Providing Counseling for Individuals With Alzheimer's Disease and Their Caregivers

Alzheimer's disease is a progressive condition that results in brain wasting and eventual death. With its increasing diagnosis rate, counselors will likely acquire clients with Alzheimer's disease or their caregivers. Important background information and several practical counseling methods are provided that may assist counselors working with this population.     

Facilitative interactions of model- and experiencebased processes: Implications for type and flexibility of representation

People are often taught using a combination of instruction and practice. In prior research, we have distinguished between model-based knowledge (i.e., acquired from explicit instruction) and experience-based knowledge (i.e., acquired from practice), and have argued that the issue of how these types of knowledge (and associated learning processes) interact has been largely neglected. Two experiments explore this issue using a dynamic control task. Results demonstrate the utility of providing model-based knowledge before practice with the task, but more importantly, suggest how this information improves learning. Results also show that learning in this manner can lead to "costs" such as slowed retrieval, and that this knowledge may not always transfer to new task situations as well as experientially acquired knowledge. Our findings also question the assumption that participants always acquire a highly specific "lookup" table representation while learning this task. We provide an alternate view and discuss the implications for theories of learning.     

Repetition priming in music

The authors explore priming effects of pitch repetition in music in 3 experiments. Musically untrained participants heard a short melody and sang the last pitch of the melody as quickly as possible. Each experiment manipulated (a) whether or not the tone to be sung (target) was heard earlier in the melody (primed) and (b) the prime-target distance (measured in events). Experiment 1 used variable-length melodies, whereas Experiments 2 and 3 used fixed-length melodies. Experiment 3 changed the timbre of the target tone. In all experiments, fast-responding participants produced repeated tones faster than nonrepeated tones, and this repetition benefit decreased as prime-target distances increased. All participants produced expected tonic endings faster than less expected nontonic endings. Repetition and tonal priming effects are compared with harmonic priming effects in music and with repetition priming effects in language.     

Questions and reflections: the use of motivational interviewing microskills in a peer-led brief alcohol intervention for college students

The purpose of this study was to examine the association between peer facilitator adherence to motivational interviewing (MI) microskills and college student drinking behavior. First year students (N=67) took part in a Brief Alcohol Screening and Intervention for College Students (BASICS) led by peer facilitators trained in MI and BASICS. Participants were assessed pre- and 2 weeks post-intervention on contemplation to change, as well as, pre- and 3 months post- intervention on drinking quantity. Independent coders used the Motivational Interviewing Treatment Integrity scale (MITI, Moyers, Martin, Manuel, & Miller, 2003) to evaluate therapist MI adherence. Peer facilitators met beginning proficiency in MI on scores of empathy, the ratio of MI adherent behaviors to non-adherent behaviors and the ratio of open questions to total questions as defined by the MITI. Results indicated that a higher number of closed questions was related to less contemplation and a higher number of open questions was related to more contemplation post intervention. A higher number of simple reflections was associated with increased drinking at the 3 month assessment, however, complex reflections were found to attenuate the effect of simple reflections on changes in drinking. These findings highlight the importance of competent reflective listening skills and the need for continual training and supervision for peer facilitators.     

How does culture influence the degree of romantic loneliness and closeness?

A culture promoting a strong desire for romantic relationships can greatly influence feelings of romantic loneliness and of closeness. In this study, the authors hypothesized that when not in a romantic relationship, U.S. young adults experience greater degrees of romantic loneliness because of a high desire for romantic relationships, compared with Korean young adults. The authors also predicted that when in a romantic relationship, U.S. young adults experience greater closeness to their romantic partner than do Korean young adults. Results revealed that in a sample of 227 U.S. and Korean students, U.S. students reported significantly higher levels of romantic loneliness than did Koreans when not in a romantic relationship and significantly lower levels of romantic loneliness when in a stable romantic relationship. U.S. students also reported a greater degree of closeness in romantic relationships than did Korean students. The results suggest that Western cultures' strong emphasis on the importance of romantic relationships may unduly amplify individuals' levels of loneliness.     

