Illness representations and distress in women undergoing screening for familial ovarian cancer

Women with a familial or genetic predisposition to ovarian cancer are at significantly increased risk of developing the disease, and this warrants effective risk management strategies. A clinical trial of ovarian cancer screening (OCS) is being conducted to establish the effectiveness of this risk management strategy. This article reports data from its psychological partner study which aims to evaluate the psychological effects of OCS. Leventhal's Self-Regulatory Model provided the theoretical framework for understanding emotional responses to OCS. The revised Illness Perceptions Questionnaire (IPQ-R) is based on this model and the IPQ-R, adapted to the risk of ovarian cancer, was completed by women (N?=?1999) prior to screening. The original IPQ-R factor structure was not replicated but IPQ-R variables explained 14.70% of the variance in women's ovarian cancer-specific distress after controlling for age, general anxiety and depression. Negative emotional representations of ovarian cancer risk and general anxiety were moderately associated with greater ovarian cancer-specific distress whereas cognitive illness representations were weakly related to ovarian cancer-specific distress. Further analyses of data from the ongoing psychological evaluation are needed to determine the predictive utility of IPQ-R variables in explaining distress during OCS.     

“The Bigger the Network the Bigger the Bowl of Cherries...”: Exploring the Acceptability of,and Preferences for,an Ongoing Support Network for Known BRCA 1 and BRCA 2 Mutation Carriers

There is increasing evidence to suggest that the ongoing information and support needs of BRCA gene mutation carriers are not being met. This qualitative study investigated preferences for an on-going support network for mutation carriers in Wales, UK. Seventeen female BRCA1/2 mutation carriers participated in focus groups which explored their current and on-going information and psychological support needs. The interviews were transcribed and thematically analysed. The results reflected a diversity of experiences and support needs. The majority of participants felt they and their families would benefit from an on-going ‘support network’ which should incorporate information-provision alongside elements of a traditional support group alongside, internet-based support such as web-based chat forums, matching schemes and professionally led workshops. Some degree of professional input into any such initiative was believed to be important. This study has informed the development of an appropriate support network based on a hub and spoke model to help carriers and their families adapt to living and coping with their genetic risk.     

A Feminist Multicultural Perspective on Supervision

Sixteen members of the Section for the Advancement of Women conference work group identified themes and issues relevant to a feminist multicultural perspective on supervision. Issues raised included feminist silence and White privilege, the importance of self‐examination, the courage to be anxious, personal commitment to uncertainty, and isolation versus support. Specific risks for supervisors and supervisees participating in feminist multicultural supervision are identified. Dieciséis miembros de una Sección para el Adelantamiento de Mujeres conferencia de grupo del trabajo identificaron los temas y ausuntos pertinente de una perspectiva feminista multicultural en la supervisión. Los asuntos elevados incluyeron el silencio feminista y el privilegio Blanco, la importancia del autoexamen, el valor para estar ansioso, compromiso personal para la incertidumbre, y el aislamiento en oposicion de apoyo. Los riesgos específicos para supervisores y supervisa tomando parte en la supervisión feminista multicultural se identifica.     

Contrapower Harassment in Academia: A Survey of Faculty Experience with Student Incivility, Bullying, and Sexual Attention

This study defines contrapower harassment in academia as student incivility, bullying, and sexual attention aimed at faculty. A U.S., Alaskan sample of 399 professors (50% women, 88% white) at the state’s largest public university was surveyed about their experience with contrapower harassment. Although men reported more sexual attention from students and comparable levels of student incivility–bullying, women reported that such behaviors were more upsetting and had a greater negative impact on their health and work-lives; they were also more likely to take action following such experiences than men. Tenure-track faculty appear to be at increased risk of student hostility. Discussion focuses on how gender and other markers of socio-cultural or institutional power relate to the experience of contrapower harassment.     

Context-dependent recognition memory: the ICE theory

A solution to the problem of context-dependent recognition memory is presented in terms of the item, associated context, and ensemble (ICE) theory. It is argued that different types of context effects depend on how context information is encoded at both learning and retrieval. Matching associated context in memory and a retrieval cue produces increases in both hit and false alarm rates and may not be accompanied by a change in discrimination. Integrating item and context information in an ensemble and matching ensemble information in memory and a retrieval cue produces context-dependent discrimination. Empirical support for these predictions is presented.     

Primacy of functional knowledge in semantic representations: the case of living and nonliving things

In 3 experiments, participants decided whether sensory and functional features were true of living and nonliving concepts. In Experiments 1 and 2, concepts were presented twice: test phase followed study phase after either 3 min (Experiment 1) or 3 s (Experiment 2). At test, concepts were paired with the same feature as that at study, or a different feature from either the same modality (within-modality priming) or another modality (cross-modality priming). In both experiments functional decisions were faster than sensory decisions for living and nonliving concepts. Whilst no semantic priming occurred between study and test in Experiment 1, the shorter study-test interval of Experiment 2 did lead to test phase semantic priming. Here there was greater within- than cross-modality priming for sensory decisions, but equivalent within- and cross-modality priming for functional decisions owing to significantly greater facilitation of functional decisions from prior sensory decisions than vice versa. Experiment 3 involved a single verification phase: For half the participants the feature name preceded the concept name, and for half the concept name preceded the feature name. The functional processing advantage persisted irrespective of presentation order. Results suggest that functional information is central to the representation of all concepts: Function is processed faster than sensory information and is activated obligatorily.     

Multiple family therapy: current status and critical appraisal

This article provides an updated review and synthesis of the research and clinical literature dealing with multiple family therapy as an identifiable treatment approach. Major emphasis is placed on the literature published since an earlier comprehensive review (63). It is concluded that multiple family therapy is a viable and promising treatment modality, yet one that in clinical practice remains underused, conceptually underdeveloped, and poorly differentiated from other treatment approaches. Recommendations are made and pathways are identified that may promote the further growth and development of the approach.     

Recognition and recall in amnesics

Although there is considerable agreement that performance in direct memory tasks (e.g., recall, recognition) is more disrupted by amnesia than performance in indirect memory tasks (e.g., mirror reading, word completion), one may be able to further circumscribe the deficit within the domain of direct memory tasks. The present article explores whether recall is disproportionately disrupted by amnesia compared to recognition. If amnesia affects memory uniformly across different direct memory measures, recall of normal controls should not differ from the recall of amnesics when recognition scores of these two groups are equated. On the other hand, if recall is disproportionately disrupted, normal recall should be superior to amnesic recall even when recognition is equated. The present study equated amnesic recognition with that of controls by providing amnesics with 8 s of study time and normal subjects with 0.5 s. Amnesics with Korsakoff's syndrome, amnesics with other etiologies, and appropriate controls were examined. Normal recall was superior to amnesic recall even when no differences were found in recognition. The results further specify the selective nature of amnesia.