Toward a Model Informed Consent Process for BRCA1 Testing: A Qualitative Assessment of Women's Attitudes

As an initial part of a project to develop a model informed consent process for BRCA1 testing, we conducted a series of focus groups. At the groups, women initially expressed great interest in testing, but their interest diminished after learning more. If offered testing, women would most want to learn about test accuracy, practical details of testing, and management options if the result was positive. Perceived benefits of testing included gaining information leading to risk reduction, relief of uncertainty, more responsible parenting, and assisting in research. Perceived risks included the discomfort and cost of the testing process itself, and anxiety after a positive result. The risk of possible insurance discrimination was rarely mentioned spontaneously. Many women would want their providers to make recommendations, rather than be nondirective about testing. We observed that women vary greatly in their informational and counseling needs, and suggest that the informed consent process should be individualized, taking into account a woman's perception and her preferences for how testing decisions should be made.     

Extreme thinking in clinically depressed adolescents: Results from the Treatment for Adolescents with Depression Study (TADS)

The purpose of this report is to examine relations between extreme thinking, as measured by the Dysfunctional Attitudes Scale, and the maintenance of gains among adolescents who participated in the Treatment for Adolescents with Depression Study (TADS). We examine extreme thinking among 327 adolescents (mean age = 14.56, 57% female, 75% White) who received cognitive behavior therapy (CBT), fluoxetine (FLX), or a combination of CBT and FLX (COMB). Among those who met remission status on the Children’s Depression Rating Scale - Revised (CDRS-R ≤ 28; 56 at week 12, 79 at week 18) extreme thinking did not predict failure to maintain remission. This is in contrast to findings with depressed adults. Treatment influenced level of extreme thinking, and this appeared to be driven by greater endorsement of positively valenced beliefs as opposed to a decrease in negatively valenced beliefs. Developmental or investigation characteristics may account for the discrepancy in findings.     

Whose Eucharist? Eucharistic Identity as Historical Subject

Through the experiences of a medieval historian and the experiences which have led to her engagement with the Eucharist in the Middle Ages this paper traces some of the ways in which medieval people assumed or discarded identities through their relationships with the Eucharist. The many ways in which the image encompassing an incarnate God in a wheaten disc allowed individual and groups to assert selfhood, difference and specificity are considered through examples of liturgical, mystical and theological relationships, articulations, of the Eucharist. The centrality of Jews as affirmers of Eucharistic truth in late medieval culture through the rejection and violence attributed to them is offered as a necessary facet of the Eucharist's suggestive possibilities. Eucharist is shown as a symbol of interiority and intrinsic value, opposed to Jewish literality and misrecognition of value, ideas which created a link between talk about the Eucharist and discussion of usury. Lastly, some of the historical interests of Jewish writers in the historical links between Jews and the Eucharist are explored.     

Narrating career,positioning identity and constructing gender in an Italian adolescent's personal narratives

This article explores identity career narratives as a gendered and gendering discourse. The ‘gender differences’ approach to career development conceives of gender as a dichotomous and fixed variable influencing various aspects of career. In contrast to this mainstream approach, the paper adopts a post-structural view and reads identity and gender in terms of performativity, that is to say, constituted through the productive power of discourses. Through a detailed analysis of a text written by Giada, an adolescent involved in a career counseling project in Italy, we analyze how her career narratives implicate and constitute gender in their telling. In particular, we present the discourses that frame Giada's career narrative and we highlight how these discourses position Giada as a woman and as female. These discourses can be read as regulatory discourses: shaping and reflecting particular understandings of gender. However, we also highlight Giada's agency in questioning the regulatory practice of such discourses through linguistic acts. In the conclusions, we further explore the potential implications of these research findings for a rethinking of career counseling research and practice.     

Memory conformity for confidently recognized items: The power of social influence on memory reports

Memory conformity occurs when one person's memory report influences another's. Memory conformity is more likely to occur when the information comes from a credible source, and when internal evidence is weak. Here, we investigate whether there are situational variations in how heavily participants weigh internal cues to accuracy when confronted with conflicting information from a partner. The results show that even confidently held memories are subject to influence from external sources, and that social influence is exaggerated when the source is seen to be highly credible.     

The use of self-talk during elite cricket batting performance

ObjectiveThe purpose of this study was to qualitatively investigate the use of self-talk during cricket batting performance through an innovative approach that allowed for within performance responses to be examined.Design and methodFive elite cricketers were interviewed alongside edited video footage of their batting innings. Semi-structured interviews were conducted to gather in-depth information and explanations about the participants' use of self-talk during each critical incident.Results and conclusionsThe findings of this study highlighted the use of instructional and motivational self-talk as a fluctuating continual narrative that enhanced skill execution, self-efficacy and focus of attention, whilst reducing performance anxiety. In particular, the athletes described the effectiveness of self-determined self-talk on their performance. Specifically, they advocated self-talk that narrowed their attentional focus and redirected their thoughts to performance-related cues during periods of declining performance.     

The shape of things to come: Exploring goal-directed prospection

Through the ability to preview the future (i.e., prospection), people can anticipate how best to think, feel and act in just about any setting. But exactly what factors determine the contents of prospection? Extending research on action identification and temporal construal, here we explored how action goals and temporal distance modulate the characteristics of future previews. Participants were required to imagine travelling to Egypt (in the near or distant future) to climb or photograph a pyramid. Afterwards, to probe the contents of prospection, participants provided a sketch of their imaginary experience. Results elucidated the impact of goal type and temporal distance on mental imagery. While a climbing goal prompted participants to draw a larger pyramid in the near than distant future, a photographic goal influenced only the compositional complexity of the sketches. These findings reveal how action goals and temporal distance shape the contents of future simulations.     

Bereavement and Traumatic Bereavement: Working with the Two-Track Model of Bereavement

Bereavement following loss through death is a universal human experience, but how it is experienced and understood is mediated by many variables. In this article, we stress the importance of a bifocal approach to understanding, assessing and intervening following the loss of significant persons using the framework of the Two-Track Model of Bereavement. This model examines both biopsychosocial functioning as well as the nature of the ongoing relationship with the deceased and the death story in working with the bereaved. It is particularly suited to identify adaptive and maladaptive responses to loss and to optimally focus interventions where needed. Two case vignettes are presented to orient the discussion. Traumatic bereavements, a term indicating the interface between trauma and loss, increase the likelihood of complications following loss and these are considered. Bereavements that occur under external traumatic circumstances increase the risk for dysfunction, symptomatic difficulties and complicated grief. In addition, there are forms of traumatic bereavement that arise due to subjective elements related to aspects of the psychological relationship to the deceased and the relational bond with him or her. Clinically, there is a need to identify and understand the various aspects of the traumas of bereavement and to intervene appropriately. Interventions based on the Two-Track Model of Bereavement will be described.