Psycho-social Counselling in Predictive Genetic Testing for Cancer: The Association Between Number of Supportive Sessions and Client Characteristics as Assessed by Psycho-social Workers

Given the increased demand on genetic services, it is important to identify clients who may require relatively more extensive psychosocial support. This paper describes which client characteristics, as assessed in the first psycho-social counselling session, were associated with requiring relatively more psycho-social support (≥3 sessions) in the process of predictive testing for cancer. The study population consisted of 244 counselees for hereditary cancer. Data were derived from an electronic data-base, used by psycho-social workers for the systematic registration of relevant details of each counselling session. Data were analysed for two respective groups: (A) patients who had a known mutation in the family and (B) patients with an as yet unknown mutation in the family. Results show that two or more psychosocial sessions were given if the information derived from the first session indicated the client to have childhood experiences with cancer (in group A), to experience the family role and/or the psychological impact as burdensome (in both groups) or to experience the social impact as burdensome (in group B). We conclude that the first assessment by a psychosocial worker already provides valuable information on the psychological support needs of patients. These findings provide insight into possible problem areas for clients dealing with predictive genetic testing.     

Approximate number sense,symbolic number processing,or number–space mappings: What underlies mathematics achievement?

In this study, the performance of typically developing 6- to 8-year-old children on an approximate number discrimination task, a symbolic comparison task, and a symbolic and nonsymbolic number line estimation task was examined. For the first time, children’s performances on these basic cognitive number processing tasks were explicitly contrasted to investigate which of them is the best predictor of their future mathematical abilities. Math achievement was measured with a timed arithmetic test and with a general curriculum-based math test to address the additional question of whether the predictive association between the basic numerical abilities and mathematics achievement is dependent on which math test is used. Results revealed that performance on both mathematics achievement tests was best predicted by how well children compared digits. In addition, an association between performance on the symbolic number line estimation task and math achievement scores for the general curriculum-based math test measuring a broader spectrum of skills was found. Together, these results emphasize the importance of learning experiences with symbols for later math abilities.     

Dampening of positive affect prospectively predicts depressive symptoms in non-clinical samples

Past research has convincingly shown that a ruminative response style to negative affect (NA) predicts concurrent and prospective levels of depressive symptoms. Recent findings suggest that how people respond to positive affect (PA) might also be involved in the development of depressive symptoms, although this has heretofore not been tested prospectively. Participants from two non-clinical samples (total N=487) completed measures of depressive symptoms, response styles to NA (negative rumination) and response styles to PA (positive rumination and mood dampening) at two assessments separated by a 3-month (Sample 1) and 5-month period (Sample 2). Results in both samples showed that increased dampening responses to PA predict depressive symptoms at follow-up, even when taking into account baseline depressive symptoms and ruminative responses to NA. The results suggest that (dampening) responses to PA add useful information above and beyond (ruminative) responses to NA in predicting depression symptoms prospectively.     

Systems and symptoms: Family cohesion/ adaptability and childhood behavior problems

The relation between family systems and child symptomatology was examined among children aged 6 to 11 and adolescents aged 12 to 16 who had been referred for clinical services. On the basis of an assessment of family cohesion and adaptability, the families were divided into three groups: extreme, midrange, and balanced. Problem behaviors were assessed with a symptoms checklist, and the child's self-esteem was also measured. Families in the balanced range had children with fewer symptoms than did midrange or extreme families; his relation was less strong among families with adolescents. Self-esteem and symptoms were negatively correlated in these samples. Self-esteem did not moderate the relation between systems and symptoms but was independently related to family functioning. These results suggest the operation of bilateral processes within the family that link cohesion and adaptability, on the one hand, with low self-esteem and indications of psychopathology, on the other.This investigation is based on a dissertation submitted by the first author in partial fulfillment of the requirements for the Ph.D. Degree in developmental psychology, University of Nijmegen, and was conducted with financial support supplied by Program Project HD 50527, National Institute of Child Health and Human Development, Willard W. Hartup, principal investigator. We wish to thank James Hogan, Scott Jacobson, James Jungerberg, Philip Mead, Grace Owen, Mary Sirek, and Gary Yeast for their assistance in gathering the data, and Yoav Lavee for assistance with the data analysis. We are also grateful to the parents and children for their cooperation.     

A Topological Approach to Full Belief

Journal of Philosophical Logic - Stalnaker (Philosophical Studies, 128(1), 169–199 2006) introduced a combined epistemic-doxastic logic that can formally express a strong concept of belief, a...