Alcohol consumption, smoking urge, and the reinforcing effects of cigarettes: an ecological study.

Smokers (N=74) who volunteered for a smoking cessation study monitored their daily experiences for up to 6 weeks prior to the quit date. Self-reports from 7,707 diary records were used to examine the associations among alcohol consumption (present in 607 diary records), situational factors, smoking, urge to smoke, and subjective consequences of smoking. Alcohol use, smoking urge, and the subjective effects of smoking were context dependent. Momentary reports of smoking and alcohol consumption were associated with one another. Alcohol use predicted smoking even when contextual factors were covaried. Alcohol use was associated with more frequent reports of urge to smoke. Alcohol was also associated with more frequent reports that the last cigarette produced a rush/buzz, was good tasting, and reduced the urge. However, effects for rush/buzz and urge reduction were qualified by interactions between alcohol use and the latency since smoking. Rush/buzz tended to be associated with alcohol use, regardless of smoking recency. Alcohol was associated with urge reduction only when the cigarette being appraised was smoked more than 15 minutes prior to the diary entry.     

The Psychic Costs of Empathic Engagement: Personal and Demographic Predictors of Genetic Counselor Compassion Fatigue

Empathic connection with one’s patients is essential to genetic counselor clinical practice. However, repeatedly engaging with distressed patients may cause compassion fatigue, a phenomenon characterized as feeling overwhelmed by experiencing patients’ suffering. In order to extend findings of an initial qualitative study, we surveyed 222 genetic counselors about their compassion fatigue and factors that predict its occurrence. Multiple regression analysis identified seven significant predictors accounting for 53.7% of the variance in compassion fatigue. Respondents at higher risk of compassion fatigue were more likely to report being burned out, using self-criticism and giving up to manage stress, experiencing a greater variety of distressing clinical events, having larger patient caseloads, relying on religion as a coping strategy, having no children, and seeking support to manage stress. Respondents also provided critical incidents regarding their compassion fatigue and themes in these incidents are described. Practice and research recommendations are provided.     

Religious Right,Religious Left,Both, or Neither? Understanding Religio‐Political Identification

In this article we analyze the effects of religious, political, socioeconomic, and demographic variables on religious Americans’ propensity to identify with religio‐political movements. Using data from the 2013 Economic Values Survey collected by the Public Religion Research Institute (PRRI), we sort nonsecular Americans into four categories: religious right, religious left, both religious right and religious left, or neither religious right nor the religious left. We estimate a multinomial logit model in which we depict religio‐political identification as a function of religious affiliation, worship attendance, religious embeddedness, religious convictions, political attitudes, and socioeconomic and demographic controls. We find that a wide range of religious, political, and socioeconomic/demographic variables affect individuals’ identification with the religious right and/or religious left. Our empirical results also permit us to analyze the seeming paradox of identifying with both the religious right and the religious left. We find that individuals who identify with both movements come from the ranks of the highly religious, those who believe that being moral requires one to believe in God, Tea Party supporters, strong partisans, those with lower education and income, older individuals, and blacks and Hispanics.     

Exemplary Counseling Strategies for Developmental Transitions of Young Women With Attention Deficit/Hyperactivity Disorder

This article is intended to provide rehabilitation, career, and mental health counselors with an understanding of how attentional impairments are manifested in young women and how professional counselors may help them most effectively. Treatment guidelines and recommendations are presented for working with these young women through the developmental transition years of adolescence and young adulthood.     

What Is It Like To Be in the Minority? Ethnic and Gender Diversity in the Genetic Counseling Profession

Increasingly, the genetic counseling profession is recognizing the need for greater ethnic and gender diversity. Recruitment and retention efforts may be enhanced by better understanding of the experience of individuals considered to be underrepresented in the profession. In this qualitative study, 8 genetic counseling students and 7 practicing genetic counselors who were ethnic minority and/or male participated in semi-structured telephone interviews regarding how they were introduced to the field, perceived career supports and barriers, their experiences within training programs and the field, and suggestions for increasing diversity. Introduction to the field tended to be late and accidental. There were several career supports (e.g., field combines science and helping others) and barriers (e.g., lack of information about the field). Participant experiences, although primarily positive, included instances of passive, unintentional discrimination; and there were internal and external pressures to be diversity experts and positive representatives of their group. Participants reported positively impacting colleagues’ cultural competency and offering a different presence within clinical settings. Suggestions for increasing diversity and research recommendations are given.     

An examination of the factor structure of the Social Skills Rating System parent elementary form

Although previous studies have questioned the factor structure of the Social Skills Rating System (SSRS), it continues to be one of the most prominent measures used to assess child social skills. Previous examinations of the SSRS have been conducted on samples that differ demographically from the standardization sample. The present study presents a factor analysis of the SSRS parent elementary form, social skills domain, in a sample of 298 non-referred children. Similar to previous research, the factor structure proposed by the authors of the SSRS was not replicated. An alternative 2-factor model based on previous research also did not adequately fit the data. Other psychometric properties, such as the range of inter-item correlations, were evaluated and did not meet suggested guidelines for test construction. Despite its psychometric difficulties, the SSRS was related to history of treatment for peer difficulties.     

Validation of a Standardized Multiple‐Choice Multicultural Competence Test: Implications for Training,Assessment, and Practice

The Multicultural Counseling and Psychotherapy Test (MCPT), a measure of multicultural counseling competence (MCC), was validated in 2 phases. In Phase 1, the authors administered 451 test items derived from multicultural guidelines in counseling and psychology to 32 multicultural experts and 30 nonexperts. In Phase 2, the authors administered the top 50 discriminative items to licensed mental health professionals (N = 227) and compared MCPT scores to external indicators of MCC. Evidence was found for the construct validity and internal consistency reliability of the MCPT. El Test de Consejería Multicultural y Psicoterapia (MCPT, por sus siglas en inglés), una medida de la competencia en consejería multicultural (MCC, por sus siglas en inglés) fue validado en dos fases. En la Fase 1, los autores administraron 451 elementos del test derivados de las pautas multiculturales en consejería y psicología a 32 expertos multiculturales y 30 no expertos. En la Fase 2, los autores administraron los 50 elementos más discriminativos a profesionales licenciados de la salud mental (N = 227) y compararon los puntajes del MCPT con indicadores externos de MCC. Se hallaron evidencias de la validez del constructo y la fiabilidad de la consistencia interna del MCPT.     

College women with differential linguistic-quantitative ability patterns: performance on two visual serial-search tasks

Two groups of 14 college women, equated on College Entrance Examination Board Scholastic Aptitude Test scores but showing a discrepancy of at least 150 points between the scores on the Verbal and Mathematical Aptitude Test, were compared on two visual serial-search tasks; a 2 X 2 mixed factorial design was used. There was a trend in the direction of more rapid visual serial-search by the low linguistic-high quantitative subjects than for the high linguistic-low quantitative subjects. Consonant with earlier findings, visual serial-search time was significantly faster for number targets than for letter targets. Between ability patterns and target characteristics there was no significant interaction. The need to include more complex visual serial-tracking tasks in any reexamination of the observed results was noted.