miss America Pageant winners decreased significantly and the body sizes ofPlayboy centerfold models remained below normal bodyweight, the body sizes of Playgirl models and youngadult North American women and men increasedsignificantly. The increase in body size of Playgirl modelsappears to be due to an increase in muscularity, whereasthe increase in body size of young North American menand women is more likely due to an increase in body fat. Thus, in the 1990s, the body size andshape of the average young adult North American becameincreasingly different from the ideal being promoted bythe media. Furthermore the difference in male and female body sizes depicted by the media inthe 1990s was huge, whereas the difference between thebody sizes of 18- to 24-year-old North American womenand men was actually quite small. These discrepancies are discussed in relation to the differentsociocultural expectations for the two genders and theincreasing prevalence of body dissatisfaction reportedby both women and men.     

The Role of Husbands’ and Wives’ Emotional Expressivity in the Marital Relationship

The current investigation was designed to examine the role of positive and negative emotional expressivity in the marital relationship. Data from 58 married couples were used to assess spouses’ levels of emotional expressivity and how these levels predicted reports of marital functioning. Regression analyses indicated that positive emotional expressivity had limited influence on marital functioning. Negative expressivity, however, had a strong impact on marital love, conflict, and ambivalence. Post-hoc analyses revealed significant differences between pairings in which the husband was high in negative expressivity, irrespective of wives’ negative emotional expressivity, and pairings in which both partners were low in negative emotional expressivity. These findings are discussed with respect to previous research that suggests that wives’ emotional expressivity is the major determinant of marital functioning.     

How attributional ambiguity shapes physiological and emotional responses to social rejection and acceptance

The authors examined White and Black participants' emotional, physiological, and behavioral responses to same-race or different-race evaluators, following rejecting social feedback or accepting social feedback. As expected, in ingroup interactions, the authors observed deleterious responses to social rejection and benign responses to social acceptance. Deleterious responses included cardiovascular (CV) reactivity consistent with threat states and poorer performance, whereas benign responses included CV reactivity consistent with challenge states and better performance. In intergroup interactions, however, a more complex pattern of responses emerged. Social rejection from different-race evaluators engendered more anger and activational responses, regardless of participants' race. In contrast, social acceptance produced an asymmetrical race pattern--White participants responded more positively than did Black participants. The latter appeared vigilant and exhibited threat responses. Discussion centers on implications for attributional ambiguity theory and potential pathways from discrimination to health outcomes.     

Interviewees' overuse of the word "like" and hesitations: effects in simulated hiring decisions

This study examined the use of hesitations and discourse markers such as "uh" and "like," sex of an interviewee, and professional or student participants on hiring decisions of job interviewees. Participants consisted of 105 students between the ages of 18 to 43 years and 71 professionals between the ages of 22 to 76 years (120 women, 56 men). Adult professionals and students were least likely to want to hire, perceived the applicant as less professional, and were less likely to recommend the interviewee for hiring if the interviewee overused the word "like" compared to "uh" or control. Professionals were less likely than students overall to want to hire interviewees across conditions. Sex of the interviewee was not found to be significant.     

Parental gentle guidance and children's compliance within the family: a replication study.

In this study, the authors examined the link between young children's compliance and parental gentle guidance from a within-family perspective. Observational data from 57 families (mothers, fathers, and 2 siblings) participating in a family clean-up session were used to replicate earlier findings reported by B. L. Volling, A. Y. Blandon, and B. J. Gorvine (2006). Several of the results were replicated with the authors' older sample. Older siblings used more committed compliance and less passive noncompliance than their younger siblings. Mothers used more gentle guidance than fathers, but no differences were found in their parenting across siblings. Maternal and paternal gentle guidance interacted to explain younger siblings' committed compliance to the father and older siblings' situational compliance. For older siblings' committed compliance and both siblings' passive noncompliance, it was the direct effect of parental gentle guidance that was important. Differential parental gentle guidance appears to have a negative impact on older siblings' compliance. Results underscore the need to explore within-family processes to understand children's early compliance and internalization.     

Implementation and Utilization Characteristics of a Rural,School-linked Mental Health Program

We examined variables associated with treatment engagement in a real-world therapeutic setting. The model of care examined involved school-linked mental health care for children and their families in a rural county. Service utilization characteristics, as well as child- and treatment-specific variables were examined in relation to their impact on therapy length, missed appointments, and treatment outcome. A total of 168 students and their families participated in therapeutic services over a period of approximately 4.5 years. Overall, children who had less psychopathology and a higher level of clinician-rated functioning (GAF) at the start of therapy were more likely to successfully complete treatment. Parental involvement in therapy was associated with a longer course of therapy, as well as more missed appointments. Barriers to treatment and treatment engagement, as well as future directions of study, are discussed.