A National Survey of Genetic Counselors’ Personal Values

Personal values are motivational sources for an individual’s actions [Hitlin and Piliavin (Annual Review of Sociology 30:359–393, 2004)]. Genetic counselors’ values may influence their behaviors in clinical practice, but a profile of their personal values has not been identified empirically. In this study, 292 genetic counselors completed the Schwartz Universal Values Questionnaire (SUVQ; Schwartz, S. H. (1992). Universals in the content and structure of values: Theoretical advances and empirical tests in 20 countries. In M. Zanna (Ed.), Advances in experimental social psychology (pp. 1–65). Boston, MA: Academic.), a widely used measure of value types, and provided information about their demographic characteristics. Results indicate that respondents highly valued benevolence, self-direction, achievement, and universalism indicating a strong pattern of concern for the welfare of others. They placed considerably less value on stimulation, tradition, and power, which reflect personal interests. Respondents who reported practicing a religion scored significantly lower on stimulation and hedonism and higher on tradition and spirituality than those not practicing; married respondents and parents scored significantly lower on stimulation and achievement; and males scored higher on power than females. The value types are described, and training and research recommendations are provided.     

Fifth Province re-versings: the social construction of women lone parents' inequality and poverty

In this paper a systemic orientation is proposed which formulates theories and practices in relation to the social construction of women's inequality and poverty. A central hypothesis is that discursive interactions at the macro- and micro-social levels generate much female inequality and relationships of power. Therefore, the paper posits that women's inequality is partially constructed in and through social discourse at the public level (for example, politics and the media) and as such it is argued that these issues need to be entered into discussions within and around therapy. Finally, through a Fifth Province Approach some strategies for resisting power practices are presented. Reflexivity will be attempted in the feedback or re-versings of women clients living in poverty on the process of therapy.     

Ethical and Professional Challenges Posed by Patients with Genetic Concerns: A Report of Focus Group Discussions with Genetic Counselors, Physicians, and Nurses

Ninety-seven physicians, nurses, and genetic counselors from four regions within the United States participated in focus groups to identify the types of ethical and professional challenges that arise when their patients have genetic concerns. Responses were taped and transcribed and then analyzed using the Hill et al. (1997, Counsel Psychol 25:517–522) Consensual Qualitative Research method of analysis. Sixteen major ethical and professional domains and 63 subcategories were identified. Major domains are informed consent; withholding information; facing uncertainty; resource allocation; value conflicts; directiveness/nondirectiveness; determining the primary patient; professional identity issues; emotional responses; diversity issues; confidentiality; attaining/maintaining proficiency; professional misconduct; discrimination; colleague error; and documentation. Implications for practitioners who deal with genetic issues and recommendations for additional research are given.     

Child-related attributions of hostile intent and harsh discipline: Moderating effects of anger

Two studies tested whether attributions of hostile intent (AHI) and anger for ambiguous child behaviors uniquely predict parents’ harsh verbal discipline (HVD) and harsh physical discipline (HPD) or whether AHI only predicts harsh discipline when AHI occurs in conjunction with anger, as suggested by the Integrated Cognitive Model of general aggression (Wilkowski & Robinson, 2010, J. Pers., 78, 9–38). Replicating previous studies, the expected positive bivariate relationships between AHI, anger, HVD, and HPD were found in Study 1 (N = 493). However, when AHI, anger, and the AHI by anger interaction were considered simultaneously, patterns of prediction varied by discipline type. For HVD, high levels of AHI, high levels of anger, and the AHI by anger interaction (at high levels of AHI and anger) each were significant predictors. For HPD, low levels of AHI, high levels of anger, and the AHI by anger interaction (at high levels of AHI and anger) were significant predictors, suggesting a possible suppressor effect for AHI. These results were replicated in Study 2 ( N = 503). Thus, there was support for the contention that AHI only predicts harsh discipline when AHI occurs in conjunction with anger with respect to HPD but this was not the case for HVD. Since AHI suppressor effects were observed for HPD in two large sample studies, variables that may account for the AHI suppressor effects and the need for testing more complex interactive predictive models of harsh parenting behaviors are discussed.     

The effects of curvature on haptic judgments of extent in sighted and blind people

A series of experiments was carried out to examine the effect of curvature on haptic judgments of extent in sighted and blind individuals. Experiment 1 showed that diameters connecting the endpoints of semicircular lines were underestimated with respect to straight lines, but failed to show an effect of visual experience on length judgments. In experiment 2 we tested are lengths. The effects of curvature on perceived path length were weaker, but were still present in this experiment. Visual experience had no effect on path length judgments. Another experiment was performed to examine the effect of repeated tracing (1, 5, 9, or unlimited number of traces) on judgments of the lengths of straight lines and diameters of semicircles. Judgments of extent were more accurate when subjects engaged in larger numbers of traces. There was no effect of number of traces on curve-height judgments, suggesting that subjects were not using height estimates to judge diameters of semicircles. In a further experiment we tested the effect of number of traces on curves that varied in height. Restricting subjects to a single trace magnified the effect of path length on judgments of the distance between the endpoints of curves. Additional experiments showed that curvature effects on diameter judgments were not eliminated when stimuli were in the frontal plane or when the curves were explored with the use of two hands. Arm support had no effect on judged length in experiment 7. A final experiment showed a robust horizontal vertical illusion in haptic perception of convex curves, with overestimation of the heights of the curves compared with their widths. The practical and theoretical implications of the results are discussed.