Parental Overprotection,Perceived Child Vulnerability,and Parenting Stress: A Cross-Illness Comparison

The current study sought to investigate differences in parenting capacity variables across four disease groups. Parents (N = 425), the majority of whom were mothers, of children with either cancer, asthma, Type 1 diabetes, or cystic fibrosis, completed measures of parental overprotection, perceived child vulnerability, and parenting stress. After controlling for significant demographic variables, parents of children with cystic fibrosis and asthma reported higher perceived child vulnerability than parents of children with either diabetes or cancer, while parents of children with asthma and diabetes reported higher parenting stress than parents of children with cancer or cystic fibrosis. No differences between disease groups were found for parental overprotection. The current study provides support for an illness-specific approach to understanding parenting capacity variables in the context of childhood chronic illnesses.     

Effects of Self-Recording and Contingent Credit on Balancing Participation Across Students

This study compared the effects of students’ (a) receiving participation credit with and without self-recording their participation and (b) self-recording participation with and without receiving credit for participation on the percentage of students functioning at four participation levels: non-participation, credit-level participation, frequent participation (slightly above credit-level), and dominant participation (2.5+ times above credit-level). Participants came from three sections of a relatively large discussion course (initially 55 students per section). Credit (with and without self-recording participation) decreased the percentage of both non-participants and dominant participants and increased the percentage of credit-level participants, thus creating greater balance in participation across students in each class. In contrast, self-recording versus non-self-recording (with and without credit) did not significantly differentiate the percentages of either non-participants or frequent participants but did differentiate the percentages of credit-level and dominant participants under the recording conditions.     

Recognition memory and the hippocampus: A test of the hippocampal contribution to recollection and familiarity

