“Be Prepared if I Bring It Up:” Patients’ Perceptions of the Utility of Religious and Spiritual Discussion During Genetic Counseling

As debates continue about the relevance of religion to health care, research is needed to guide decisions about whether genetic counselors (GCs) should routinely address religious and/or spiritual (R/S) issues with their patients. We conducted an online survey to gauge patient perspectives on this issue. Among the 70 respondents, frequencies of closed-ended responses and thematic analyses of open-ended responses revealed multiple patient concerns related to R/S discussions with GCs. Although 60 respondents reported being R/S, only a small minority would want to discuss R/S issues if it meant less time discussing medical information. Most respondents also expressed opinions that: 1) genetic counseling should be about science; 2) GCs are not qualified to discuss R/S issues; 3) other outlets are available to meet the needs of patients who want R/S counseling; and/or 4) R/S discussions are more likely to be acceptable if patients broach the topic or in specific circumstances (e.g., when patients are facing end-of life issues). Overall, responses suggest routine or comprehensive R/S assessments or discussions are not necessary and that GCs would be best equipped to help all their patients if they were prepared to listen, be supportive, and make referrals when R/S issues arise in clinic.     

Genetic Counselors in Startup Companies: Redefining the Genetic Counselor Role

Genetic counselors (GCs) have recently begun moving into non-clinic based roles in increasing numbers. A relatively new role for GCs is working for startup companies. Startups are newly established companies in the phase of developing and researching new scalable businesses. This article explores the experiences of four GCs working at different startup companies and aims to provide resources for GCs interested in learning more about these types of roles. The article describes startup culture, including a relatively flat organizational structure, quick product iterations, and flexibility, among other unique cultural characteristics. Financial considerations are described, including how to understand and evaluate a company’s financial status, along with a brief explanation of alternate forms of compensation including stock options and equity. Specifically, the article details the uncertainties and rewards of working in a fast-paced startup environment that affords opportunities to try new roles and use the genetic counseling skill set in new ways. This article aims to aid GCs in determining whether a startup environment would be a good fit, learning how to evaluate a specific startup, and understanding how to market themselves for positions at startups.     

The Parable of the Sower: a case study examining the use of the Godly Play® method as a spiritual intervention on a psychiatric unit of a major children’s hospital

This case study examines the use of Godly Play® as a pastoral intervention on a psychiatric unit at Children’s Health – Children’s Medical Center in Dallas, Texas. The chaplain adapts Godly Play®, more typically used as a programme of Christian formation in churches and schools, for this setting, leading a ‘Purpose and Meaning’ group weekly whose goal is to provide inpatients with a developmentally appropriate way of reflecting on and expressing their own sense of identity, purpose and meaning within the personal, social and spiritual milieu in which they identify themselves as members. The case study examines how the method is adapted as a spiritual intervention in a clinical setting, and analyses its effectiveness in meeting the stated goals of the group.     

Do hotter temperatures increase the incidence of self-harm hospitalisations?

A relationship between air temperature and the incidence of suicide has been established in a number of previous studies. Interestingly, the relationship between geographical variation in temperature and suicide incidence has generally been found to be negative, while the relationship between temporal variation in temperature and suicide incidence has generally been found to be positive. It is less clear, however, how temperature relates to the incidence of self-harm. This topic is of particular importance given the presence of ongoing global warming. This study investigated the relationship between temperature and the incidence of self-harm resulting in hospitalisation in New Zealand. Self-harm hospitalisations by date and district for 1993–2009 were obtained from the Ministry of Health. Meteorological data was obtained from NIWA. Generalised linear mixed models were used to estimate the effects of three different components of variation in temperature: geographical, seasonal and irregular. Irregular (random) daily variation in temperature had a modest positive relationship with the incidence of acts of self-harm resulting in hospitalisation, with about 0.7% extra incidents for every 1 °C increase in temperature. However, there was no strong evidence for a positive effect of either seasonal or geographical variation in temperature. We conclude that temperature does appear to bear some relation to the incidence of self-harm, with irregular daily variation in temperature having a positive effect. However, inconsistencies in the effects of different components of variation in temperature make it challenging to accurately predict how global warming will influence the incidence of self-harm.     

Assessing Children’s Implicit Attitudes Using the Affect Misattribution Procedure

In the current research, we examined whether the Affect Misattribution Procedure (AMP) could be successfully adapted as an implicit measure of children’s attitudes. We tested this possibility in 3 studies with 5- to 10-year-old children. In Study 1, we found evidence that children misattribute affect elicited by attitudinally positive (e.g., cute animals) and negative (e.g., aggressive animals) primes to neutral stimuli (inkblots). In Study 2, we found that, as expected, children’s responses following flower and insect primes were moderated by gender. Girls (but not boys) were more likely to judge inkblots as pleasant when they followed flower primes. Children in Study 3 showed predicted affect misattribution following happy-face compared with sad-face primes. In addition, children’s responses on this child-friendly AMP predicted their self-reported empathy: The greater children’s spontaneous misattribution of affect following happy and sad primes, the more children reported feeling the joy and pain of others. These studies provide evidence that the AMP can be adapted as an implicit measure of children’s attitudes, and the results of Study 3 offer novel insight into individual differences in children’s affective responses to the emotional expressions of others.     

