Cultural competency in genetic counseling

Incorporating a cross-cultural curriculum into genetic counseling training programs demonstrates a professional conviction of genetic counselors that cultural issues are important in genetic counseling. Funded by the Special Projects Fund in 1993 from the National Society of Genetic Counselors and the Kitson Fund from the Department of Social, Organizational, and Counseling Psychology, Teachers College, Columbia University, theHandbook of Cross-Cultural Genetic Counseling was developed to provide genetic counseling programs a curriculum to teach cross-cultural genetic counseling. The theoretical rationale for the development of a cultural curriculum is presented. By expanding cultural knowledge, developing an awareness of oneself and others, and increasing the repertoire of culturally relevant counseling skills within a socio-political context, genetic counselors will be able to better serve all clients seeking genetic counseling.     

Melodies in caregivers' speech: A species-specific guidance towards language

The author reports on a series of integrated studies on melodic contours in infant-directed (ID) speech. ID melodies in speech are taken as an instructive example of intuitive parenting in order to review current evidence on its forms, functions and determinants. The forms and functions of melodic prototypes are compared in terms of universal properties and individual and/or cultural variability across samples of German, Chinese and American mothers, and German mothers and fathers with their 2- and 3-month-old infants. Microanalyses of interactional contexts show that forms and functions of ID melodies are intimately related to typical dimensions of intuitive caregiving–arousing/soothing, turnyielding/turn-closing, approving/disapproving. The communicative functions of ID melodies as both categorical and graded signals are discussed with respect to the current knowledge on infant responses to ID speech and on early speech perception. According to a comprehensive longitudinal study of ID speech in relation to stages of infant vocalization, ID speech results from fine-tuned adjustments in various prosodic and linguistic features to developmental changes in infants' perceptual and vocal competence. ID melodies evidently have the potential to draw infant attention to caregivers' speech, to regulate arousal and affect in infants, to provide models for imitation, to guide infants in practising communicative subroutines and to mediate linguistic information. Current evidence suggests that the melodies in caregivers' speech provide a species-specific guidance towards language acquisition.     

General education,cultural diversity,and identity

The issue of this paper is cultural plurality as a problem for public, general education and for (personal) identity. In order to examine this question, one needs to be clear about the meaning of the concepts of general education, on the one hand, and cultural diversity on the other. In the first section, we will fix the meaning of these concepts. A conceptual distinction between cultural diversity and cultural pluralism will be introduced. In the second section, it will be argued that open pluralism can only be maintained if there is a basic common culture apart from the cultural diversity that pluralism affirms. Therefore, there is yet an indispensable role for general education in an open, pluralistic society. In the third section we will look at two metaphors that give an opposite significance to the relation between identity and diversity: the conversational metaphor and the food metaphor mishmash. The final section expands on the conversational metaphor by way of an exposition of Ricoeur's hermeneutics of the self. It supplies us with a promising concept of identity that is not in complete opposition to diversity.     

Rationally developed fake-good and fake-bad scales for the Jesness Inventory

Develops two validity scales for the Jesness Inventory using a rational approach: a fake-good scale, Lie (L); and a fake-bad scale, Overt Symptomatology (OS). Effectiveness was assessed using 293 male delinquents classified as fake-good, fake-bad, or honest based on a matched-pair MMPI-A. L was moderately effective in detecting the fake-good set, and OS tentatively effective in detecting the fake-bad set. Both correlated well with their MMPI-A counterparts. Sensitivity, specificity, positive predictive power, negative predictive power, and overall effectiveness data were reported. The L scale and OS scale were related to race but differences were less than 1 raw score point. L was unrelated to age. OS was related to age, with younger children showing more willingness to admit to symptomatology. Age-based modified T-score norms were developed for the newly constructed scales using 1142 male and 360 female delinquents. ages 13–18.     

Validity of Social Behavior Assessment in discriminating emotionally disabled from nonhandicapped students

Discriminant analyses and stepwise multiple regression techniques were applied to teacher ratings of 184 kindergarten through eighth-grade students using Stephen's Social Behavior Assessment (SBA) inventory and were used to predict group membership as emotionalyy disabled (ED) or non-ED. The results suggested that the SBA was highly effective in correctly discriminating ED from non-ED students. The linear discriminant function derived from the 30 SBA subcategories correctly classified 83% of the subjects, yielding a highly significant separation of groups of ED and non-ED children. While the results of the discriminant analyses have not yet been cross-validated, these findings support the discriminant validity of the SBA for ED versus non-ED classification and suggest that the SBA is potentially a useful instrument for school psychologists as one source of information in a multifactored assessment regarding the identification of children as ED.     

Considerations in the choice of interobserver reliability estimates

Two types of interobserver reliability values may be needed in treatment studies in which observers constitute the primary data-acquisition system: trial reliability and the reliability of the composite unit or score which is subsequently analyzed, e.g., daily or weekly session totals. Two approaches to determining interobserver reliability are described: percentage agreement and "correlational" measures of reliability. The interpretation of these estimates, factors affecting their magnitude, and the advantages and limitations of each approach are presented.     

Revisiting an Analysis of Threats to Internal Validity in Multiple Baseline Designs

In our previous article on threats to internal validity of multiple baseline design variations (Slocum et al., 2022), we argued that nonconcurrent multiple baseline designs (NCMB) are capable of rigorously demonstrating experimental control and should be considered equivalent to concurrent multiple baselines (CMB) in terms of internal validity. We were fortunate to receive five excellent commentaries on our article from experts in single-subject research design—four of whom endorsed the conclusion that NCMBs should be considered strong experimental designs capable of demonstrating experimental control. In the current article, we address the most salient points made in the five commentaries by further elaborating and clarifying the logic described in our original article. We address arguments related to classic threats including maturation, testing and session experience, and coincidental events (history). We rebut the notion that although NCMBs are strong, CMBs provide an increment of additional control and discuss the application of probability-based analysis of the likelihood of threats to internal validity. We conclude by emphasizing our agreement with many of the commentaries that selection of single-case experimental designs should be based on the myriad subtleties of research priorities and contextual factors rather than on a decontextualized hierarchy of designs.     

Why Clinical Psychology Needs to Engage in Community‐Based Approaches to Mental Health

The aim of this article is to advocate for clinical psychology to engage with community‐based approaches to mental health. This engagement will be challenging given community work is antithetical to the individualism that defines much of clinical psychology. It would also result in a direct challenge to the core tenets of our profession, including an emphasis on individualism, psychopathology, and expert‐driven intervention. We need clinical psychology, however, to decolonise itself to respond to the needs of Aboriginal communities and those from non‐Western collectivist cultures. We also need clinical psychology to consider the sociopolitics of human distress and lend itself to social action for complex problems. Specific examples of community‐based practices will be provided, focusing specifically on those that relate to mental health. Implication for the reform of research methodologies and classroom pedagogies will also be discussed.