Ethical Dilemmas in Genetic Testing: Examples from the Cuban Program for Predictive Diagnosis of Hereditary Ataxias

Predictive testing protocols are intended to help patients affected with hereditary conditions understand their condition and make informed reproductive choices. However, predictive protocols may expose clinicians and patients to ethical dilemmas that interfere with genetic counseling and the decision making process. This paper describes ethical dilemmas in a series of five cases involving predictive testing for hereditary ataxias in Cuba. The examples herein present evidence of the deeply controversial situations faced by both individuals at risk and professionals in charge of these predictive studies, suggesting a need for expanded guidelines to address such complexities.     

Contributions of Multicultural Counseling to Counselor Competence With Lesbian,Gay, and Bisexual Clients

This article outlines the contributions of multicultural counseling to 3 areas of counselor competence with lesbian, gay male, and bisexual male and female (LGB) clients: conceptualization of competence, counselor education, and assessment of counselor competence. The authors describe the foundations of multicultural counseling and extend the concepts to counselor competence with LGB clients. Este artículo resume las contribuciones de la consejería multicultural a tres campos de habilidad consejera con clientes homosexuales y hombres y mujeres bisexuales: la conceptualización de la competencia, educación del consejero, y evaluación de competencia para consejería. Los autores describen los fundamentos de la consejería multicultural y extienden estos conceptos a la competencia consejera con clientes homosexuales, lesbianas, y bisexuales.     

Community Implementation Successes and Challenges of a Cognitive-Behavior Therapy Group for Individuals with a First Episode of Psychosis

CBT for psychosis has recently been called a best practice, suggesting that studies have demonstrated its efficacy with many populations. Community settings are encouraged to implement best practices such as CBT yet many factors can make the implementation of CBT challenging. Issues such as clinician resistance, setting, as well as client variables (refusal, denial of symptoms, etc.) come into play. Examples of successes and challenges of a community based study of CBT groups for first episodes will be described. The strategies used to overcome these challenges and the successes of the program will be presented.     

Establishing and maintaining an operant research facility with brushtail possums (Trichosurus vulpecula)

The common brushtail possum (Trichosurus vulpecula) is a readily accessible marsupial that has been shown to adapt relatively well to captivity. The aim of this paper is to outline the husbandry procedures, experimental equipment, and methodologies used successfully within our possum colony since 1995.     

Stability in alexithymia levels: A longitudinal analysis on various emotional answers

Alexithymia refers to a specific disturbance in emotional processing that is manifested through difficulties in identifying and verbalizing feelings, and a tendency to focus and amplify the somatic sensations accompanying emotional arousal. The main purpose of the present study was to investigate the stability levels of alexithymia related to changes in emotional distress levels caused by university exams at two different times: after and during the exams. We carried out a 17-week follow-up on 36 university students, alexithymic features and self-reported emotional distress (anxiety, depression and somatic illness) were measured. Whereas emotional distress measures changed significantly during the follow-up period, the degree of alexithymia remained unchanged. We conclude therefore that alexithymia presents a constant trait in non-clinical samples, in contrast to anxiety and depression, which are state phenomena, influenced by stress levels.     

The Church of England’s Pray One for Me intercessory prayer site: a virtual cathedral?

Over the past decade there has been a growing number of studies examining the prayer content of people’s personal prayers left in intercessory church-related contexts. Since 2012, these studies have extended to include the cathedral intercessory prayer board and the online intercessory prayer site. Both ‘the cathedral’ and ‘the online site’ are distinctive contexts for intercessory prayer in terms of their openness and accessibility for a broad range of people, who are allowed to enter and use these prayer facilities. What is not known, however, is whether the cathedral prayer board and the online site are functioning in similar ways. This study presents an analysis of 500 prayers posted on the Church of England’s ‘Pray One for Me’ (POFM) website over a period of six months in 2012. The analysis employs the ap Siôn Analytic Framework for Intercessory Prayer (apSAFIP), which distinguishes among prayer intention, prayer reference, and prayer objective. The results of the analysis are compared with the results from recent cathedral studies employing the same analytic tool, and it is concluded that these two prayer contexts are functioning differently.     

Examination of the reliability and validity of the personality assessment inventory

The reliability, discriminant validity, and construct validity of the Personality Assessment Inventory (PAI) — a multidimensional self-report measure of abnormal personality traits — were examined within the Australian context. Subjects included 151 normals, 30 alcoholics, and 30 schizophrenic patients. A subsample of 70 nonpsychiatric adults responded to the PAI items twice over a test-retest interval of 28 days. The resulting median retest coefficient was 0.7, indicating less than optimal stability. The median alpha (KR₂₁) coefficient was 0.8, suggesting somewhat narrow measurement scales. A significant multivariate main effect was obtained across groups after the effects of age and gender were removed. Multiple comparisons for each of the PAI scales revealed significant differences between the respective groups, as discussed. A higher-order scale factoring did not strongly support the purported PAI structure. In reanalyses of the correlation matrices included in the Professional Manual, the purported PAI factor structure was unable to be replicated for the standardization clinical sample (N=1246), and a confirmatory factor analysis using the normative (validation) correlational data (N=1000) revealed poor fit indices, raising further concerns about construct validity.