It has been suggested that the hippocampus selectively supports recollection and that adjacent cortex in the medial temporal lobe can support familiarity. Alternatively, it has been suggested that the hippocampus supports both recollection and familiarity. We tested these suggestions by assessing the performance of patients with hippocampal lesions on recognition memory tests that differ in the extent to which recollection and familiarity contribute to the recognition decision. When targets and foils are highly similar, prior evidence suggests that, on a forced-choice test in which targets are presented together with highly similar, corresponding foils (the FC-C format), performance is supported primarily by familiarity. By contrast, when targets are presented together with foils that are similar to other targets (the FC-NC format) or when memory is tested in a yes/no (Y/N) format, performance is based much more strongly on recollection. Accordingly, a finding that hippocampal damage impaired both Y/N recognition and FC-NC recognition but spared FC-C recognition would suggest that the hippocampus selectively supports recollection. We administered Y/N, FC-C, and FC-NC tests to five memory-impaired patients with circumscribed hippocampal lesions and 14 controls. The patients were impaired on all three types of recognition test, and there was no indication that the patients were disproportionately benefited or disproportionately impaired on any test. This pattern of performance suggests that the hippocampus supports both recollection and familiarity.The medial temporal lobe (the hippocampus plus the entorhinal, perirhinal, and parahippocampal cortices) is essential for the recognition of past experience. The capacity for recognition is widely thought to depend on two distinct processes, recollection and familiarity (Mandler 1980; Yonelinas et al. 2002; Wixted 2007). Recollection involves remembering specific details about the episode in which an item was encountered. Familiarity involves simply knowing that an item was presented, even when no additional information can be retrieved about the learning episode itself. This distinction has been prominent in recent discussions about memory, particularly in relation to its possible anatomical basis. One proposal is that recollection depends on the hippocampus and that familiarity depends on the adjacent medial temporal lobe cortex (Brown and Aggleton 2001; Mayes et al. 2002; Yonelinas et al. 2002). Alternatively, it has been suggested that the hippocampus is important for both recollection and familiarity and that the distinction between these two processes does not illuminate the functional differences between the hippocampus and adjacent cortex (Rutishauser et al. 2006; Wais et al. 2006; Squire et al. 2007; Wixted 2007).To clarify the role of the hippocampus in recognition memory, the performance of memory-impaired patients with hippocampal damage has often been compared to that of controls on tests that differ in the extent to which recollection and familiarity contribute to the recognition memory decision. One such approach involves the use of highly similar targets and foils tested using a yes/no (Y/N) format and a forced-choice corresponding (FC-C) format (Holdstock et al. 2002; Westerberg et al. 2006; Bayley et al. 2008). In the case of the Y/N format, participants see a list of targets intermixed with foils (each similar to one of the targets) and are asked to respond “yes” to the targets and “no” to the foils. In the FC-C format, participants see a target presented together with its corresponding, similar foil and are asked to identify the target. According to an idea advanced by Norman and O''Reilly (2003), familiarity can support FC-C recognition because one can make effective use of small but consistent differences between the familiarity signals triggered by the target and foil items. That is, when targets and foils are highly similar and are presented together in the FC-C format, familiarity for the target is likely to slightly and reliably exceed that of the similar foil, allowing the target to be correctly chosen on the basis of familiarity. By contrast, in the Y/N format, slight differences between the familiarity signals of target items and their corresponding foils no longer provide useful information, because the targets and their corresponding foils are not presented together at test. Accordingly, good performance with the Y/N format is more dependent on recollection than with the FC-C format.The same explanation may account for why performance on FC-C tests sometimes exceeds performance on forced-choice noncorresponding (FC-NC) tests (e.g., Hintzman 1988). In the FC-NC format, target items are presented together with a noncorresponding foil that is similar to another target item from the study list (Fig. 1). Thus, the FC-C and FC-NC tests differ only in that the similar targets and foils are presented together in the former but not in the latter. When the corresponding targets and foils are presented together (in the FC-C format), participants can make effective use of consistent differences in familiarity values (as discussed above). When the corresponding targets and foils are not presented together, participants cannot make use of the small differences that they might detect through a side-by-side comparison.Open in a separate windowFigure 1.Test format and materials for the three kinds of recognition test. For each test, 12 images, either objects (A) or silhouettes (B), were presented at study, and memory was tested in one of three ways. For the forced-choice corresponding test (FC-C), each target (a studied item) was presented together with a highly similar foil (a new item). For the forced-choice noncorresponding test (FC-NC), each target was presented together with a foil that was highly similar to a different target from the study list. Participants were asked to point to exactly the same image they had seen during study. For the yes/no test (Y/N), the 12 targets and the 12 foils (each similar to one of the targets) were intermixed and presented one at a time. Participants were asked to respond “yes” if they had seen exactly the same image before and “no” if they had not. Asterisks identify the target items.A recent study (Migo et al. 2009) provides empirical support for the suggestion that familiarity primarily contributes to the recognition decision in the FC-C format, whereas recollection contributes more strongly in the Y/N format and in the FC-NC format. In the Migo et al. (2009) study, healthy participants received FC-C, FC-NC, and Y/N tests after receiving either standard instructions to make their decisions based on familiarity or recollection or modified instructions to base their decisions on familiarity only. On the FC-NC test and on the Y/N test, performance using familiarity alone was significantly worse than under standard instructions. On the FC-C test, performance using familiarity alone was nearly as good as under standard instructions. This result supports the earlier suggestion that FC-C is primarily supported by familiarity, whereas recollection plays a larger role in FC-NC and Y/N recognition (Norman and O''Reilly 2003).If the hippocampus is critical for recollection but not for familiarity, and if good performance on the FC-C format can be achieved using familiarity alone, then patients with focal hippocampal lesions should be differentially impaired on the Y/N and FC-NC recognition test formats compared with the FC-C format. Three recent studies investigated this issue by assessing the effects of hippocampal damage (or presumed hippocampal damage) on Y/N and FC-C tests that used highly similar targets and foils (the FC-NC format was not used in these earlier studies). All three studies used black-and-white silhouette images of objects, and the FC-C test involved the target item and three similar foils (i.e., multiple-choice with four alternatives). In one study, a single patient with bilateral hippocampal damage (patient Y.R.) was impaired on the test of Y/N recognition but was unimpaired on the test of FC-C recognition (Holdstock et al. 2002). A similar result was reported in patients with a diagnosis of mild cognitive impairment (MCI) (Westerberg et al. 2006). These findings have been taken to support the suggestion that the hippocampus selectively supports recollection. However, the study by Holdstock and colleagues (2002) involved a single patient (Y.R.), and findings from a single patient need not agree with findings obtained from a group of patients (see Discussion). In addition, the Westerberg et al. (2006) study involved individuals with a diagnosis of MCI for whom anatomical data were not available. It is therefore not clear what the status of the hippocampus was in these patients. Moreover, a standard Y/N procedure involving 12 study items and 24 test items (as opposed to the 12 study test items and 60 test items used in previous studies [Holdstock et al. 2002; Westerberg et al. 2006; Bayley et al. 2008]) might be better suited to address the question of whether Y/N recognition is selectively impaired in hippocampal patients. Bayley et al. (2008) tested five patients with circumscribed hippocampal damage using the same test materials and procedure as in Holdstock et al. (2002). When all 60 test items of the Y/N test were scored, the patients were found to be more impaired on the Y/N test than on the FC-C test. However, when only the first 24 test items of the Y/N test were scored (according to the standard Y/N procedure), the patients were found to be impaired on both the Y/N and FC-C tests to a similar degree.The earlier studies (Holdstock et al. 2002; Westerberg et al. 2006; Bayley et al. 2008) compared Y/N recognition to four-alternative FC-C recognition in which each target was presented along with three corresponding foils. None of the earlier studies investigated how patients with hippocampal lesions performed on FC-NC recognition. As Migo et al. (2009) point out, FC-C and FC-NC tests are better matched than the FC-C and Y/N tests because they are both forced-choice tests, and both use the same number of test trials. As such, they argue, it would be more useful to compare FC-C recognition performance to FC-NC recognition performance to determine whether patients with hippocampal lesions are intact or impaired on familiarity-based tests.The present study assessed Y/N, two-alternative FC-C, and two-alternative FC-NC recognition, using highly similar targets and foils. The tests were given to five patients with circumscribed hippocampal damage and 14 matched controls. The Y/N test involved an equal number of targets and foils (unlike the design used in the prior studies), and a two-alternative format was used for the forced-choice tests to make them comparable to the Y/N test (i.e., all three tests involved the same number of targets and foils). The FC-C and FC-NC tests were identical except with respect to how the targets and their corresponding foils were paired on the recognition test.To extend our findings beyond the stimuli used in prior studies, we also used color photographs of objects in addition to black-and-white silhouettes. Using these three test formats, we asked the following questions: (1) Does hippocampal damage impair Y/N recognition memory but spare, or disproportionately benefit, FC-C recognition (as suggested by the view that the hippocampus supports recollection and not familiarity)? Or does hippocampal damage impair Y/N and FC-C recognition similarly (as suggested by the view that the hippocampus supports both recollection and familiarity)? (2) Does hippocampal damage disproportionately benefit FC-C recognition relative to FC-NC recognition, or does hippocampal damage impair FC-C and FC-NC recognition similarly?     

