Nondirectiveness and Its Lay Interpretations: The Effect of Counseling Style, Ethnicity and Culture on Attitudes Towards Genetic Counseling Among Jewish and Bedouin Respondents in Israel

To evaluate the effects of ethnicity, culture, and counseling style on the interpretation of nondirectiveness in genetic counseling, a questionnaire containing premarital and prenatal case vignettes in two versions (pessimistic/optimistic) was administered to 281 Jewish and 133 Bedouin respondents. The first study population was comprised of Jewish students enrolled in a university and a community college in the Negev (southern part of Israel). The second study population was comprised of Muslim-Bedouin college students from the same area. The majority of Jewish respondents interpreted the nondirective message as intended by counselors, while the majority of Bedouin respondents did not. Counseling style was found to have a statistically significant effect on the interpretation of the general role of counseling. Gender and susceptibility were not found to have a significant effect on interpretation. Group differences are analyzed through a cultural lens in which different interpretive norms can generate expectations for either nondirectiveness or directiveness.     

The Affect System: Architecture and Operating Characteristics

The affect system refers to the functional components involved in appetitive and aversive information processing. We review evidence suggesting that affect is not a unitary faculty but rather is composed of a number of distinct processes. Physical limitations constrain behavioral expressions and incline behavioral predispositions toward a bipolar (good-bad, approach-withdraw) organization, but this organization appears to be the consequence of multiple operations, including the activation of positivity (appetition) and the activation of negativity (aversion), at earlier affective processing stages. The partial segregation of positive and negative affective processing afforded evolution the opportunity to sculpt distinctive activation functions for these affective components and allows their coactivation. Coactivation, in turn, cultivates the exploration of novel environments and the pursuit of seemingly hospitable events while fostering vigilance for and rapid retreats from hostile developments.     

Political Power and Race Relations in South Africa: African Attitudes Before and After the Transition

When an oppressed majority finally gains political power, what happens to its attitudes to its erstwhile oppressor, and to its perceptions and feelings about its socioeconomic disadvantages that were established during its oppression? Longitudinal data from pre- and post-transition surveys of black South African college and high school students indicate marked reductions in perceptions of and outrage about intergroup socioeconomic inequity and deprivation relative to English-speaking and Afrikaans-speaking whites, but no change in attitudes toward these groups or toward whites in general. The findings are discussed in terms of contemporary theory and research on justice, intergroup relations, and group conflict. Some tentative implications for the prospects for a democratic political culture in South Africa are noted.     

Cancer Risk Assessment and Genetic Counseling in an Academic Medical Center: Consultands' Satisfaction, Knowledge, and Behavior in the First Year

In 1995, we formally established a multifaceted cancer genetics program of clinical services, research, and education at a general academic medical center. In the first year, 58 families, mostly physician referred, received cancer risk assessment and genetic counseling for a family and/or medical history of cancer. The primary reasons for seeking consultation were to determine their risk or their offspring's risk for developing certain cancers and to inquire about the availability of DNA testing for predisposition to breast, ovarian, or colon cancers. To assess the level of satisfaction with program services, 51 consultands (22% with a personal history of cancer) were interviewed independently by telephone 3–12 months after the session. One goal of the survey was to improve program service. Ninety percent of respondents reported that the consultation was worth their time and money. Forty-two percent stated that their anxiety related to their cancer risk had decreased following counseling and 56% indicated no change. Recall of exact numerical risk was poor and one-third could not remember hearing any risk estimate. More respondents would recommend the service to friends (90%) than to family members (75%). Overall, the service was positively received by the majority of patients.     

The differential impact on carers dealing with clients with challenging behaviours

This study addresses the effects of organizational culture on the ways in which carers in small community homes cope with clients with challenging behaviours. Results indicated that carers socialized in a traditional setting (i.e. large institutions) responded to challenging behaviours by becoming more negative in their attitudes towards clients. Strain levels in carers socialized in the Social Services were related directly to client challenging behaviours, and unrelated to their attitudes which remained positive.     

