Newborn Screening: Education,Consent, and the Residual Blood Spot. The Position of the National Society of Genetic Counselors

Newborn screening (NBS) is a minimally invasive lifesaving test. There is currently no federal mandate for NBS, thus states determine their own screening panel based on the recommendations of the Secretary’s Advisory Committee on Heritable Disorders in Newborn and Children (SACHDNC), which was recently re-chartered as the Discretionary Advisory Committee on Heritable Disorders in Newborns and Children (DACHDNC). After NBS is completed, a couple of residual blood spots remain. While some states allow these spots to be used for public health and scientific research purposes, parents are not always informed about these additional uses. This paper addresses the National Society of Genetic Counselors’ (NSGC’s) position about NBS and blood spot storage/use and the rationale for these positions. The National Society of Genetic Counselors strongly supports newborn screening for the uniform screening panel of conditions recommended by the Secretary’s Advisory Committee on Heritable Disorders in Newborns and Children. NSGC also supports storage and use of blood spot samples by newborn screening laboratories and transparent policies that govern these activities.     

Goal Internalization and Persistence as a Function of Autonomous and Directive Forms of Goal Support

Two prospective studies examined the relations of autonomy support and directive support to goal internalization and goal persistence over a year. Study 1 examined the role of support and internalization in semester‐long goals set by college students and whether the goals were reset in the following semester. Study 2 examined semester‐long goals and long‐term developmental goals. Study 1 showed that autonomy support was not only significantly associated with greater internalization and goal success in the fall semester, but it was also significantly associated with actually resetting and subsequently succeeding at goals that one had failed to reach. Study 2 showed that autonomy support was significantly associated with progress for short‐term goals over the semester, whereas directive support was unrelated to progress. For long‐term goals, autonomy support was significantly related to greater internalization of goals and to greater goal satisfaction, whereas directive support was significantly negatively related to these outcomes. These studies point to the beneficial effects of autonomy support on goal internalization and resilient persistence. The effects of directive support (null vs. negative) were moderated by the timeline of the goals.     

Self-Help,Moral Philosophy,and the Moral Present

In this paper I argue that the lack of interest, among analytic moral philosophers, in the contingencies of our moral present, produces an impoverished moral philosophy, unable to address the moral problems and quandaries of ordinary people. What is needed to remedy this is a broadening of the scope of the moral philosopher’s thought to include a rich attention to moral phenomena of the present. One such phenomenon, attended to by sociologists and critical journalists over the past few decades, is the contemporary proliferating genre of psychologically oriented self-help literature. I display a range of sociological responses to self-help in order to point out aspects of morality that are made visible in these discussions, whereas they often remain invisible in standard moral philosophy. The aim is not to suggest a specific methodology for including such material into philosophical discussions, but rather to urge philosophers to reconsider the range of materials they attend to in their work, in order to produce a more lively engagement with and understanding of contemporary morality.     

Symbolic representation of the number three: a study with three-year-old children from contrasting socioeconomic environments

The goal of the present study was to compare a range of aspects in children’s symbolic knowledge about the number three among two groups of three-year-olds from contrasting socioeconomic backgrounds. Every child was presented with five tasks that focused on the number three and that had cognitive demands of different complexity: expressing their age, reciting the conventional number series up to three, quantifying a collection of three, and two tasks requiring the use of visually presented quantitative information.The results showed the same order of difficulty of the tasks in both socioeconomic groups and a clear performance difference depending on socioeconomic background. These findings show that symbolic knowledge about the number three does not come in an all or none fashion. Rather, different aspects of this symbolic competence become apparent in response to different tasks, and seem to depend largely on the socioeconomic environment in which children develop.