Her own decision: impairment and authenticity in adolescence

This case describes an adolescent in a crisis of a chronic medical condition whose situation is complicated by substance abuse and mental illness. D. Micah Hester provides an analytic approach, teasing apart the multiple layers of medical, developmental, and moral issues at hand and describing possible responses and outcomes. Amy T. Campbell examines existing legal guidelines for adolescent decision making, arguing that greater space exists for clinical discretion in these matters than commonly thought. Cheryl D. Lew discusses the development of agency in adolescent patients, the ideal of autonomous decision making in the context of impairment and chronic illness, and the obligation of healthcare teams to examine an adolescent patient's decisions in relation to her identity.     

Is the Narcissistic Personality Inventory still relevant? A test of independent grandiosity and entitlement scales in the assessment of narcissism

Some scholars have called for the replacement of the Narcissistic Personality Inventory (NPI) with more narrow scales measuring grandiosity and entitlement instead. In the current study, the authors examined the relations among the NPI and measures of grandiosity and entitlement, as well as in relation to a measure of the Five-Factor Model (FFM). The NPI manifested significant correlations with the alternative scales of entitlement and grandiosity and relatively similar patterns of correlations with the FFM traits. Of note, the NPI manifested significant incremental validity in the prediction of several FFM traits that are central to the conceptualization of narcissism. These findings suggest that some caution must be used before assuming that these lower-order scales can be used to replace the NPI in the assessment of narcissism.     

The influence of functional social support on executive functioning in middle-aged African Americans

ABSTRACT

Social support has a positive influence on cognitive functioning and buffers cognitive decline in older adults. This study examined the relations between social support and executive functioning in middle-aged adults. A community-based sample of African Americans completed the Interpersonal Support Evaluation List, a measure of functions of social support, and two measures of executive functioning, the Stroop Color and Word Test and the Wisconsin Card Sorting Test (WCST). Hierarchical regression analyses were used to explore the hypothesis that different facets of perceived social support influence performance on measures of executive functioning. After controlling for age, gender, and education, social support facets including belonging support, selfesteem support, appraisal support, and tangible support were significant predictors of Stroop performance. In addition, tangible support significantly predicted WCST performance. These findings add to previous literature on social support and cognition; however, findings for middle-aged adults are unique and suggest that social support has a positive influence on some executive functions in African Americans prior to old age.     

Applied Sport Psychology Supervision Experience: A Qualitative Analysis

We examined the supervision experience of graduate trainees in applied sport psychology. Semistructured interviews conducted with sport psychology trainees were analyzed through the use of consensual qualitative research methodology. Three domains emerged from the analysis: programmatic factors, supervision process, and supervision content. The results provide insights (e.g., desired supervisor qualities) into the aspects of supervision that trainees feel address their needs, as well as instances in which the supervision experience could be improved. The findings may have implications (e.g., areas of potential growth for sport psychology supervision) for future research directions on supervision in applied sport psychology and could offer potential areas of consideration for current supervisors.     

Noninvasive Prenatal Testing/Noninvasive Prenatal Diagnosis: the Position of the National Society of Genetic Counselors

The 1997 discovery of free fetal DNA in maternal plasma launched clinical researchers’ efforts to establish a reliable method for non-invasive prenatal testing for fetal genetic conditions. Various methods, including, but not limited to, massively parallel sequencing (MPS) and selective analysis of cell-free fetal DNA in maternal plasma, have recently been developed as highly sensitive and specific noninvasive screening tools for common fetal chromosome aneuploidies. Incorporating these new noninvasive technologies into clinical practice will impact the current prenatal screening paradigm for fetal aneuploidy, in which genetic counseling plays an integral role. The National Society of Genetic Counselors (NSGC) currently supports Noninvasive Prenatal Testing/Noninvasive Prenatal Diagnosis (NIPT/NIPD) as an option for patients whose pregnancies are considered to be at an increased risk for certain chromosome abnormalities. NSGC urges that NIPT/NIPD only be offered in the context of informed consent, education, and counseling by a qualified provider, such as a certified genetic counselor. Patients whose NIPT/NIPD results are abnormal, or who have other factors suggestive of a chromosome abnormality, should receive genetic counseling and be given the option of standard confirmatory diagnostic testing.     

