Disease Rarity,Carrier Status,and Gender: A Triple Disadvantage for Women with Fabry Disease

Fabry disease is a multi-systemic X-linked genetic disorder which has progressive and deadly consequences for those it afflicts. Fabry disease symptoms are widely recognized as a substantive burden for affected males. In comparison, female heterozygotes have traditionally been viewed as relatively symptom-free, though a debate continues about whether and how much they suffer with the disease. Previous research suggests that females with Fabry disease may be triply disadvantaged in healthcare settings owing to: (1) disease rarity, (2) devalued carrier status, and (3) gender. The combined effects of these three factors suggest that female heterozygotes may suffer substantially with Fabry disease symptoms. A qualitative analysis of a brief disease-specific questionnaire provides supportive evidence. The female Fabry disease participants described experiencing significant symptoms that interfered with their lives. They also described unsatisfying experiences with healthcare professionals related to disease rarity, carrier status, and gender. The results of this study corroborate the suggestion that this triple disadvantage exists and may preclude appropriate management and treatment of females with Fabry disease. The role of healthcare professionals, including genetic counselors, in remedying this disadvantage is reviewed.     

An Acceptance-Based Psychoeducation Intervention to Reduce Expressed Emotion in Relatives of Bipolar Patients

Expressed emotion (EE) is a robust predictor of outcome in bipolar disorder. Despite decades of research, interventions to reduce EE levels have had only modest effects. This study used an expanded model of EE to develop an intervention. Research has demonstrated a strong link between attributions and EE in families of patients with psychiatric disorders. There is also substantial research to suggest that anger can drive blaming attributions. Combining these ideas, this study built on previous psychoeducation interventions through the addition of an acceptance component designed to decrease anger and blaming attributions among family members of those with bipolar disorder. Twenty-eight family members attended a 1-day or 2-evening multifamily group workshop and completed a follow-up assessment 1 week later. At follow-up, participants demonstrated more knowledge about bipolar disorder. Anger, blaming attributions, and number of criticisms remained unchanged. Results of this study are consistent with others in that it is difficult to change EE. Implications for future clinical research in this area are addressed.     

The Effects of Adult Suggestion and Child Consistency on Young Children's Reports1

The purpose of the present study was to contrast the effects of children's response consistency and adult leading questions in a structured memory interview. Children (N = 70) who viewed a 2‐min video clip were asked 3 questions (leading, misleading, and neutral) related to the video. Children's responses (assent vs. deny) were predicted by the type of question asked by the adult (neutral, leading, and misleading), but not by the previous response given by the child or the child's age in months. Specifically, children assented the least often to misleading questions. Accuracy was predicted by both question type and in the last question–answer pair, children's previous response accuracy. These findings are discussed with relation to interview dynamics.     

Relations Among Ethnicity, Gender, Beliefs, Attitudes, and Intention to Pursue a Career in Information Technology

Using data from 159 African Americans and 98 Anglo Americans, we examined relations among ethnicity, gender, information technology (IT) self-efficacy, occupational stereotypes, attitudes toward IT, and IT career intentions. Results revealed that IT self-efficacy and occupational stereotypes were related to attitudes toward IT jobs, and these attitudes were positively related to career intentions. In addition, there were ethnic and gender differences in IT self-efficacy and occupational stereotypes. In particular, African American men reported higher levels of IT self-efficacy, whereas Anglo American women reported lower levels of IT self-efficacy than did members of all other groups. Furthermore, Anglo Americans had more negative stereotypes of IT professionals than did African Americans. Implications for research and practice are discussed.     

Support for harmful treatment and reduction of empathy toward blacks: “Remnants” of stereotype activation involving Hurricane Katrina and “Lil’ Kim”

Two experiments involving White participants tested the influence of media-based Black stereotypes on subsequent responses to Black and White persons-in-need. Experiment 1 showed that priming the “Black criminal” stereotype through exposure to photographs of Blacks looting after Hurricane Katrina produced greater application of the criminal stereotype and support for harmful treatment toward Black evacuees-in-need (i.e., police firing gun shots directly over evacuees’ heads) relative to control conditions. Experiment 2 showed that priming the “promiscuous Black female” stereotype through exposure to sexual rap music elicited greater application of the promiscuity stereotype and reduced empathy for a Black pregnant woman-in-need relative to control conditions. The influence of priming Black stereotypes through media exposure on support for harmful treatment and empathic responses was mediated by stereotypical attributions.     

New Advances in Understanding Sensitive Periods in Brain Development

ABSTRACT— Is a dog ever too old to learn new tricks? We review recent findings on sensitive periods in brain development, ranging from sensory processing to high-level cognitive abilities in humans. We conclude that there are multiple varieties of, and mechanisms underlying, these changes. However, many sensitive periods may be a consequence of the basic processes underlying postnatal functional brain development.     

Endurantism, Perdurantism and Special Relativity

There are two main theories about the persistence of objects through time. Endurantists hold that objects are three-dimensional, have only spatial parts, and wholly exist at each moment of their existence. Perdurantists hold that objects are four-dimensional, have temporal parts, and exist only partly at each moment of their existence. We argue that endurantism is poorly suited to describe the persistence of objects in a world governed by special relativity, and it can accommodate a relativistic world only at a high price not worth paying. Perdurantism, on the other hand, fits beautifully with our current scientific understanding of the world. We use only the implications of the Lorentz transformations, without appeal to geometrical interpretations, dimensional analogies or auxiliary premises like temporal eternalism.     

Graspability and object processing in infants

This review pursues the idea that a dual visual system approach is fruitful for interpreting work on infant cognition. We provide examples from the visual perception and cognition literature demonstrating that the potential graspability of stimuli typically used in infant studies influence how these stimuli are processed by the infant brain. Specifically, we argue that small, local, familiar and moving stimuli are more likely to be processed by the dorsal (how or action) stream of visual processing. In contrast, larger, stationary objects are likely to be processed by the ventral (what or perception) stream. This analysis clarifies apparently conflicting results in the literature.     

Take The First: Option-generation and resulting choices

Experimental decision-making research often uses a task in which participants are presented with alternatives from which they must choose. Although tasks of this type may be useful in determining measures (e.g., preference) related to explicitly stated alternatives, they neglect an important aspect of many real-world decision-making environments—namely, the option-generation process. The goal of the present research is to extend previous literature that fills this void by presenting a model that attempts to describe the link between the use of different strategies and the subsequent option-generation process, as well as the resulting choice characteristics. Specifically, we examine the relationship between strategy use, number and order of generated options, choice quality, and dynamic inconsistency. “Take The First” is presented as a heuristic that operates in ill-defined tasks, based on our model assumptions. An experiment involving a realistic (sports) situation was conducted on suitable participants (athletes) to test the predictions of the model. Initial results support the model’s key predictions: strategies producing fewer generated options result in better and more consistent decisions.     

Theory and Practice: Ernest Becker: a vital resource for counselling psychology

In this article we highlight the work of Ernest Becker for counselling psychology professionals and provide a brief overview of Becker's contributions. Several important themes from his writings relevant to counselling psychology are reviewed, including: the uniqueness of man, socialization and self-esteem, culture and heroism, the relativity of heroism, the fear of death, and the dynamics of evil. We also discuss some of the implications of Becker's work for counselling psychology and counselling psychology professionals, including: providing an integrative perspective on human behaviour and development, implications for multicultural counselling, understanding the hero system, the centrality of death in life, and helping people make meaning. We consider Ernest Becker's work a vital resource for counselling psychology.