Men’s Decision-Making About Predictive <Emphasis Type="Italic">BRCA1/2</Emphasis> Testing: The Role of Family

Men who have a family history of breast and/or ovarian cancer may be offered a predictive genetic test to determine whether or not they carry the family specific BRCA1/2 mutation. Male carriers may be at increased risk of breast and prostate cancers. Relatively little is known about at-risk men’s decision-making about BRCA1/2 testing. This qualitative study explores the influences on male patients’ genetic test decisions. Twenty-nine in-depth interviews were undertaken with both carrier and noncarrier men and immediate family members (17 male patients, 8 female partners, and 4 adult children). These explored family members’ experiences of cancer and genetic testing, decision-making about testing, family support, communication of test results within the family, risk perception and risk management. Implicit influences on men’s testing decisions such as familial obligations are examined. The extent to which other family members—partners and adult children—were involved in testing decisions is also described. It is demonstrated that mothers of potential mutation carriers not only perceive themselves as having a right to be involved in making this decision, but also were perceived by their male partners as having a legitimate role to play in decision-making. There was evidence that (adult) children were excluded from the decision-making, and some expressed resentment about this. The implications of these findings for the practice of genetic counseling are discussed.     

Divorce in the Kibbutz: Determinants of emotional adjustment

About two-thirds of a representative sample of kibbutz divorced subjects reached a satisfactory emotional and functioning level of adjustment with a high degree of cooperation between the exspouses by the second postseparation year. This outcome appears to be positively influenced both by a process of habituation and desensitization determined by the continuous physical proximity of the former spouses and by the neutralization of parenting and economic issues as subjects for dispute and litigation.     

The Experience of Insight Facilitates Long-Term Semantic Priming in the Right Hemisphere

While past research has demonstrated a link between the subjective “Aha” experience of insight and verbal insight problem solution activation in the right hemisphere (RH), no one has yet linked insight to long term semantic priming. We propose that through a shared process of semantic integration both of these concepts are linked and thus the experience of insight should facilitate semantic priming in the RH. Participants attempted to solve a group of compound remote associate problems and afterwards completed a lexical decision task. The results showed that the experience of insight facilitated semantic priming in the RH, but only for unsolved compound remote associate problems. It was also shown that participants who indicated that they generated more solutions through insight that were incorrect demonstrated the most semantic priming in the RH. These results indicate that long-term semantic priming can occur as a result of insight solutions, and that this activation occurs predominantly in the RH. This study extends both the evidence for long-lasting semantic priming as well the theory of coarse semantic coding in the RH.     

Object processing in visual perception and action in children and adults

We investigated whether 6- and 7-year-olds and 9- and 10-year-olds, as well as adults, process object dimensions independent of or in interaction with one another in a perception and action task by adapting Ganel and Goodale's method for testing adults (Nature, 2003, Vol. 426, pp. 664-667). In addition, we aimed to confirm Ganel and Goodale's results in adults to reliably compare their processing strategies with those of children. Specifically, we tested the abilities of children and adults to perceptually classify (perception task) or grasp (action task) the width of a rectangular object while ignoring its length. We found that adults process object dimensions in interaction with one another in visual perception but independent of each other in action, thereby replicating Ganel and Goodale's results. Children processed object dimensions interactively in visual perception, and there was also some evidence for interactive processing in action. Possible reasons for these differences in object processing between children and adults are discussed.     

Class and compassion: socioeconomic factors predict responses to suffering

Previous research indicates that lower-class individuals experience elevated negative emotions as compared with their upper-class counterparts. We examine how the environments of lower-class individuals can also promote greater compassionate responding-that is, concern for the suffering or well-being of others. In the present research, we investigate class-based differences in dispositional compassion and its activation in situations wherein others are suffering. Across studies, relative to their upper-class counterparts, lower-class individuals reported elevated dispositional compassion (Study 1), as well as greater self-reported compassion during a compassion-inducing video (Study 2) and for another person during a social interaction (Study 3). Lower-class individuals also exhibited heart rate deceleration-a physiological response associated with orienting to the social environment and engaging with others-during the compassion-inducing video (Study 2). We discuss a potential mechanism of class-based influences on compassion, whereby lower-class individuals' are more attuned to others' distress, relative to their upper-class counterparts.     

Selective attention to imagined facial ugliness is specific to body dysmorphic disorder

Cognitive-behavioral models postulate that biases in selective attention are key factors contributing to susceptibility to and maintenance of body dysmorphic disorder (BDD). Visual attention in particular toward the imagined defect in appearance may be a crucial element. The present study therefore examined whether individuals with BDD showed increased visual attention to flaws in their own and in unfamiliar faces. Twenty individuals with BDD, 20 individuals with social phobia, and 20 mentally healthy individuals participated in an eye-tracking experiment. Participants were instructed to gaze at the photographs of 15 pictures of themselves and several unfamiliar faces. Only patients with BDD showed heightened selective visual attention to the imagined defect in their own face, as well to corresponding regions in other, unfamiliar faces. The results support the assumption that there is a specific attentional bias in BDD.     

Bedrohungsszenarien und Gewalt gegenüber Dritten in der Psychotherapie

Aggressive behaviour, violent fantasies and potential threats against third parties are frequent topics in psychotherapy. Clinical, social and dynamic factors have to be considered for the risk assessment of aggressive behaviour. The appearance of aggressive fantasies and threats can be perceived as an indicator for potential threats. Legal aspects such as medical confidentiality, rights and duties to warn have to be kept in mind when dealing with threats against third parties. Concerning threats against children different laws have to be considered.