The role of mortality awareness in hero identification

Three studies examine hypotheses derived from terror management theory to investigate the relationship between mortality concerns and hero identification. Study 1 found reminders of death, followed by a distraction task and a self-prime, led to greater inclusion of heroes in the self. Study 2 found that writing about a personal hero, but not other’s heroes or acquaintances, led to lower death-thought accessibility after being reminded of mortality. Finally, Study 3 found that after death reminders, participants led to identify with a hero exemplifying traits of legacy and/or sacrifice showed lower death thought accessibility. Findings are discussed as generative for heroism research, informing a previously overlooked motivation underlying hero identification and the existential function of such identification.     

Why doesn’t feedback correct Vierordt’s law?

Vierordt [(1868). Der zeitsinn nach versuchen. Tübingen: Laupp] observed that participants over-reproduce short durations and under-reproduce long durations within a test range of sample durations (Vierordt’s law). Similar phenomena have been reported for sensory and other processing (e.g. [Helson (1964 Helson, H. (1964). Adaptation-level theory. New York, NY: Harper &; Row. [Google Scholar]). Adaptation-level theory. New York: Harper &; Row; Stevens, and Greenbaum (1966). Regression effect in psychophysical judgment. Perception &; Psychophysics, 1, 439–446]. Performance feedback (knowledge of results) does not correct this performance distortion although it does correct other errors. In Experiment 1, I tested the hypothesis that a random presentation order of the standard durations makes feedback on one trial inappropriate for the next trial preventing correction of the Vierordt effect. In Experiment 2, participants performed two consecutive reproductions after each standard duration. Having the opportunity to immediately utilize the feedback from the first reproduction did not eliminate the Vierordt effect, although participants did attempt to correct the error on the first reproduction. In Experiment 3, the Vierordt effect was reduced in a blocked presentation design. Feedback produced more veridical performance. I conclude that the resistance of the Vierordt effect to correction by feedback may result, in part, from feedback on a given trial being misapplied to correcting performance on the next trial. Ironically, the Vierordt effect, which produced the differing directions and magnitudes of performance errors reported by the feedback, may be what prevents feedback from correcting for the Vierordt effect.     

A Case for Christianizing the Christian Church

In this article I argue that the work of evangelism must take place both within the church and outside the church. The evidence of decline in the church – particularly in the West–is not matched by the vibrancy of the church in the global South. In both regions however there is a demonstrable lack of depth in the quality of Christian discipleship. It was this issue which I sought to address in my work in the Uniting Church in Australia by addressing the need for catechetical programmes targeting young people in the “migrant” churches of our denomination. Before long it became clear that there was a desire from the whole church – both adults and young people ‐ to explore their faith and practice more deeply. The task is to “evangelize the baptized” (Arias), which prioritizes evangelization and catechesis. Evangelism is how the church with its good news of God's reign attracts people out there in the society by word and example. Evangelization takes place within the church and is the initial stage by which persons are led step by step to a first commitment to the Christian life of faith.     

The moment‐to‐moment pitch dynamics of child‐directed speech shape toddlers’ attention and learning

Young children have an overall preference for child‐directed speech (CDS) over adult‐directed speech (ADS), and its structural features are thought to facilitate language learning. Many studies have supported these findings, but less is known about processing of CDS at short, sub‐second timescales. How do the moment‐to‐moment dynamics of CDS influence young children's attention and learning? In Study 1, we used hierarchical clustering to characterize patterns of pitch variability in a natural CDS corpus, which uncovered four main word‐level contour shapes: ‘fall’, ‘rise’, ‘hill’, and ‘valley’. In Study 2, we adapted a measure from adult attention research—pupil size synchrony—to quantify real‐time attention to speech across participants, and found that toddlers showed higher synchrony to the dynamics of CDS than to ADS. Importantly, there were consistent differences in toddlers’ attention when listening to the four word‐level contour types. In Study 3, we found that pupil size synchrony during exposure to novel words predicted toddlers’ learning at test. This suggests that the dynamics of pitch in CDS not only shape toddlers’ attention but guide their learning of new words. By revealing a physiological response to the real‐time dynamics of CDS, this investigation yields a new sub‐second framework for understanding young children's engagement with one of the most important signals in their environment.