A Model for Peer Experiential and Reciprocal Supervision (PEERS) for Genetic Counselors: Development and Preliminary Evaluation Within Clinical Practice

A model for practising genetic counselors to obtain clinical supervision via reciprocal peer observation and feedback was developed and trialled. The model was developed in response to a perceived lack of opportunity for immediate observational feedback for practising genetic counselors. The aims reached by consensus were to facilitate learning new approaches and skills, to revitalise current ways of practising, and to enhance supervision skills in a two-way process, where the observer learnt from the counselor, and vice-versa. The genetic counselors agreed on a process of paired reciprocal observation whereby the observer was present in the room during the counseling session, and a reflective feedback discussion was arranged within 24 h of the session. Four main themes emerged from analysis of the recorded discussions were (i) “I wasn’t sure if I-”: voicing of doubts or internal questions that occurred during session for the counselor conducting the session, (ii) “I really liked that”: positive feedback and validation from the observer, (iii) “I wonder whether-”: offering of alternative views, insights and strategies by the observer, and (iv) “That’s a real thing for me to take away and think about”: evidence of learning by both observers and counselors.     

Pacific Islands Families (PIF) Study: Behavioural Problems During Childhood

Pacific peoples represent one of the fastest growing population subgroups in New Zealand and suffer disproportionately from diabetes, obesity, and other diseases. There is little research on the predictors of behavioral problems in Pacific children or the role that cultural variables play in shaping the unique environments in which child development occurs This study aims to examine the: (1) prevalence of behavior problems at 2, 4, and 6 years-of-age among Pacific children, and (2) relationships between maternal, cultural, and socio-demographic factors and behavioral problems. Data were gathered from the Pacific Islands Families Study. Maternal reports of child behavior were obtained using the Child Behavior Checklist for over 1000 Pacific children. The prevalence of clinical internalizing problems at ages 2, 4, and 6 years was 16.8, 22 and 8.5%, and clinical externalizing was 6.7, 10.7, and 14.6% respectively. Significant risk factors associated with clinical internalizing were maternal depression, maternal smoking, intimate partner violence, and having a single mother. Significant risk factors for clinical externalizing were harsh parenting, maternal depression, having a New Zealand born mother, and low household income. Across dimensions, a protective factor was found for children with mothers who described themselves as strongly aligned with Pacific traditions. These findings contribute to the limited longitudinal data specific to children from different ethnic groups and demonstrate the importance of cultural factors in developmental outcomes.     

Emerging Adults’ Perceptions of Acceptable Behaviors Prior to Forming a Committed, Dating Relationship

Recent available research demonstrates the pervasive use of communication technologies among emerging adults. The utilization of such digital media has redefined the process of contemporary coupling. The determination of appropriate behaviors in pre-romantic relationships differs on the basis of a variety of intrapersonal variables. This study examines the intrapersonal constructs of gender and religious involvement in the determination of acceptable pre-romantic relationship behaviors. Researchers collected data from 1,003 participants (aged 18–25) through an online survey about communication technology and “acceptable” dating behaviors. Data were analyzed using chi-square testing in and between independent variable groups to determine significance. Significant differences in gender and religious involvement were discovered. Application of findings is presented, and future directions for research are set forth.     

How Best to Treat Deployment-Related Guilt and Shame: Commentary on Smith,Duax, and Rauch (2013)

We comment on Smith, Duax, and Rauch’s (2013--this issue) explication of their approach to treating perpetration-related guilt and shame using prolonged exposure (PE) therapy, with the aim of promoting a discourse about the mechanisms, techniques, and assumptions that underlie the treatment of moral injury in veterans and service members. We first discuss the theoretical foundation underlying PE and consider the extent to which it accounts for the phenomenology of moral injury. We then examine the treatment strategies used in the PE approach and the mechanisms by which these techniques ameliorate perpetration-related guilt and shame. We also briefly highlight points of similarity and contrast between PE and adaptive disclosure, a brief cognitive behavioral intervention targeting combat-related moral injury and traumatic loss.     

Inhibition of return promotes stop-signal inhibition by delaying responses

Inhibition of return (10R) refers to a mechanism that slows response times (RTs) to detect, localize, or discriminate a target that is presented at a location previously occupied by an irrelevant peripheral cue. Generally, the slowing of RTs is described as a negative effect on responding that is believed to promote searching to new locations. In this report, we consider whether IOR might benefit performance when the goal is to prevent a prepared response. Using the stop-signal paradigm, we show that IOR improved the ability to inhibit a prepared response by delaying responses to the target. Thus, in addition to aiding visual search, IOR may also provide an opportunity for the adjustment of decisions and behaviour in accordance with the demands of a dynamic environment.     

