Patients’ Attitudes Towards Disclosure of Genetic Test Results to Family Members: The Impact of Patients’ Sociodemographic Background and Counseling Experience

Many factors predict the intention to disclose genetic information to relatives. The article examines the impact of patients’ socio-demographic factors on their intention to disclose genetic testing results to their relatives. Data were collected in eight genetic clinics in Israel. Patients were requested to fill in a questionnaire after counseling. A convenience sample of 564 participants who visited these clinics was collected for a response rate of 85 %. Of them, 282 participants came for susceptibility testing for hereditary cancers (cancer group), and 282 for genetic screening tests (prenatal group). In the cancer group, being secular and having more years of education correlated positively with the intention to disclose test results to relatives. In the prenatal group, being married and female correlated positively with the intention to disclose. In the cancer group, being religious and with less years of education correlated positively with the view that the clinician should deliver the results to the family. In the prenatal group, being male and unmarried correlated positively with this belief. In both groups, being of young age correlated with the perception that genetic information is private. Varied sociodemographic factors affect the intention to inform family members. Thus, knowing the social background of patients will shed light on people’s attitudes to genetic information and will help clinicians provide effective counseling in discussions with patients about the implications of test results for relatives.     

A validity study of existential/dialectical marital questionnaire [EDMQ]: A psychometric questionnaire for assessing marital interaction

This paper reports the successful development of a psychometric questionnaire for analyzing marital functioning and interaction based on an existential/dialectical model originally presented by Charny as the basis for a clinical model for rating couples,Existential/Dialectical Marital Profile [EDMP]. The clinical model and psychometric questionnaire address five main areas of functioning in marriage: family management, companionship, relationship and communication, attraction and sexuality, and parenting; as well as five main dimensions of marital relationship: competence, commitment, respect, power, and closeness.Presented at the Conference of the International Family Therapy Association, Amsterdam, May, 1993. This study was completed as a master's thesis by Shlomit Asineli in collaboration with and under the supervision of Professor Israel Charny at the Bob Shapell School of Social Work, Tel Aviv University.     

Not All Partial Grounds Partly Ground: Some Useful Distinctions in the Theory of Grounding

The aim of this paper is to argue for some useful distinctions in the theory of grounding. I do so by first introducing the notion of grounding, discussing some of its features, and arguing that grounds must play some role in bringing about what they ground (sec.1). I then argue that there are various distinct roles a fact may play in bringing about another, and more particularly that we should distinguish between three such roles; enablers, partial grounds, and facts that partly ground (sec. 2). Finally, I present two theoretical advantages to incorporating these distinctions into our theory of grounding. Namely, that it reframes, and arguably dissolves, the contingentist-necessitarian debate (sec. 3), and that it helps to elegantly deal with the purported counterexamples to the transitivity of grounding and thus maintain the plausible elements of the assumption that grounding is a transitive relation (sec.4).     

The Effect of Training with Music on Happiness Recognition in Social Anxiety Disorder

The process of emotion recognition is thought to be negatively biased in social anxiety disorder (SAD). Ways to change this bias are needed. Forty one individuals afflicted with moderate SAD and 39 healthy controls were recruited to participate in this study. All subjects performed a vocal improvisation recognition task and half of them underwent training in happiness recognition in musical improvisations. The four groups (trained SAD, untrained SAD, trained controls and untrained controls) were then compared in terms of the extent of precise identification of one of five basic emotions (happiness, fear, anger, sadness and surprise) in spoken language. Subjects with SAD demonstrated less accurate identification of happiness in spoken language as compared to the healthy controls. However, subjects with SAD trained to recognize happiness demonstrated an improved ability to identify happiness in spoken language (in a female’s voice), similarly to that of the healthy controls. Our findings demonstrate that a brief training in happiness recognition improves the ability of individuals with SAD to recognize happiness in spoken language. Additional studies are needed to support and refine our intervention and to examine its impact on individuals with SAD over longer periods of time.     

