Direct-to-Consumer Genetic Testing: What Are We Talking About?

The term Direct-to-Consumer (DTC) genetic testing refers to many different categories of testing. This editorial addresses the issues related to DTC testing for large effect and small effect variants associated with disease. In particular, there are issues of clinical validity and utility, informativeness and residual risk. Genetic counselors are poised to address these issues because of their training in probability and statistical models. The authors suggest that genetic counselors can impact the general public’s understanding of DTC test results by: including evaluation of DTC concepts in graduate program curricula, holding AEC plenary sessions about emerging DTC concepts, and helping other professionals understand DTC concepts. Importantly, genetic counselors are advised to continue doing and promoting rigorous research on how people access and use DTC genetic testing and results, as well as gathering empirical data so that discussions of harms and benefits can go beyond theory. It is our hope that genetic counselors in practice will continue to critically evaluate claims made about emerging new tests, including those marketed DTC, in order to provide the best possible services to our patients.     

BUCK-PASSING AND THE RIGHT KIND OF REASONS

The 'buck-passing' account equates the value of an object with the existence of reasons to favour it. As we argued in an earlier paper, this analysis faces the 'wrong kind of reasons' problem: there may be reasons for pro-attitudes towards worthless objects, in particular if it is the pro-attitudes, rather than their objects, that are valuable. Jonas Olson has recently suggested how to resolve this difficulty: a reason to favour an object is of the right kind only if its formulation does not involve any reference to the attitudes for which it provides a reason. We argue that despite its merits, Olson's solution is unsatisfactory. We go on to suggest that the buck-passing account might be acceptable even if the problem in question turns out to be insoluble.     

Issues in brief counselling with postgraduate research students

In this study it is suggested that for some postgraduate research students, their ability to learn and their coping resources to deal with the emotionally demanding process of undertaking a PhD may derive in part from their attachment style, which in turn derives from early attachment experience. A time-limited counselling intervention resulted in a reduction in the CORE-OM global index of psychological distress from above the clinical cut-off point to below it in 10 out of 12 participants, and a significant reduction in the remaining two cases. All participants presented with concerns over their ability to complete their theses and yet all did so within four years or its part time equivalent. Self-report ratings of the degree of perceived impairment also reduced significantly and these correlated positively with reduction in global distress. It is further proposed that although a direct link between a counselling intervention and outcome of study has not been shown, the correlation shown here between global distress and reported academic impairment coupled with an earlier reported statistical association between difficulties experienced by students and outcome strongly suggests such a link.     

The consistency of hysteric traits across three situational contexts

The consistency of personality traits across three situational contexts was demonstrated, thereby supporting the view of the individual as creator of societal groups and institutions. Nineteen sorority members were administered the Multivariate Personality Inventory (MPI), an instrument that assesses eight trait styles derived from a multivariate theory of personality in three conditions varying in both temporal order and immediate strength of sorority activity. As predicted, greater endorsement of the hysteric style was found for sorority members and the endorsement remained consistent across the three situational conditions. Results are discussed in light of the view that traits are fairly comparable across situations even though social behavior could vary depending upon the demands of the situation.     

Interevent differences in event memory: Why are some events more recallable than others?

Interitem differences in the free recall of action events were studied in five experiments. The action events were presented in three different formats: minitasks performed by the subjects in response to verbal instructions from the experimenter (SPTs), minitasks performed by the experimenter (EPTs), and task instructions (TIs). Not only were reliable interevent differences in recall probability demonstrated within each format, but these differences tended to correlate across formats, especially between the SPTs and EPTs; thus, a highly recallable SPT also tended to be a highly recallable EPT. Attempts to explain interitem recall differences in terms of differences in familiarity, vividness, and the availability of environmental cues were largely unsuccessful. An experimental analysis of the action events into action and object components showed the recall probabilities of our events to be mainly dependent on the recall probabilities of their action components, with only a minor dependence on the recall probabilities of their object components.     

