Predictive Testing of Eighteen Year Olds: Counseling Challenges

Genetic counseling of teenagers is challenging and complex. The ability to think abstractly, a sense of self and independence from family all develop during adolescence. Predictive genetic testing counseling protocols presuppose that these qualities exist, requiring the at-risk individual to consider the short and long term consequences of testing as well as their motivations. Eighteen year olds are in transition from adolescence to adulthood; eligible for predictive genetic testing, they may not yet be independent of their family or able to articulate their feelings. This paper presents case studies from the authors' clinical practice to illustrate some of the difficulties faced by genetic counselors when 18 year olds request predictive testing for Hereditary Non-Polyposis Colorectal Cancer. By reflecting upon their experiences with these young adults and their families, the authors' intention is to generate discussion about genetic counseling strategies, particularly for predictive genetic testing, that are both age-appropriate and family-sensitive.     

Establishing a causal chain: why experiments are often more effective than mediational analyses in examining psychological processes

The authors propose that experiments that utilize mediational analyses as suggested by R. M. Baron and D. A. Kenny (1986) are overused and sometimes improperly held up as necessary for a good social psychological paper. The authors argue that when it is easy to manipulate and measure a proposed psychological process that a series of experiments that demonstrates the proposed causal chain is superior. They further argue that when it is easy to manipulate a proposed psychological process but difficult to measure it that designs that examine underlying process by utilizing moderation can be effective. It is only when measurement of a proposed psychological process is easy and manipulation of it is difficult that designs that rely on mediational analyses should be preferred, and even in these situations careful consideration should be given to the limiting factors of such designs.     

An evaluation of the minimal constraining information during observation for movement reproduction

An important question in the field of imitation is what information is used for movement reproduction. While it is argued that relative motion information is perceived and minimised, direct evidence is lacking. In this experiment relative motion was manipulated to convey a novel kicking action. Twenty-four adults were assigned to one of the three impoverished relative motion display groups showing only the TOE, FOOT or LEG. After practise with partial information, participants watched a full-body display and in a final condition performed the action with an additional context constraint (i.e., a ball). Movement kinematics were collected and difference scores between participants and the model were analysed. The groups did not differ in terms of knee-ankle coordination. For hip-knee, the TOE group performed more like the model than the FOOT and LEG group. When transferred to the full-body display, there were no significant improvements. End-point trajectory information can provide sufficient information to reproduce key characteristics of the movement form.     

Interpret with caution: multicollinearity in multiple regression of cognitive data

Shibihara and Kondo in 2002 reported a reanalysis of the 1997 Kanji picture-naming data of Yamazaki, Ellis, Morrison, and Lambon-Ralph in which independent variables were highly correlated. Their addition of the variable visual familiarity altered the previously reported pattern of results, indicating that visual familiarity, but not age of acquisition, was important in predicting Kanji naming speed. The present paper argues that caution should be taken when drawing conclusions from multiple regression analyses in which the independent variables are so highly correlated, as such multicollinearity can lead to unreliable output.     

Making the Parents as Partners Principle a Reality: The Role of the Alliance

We explore the dimensions of the Parents as Partners principle, the widely touted, but somewhat elusive construct in the literature on treating children with serious mental illness, whose poorly defined boundaries, lack of empirical grounding, and overemphasis on instrumental dimensions attenuates its usefulness as a guide for practice and research. Four major barriers to the realization of this principle are outlined, all of which may impede actualizing partnership in practice and may also inhibit the early formation of a positive clinician/parent alliance, a neglected, though key dimension of true partnership practice. The alliance, which has a long clinical and research history in psychotherapy and behavioral research, and more recently, in a variety of community-based interventions, is a precursor to active client partnership with helpers and to treatment participation, as well as therapeutic in its own right. After reviewing relevant alliance research, we close with a beginning research agenda to incorporate the alliance as an integral component of future conceptualization and research about the Parents as Partners principle.     

Clients' treatment expectations at a community mental health center

Clients' expectations about mental health care, particularly differences in these expectations as a function of social class, and the relationship of discrepancies between expectations and perceptions to treatment outcome, is examined in this study with 317 Caucasian clients. In contrast to the majority of studies, no differences in treatment expectations relating to clients' social class, sex, or marital status were found. Nor were discrepancies related to course or outcome of therapy. Discussion focuses around explanation and interpretation of these findings. Particularly relevant is the need to determine the extent to which nonusers in the community share the attitudes and expectations of clients.     

Social insulation, self-complexity, and social attraction: A theory chain

In a theory chain extending Byrne's theory of social attraction, links are described between breadth of social interaction and complexity of the self-concept as well as between complexity of the self-concept and social attraction. In the first series of studies, it was shown that communication-handicapped adolescents and physically handicapped children, as well as terminally ill patients, indicate lower self-complexity. In a second series of studies, it was found that persons with more complex self-concepts identify more closely with others, perceive themselves as more similar to objectively dissimilar others, and are more popular sociometrically.