Can disclosures lead consumers to resist covert persuasion? The important roles of disclosure timing and type of response

While sponsorship disclosure is proposed as a remedy for covert marketing, i.e., tactics such that the persuasive nature of the communication is not clear to consumers, little is known about whether or when disclosures prompt consumers to correct for persuasion. Three experiments reveal that covert marketing, in the form of subtle product placements, can increase brand recall and attitudes but that both instructions to avoid influence and mere disclosure of sponsorship can lead to correction. The first experiment demonstrates that consumers are able to correct both brand attitudes and stated recall when there are instructions to avoid influence. The following two experiments show that mere sponsorship disclosure can evoke use of persuasion knowledge for correction. However, disclosure timing differentially influences correction for recall and attitudes. Disclosure prior to exposure to the covert marketing tactic leads only to correction for effects on recall; attitude is as high with a prior disclosure as with placement with no disclosure. Disclosure after placement provides general correction of the impact of the covert marketing tactic on both recall and attitudes.     

Behavioral responses to anxiety: Self-reliance,counterdependence, and overdependence

This article builds on the original foundations of attachment theory and traces the strategies for achieving felt security into the adulthood years. The theoretical case is made for a link between a secure, self-reliant strategy and healthy adulthood functioning. This self-reliant strategy counteracts the health risk factors of social isolation and separation in human relationships. The strategy results in an enduring personality characteristic of self-reliance, a paradoxical pattern of behavior characterized by flexibility and bonding in relationships which appears rather autonomous. This article proposes a work-related measure of self-reliance which also incorporates the two insecure, unhealthy strategies for achieving felt security. These strategies are the dismissing strategy, which results in a counterdependent pattern of behavior, and the preoccupied strategy, which results in an overdependent behavior pattern. Preliminary reliability and validity data concerning the Self-Reliance Inventory are presented.     

Positive and Negative Peer Interaction in 3- and 4-Year-Olds in Relation to Regulation and Dysregulation

Using a sample from the NICHD Study of Early Child Care (N = 435; 219 girls), the authors derived several measures of regulation and dysregulation that predicted, both concurrently and longitudinally, children's positive and negative peer interactions in multiple contexts. Observers rated peer interactions in child care and during dyadic play with a friend, and mothers rated peer behavior. The authors based the derived measures on resistance to temptation (36 months) and delay of gratification (54 months) tasks, as well as observations in child care of children's compliance and defiance with adults at both ages and maternal reports. Preschoolers who had better impulse control and who were more compliant and less defiant with adults engaged more often in friendly, positive, peer play and were less negative in their peer play across contexts. Associations between regulation and dysregulation and peer interaction were broader and more consistent at 54 months than at 36 months. Longitudinally, regulation at 36 months was only modestly associated with more positive and less negative peer play at 54 months. The authors discuss findings in the context of developing self-regulation and its importance for early peer relationships.     

Infant-led innovations in a mother-baby therapy group

A mother-baby therapy group for mothers and infants in their first year who are experiencing difficulties is described. In a literature review no comparable group where the infants are seen as members in their own right has been found. Themes in the mothers' material are outlined, followed by the infants' evolving interactive and internal processes. Some therapeutic factors, in particular interactions between the infants and interventions on the part of the therapists, are then illustrated with clinical material. Some infant-led innovations are described, such as the way the infants' activity is used as a basis for making ‘group as a whole’ interpretations, and in particular how the therapists' actions towards the infants have come to be viewed as a non-verbal form of interpretation. The role of attuned play in direct work with infants is discussed further.