The utilization of genetic counselors within a newborn screening program

Genetic counselors have participated in the Michigan Newborn Screening Program on a contractual basis since 1988. Their role includes newborn screening education and training, newborn nursery site visits, and monitoring newborn screening in hospitals. Their impact has been to improve the quality of newborn screening services by reducing errors and increasing completion of data fields on newborn screening cards, improving hospital nursery cooperation and problem solving, and enhancing health department response to specific problems.     

Brief report: An extension of the sequential alternating treatment design using reversals with subjects not available concurrently

This brief report proposes an extension of the traditional Alternating Treatments Design that would be acceptable to use in hospital and residential settings where subjects are often not concurrently available. Concerns about the inability of traditional designs to work in these special situations and the emergence of a “scientist–practitioner split” are discussed. An example of how the Extended Alternating Treatments Design might be used is provided.     

Representation of on-line questionnaires in an editable,auditable database

A general way of describing multiple-choice questionnaires for on-line presentation is described. Some of the important features supported include random ordering of and sampling among questions, substitution of specific-question text into boilerplate question and response formats, a limited ability to bypass irrelevant questions, experimenter editing of response arrays, and automatic production of hard-copy versions of the questionnaire for use during computer breakdowns and for archival documentation. All editing operations on both questionnaires and response data create audit trails for future reference.     

Human optokinetic nystagmus: competition between stationary and moving displays

We reported earlier that occlusion of the central retina and stationary edges have highly interactive effects on the gain of optokinetic nystagmus (OKN; Murasugi, Howard, & Ohmi, 1986). In this study, we explored this effect in more detail. A central occluding band of variable height, flanked by vertical bars, was superimposed onto an array of dots moving at 30 degrees per second. The height of the occluding band required to abolish OKN increased with the separation of the vertical bars. For bars 3.5 degrees apart, OKN was abolished in most subjects when a band only 6' high ran between them. For bars 75 degrees apart, a band at least 20 degrees in height was required to abolish the response. The effects of the stationary figure depended to some extent on the subject's attention, but only at intermediate values of bar separation. Both low- and high-level mechanisms are proposed to account for the results.     

Sacred marriage in the study of religion: A perspective from India on a concept that grew out of the ancient near east

Current scholarly understandings of ‘sacred marriage’ are seriously impaired by work that focuses on ancient cultures, primarily in the Near East, but also in Greece. Even when ‘diffusionism’, ‘patternism’, and an apparent preoccupation with rituals presumed sexual are all factored out, modern scholars offer little new because they appeal to rituals never witnessed and to fragmentary texts which we can only hope had some connection to ritual. Focusing on an extant ritual tradition in India with a 200-year-old festival and an explicitly associated text from the 13th century , Harman suggests that here, at least, sacred marriage is an elaborate, ritual statement of kinship responsibilities and obligations reestablished each year among deities and between deities and selected human beings.     

Insight without awareness: On the interaction of verbalization, instruction and practice in a simulated process control task

Four experiments in which subjects learned to control two versions of a complex simulated process control task show that verbalizable knowledge of procedures used to perform these tasks is very limited and is acquired late in learning. Individual learning curves associated with these tasks showed sudden improvements in performance, which were not accompanied by a similar increase in verbalizable knowledge. It was also found that verbal instructions consisting of exemplar memorization, strategies for rule induction, simple heuristics, and experts' instructions were all effective in enhancing novice subjects' performance. A theoretical framework is proposed in which subjects draw on two separate but interacting knowledge structures to perform these tasks. One knowledge structure is based on memory for past experiences (close analogies), and the other is based on one's current mental model of the task. Implicit sets of competing rules that control response selection are derived from both sources of knowledge. It is suggested that dissociations between task performance and verbalizing occur because memory-based processing tends to have more control over response selection because of its greater specificity, whereas a mental model tends to be the preferred mode for verbal reporting because of its greater accessibility.     

