What Do We Tell the Children? Contrasting the Disclosure Choices of Two HD Families Regarding Risk Statusand Predictive Genetic Testing

Above all else, predictive genetic testing provides information. Gaining insight into the psychosocial effects of this information is a primary goal of genetic counseling. For individuals utilizing predictive genetic testing, the acquisition of genetic information requires choices regarding disclosure within the family. This study uses a phenomenological methodology to explore the contrasting choices of two sets of HD parents regarding the disclosure of genetic risk status to their children. Additionally, the children (now adults) discuss their lived experience growing up with contrasting disclosure dynamics, and their current views regarding the use of predictive genetic testing for themselves. The primary finding of this study is that all of the adult children now express preference for early disclosure of genetic risk and an open/supportive communication style regarding HD. This finding has value for clinicians working with HD families who must make decisions regarding disclosure issues related to predictive genetic testing.     

Evaluating three criteria for establishing cue-search hierarchies in inferential judgment

The authors identify and provide an integration of 3 criteria for establishing cue-search hierarchies in inferential judgment. Cues can be ranked by information value according to expected information gain (Bayesian criterion), cue-outcome correlation (correlational criterion), or ecological validity (accuracy criterion). All criteria significantly predicted information acquisition behavior; however, in 3 experiments, the most successful predictor was the correlational criterion (followed by the Bayesian). Although participants showed sensitivity to task constraints, searching for less information when it was more expensive (Experiment 1) and when under time constraints (Experiment 2), concomitant changes in the relative frequency of acquisition of cues with different information values were not observed. A rational analysis illustrates why such changes in the frequency of acquisition would be beneficial, and reasons for the failure to observe such behavior are discussed.     

Retrograde enhancement of kinesthetic memory by alcohol and by glucose

Several studies have reported that administration of a low dose of alcohol is capable of retrograde enhancement of memory. It has been postulated that the neurobiological mechanisms underlying this effect may involve the liberation of glucose and/or activation of reward centers. Here the effects of a low dose of alcohol were compared to those of glucose on kinesthetic memory. Mood and blood glucose levels were also measured. Compared with a placebo, both glucose and alcohol significantly enhanced kinesthetic memory performance. Only glucose ingestion resulted in significantly elevated blood glucose levels. The three groups' mood scores were statistically indistinguishable. Low-dose alcohol consumption does not result in the release of glucose nor does it affect any aspect of mood, at least as measured here. These results confirm that kinesthetic memory can be improved by administration of alcohol and extend the range of tasks which are sensitive to enhancement by glucose.     

Positive affectivity predicts successful and unsuccessful adaptation to stress

This study examined adaptation to work stress among public school teachers (n = 267). Regression analyses tested whether positive affect predicted successful and unsuccessful adaptation to stress (viz., resilience and burnout, respectively) after controlling for demographic characteristics and work stress. Positive affect was largely correlated with resilience (r = .65, p < .001) and burnout (r = ?.57, p < .001). The regression of resilience showed that positive affect had a direct effect (β = .66, p < .001) and the total model explained 44 % of the variance (R ² Change = 37 %). In the regression of burnout, positive affect also had a direct effect (β = ?.41, p < .001) and the total model explained 52 % of the variance (R ² Change = 14 %). Further analyses found no significant interaction between work stress and positive affect, but revealed that positive affect completely mediated the effect of work stress on resilience. Results provide support for the broaden-and-build theory of positive emotions, particularly the theory’s building and undoing effects.     

The Interpersonal Model of Health Anxiety: Testing predicted paths and model specificity

Health anxiety involves persistent worry about one’s health and is characterized by dysfunctional interpersonal processes such as excessive health-related reassurance-seeking and feelings of alienation from others. Cognitive-behavioral models largely ignore cyclical, interpersonally averse behaviors and social cognitions observed amongst health anxious individuals. The Interpersonal Model of Health Anxiety (IMHA) proposes health anxiety is maintained through activated anxious attachment insecurities, which drive frequent, but ineffective, health-related reassurance-seeking from others. Such excessive health-related reassurance-seeking leads to health-related alienation and beliefs others are unconcerned about one’s perceived health problems. Feeling alienated from others fuels further health-related worry, resulting in continued self-defeating attempts at health-related reassurance-seeking. The present study offers the first comprehensive articulation and test of the IMHA. Using a cross-sectional design and 107 undergraduates, path analysis supported five of six hypothesized paths in the model; all paths except that from anxious attachment to health-related reassurance-seeking were significant and in the expected direction. Specificity tests suggested anxious attachment was more central than avoidant attachment to the IMHA. The present test of the IMHA as a single, coherent model provides a conceptual foundation for future research on interpersonal processes in health anxiety. Clinical implications are discussed.     

Christian Parental Reactions When a LGB Child Comes Out

The purpose of this study was to understand how parents who identify as Christian responded to and coped with their child's disclosure of same-sex sexuality and/or having a lesbian, gay, or bisexual identity (LGB). Research has shown the effect parental responses can have on the psychological health of sexual minorities, as well as the emotions Christian parents may experience post disclosure. Little research highlights the struggle Christian parents can experience due to tension between their religious beliefs and the love they have for their child. This study highlights a unique aspect of how parents attempt to negotiate this tension.     

Four Key Dimensions for Distinguishing Internet Infidelity From Internet and Sex Addiction: Concepts and Clinical Application

Along with the advances and positives the Internet can have for relationships, there are also significant challenges to couples and families, including the potential for Internet addiction, Internet infidelity, cybersex, and other issues. The ambiguity between these concepts in literature creates difficulty in diagnosis and treatment for couple therapists. We propose four dimensions that can assist therapists to appropriately distinguish between an Internet infidelity scenario, a sex addiction facilitated by the Internet, and an Internet addiction.     

Relationship Between Graphical Device Comprehension and Overall Text Comprehension for Third-Grade Children

This study examined relationships between reading comprehension, known predictors of reading comprehension (i.e., cognitive flexibility, fluency, reading motivation and attitude, vocabulary), and graphical device comprehension. One-hundred fifty-six third graders completed assessments of known predictor variables and an assessment tapping comprehension of graphical devices commonly found in age-appropriate informational texts: captioned pictures, insets, surface diagrams, cross-sectional diagrams, flow charts, timelines, and tables. Graphical device comprehension was strongly correlated with reading comprehension, r_s = 0.49, p (one-tailed) < 0.01. Regression analyses, including known and new variables, revealed that graphical device comprehension accounted for 12.81% of the resulting standardized model predicting general reading comprehension.