Psychometric properties of the Beck Depression Inventory-II in low-income, African American suicide attempters

Cross-cultural examinations of the validity and reliability of the Beck Depression Inventory-II (Beck, Steer, Ball, & Ranieri, 1996) is essential for its use in assessment and monitoring of the effectiveness of suicide interventions across racial groups. We tested the fit of a second-order, two-factor model and the internal reliability of the BDI-II in a sample of 133 African Americans with a recent history of suicide attempts. Additionally, we examined the convergent validity with the Hamilton Rating Scale for Depression (Reynolds & Koback, 1995). The results indicate that the BDI-II is a reliable and valid measure of depressive symptoms for African American suicide attempters.     

Perceptual deterioration is reflected in the neural response: fMRI study of nappers and non-nappers

Repeated training on a perceptual task can result in performance deterioration. In the case of vision, this practice-dependent decrease, or perceptual deterioration is restored by changing the target orientation, spatial location, or by taking a daytime nap. Behavioral studies suggest the locus of these performance changes to be primary visual cortex. We used fMRI to directly probe whether perceptual deterioration and nap-dependent maintenance of performance can be detected at the level of primary visual cortex. We also asked whether these changes are due to a bottom-up, stimulus-driven response or a top-down plasticity of attentional mechanisms. Subjects were scanned while performing a texture-discrimination task. Half the subjects took a nap between sessions. We measured the relationship between changes in performance and changes in BOLD signal modulation between the two groups. Non-nappers showed performance deterioration that was significantly correlated with decreased BOLD signal modulation, exclusively in area V1 and limited to the bottom-up condition. In contrast, no change was detected in performance and BOLD response in the two conditions for nappers. These results indicate that napping prevented performance deterioration, which was reflected in the fMRI response of neurons in V1. Without a nap, perceptual deterioration was related to decreases in the stimulus-driven, bottom-up representation, rather than decreases in attentional modulation to the stimulus.     

Interactive Genetic Counseling Role-Play: A Novel Educational Strategy for Family Physicians

Background Family physicians (FPs) are increasingly involved in delivering genetic services. Familiarization with aspects of genetic counseling may enable FPs to help patients make informed choices. Purpose Exploration of interactive role-play as a means to raise FPs’ awareness of the process and content of genetic counseling. Methods FPs attending two large Canadian family medicine conferences in 2005 were eligible—93 participated. FPs discussed a case during a one-on-one session with a genetic counselor. Evaluation involved pre and post intervention questionnaires Results FPs’ baseline genetic knowledge was self-rated as uniformly poor. Baseline confidence was highest in eliciting family history and providing psychosocial support and lowest in discussing risks/benefits of genetic testing and counseling process. Post-intervention, 80% of FPs had better appreciation of family history and 97% indicated this was an effective learning experience. Conclusions Role-play with FPs is effective in raising awareness of the process and content of genetic counseling and may be applied to other health disciplines. This research was funded by: The Canadian Institutes of Health Research (CIHR) Institute of Genetics, The Genetics Education Project (funded by the Ontario Women’s Health Council), and GeneSens (funded by a CIHR Interdisciplinary Capacity Enhancement Team Grant).     

Emergence of an egocentric cue guiding and allocentric inferring strategy that mirrors hippocampal brain-derived neurotrophic factor (BDNF) expression in the Morris water maze

From insects to humans, successful navigation relies on retained representations of spatial relations. These representations are thought to depend on the hippocampal formation, particularly those that are independent of the navigator (allocentric representations). The Morris water maze is a simple and popular task often used to assess spatial navigation. But how animals navigate toward and retain information regarding the location of the goal in this task remains unclear. We provide a comprehensive account of how the water maze is accomplished behaviourally. Our findings suggest that animals solve the task using distal cues via an initial view-matching strategy that is supported by egocentric guidance. Through increased training, however, an emergence of an egocentric-guiding strategy combined with the animal’s greater ability to infer the hidden platform’s location (via allocentric extrapolation) emerges. We also demonstrate that behavioural changes, towards a more allocentric strategy, are reflected in increases in hippocampal brain-derived neurotrophic factor.     

Bringing the National Security Agency into the Classroom: Ethical Reflections on Academia-Intelligence Agency Partnerships

Science and Engineering Ethics - Academia-intelligence agency collaborations are on the rise for a variety of reasons. These can take many forms, one of which is in the classroom, using students to...