Participation in Breast Cancer Genetic Counseling: The Influence of Educational Level, Ethnic Background, and Risk Perception

Genetic counseling has been suggested as a means of providing information and support to women with a family history of breast cancer. Yet women who undergo cancer genetic counseling in the United States generally consist of only a subset of those at risk, namely well-educated, upper-middle class, European American and Jewish women. We report outcomes from a study that provided a unique opportunity to determine whether women of African American, European American, Native American, or Ashkenazi Jewish ancestry have varying interest in having cancer genetic counseling. The study offered a genetic counseling session to 97 women with a family history of breast cancer who were participating in a larger interview study designed to assess attitudes toward genetic testing for breast cancer. The study offered genetic counseling free of charge to all study participants with a family history of breast cancer, removing the potential barriers of cost, the need for a physician referral, and lack of awareness of genetic counseling. Fifty women out of the 97 women offered genetic counseling (52%) accepted the offer by completing a session. Those who accepted genetic counseling had a higher educational level, a higher perceived risk of breast cancer, and were more likely to expect a positive BRCA1 or BRCA2 genetic test if they were to undergo genetic testing. When controlling for education level, there was no correlation between the participants' ethnic background and acceptance of a genetic counseling session. Outreach efforts to minority populations may increase awareness of the availability of genetic counseling and may facilitate participation by such populations.     

Inattention as a key predictor of tobacco use in adolescence

The authors examined the prediction from inattention to tobacco use among 2 cohorts (ages 7 and 13) of a community sample followed to young adulthood. Changes in self-reported tobacco use were tested with marginal transitional regression models, using parent and teacher ratings of inattention, hyperactivity-impulsivity, and other psychopathology, along with other factors, as predictors. Inattention, but not hyperactivity-impulsivity, significantly predicted adolescent tobacco use and young adult daily tobacco use. Peer substance use, parental substance use, and conduct disorder also predicted increases in tobacco use. African American ethnicity was strongly protective against later tobacco use.     

Emotional Triggers and Psychopathology Associated with Suicidal Ideation in Urban Children with Elevated Aggressive-Disruptive Behavior

8.6% suicidal ideation (SI) was found among 349 urban 6–9 year olds in the top tercile of aggressive-disruptive behavior. SI was associated with more self-reported depression, ODD, conduct problems, and ADHD symptoms (ES 0.70–0.97) and 3.5–5 times more clinically significant symptoms. Parents rated more symptoms in older children associated with SI compared to parents of similar age children without SI, including greater somatic and behavior problems in 8–9 year olds with SI. Parent ratings did not differentiate SI and non-SI in 6–7 year olds. SI frequently co-occurred with thoughts about death. Children described anger, dysphoria and interpersonal conflict as motivators/triggers for SI and worries about safety/health as motivator/triggers for thoughts about death, suggesting that problems managing emotionally challenging situations are a specific factor in initiating SI. Universal and indicated interventions for children to strengthen emotional self-regulation and behavioral control are recommended to complement the current emphasis on suicide prevention among adolescents.     

Survivor experience and the norm of self-making: comments on Rape and Resistance

Philosophical Studies - This paper considers Linda Martín Alcoff’s discussion of sexual agency and sexual violation in Rape and Resistance. It is argued that Alcoff’s move away...     

Grieving From the Womb: Meaning Construction in Response to Father Loss Before Birth

This qualitative study examined the meanings constructed by Israeli adults to their loss of a father before birth. Using the interpretative phenomenological analysis approach, three themes of meaning were derived from in-depth semistructured interviews conducted with 12 Israeli adults who lost their fathers before they were born: (a) mother’s grief—a transmission of loss and grief; (b) defect, shame, guilt, and anxiety—congenital anomaly; and (c) ambiguous loss—phantom limb pain caused by an organ they did not have to begin with. An integrative view of all three themes highlights the notion that meaning construction in response to loss is a process forged by social and cultural forces and the use participants make in metaphoric language regarding physical aspects when constructing meanings to their loss. Practical implications are outlined.     

Moore,Ian Alexander: Eckhart,Heidegger, and the Imperative of Releasement

Continental Philosophy Review - In Eckhart, Heidegger, and the Imperative of Releasement, Ian Alexander Moore investigates Martin Heidegger’s use of releasement (Gelassenheit). Moore argues...     

An investigation of concurrent validity between two optimism/pessimism questionnaires: The life orientation test-revised and the optimism/pessimism scale

The purpose of this investigation was to investigate the concurrent validity of the Life Orientation Test-Revised (LOT-R) (Scheier et al., 1994) and Optimism/Pessimism Scale (OPS) (Dember et al., 1989) by administering each questionnaire to the same group of participants. The 154 participants (84 men and 70 women) were volunteer university students enrolled in physical activity classes at a southeastern university. The questionnaires were counterbalanced to reduce possible bias due to taking one questionnaire before taking the other. Due to recent suggestions concerning scoring mechanisms for the LOT-R (Dember et al., 1989; Hummer, Dember, Melton & Schefft, 1992; Lightsey, 1996; Marshall and Lang, 1990) the instrument was scored to produce a unidimensional score and two subscale scores. The analysis suggested that the LOTR and OPS may not be measuring similar constructs. The results revealed that the LOT-R may be measuring “trait” optimism and pessimism, while the OPS may be measuring “state” optimism and pessimism. It was also suggested that future research investigate racial differences on these constructs.     

Reliability and validity of a DSM-IV based ADHD screener.

The Diagnostic Rating Scale (DRS) was completed by the parents and teachers of 82 children referred for clinical evaluations, 73 referred children seen twice, and 218 non-referred children from the community. The DRS, which uses a categorical rather than a dimensional rating approach, was 70% to 90% sensitive to diagnoses of Attention Deficit/Hyperactivity Disorder (ADHD) made by blind clinical teams. In research and clinical applications, the DRS could improve screening efficiency, especially in situations where it would be desirable to exclude all children who might have ADHD or identify all children with Hyperactive-Impulsive symptoms. Because of its objectivity and consistency with the Diagnostic and Statistical Manual (DSM)-IV criteria, the DRS could facilitate comparison of participant samples across studies.     

The relationship between implicit and explicit motives, goal pursuit, and autobiographical memory content during a diary study

This online diary study investigated how motives interact with goal pursuit to predict daily autobiographical experiences. Participants (N = 141) completed measures of implicit and explicit achievement, provided daily memories and reports of their goal pursuit during a 3-week diary period. A stronger implicit achievement motive at the onset of the study was associated with more agentic (and fewer communal) autobiographical content. Goal progress was linked with using more agentic words, while goal attainability was related to using more communal words. Interactions between motives and goal pursuit on autobiographical memory suggests a trade-off: Favorable goal pursuit conditions may prompt people not motivated for achievement to shift their focus from agentic to communal themes, while individuals motivated for achievement maintain their priorities.