Counseling African American Women: Multiple Identities—Multiple Constraints

Multicultural counseling models have limitations in synthesizing multiple cultural variables such as race, gender, class, and sexual orientation. The author describes 3 multicultural models—Afrocentric, feminist, and “womanist”—and their application to psychotherapy with African American women. Using a case illustration of an African American lesbian client, the author offers strategies for assisting clients to integrate multiple cultural identities.     

Report of the ACA Ethics Committee: 2003–2004

This report summarizes the activities of the American Counseling Association (ACA) Ethics Committee during the period of July 1, 2003, through June 30, 2004. Summary data of the complaints filed and the inquiries received are presented.     

The Moderating Role of Gender and Gender Role Attitudes on the Link Between Spousal Support and Marital Quality

Researchers who examine the relation of gender role attitudes to division of household labor and marital quality often overlook its relation to emotional spousal support. Moreover, research on gender and marriage often ignores how gender role attitudes may explain the link between spousal support and marital quality. Secondary data analyses on a nationally representative sample of U.S. adults examined the interaction of gender and gender role attitudes on spousal support and marital quality. Emotional spousal support predicted better marital satisfaction and less conflict for traditional women and egalitarian men, whereas both instrumental and emotional spousal support predicted better marital satisfaction for egalitarian women and traditional men. These results suggest that within, as well as between, gender differences are important for understanding the contribution of spousal support to perceived marital quality.     

Differential Daily Writing Conditions and Performance on Major Multiple-Choice Exams

Students (N=153) in three equivalent sections of an undergraduate human development course compared pairs of related concepts via either written or oral discussion at the beginning of most class sessions. A writing-for-random-credit section achieved significantly higher ratings on the writing activities than did a writing-for-no-credit section. The writing-for-random-credit section also obtained significantly higher correlations between the writing ratings and scores on multiple-choice exam items related to the conceptual pairs (r=.74) and on total exam scores (r=.78) than did the writing-for-no-credit section (rs=.45 and .43, respectively). Finally, the writing-for-random-credit condition produced significantly higher scores on exam items related to the conceptual pairs than did the oral-discussion-only condition. Plus, effect-size comparisons showed weak to medium differences between exam scores under the writing-for-random-credit and the writing-for-no-credit condition.     

Providing Practicing Teachers Classroom Management Professional Development in a Brief Self-Study Format

This study examined the impact of a time efficient self-study method for providing practicing teachers with job-embedded professional development targeting specific classroom management skills. The training method employed print packets and videotapes that provided models of effective classroom management strategies for instruction-giving, praise, and time out. Participants were three master’s level speech therapists certified to teach speech and language delayed preschool children. The training materials were evaluated through observations of the teachers’ implementation of targeted practices in a multiple baseline across participants. Results indicated increases in all participants use of the management skills after training. The results suggest that this type of training method may help teachers increase their use of effective classroom management procedures. It is potentially noteworthy that the training program examined herein was largely teacher managed and was quite brief. Future directions and limitations of the study are discussed.Natalie J. Slider is now at Brownsburg Community School Corporation.     

Responses to a virtual reality grocery store in persons with and without vestibular dysfunction.

People with vestibular dysfunction often complain of having difficulty walking in visually complex environments. Virtual reality (VR) may serve as a useful therapeutic tool for providing physical therapy to these people. The purpose of this pilot project was to explore the ability of people with and without vestibular dysfunction to use and tolerate virtual environments that can be used in physical therapy. We have chosen grocery store environments, which often elicit complaints from patients. Two patients and three control subjects were asked to stand and navigate in VR grocery stores while finding products. Perceived discomfort, simulator sickness symptoms, distance traveled, and speed of head movement were recorded. Symptoms and discomfort increased in one subject with vestibular dysfunction. The older subjects traveled a shorter distance and had greater speed of head movements compared with young subjects. Environments with a greater number of products resulted in more head movements and a shorter distance traveled.