Genetic Counselors' Experiences with Paternal Involvement in Prenatal Genetic Counseling Sessions: An Exploratory Investigation

Limited research exists concerning male partners' participation in prenatal genetic counseling (R. Kenen, A. C. M. Smith, C. Watkins, & C. