Primary Care Physicians’ Awareness, Experience and Opinions of Direct-to-Consumer Genetic Testing

The purpose of this study was to assess primary care physicians’ awareness, experience, opinions and preparedness to answer patients’ questions regarding direct-to-consumer (DTC) genetic testing. An anonymous survey was mailed to 2,402 family and internal medicine providers in North Carolina. Of the 382 respondents, 38.7% (n = 148) were aware of and 15% (n = 59) felt prepared to answer questions about DTC genetic tests. Respondents aged 50 or older were more likely to be aware of DTC genetic testing than those less than 40 years old (OR = 2.42). Male providers were more likely to feel prepared to answer questions than female providers (OR = 2.65). Among respondents who reportedly were aware, family practitioners were more likely than internists (OR = 3.30) to think DTC testing was clinically useful, and 18.9% had patients ask questions or bring in test results. The small percent of physicians who were aware of DTC genetic testing or felt prepared to answer questions about it suggests that education of providers will be necessary if testing becomes more widespread.     

Involving Parents in Indicated Early Intervention for Childhood PTSD Following Accidental Injury

Accidental injuries represent the most common type of traumatic event to which a youth is likely to be exposed. While the majority of youth who experience an accidental injury will recover spontaneously, a significant proportion will go on to develop Post-Traumatic Stress Disorder (PTSD). And yet, there is little published treatment outcome research in this area. This review focuses on two key issues within the child PTSD literature—namely the role of parents in treatment and the timing of intervention. The issue of parental involvement in the treatment of child PTSD is a question that is increasingly being recognized as important. In addition, the need to find a balance between providing early intervention to at risk youth while avoiding providing treatment to those youth who will recover spontaneously has yet to be addressed. This paper outlines the rationale for and the development of a trauma-focused CBT protocol with separate parent and child programs, for use with children and adolescents experiencing PTSD following an accidental injury. The protocol is embedded within an indicated intervention framework, allowing for the early identification of youth at risk within a medical setting. Two case studies are presented in order to illustrate key issues raised in the review, implementation of the interventions, and the challenges involved.     

Neural substrates of individual differences in human fear learning: Evidence from concurrent fMRI, fear-potentiated startle, and US-expectancy data

To provide insight into individual differences in fear learning, we examined the emotional and cognitive expressions of discriminative fear conditioning in direct relation to its neural substrates. Contrary to previous behavioral-neural (fMRI) research on fear learning--in which the emotional expression of fear was generally indexed by skin conductance--we used fear-potentiated startle, a more reliable and specific index of fear. While we obtained concurrent fear-potentiated startle, neuroimaging (fMRI), and US-expectancy data, healthy participants underwent a fear-conditioning paradigm in which one of two conditioned stimuli (CS(+) but not CS(-)) was paired with a shock (unconditioned stimulus [US]). Fear learning was evident from the differential expressions of fear (CS(+) > CS(-)) at both the behavioral level (startle potentiation and US expectancy) and the neural level (in amygdala, anterior cingulate cortex, hippocampus, and insula). We examined individual differences in discriminative fear conditioning by classifying participants (as conditionable vs. unconditionable) according to whether they showed successful differential startle potentiation. This revealed that the individual differences in the emotional expression of discriminative fear learning (startle potentiation) were reflected in differential amygdala activation, regardless of the cognitive expression of fear learning (CS-US contingency or hippocampal activation). Our study provides the first evidence for the potential of examining startle potentiation in concurrent fMRI research on fear learning.     

How Do Interviewers and Children Discuss Individual Occurrences of Alleged Repeated Abuse in Forensic Interviews?

Police interviews (n = 97) with 5‐ to 13‐year‐olds alleging multiple incidents of sexual abuse were examined to determine how interviewers elicited and children recounted specific instances of abuse. Coders assessed the labels for individual occurrences that arose in interviews, recording who generated them, how they were used and other devices to aid particularisation such as the use of episodic and generic language. Interviewers used significantly more temporal labels than did children. With age, children were more likely to generate labels themselves, and most children generated at least one label. In 66% of the cases, interviewers ignored or replaced children's labels, and when they did so, children reported proportionately fewer episodic details. Children were highly responsive to the interviewers' language style. Results indicate that appropriately trained interviewers can help children of all ages to provide the specific details often necessary to ensure successful prosecution. Copyright © 2013 John Wiley & Sons, Ltd.     