Intergroup contact between professional groups: Two evaluation studies

We report two studies which evaluate practically-oriented programmes of interprofessional contact involving doctors and social workers. The evaluation is based on the ‘contact hypothesis’ in intergroup relations, and highlights four sets of dependent measures: background perceptions, ingroup and outgroup ratings, knowledge, and judgements about work with outgroup partners and experienced contact. Consistent with the contact hypothesis, both studies revealed an improvement in outgroup attitudes, evidence of mutual intergroup differentiation (acknowledged superiority of ingroup and outgroup on independent dimensions), and increased outgroup knowledge. Greater change in Study 2 is interpreted in terms of its longer duration, and the opportunity it provided for contact with multiple outgroup members, compared with a single outgroup partner in Study 1. These findings from field studies are consistent with results from published laboratory experiments.     

Alcohol-related knowledge and attitudes in people with a mild learning disability – the effects of a ‘sensible drinking’ group

Alcohol-related knowledge and attitudes in people with a mild learning disability, who were either living, or being prepared to live, in relatively independent conditions in the community, were assessed through a structured interview format. Compared with non-learning-disabled teenagers, adults and a hospitalized patient sample, alcohol-related knowledge in the people with a learning disability was found to be significantly poorer, alcohol was reported as having particularly negative effects and susceptibility to social pressure to drink alcohol was greater. A ‘sensible drinking’ group, taking a social skills and influences approach to alcohol education, was conducted with a subgroup of the individuals with a learning disability. The group format and methods, including in vivo sessions in a public house, are described. Follow-up evaluations suggested some significant positive changes in knowledge, attitudes and sensible drinking skills. It is concluded that this population, which is increasingly living, or being moved into, independent conditions in the community, is at least as vulnerable to social influences on alcohol use and abuse as are young people. As with young people, the usefulness of making available such alcohol-education programmes as described in this study, is discussed.     

A six-month follow-up of adolescents' sexual risk-taking,HIV/AIDS knowledge,and attitudes to condoms

A follow-up study was conducted to investigate change in sexual behaviour, knowledge about HIV/AIDS transmission, and attitudes to condoms over a 6-month period in a sample of late-adolescent students. The study also obtained subjective reports of HIV/AIDS-relevant change. Overall there was a decrease in sexual risk-taking behaviour with casual partners but no change occurred in sexual behaviour with regular partners, knowledge about HIV/AIDS, attitude towards condoms, or intention to use a condom on next sexual encounter. Examination of individual data revealed that, for some adolescents where behavioural change had occurred, this was in the direction of less safe sex. There were few self-reports of change in sexual behaviour, intention to take precautions against HIV/AIDS, or concern about HIV/AIDS over the preceding 6 months. Subjective reports of behaviour change did not correspond with reports of actual behaviour. Low rates of behaviour change are attributed to the failure of adolescents to personalize the threat of AIDS and to their trust in the safety of sex with a regular partner as well as to the lack of relevance of HIV/AIDS education campaigns to this group.     

Stability of National-Identity Content: Level,Predictors, and Implications

A neglected topic in empirical research on national identity is its stability at the individual level, and this is especially true for its content, that is, the meaning elements that people associate with the concept of nation. In this article, we study the stability of key dimensions of national-identity content. We ask three simple questions: How stable is national-identity content—as captured in the ethnic/civic framework—at the level of individual citizens? Are there clear differences in stability across subgroups? What are the implications of interindividual differences in stability? Analyzing data from four waves of a large-scale panel survey of German citizens (N = 4,654) collected over a five-year period (2016–21), we show that there is high but not perfect stability of the degree to which individuals subscribe to ethnic and civic criteria of nationhood. Second, we find little difference in stability as a function of several theoretically selected characteristics. Third, we show that the association between national-identity content and relevant political attitudes (immigration attitudes and far-right party support) increases with intraindividual stability. These findings have important implications for our understanding of how national-identity content is shaped and mobilized and how it can influence political attitudes and behaviors.     

Contingency,arbitrariness, and the basis of moral equality

Hardly anyone denies that (nearly) all human beings have equal moral status and therefore should be considered and treated as equals. Yet, if humans possess the property that confers moral status upon them to an unequal degree, how come they should be considered and treated as equals? It has been argued that this is because the variations in the degree to which the status-conferring property is held above a relevant threshold are contingencies that do not generate differences in degrees of moral status. Call this the contingency argument for the basis of moral equality. In this paper, I reject the contingency argument. Instead, I develop an attitude-based account of the basis of moral equality: according to this account, the basis of moral equality lies in a fitting, basic, and independent moral attitude which is owed to human beings qua moral status-holders, and provides a coherent and plausible explanation for why the variations above the threshold for moral status do not matter.