Personal Genomic Testing as Part of the Complete Breast Cancer Risk Assessment: A Case Report

Patient access and utilization of personal genomic testing is becoming increasingly common. We present a case of a patient's personal genomic screening results leading to early detection of infiltrating breast ductal cell carcinoma via MRI scan. This case exemplifies the successful integration of personal genomic testing into the primary care setting, with the guidance and support of genetic counseling services. We discuss the scientific basis of the patient's genome scan results and risk assessment, and how this informed her decision-making and subsequent screening. We also expound upon the role of personal genomic testing as compared to other screening tests in the complete breast cancer risk assessment.     

Overconfidence at the Keyboard: Confidence and Accuracy in Interpreting Affect in E‐Mail Exchanges

Gesture, voice, expression, and context add richness to communications that increase chances of accurate interpretation. E‐mails lack much of this richness, leading readers to impose their own richness. Three experiments tested the effect of communicator relationship and availability of context on e‐mail writer and reader confidence levels and accuracy. Effects of nonverbal and verbal behavior were also investigated. Results showed that confidence levels for both writers and readers were high, yet somewhat unwarranted based on accuracy rates. Further, writers had more confidence that friends would correctly interpret e‐mails than strangers, although friends showed no more accuracy. Findings suggest that reliance upon friendship and context, as well as verbal and nonverbal cues, to interpret emotion in e‐mail is ineffective, sometimes detrimental.     

The association for behavior analysis international position statement on restraint and seclusion

A task force authorized by the Executive Council of the Association for Behavior Analysis International (ABAI) generated the statement below concerning the techniques called restraint and seclusion. Members of the task force independently reviewed the scientific literature concerning restraint and seclusion and agreed unanimously to the content of the statement. The Executive Council accepted the statement, and it was subsequently approved by a two-thirds majority vote of the general membership. It now constitutes official ABAI policy. The position statement is posted on the ABAI Web site (www.abainternational.org/ABA/statements/RestraintSeclusion.asp). The purpose of the position statement is to provide guidance to behavior analysts and other professionals interested in the position of ABAI on these controversial topics. In extreme cases, abuses of procedures erroneously used in the name of behavior analysis are not defensible. On the other hand, behavior analysts acting ethically and in good faith are provided with guidelines for sound and acceptably safe practice. To the extent that behavior-analytic positions influence public policy and law, this statement can be presented to officials and lawmakers to guide informed decision making. At the conclusion of the document, a bibliography is provided of articles and presentations considered by one or more task force members in developing the position statement.     

THE EFFECTS OF SELF-MONITORING AND SUPERVISOR FEEDBACK ON STAFF PERFORMANCE IN A RESIDENTIAL SETTING

We evaluated the effects of a self-monitoring procedure to increase staff on-task behavior and adherence to scheduled activities. Self-monitoring involved the use of activity cards that staff members completed and carried with them to assist in determining the activities for which they were responsible at any given time. Increases in both on-schedule and on-task behavior resulted. Supervisor feedback was subsequently added because some staff members did not maintain consistently high levels of performance. Generalization data indicated that staff members implemented the procedure during evening hours without specific programming. The advantages and limitations of using a self-monitoring procedure for improving performance of staff members in residential settings are discussed.     

Guidelines for Professional Referral to Alcoholics Anonymous and Other Twelve Step Groups

In working with clients who have addiction issues in addition to the presenting problem, counselors often consider support groups as adjuncts to treatment. “Twelve step” groups have been useful for this purpose. In this article the authors review Alcoholics Anonymous (AA), the oldest and largest twelve step group. They explore some criticisms of AA, describe its components and mechanics, and provide guidelines for client referral.     

The Development and Longitudinal Test of a Model of Organizational Identification

This study proposed and tested a theoretical model of the organizational identification process using a sample ( N = 198) of electric utility employees. Based upon a longitudinal design, results indicated that the antecedents of perceived role-related characteristics and construed external image were related to employees' identification with their organization, while perceived motivating job characteristics were not. Additionally, organizational identification was positively related to the employees' intention to remain within the organization. Implications for research and practice are discussed.     

Job Support Groups: Three Configurations

Support groups can help counselors both as a referral source and as an adjunct in counseling. This report describes 3 approaches to job support groups and compares them on a number of key dimensions to assist counselors in identifying attributes of job support groups that can be most helpful to different clients.