Self‐Stigma,Mental Health Literacy,and Health Outcomes in Integrated Care

The authors describe research on the self‐stigma of mental illness and help seeking, mental health literacy, and health outcomes in an integrated care medical center. Results revealed that self‐stigma of mental illness and self‐stigma of seeking help had an inverse relationship with mental health literacy. No statistically significant relationships were found between health outcomes, either type of self‐stigma, and mental health literacy. The authors discuss these and other findings and offer research and counseling implications.     

Differential susceptibility in spillover between interparental conflict and maternal parenting practices: evidence for OXTR and 5-HTT genes

Guided by the affective spillover hypothesis and the differential susceptibility to environmental influence frameworks, the present study examined how associations between interparental conflict and mothers' parenting practices were moderated by serotonin transporter (5-HTT) and oxytocin receptor (OXTR) genes. A sample of 201 mothers and their 2-year old child participated in a laboratory-based research assessment. Results supported differential susceptibility hypotheses within spillover frameworks. With respect to OXTR rs53576, mothers with the GG genotype showed greater differential maternal sensitivity across varying levels of interparental conflict. Mothers with one or two copies of the 5-HTTLPR S allele demonstrated differential susceptibility for both sensitive and harsh/punitive caregiving behaviors. Finally, analyses examined whether maternal depressive symptoms and emotional closeness to their child mediated the moderating effects. Findings suggest that maternal emotional closeness with their child indirectly linked OXTR with maternal sensitivity. The results highlight how molecular genetics may explain heterogeneity in spillover models with differential implications for specific parenting behaviors. Implications for clinicians and therapists working with maritally distressed parents are discussed.     

The perception of a face is no more than the sum of its parts

When you see a person's face, how do you go about combining his or her facial features to make a decision about who that person is? Most current theories of face perception assert that the ability to recognize a human face is not simply the result of an independent analysis of individual features, but instead involves a holistic coding of the relationships among features. This coding is thought to enhance people's ability to recognize a face beyond what would be expected if each feature were shown in isolation. In the study reported here, we explicitly tested this idea by comparing human performance on facial-feature integration with that of an optimal Bayesian integrator. Contrary to the predictions of most current notions of face perception, our findings showed that human observers integrate facial features in a manner that is no better than would be predicted by their ability to use each individual feature when shown in isolation. That is, a face is perceived no better than the sum of its individual parts.     

Is Narrative Identity Four‐Dimensionalist?

The claim that selves are narratively constituted has attained considerable currency in both analytic and continental philosophy. However, a set of increasingly standard objections to narrative identity are also emerging. In this paper, I focus on metaphysically realist versions of narrative identity theory, showing how they both build on and differ from their neo‐Lockean counterparts. But I also argue that narrative realism is implicitly committed to a four‐dimensionalist, temporal‐parts ontology of persons. That exposes narrative realism to the charge that the narratively constituted self, on the one hand, and the self that is the object of much of our everyday self‐reference and self‐experience, on the other, can't be the same thing. This conclusion may well force narrativists to abandon metaphysical realism about narrative selves—which, in turn, may leave the invocation of ‘narrativity’ as identity‐constituting somewhat under‐motivated.     

Female juvenile delinquency, motherhood, and the intergenerational transmission of aggression and antisocial behavior

The current study explored the intergenerational transmission of aggression and antisocial behavior by examining mothers' juvenile delinquency, their pregnancies, and its impact on their children's aggressive behavior. The sample consisted of the first 181 biological mothers recruited as part of the Vancouver Longitudinal Study on the Psychosocial Development of Children (British Columbia, Canada). Results indicated that mothers who were juvenile delinquents were more likely to experience social adversity, to use substances during pregnancy and to offend in adulthood. Furthermore, mothers who reported juvenile delinquency had children who were more physically aggressive and had an earlier onset of physical aggression. This pattern of association held when controlling for sociodemographics, social adversities, prenatal substance exposure, and criminal involvement in adulthood. The study findings highlighted the importance of understanding the role and impact of female delinquency and motherhood on the intergenerational transmission of antisocial behavior.     

Does Risk Assessment Make a Difference? Results of Implementing the SAVRY in Juvenile Probation

An effective approach to reducing recidivism is, first, to identify a youth's risk of reoffending and then to match the intensity of interventions to that risk level. This pre-post quasi-experimental, prospective study compared 247 (pre) with 217 (post) adjudicated youths to examine the implementation of the Structured Assessment of Violence Risk in Youth (SAVRY) and its effects on case management practices in Louisiana's Caddo parish probation office. The results indicated that placement rates dropped by 50%, use of maximum levels of supervision dropped by almost 30%, and use of community services decreased except for high-risk youths, but only after the SAVRY was properly implemented. This shift towards more appropriate allocation of resources that are matched to risk level occurred without a significant increase in reoffending. The implications for implementation and for use of risk/needs assessment in juvenile probation are discussed. Copyright ? 2012 John Wiley & Sons, Ltd.     

Assessing psychological inflexibility: the psychometric properties of the Avoidance and Fusion Questionnaire for Youth in two adult samples

The current study examined whether the Avoidance and Fusion Questionnaire for Youth (AFQ-Y; L. A. Greco, W. Lambert, & R. A. Baer, 2008), a self-report measure of psychological inflexibility for children and adolescents, might be useful for measuring psychological inflexibility for adults. The psychometric properties of the AFQ-Y were examined using data from a college student sample (N = 387) and a clinical sample of patients with anxiety disorders (N = 115). The AFQ-Y, but not the Acceptance and Action Questionnaire-II (AAQ-II; F. W. Bond et al., in press), demonstrated a reading level at or below the recommended 5th or 6th grade reading level. The AFQ-Y also demonstrated adequate reliability (internal consistency), factorial validity, convergent and discriminant validity, and concurrent validity predicting psychological symptoms. Moreover, the AFQ-Y showed incremental validity over the AAQ-II in predicting several psychological symptom domains. Implications for the assessment of psychological inflexibility are discussed.     

Cues to solution, restructuring patterns, and reports of insight in creative problem solving

While the subjective experience of insight during problem solving is a common occurrence, an understanding of the processes leading to solution remains relatively uncertain. The goal of this study was to investigate the restructuring patterns underlying solution of a creative problem, and how providing cues to solution may alter the process. Results show that both providing cues to solution and analyzing problem solving performance on an aggregate level may result in restructuring patterns that appear incremental. Analysis of performance on an individual level provides evidence for insight-like solution patterns. However, no evidence is found for a relationship between an individual's restructuring pattern and their subjective experience of insight during problem solving.     

Defining the Role of Laboratory Genetic Counselor

An increasing number of genetic counselors are moving into non-clinical roles, where their primary duties do not involve direct patient contact. According to the National Society of Genetic Counselors Professional Status Survey in 2010, 23% of counselors working in non-clinical roles identified laboratory or genetic testing as their primary area of work. Using a survey, we identified 43 genetic counselors who work predominately in laboratory settings. The two primary tasks performed by participants, include acting as a customer liaison (95%) and calling out test results (88%). Nineteen participants (44.2%) also reported spending a considerable amount of time signing reports. The most prevalent areas of job satisfaction were support from laboratory directors (76.8%), autonomy (76.7%), interactions with clinicians (69.7%) and interaction with other genetics counselors (67.5%). This is the first study specifically looking at the roles of laboratory genetic counselors, which is an expanding area of genetic counseling.