Military Sexual Trauma in Treatment-Seeking Women Veterans

As the number of women serving in the military continues to grow, it is increasingly important to explore the sequelae of military sexual trauma (MST) among female veterans. The current study included 232 female veterans who sought outpatient mental health treatment at an urban Veterans Affairs hospital. The study's aims were to (a) describe and compare the demographic characteristics, health behaviors, and psychological symptoms of female veterans who have experienced MST to those veterans who do not report this experience; and (b) examine the associations between psychological symptoms and health behaviors in this sample, stratified by MST status. Results indicate that treatment-seeking women veterans who reported experiencing MST endorsed more psychological distress compared to those who did not report experiencing MST. In addition, psychological symptoms were associated with engaging in problematic health behaviors, such as binge eating and infrequent physical exercise among both those women who experienced MST and those who did not.     

Recycling Cultural Construction: Desecularisation in Postsoviet Mari El1

By examining the experience of an innovative and ambitious initiative in the evolution of the interfaith movement in Australia, this article analyses three contested themes: first, how to connect religion more closely with culture, thereby placing interfaith relations within the context of intercultural awareness; second, how to develop a regional initiative which, informed by Australia's urban history and sociology, would complement and dovetail with preexisting interfaith and intercultural activities; and third, how to translate the general principles of dialogue into the operational environments of local communities. By analysing the insertion of dialogue into the modalities of ‘everyday’ life, this article illuminates how a multidimensional approach to interfaith dialogue can resonate with the cultural–political specificities of a major metropolitan concentration.     

Characterisation of music-evoked autobiographical memories

Despite music's prominence in Western society and its importance to individuals in their daily lives, very little is known about the memories and emotions that are often evoked when hearing a piece of music from one's past. We examined the content of music-evoked autobiographical memories (MEAMs) using a novel approach for selecting stimuli from a large corpus of popular music, in both laboratory and online settings. A set of questionnaires probed the cognitive and affective properties of the evoked memories. On average, 30% of the song presentations evoked autobiographical memories, and the majority of songs also evoked various emotions, primarily positive, that were often felt strongly. The third most common emotion was nostalgia. Analyses of written memory reports found both general and specific levels of autobiographical knowledge to be represented, and several social and situational contexts for memory formation were common across many memories. The findings indicate that excerpts of popular music serve as potent stimuli for studying the structure of autobiographical memories.     

Suppression of negative and expression of positive emotions: Divergent effects of emotional display rules in a hostile service interaction

Cross-sectional studies have found that demands to express positive emotions have more desirable associations with service providers' well-being and service quality than demands to suppress negative emotions. Despite their potential importance, emotional labour research has not clarified the nature of these differences yet. The present experimental study aimed to investigate the causal effects of demands to suppress negative emotions, demands to express positive emotions, and their interaction in a simulated service interaction. In total, 101 participants were instructed to play the role of a service employee, who had to interact with a dissatisfied and uncivil customer. Participants were randomly given information that the organization expected them to (1) express genuinely felt emotions, (2) suppress negative emotions, (3) express positive emotions, or (4) suppress negative emotions and express positive emotions. Results confirmed that demands to suppress negative emotions decreased well-being, whereas demands to express positive emotions led to a better service quality. Moreover, service quality was only increased if demands to express positive emotions were not supplemented by demands to suppress negative emotions. These findings suggest that not only demands to express positive emotions can reduce the cost/benefit ratio of emotional labour, but also organizations should avoid imposing demands to suppress negative emotions.     

A gift that takes its toll: Emotion recognition and conflict appraisal

Individuals' attributions about conflict influence their behaviour: Appraising conflict as relationship-oriented rather than task-oriented increases individuals' likelihood to engage in conflict-escalating behaviour. This study analysed to what extent emotion recognition influences people's conflict appraisal in teams. Seventy individuals assigned to teams reported on their team conflicts once a week over the course of 2.5 months. The results show that team members high in emotion recognition tend to make more relationship-oriented conflict attributions. At the same time, they make less task-oriented conflict attributions. This tendency towards relationship-oriented attributions was moderated by team-level agreeableness and extraversion: Individuals high in emotion recognition perceived more relationship conflict the lower the average level of agreeableness and extraversion in their teams.     

Dimensions of Job Satisfaction Identified Among South African Black Middle-level Managers: A Qualitative Investigation

The aim of the present study was to identify the factors contributing to job satisfaction for black middle-level managers and to contextualise these factors in terms of Afrocentric values and South Africa's socio-political and historical background. The sample comprised eight participants (4 males and 4 females), primarily from the educational sector, selected by means of purposive sampling. Semi-structured telephonic interviews were conducted to collect data, and the Interpretative Phenomenological Analysis (IPA) was used for in-depth analysis of the participants' experiences. Social needs consistent with Ubuntu were identified as important. These included a need for effective communication, transparency, trust and tolerance in the face of cultural and work-related differences. The frustrations associated with cultural differences and language barriers were elaborated on. For the participants, professional development and recognition were related to affirmative action policies and practices as well as the socio-political background. These findings contribute to the limited research available for the particular population—an essential contribution, given the cultural diversity of the South African workforce.