Dynamic orientation cues decrease the viewpoint cost of mental rotation

Mental rotation, as a covert simulation of motor rotation, could benefit from spatial updating of object representations. We are interested in what kind of visual cue could trigger spatial updating. Three experiments were conducted to examine the effect of dynamic and static orientation cues on mental rotation, using a sequential matching task with three-dimensional novel objects presented in different views. Experiment 1 showed that a rotating orientation cue with constant speed reduced viewpoint costs in mental rotation. Experiment 2 extended this effect with a varied-speed rotating orientation cue. However, no such benefit was observed with a static orientation cue in Experiment 3. These findings indicated that a visually continuous orientation cue is sufficient to elicit spatial updating in mental rotation. Furthermore, there may be differences in the underlying mechanisms of spatial updating on the basis of constant-speed rotating cues and varied-speed rotating cues.     

Associations of general religiousness and specific religious beliefs with coping appraisals in response to Hurricanes Katrina and Rita

An emerging scientific literature is investigating the construct of “compassionate love,” love that is “centered on the good of the other,” a construct empirically linked to physical and mental health. We evaluated effects of an 8-week, 16-hour programme for physicians, nurses, chaplains, and other health professionals, using nonsectarian, spiritually based, self-management tools. Participants were randomised to intervention (n = 30) or wait-list (n = 31). Pretest, post-test, 8- and 19-week follow-up data were gathered on six measures of prosocial qualities. Favorable treatment effects (p<0.05) were found for compassionate love (d = 0.49), altruistic actions (d = 0.33), perspective-taking (d = 0.42), and forgiveness (d = 0.61). Treatment adherence fully mediated effects on compassionate love. Furthermore, stress reduction mediated treatment effects on compassionate love, perspective-taking, and forgiveness; each also mediated gains in caregiving self-efficacy. This encouraging evidence suggests that nonlaboratory psychospiritual interventions can boost compassionate love to benefit the recipients and the larger society.     

Semantic Fluency Performance of Patients with Cortical and Subcortical Neurodegenerative Diseases

Previous studies using the Animals Fluency Test have shown that dementia patients with Alzheimer's disease (AD), Huntington's disease (HD), or Parkinson's disease (PD) produce fewer correct words and have smaller semantic cluster sizes than controls or PD patients without dementia (PDND). Although the number of correct words generated by the patients with AD was positively correlated with mental status, cluster size, surprisingly, was not. To increase word output and increase the reliability of estimates of cluster size, semantic fluency was reexamined using the Supermarket Fluency Task. Overall, patients with HD or PD with dementia (PDD) exhibited reduced cluster sizes compared to older controls or PDND patients, but cluster sizes were only marginally reduced for patients with AD. These effects were evident only for female participants, because the cluster sizes for elderly control men were substantially smaller than those of elderly women. For the female patients with AD, cluster size was correlated with mental status, but the relationship was nonlinear. Cluster size was normal for mildly demented patients with AD, but much reduced for moderately or severely demented participants. In contrast to a previous report, in the present study the proportion of category labels generated was increased for patients with HD with dementia but not for patients with AD. This finding questions one line of evidence that semantic memory stores undergo “bottom-up” degradation in AD. Together with previous results, these findings indicate that semantic cluster size reflects efficiency of access to semantic knowledge which is similarly compromised in subcortical and cortical diseases.     

Mechanisms of visual-cognitive aging: A neural network account

Two neural network simulations were run for the purpose of specifying the network parameters that best describe age-related interindividual and intraindividual variability in figure completion performance. the network architecture was modified in three ways that corresponded to plausible computational and neuro-anatomical constraints. In two simulations in which the rate of increase of activation within network units was constrained during testing, the performance of the network closely resembled the relevant empirical data. These findings supported a computationally specific model of age-related differences in figure completion performance rather than a diffuse model of age-related slowing. It is suggested that the analysis of fit between the results of computer simulations and analogous empirical data provides a useful method for the explication of aging mechanisms, and for distinguishing among competing hypotheses and constructs in the study of cognitive aging.