Expansion of Genetic Services Utilizing a General Genetic Counseling Clinic

We established a general genetic counseling clinic (GCC) to help reduce long wait times for new patient appointments and to enhance services for a subset of patients. Genetic counselors, who are licensed in Tennessee, were the primary providers and MD geneticists served as medical advisors. This article describes the clinic referral sources, reasons for referral and patient dispositions following their GCC visit(s). We obtained patients by triaging referrals made to our medical genetics division. Over 24 months, our GCC provided timely visits for 321 patients, allowing the MD geneticists to focus on patients needing a clinical exam and/or complex medical management. Following their GCC visit(s), over 80 % of patients did not need additional appointments with an MD geneticist. The GCC allowed the genetic counselor to spend more time with patients than is possible in our traditional medical genetics clinic. Patient satisfaction surveys (n?=?30) were very positive overall concerning the care provided. Added benefits for the genetic counselors were increased professional responsibility, autonomy and visibility as health care providers. We conclude that genetic counselors are accepted as health care providers by patients and referring providers for a subset of clinical genetics cases. A GCC can expand genetic services, complement more traditional genetic clinic models and utilize the strengths of the genetic counselor health care provider.     

The Impact of Racial Microaggressions on Mental Health: Counseling Implications for Clients of Color

This study examined the relationship between racial microaggressions (subtle and unintentional forms of racial discrimination) and mental health. Results from a large sample (N = 506) indicated that higher frequencies of racial microaggressions negatively predicted participants' mental health and that racial microaggressions were significantly correlated with depressive symptoms and negative affect. Differences in the types of microaggressions experienced by various racial groups (Asian, Latina/o, Black, White, and multiracial) and counseling implications are discussed.     

Bullying and cyberbullying in adulthood and the workplace

Two studies generated profiles of cyberbullying/cyberincivility and traditional bullying/incivility in adults, particularly within the workplace. In Study 1, 20% of 3,699 participants had the majority of cyberbullying victimization and 7.5% had the majority of traditional bullying victimization occur in adulthood, with 30% saying they were bullied at work. Relationships between bullying and negative outcomes were found. Because of the clear evidence of bullying and cyberbullying in the workplace in Study 1, Study 2 addressed the relationship of these constructs to workplace incivility. Workplace face-to-face incivility and bullying were related among 321 participants, as were workplace cyberbullying and cyberincivility. Face-to-face incivility was more common than online incivility, face-to-face bullying, or online bullying, yet all four behaviors were associated with negative outcomes. Differences in intentionality, acceptability, and severity were observed, with workplace face-to-face bullying perceived as the most severe and having the greatest intentionality to harm. These results emphasize the importance of studying bullying among adults, and highlight the conceptual independence of bullying and incivility. Correlates of workplace aggression are discussed using job demands-resources theory.     

Precues’ elevation of sensitivity is not only preattentive,but largely monocular

Visual sensitivity can be heightened in the vicinity of an appropriate precue. Experiments with multiple, noninformative precues suggest that this facilitation should not be attributed to focal attention. The number of simultaneously appearing precues seems to be irrelevant; contrast thresholds are lowest for targets that appear in a precued position. Here we report that precues become less effective when they and the target are delivered to different eyes. We conclude that the mechanism responsible for such heightened sensitivity has largely monocular input.     

Is early word-form processing stress-full? How natural variability supports recognition

In a series of studies, we examined how mothers naturally stress words across multiple mentions in speech to their infants and how this marking influences infants’ recognition of words in fluent speech. We first collected samples of mothers’ infant-directed speech using a technique that induced multiple repetitions of target words. Acoustic analyses revealed that mothers systematically alternated between emphatic and nonemphatic stress when talking to their infants. Using the headturn preference procedure, we then tested 7.5-month-old infants on their ability to detect familiarized bisyllabic words in fluent speech. Stress of target words (emphatic and nonemphatic) was systematically varied across familiarization and recognition phases of four experiments. Results indicated that, although infants generally prefer listening to words produced with emphatic stress, recognition was enhanced when the degree of emphatic stress at familiarization matched the degree of emphatic stress at recognition.     

Variety‐Seeking and Perceived Expertise

People often infer expertise from the choice of unique, rare, or sophisticated options. But might mere variety‐seeking also serve as a signal of expertise, and if so, how? Six studies show that the relationship between variety‐seeking and perceived expertise is not unidirectional and depends on the perceiver's own level of expertise. Category experts perceive lower variety‐seeking as indicative of discernment, which in turn increases perceived expertise in that category. Consequently, experts choose less variety to portray themselves as experts. In contrast, novices perceive high variety‐seeking as indicative of category breadth knowledge, which in turn increases their perception of category expertise. Consequently, novices choose more variety to portray themselves as experts. The findings make novel theoretical contributions to research on variety‐seeking, consumer expertise, and social perception, as well as practical contributions for marketers of product assortments and bundles.     

Longitudinal causal impacts of preschool teacher training on Ghanaian children’s school readiness: Evidence for persistence and fade‐out

Preschool programs have expanded rapidly in low‐ and middle‐income countries, but there are widespread concerns about whether they are of sufficient quality to promote children's learning and development. We conducted a large school‐randomized control trial (‘Quality Preschool for Ghana’ – QP4G) of a one‐year teacher training and coaching program, with and without parental‐awareness meetings, designed to improve preschool quality and child development. We followed 3,435 children in 240 schools in the Greater Accra Region of Ghana, a country with universal pre‐primary education. A previous study reported positive impacts of teacher training (but not teacher training plus parental‐awareness meetings) at the end of the implementation year on some dimensions of classroom quality, teacher well‐being, and children's school readiness (Wolf et al., [2019] Journal of Research on Educational Effectiveness, 12, 10–37). The present study analyzed a new round of data collected 1 year after the end of implementation to assess (a) the extent of persistence in impacts on child development and (b) whether such impacts vary by select child, household, and school characteristics. We found impacts of the teacher training intervention on children's overall school readiness were sustained (d = 0.13), but were only marginally statistically significant. When broken down by domain, impacts on social–emotional skills specifically persisted. Persistent negative effects of teacher training plus parental‐awareness meetings varied by the literacy status of the male parent such that negative impacts were concentrated in children in households with non‐literate male heads.