Training Genetic Counsellors to Deliver an Innovative Therapeutic Intervention: their Views and Experience of Facilitating Multi-Family Discussion Groups

Innovations in clinical genetics have increased diagnosis, treatment and prognosis of inherited genetic conditions (IGCs). This has led to an increased number of families seeking genetic testing and / or genetic counselling and increased the clinical load for genetic counsellors (GCs). Keeping pace with biomedical discoveries, interventions are required to support families to understand, communicate and cope with their Inherited Genetic Condition. The Socio-Psychological Research in Genomics (SPRinG) collaborative have developed a new intervention, based on multi-family discussion groups (MFDGs), to support families affected by IGCs and train GCs in its delivery. A potential challenge to implementing the intervention was whether GCs were willing and able to undergo the training to deliver the MFDG. In analysing three multi-perspective interviews with GCs, this paper evaluates the training received. Findings suggests that MFDGs are a potential valuable resource in supporting families to communicate genetic risk information and can enhance family function and emotional well-being. Furthermore, we demonstrate that it is feasible to train GCs in the delivery of the intervention and that it has the potential to be integrated into clinical practice. Its longer term implementation into routine clinical practice however relies on changes in both organisation of clinical genetics services and genetic counsellors’ professional development.     

Understanding Attachment: Beliefs About Conflict

This study examined attachment prototype, attachment‐related feelings about conflict, style of expressing conflict, and conflict tactics using self‐report questionnaires from 188 volunteer college students. Analysis indicated that (a) persons who endorsed secure attachment reported feeling less threat from arguing than those endorsing preoccupied or fearful attachment and less concern with closeness during conflict than those endorsing preoccupied attachment, (b) persons endorsing dismissing attachment reported significantly more conflict avoidance than the securely attached, and (c) those endorsing secure attachment reported significantly less fighting and more effective arguing than those endorsing fearful attachment. Implications for preventive and remedial counseling are discussed.     

Using heart rate as a physical activity metric

Physical activity (PA) is critical for a healthy lifestyle. The current study assessed heart rate (HR) as a primary measure of moderate and vigorous PA with four typically developing children. First, individualized HR assessments were conducted to determine moderate and vigorous HR zones. Next, participants engaged in various exercises at a local YMCA facility (i.e., biking, elliptical, basketball, and exergame boxing) to determine how HR during these activities aligned with their individualized HR zones. During exercise bouts, HR was typically above moderate, but below vigorous HR zones for all participants. Additionally, exercises that restricted range of motion (i.e., biking and elliptical) engendered generally lower HR than exercises with greater range of motion. Vocal instructions to exercise at vigorous levels were effective at increasing HR to vigorous levels for one participant. The advantages of using HR as a metric of PA during assessment and intervention are discussed.     

Syllable onsets are perceptual reading units

Syllable onsets are defined as the initial consonant or consonant cluster in a syllable (e.g., BR in BREAD). In the present study, using a letter detection paradigm and French words, we tested whether syllable onsets are processed as units by the reading system. In Experiment 1, we replicated Gross, Treiman, and Inman's (2000) result of observing no difference between the detection latencies of letters embedded in a multi-letter syllable onset (e.g., c in ECLATER) relative to a single-letter syllable onset (e.g., C in ECARTER). In Experiment 2, participants took longer to detect the target letter when it was in the second position of a multi-letter onset (e.g., L in TABLIER) than when it was a single-letter onset (e.g., L in ECOLIER). In Experiment 3, this position effect was replicated for graphemes. In Experiment 4, we tested and ruled out an alternative explanation of the unitization effect, in terms of lateral masking. These results indicate that syllable onsets are processed as perceptual units by the reading system and that the unitization effect is position dependent.     

Nasal consonant production in Broca's and Wernicke's aphasics: speech deficits and neuroanatomical correlates

The present study investigated the articulatory implementation deficits of Broca's and Wernicke's aphasics and their potential neuroanatomical correlates. Five Broca's aphasics, two Wernicke's aphasics, and four age-matched normal speakers produced consonant-vowel-(consonant) real word tokens consisting of [m, n] followed by [i, e, a, o, u]. Three acoustic measures were analyzed corresponding to different properties of articulatory implementation: murmur duration (a measure of timing), amplitude of the first harmonic at consonantal release (a measure of articulatory coordination), and murmur amplitude over time (a measure of laryngeal control). Results showed that Broca's aphasics displayed impairments in all of these parameters, whereas Wernicke's aphasics only exhibited greater variability in the production of two of the parameters. The lesion extent data showed that damage in either Broca's area or the insula cortex was not predictive of the severity of the speech output impairment. Instead, lesions in the upper and lower motor face areas and the supplementary motor area resulted in the most severe implementation impairments. For the Wernicke's aphasics, the posterior areas (superior marginal gyrus, parietal, and sensory) appear to be involved in the retrieval and encoding of lexical forms for speech production, resulting in increased variability in speech production.     

Processing of biological motion point-light displays by baboons (Papio papio)

Humans apply complex conceptual judgments to point-light displays (PLDs) representing biological motion (BM), but how animals process this kind of display remains uncertain. Four baboons (Papio papio) were trained to discriminate BM from nonbiological motion PLDs using an operant computerized test system. Transfer tests were given after training with novel BM stimuli representing humans or baboons (Experiment 1), with inverted PLDs (Experiment 2), and with BM stimuli in which body parts had been spatially disorganized (Experiment 3). Very limited transfer was obtained with the novel and inverted displays in Experiments 1 and 2, but transfer was much higher after spatial disorganization in Experiment 3. It is suggested that the baboons did not retrieve and interpret the articulated shape of the human or monkey body from the BM PLD stimuli, but rather focused their attention on the configural properties of subparts of the stimuli. Limits in perceptual grouping and restricted abilities in picture-object equivalence might explain why the baboons did not map BM PLD displays onto what they represent.     

An evaluation of in vivo desensitization and video modeling to increase compliance with dental procedures in persons with mental retardation

Fear of dental procedures deters many individuals with mental retardation from accepting dental treatment. This study was conducted to assess the effectiveness of two procedures, in vivo desensitization and video modeling, for increasing compliance with dental procedures in participants with severe or profound mental retardation. Desensitization increased compliance for all 5 participants, whereas video modeling increased compliance for only 1 of 3 participants.     

Like mother,like daughter: similarities in narrative style

Children (2-5-year-olds and 8-13-year-olds) and their parents were independently interviewed about highly salient events: injuries serious enough to necessitate hospital emergency room treatment. Free recall narratives were scored using 14 measures of length, elaborative detail, cohesion, coherence,and provision of context. Mothers' narratives were more cohesive and coherent than fathers', and girls' narratives differed from boys' in parallel ways. Parent and child measures were correlated, and narratives of mother-daughter dyads (for the older daughters) showed striking similarity in all 5 properties, whereas there was no narrative similarity within father-son, mother-son, or father-daughter dyads. This suggests a special status for mother-daughter dyads in terms of how events come to be linguistically represented in narrative.