Nutritional misinformation of children: A developmental and experimental analysis of the effects of televised food commercials

This study assessed the accuracy of judgments of 100 school age children as to the presence of real fruit content in 3 sets of cereals and beverages advertised on TV: real fruit, nonfruit, and artificially fruit flavored products. In the baseline session, accuracy was an increasing function of age, but children at each age were deceived about real fruit content of artificial fruit products. In session 2, the experimental group saw TV ads for 6 products embedded in a program (naturalistic viewing). They then judged fruit content for these six advertised products, plus a matched set of six for which ads were not shown. Controls saw toy ads on TV, and then judged the same 12 products. In session 3, subjects in each group saw the same ads they had seen in Session 2, without the program and with instruction to attend very carefully to messages in the ad (intensive viewing). They then judged all 12 products again. After naturalistic viewing, few significant differential changes from baseline were found. But after intensive viewing, accuracy of judgment of advertised artificial fruit products was lower than baseline among experimental group children. By contrast, accuracy was higher than baseline both for control children's judgements of “advertised” prod-     

LONG-TERM EFFECTS OF OPPOSITIONAL CHILD TREATMENT WITH MOTHERS AS THERAPISTS AND THERAPIST TRAINERS

The follow-up data reported represent a long-term (3 to 9 years out of treatment) evaluation of 40 children who were clients of the Regional Intervention Program (RIP) from 1969 to 1978. As 3-, 4-, and 5-year olds, these youngsters exhibited severe and prolonged tantrums, continual opposition to adults' requests and commands, and physical aggression toward parents. Each child and mother participated in a standardized intervention package modeled after Wahler's Opposition Child Treatment. Results from school and home-based follow-up showed that: (a) commands, demands, or requests made by parents were likely to be followed by former clients' compliance; (b) former clients' social interactions in the home were overwhelmingly positive and their nonsocial behavior was by and large appropriate; (c) parent behavior in the home was consistent with the child management skills taught many years ago; (d) there were no differences between the compliant, on-task, social interaction and appropriate/inappropriate nonsocial behaviors of former clients and randomly selected class peers; (e) there were no differences in teachers' commands, negative feedback, positive social reinforcement, and repeated commands that were directed toward either former clients or randomly selected class peers; (f) both teachers' and parents' rating of former clients on the modified Walker Problem Behavior Checklist were highly correlated; (g) there were no differences in teachers' rating of former clients and class peers; and (h) of all the studied demographic variables, only age that treatment began and family intactness were related to current levels of behavior.     

The costs of selecting power bases or messages associated with the opposite sex

A study was conducted to examine the interpersonal costs of using power bases associated with the opposite sex. The study also tested two hypotheses regarding influence differences associated with two statistical interactions: (1) the sex of the source by the sex-type of the message, and (2) the sex of the subject by the sex-type of the message. Subjects (N=387) viewed a videotype containing one of six speakers (three males, three females) delivering one of two speeches (about gun control or child care centers) and using one of two power bases (helplessness or expertise). The results indicated that speakers using power bases associated with the opposite sex were liked less and regarded as less competent and qualified than their counterparts. The results also indicated that female speakers aroused more belief in the child care message and male speakers aroused more belief in the gun control message than did the other speaker-message combinations. No significant effects were associated with the interaction between subjects' sex and message. Among other findings, female subjects generally rated the messages and the speakers more positively than did male subjects.     

Software review

Summary The actual software that is used in theSurvival Words program is less than adequate. It is definitely not a stand-alone program. The lessons that appear on the computer are not structured effectively, and are not very interesting. However, the manual that accompanies the software offers a wide variety of instructional activities that could be very beneficial in teaching students to read sight word vocabulary. Perhaps lessons should be structured so that the group instruction described in the manual occurs before students use the software. In this way, students could use the software as another source of instruction that could assist them in maintaining skills rather than acquiring skills.     

Relationships between marital satisfaction,resources, and power strategies

A study was conducted to determine usefulness of the Falbo and Peplau model for understanding the power strategies and marital satisfaction of 42 nonstudent married couples. In addition, this study examined the impact of imbalanced resources on power strategy use and marital satisfaction. Overall, the results supported the hypothesis that people who see themselves as Equal Partners are more satisfied with their relationship than Traditional Partners. The results also indicated that Equal Partners reported using fewer strategies overall in trying to get their way. Thus, the greater use of power strategies may be associated with being in an imbalanced resource relationship, such as a traditional marriage. Furthermore, the results of this study supported the expectation that marital dissatisfaction is associated with the use of indirect strategies. Although husbands and wives overall were not found to differ in their power strategy use, there was a suggestion that traditional wives used more power strategies, regardless of type, than traditional husbands.This research was based upon the first author's doctoral dissertation at the University of Texas at Austin.