Forecasting the impact of the federal sentencing guidelines

The Sentencing Reform Act of 1984, which created the U.S. Sentencing Commission, required that the commisson consider prison capacity in drafting sentencing guidelines. As part of the commission's efforts to meet this requirement, we developed a computer simulation capable of projecting the impact of the commission's guidelines on future sentences and prison populations. According to our projections, “straight” probation sentences will be reduced significantly under the guidelines. However, reducing the use of probation will generate only modest demands on the prisons, and then mostly for community corrections phased in over the course of 5 years. We also project that, while average time served for violent offenses will increase substantially, average time served for most property crimes will remain largely the same. Finally, while we forecast that federal prison populations will grow markedly by the end of this century, this is more a result of the Anti-Drug Abuse Act of 1986 and the career offender provision of the Comprehensive Crime Control Act of 1984 than a result of the guidelines.     

The impact of ethnicity,nationality, counseling orientation,and mental health standards on stereotypic beliefs about women: A pilot study

People vary in the extent to which they hold stereotypic beliefs about women. The recently developed Beliefs About Women Scale (BAWS) was used in five investigations to examine the following aspects of people's stereotypic beliefs about women: (Study I) the impact of ethnicity (Hispanics and Anglos) on women's endorsement of traditional beliefs about women; (Study II) the impact of national culture (Mexico and the United States) on women's responses to the BAWS; (Study III) the extent to which U.S. women define women's and men's mental health in terms of stereotypic beliefs about women; (Study IV) the extent to which preferences for counseling orientation influence the beliefs about women attributed to mentally healthy women and men; and (Study V) the impact of national culture (Mexico and the United States) on the beliefs about women ascribed to mentally healthy women and men. The results indicated that (a) U.S. Anglo females disagreed more strongly with traditional beliefs about women than did U.S. Hispanic females; (b) U.S. women expressed greater agreement with traditional stereotypes about women's interpersonal abilities and greater disagreement with traditional stereotypes about women's personal competencies than did women from Mexico; (c) the beliefs about women held by U.S. psychology trainees, and the beliefs about women that they attributed to mentally healthy females, were more nontraditional than those that they attributed to mentally healthy males; (d) particular counseling preferences were associated with the stereotypic beliefs about women that female counseling trainees imputed to mentally healthy males and females; and (e) similarities and differences exist on the beliefs about women that female psychology trainees from the United States and Mexico ascribe to mentally healthy females and males. The discussion focuses on mentally healthy beliefs about women, and the implications of these findings for the delivery of mental health services to women and men from various cultures.     

Setting and response generalization in rational-emotive therapy: A case study

A single case study (n=1) conducted during therapy investigated the relationship between disputing irrational beliefs in vivo and setting and response generalization. Irrational beliefs associated with the subject's anger and depression were disputed at different intervals over a ten week period utilizing a multiple baseline design across four classes in a school setting (setting 1). Depression and anger were rated several times each week. The subject's level of anxiety was also rated in setting 1 but the irrational beliefs associated with it were not disputed. Anger, depression, and anxiety were rated without disputation in a separate work setting (setting 2). Affect ratings significantly decreased across both settings throughout the ten week period. Results indicated that 1) disputing irrational beliefs associated with anger and depression in setting 1 led to reductions in anxiety in this setting (response generalization), 2) anger and depression reductions in setting 2 paralleled setting 1 reductions (setting generalization), and 3) anxiety reductionsWilliam J. Ruth, PhD, Staff Psychologist and practicum supervisor, Institute for Rational-Emotive Therapy, NY City; School Psychologist, Board of Cooperative Educational Services, Southern Westchester.Raymond DiGiuseppe, PhD, ABPP, Director of Training and Research, Institute for Rational-Emotive Therapy, NY City; Graduate Professor, St. John's University, NY City; co-author,Practitioner's Guide to Rational-Emotive Therapy and RET with Alcoholics and Substance Abusers.