No skin off my back: retribution deficits in psychopathic motives for punishment

When deciding a criminal's punishment, people typically exhibit both retributive and consequentialist motives in their decision making, though retribution's role may be stronger. This study aimed to discern possible functions of retribution by examining a population predicted to be deficient in retributive drive. Participants who rated either high or low in psychopathic traits read stories about a homicide. These stories were designed to evoke both retribution and the consequentialist motive of behavior control by varying, respectively, criminal intent and likelihood of recidivism. The participants then recommended a length of confinement for the offender. Individuals high in psychopathic traits were uniquely insensitive to retributive cues, and they were particularly consequentialist in their punishment of criminal offenders. These results clarify aspects of psychopathic aggression and corroborate the hypothesis that retribution may stabilize cooperative behavior.     

Attentional bias in anxiety: a behavioral and ERP study

Accumulating evidence suggests the existence of a processing bias in favor of threat-related stimulation in anxious individuals. Using behavioral and ERP measures, the present study investigated the deployment of attention to face stimuli with different emotion expressions in high-anxious and low-anxious participants. An attention-shifting paradigm was used in which faces with neutral, angry, fearful, sad, or happy expressions were presented singly at fixation. Participants had to fixate on the face cue and then discriminate a target shape that appeared randomly above, below, to the left, or right of the fixated face. The behavioral data show that high-anxious participants were slower to respond to targets regardless of the emotion expressed by the face cue. In contrast, the ERP data indicate that threat-related faces elicited faster latencies and greater amplitudes of early ERP components in high-anxious than in low-anxious individuals. The between-group pattern in ERP waveforms suggests that the slower reaction times in high-anxious participants might reflect increased attentional dwelling on the face cues, rather than a general slowing of response enacting.     

The effect of implementation intentions on transfer of training

Two experiments investigated the effect of forming implementation intentions on transfer of training in two training programs. In the first experiment (N = 37), trainees who formed implementation intentions implemented active listening skills sooner, and to a greater degree, than those in the control group. In the second experiment (n = 28), conducted in the field, trainees who formed implementation intentions received a higher performance score for implementing the trained behavior compared with those in the control condition. Results from both experiments provide empirical evidence suggesting that forming implementation intentions at the end of a training program increases the likelihood of using the newly acquired skills.     

Body-image,quality of life and psychological distress: a comparison between kidney transplant patients and a matching healthy sample

The purpose of the current study was to assess the uniqueness of the condition of kidney transplant recipients in comparison to a sample of matching healthy peers in relation to body-image dissatisfaction and identification, quality of life and psychological distress. Participants were 45 kidney transplant recipients who were under follow-up care at a Transplant Unit of a major Medical Center, and a sample of 45 matching healthy peers. Measures were taken using self-report questionnaires [Body-Image Ideals Questionnaire (BIIQ), Body Identification Questionnaire (BIQ), Brief Symptoms Inventory (BSI), and the SF-12]. The major findings were the following: (i) kidney transplant recipients reported lower levels of quality of life and higher levels of PsD when compared to their healthy peers; (ii) no difference in body-image dissatisfaction was found between the two studied groups; (iii) significant correlations between body-image dissatisfaction quality of life and PsD were found only in the kidney transplant recipients. The kidney transplantation condition has a moderating effect in the association between body-image dissatisfaction PsD but not in the association between body-image dissatisfaction and quality of life; (iv) kidney transplant recipients experienced higher levels of body identification than did their healthy peers. Taken together, these findings highlight the unique condition of kidney transplant recipients, as well as the function that body-image plays within the self.     

Evidence for an Association between Men’s Spontaneous Objectifying Gazing Behavior and their Endorsement of Objectifying Attitudes toward Women

Sex Roles - Despite growing scientific interest in the sexually objectifying male gaze, the relation between men’s gazing behavior and their sexually objectifying attitudes has not yet been...     

Post-Truth,Hegemonic Discourse and the Psychoanalytic Task of Decentering

This paper offers a psychological definition of truth and construes subjectivity as evolving from dynamic tensions between conflicting truths that inhabit and structure the psyche. Exploring the epistemic multiplicity of the mind in philosophic and psychoanalytic terms, psychic malaise and hegemonic discourse are formulated in terms of the domination of particular truths at the expense of the repression and dissociation of others. In this context the concept of “post-truth” is discussed in terms of hegemony, discourse and a regressive tendency to grant truth a single definition that is consequently imposed on the psyche. A clinical vignette illustrates the creation of a transitional truth-space that reverses the exclusion of particular truths and engages in a truths dialogue on both inter- and intrasubjective levels.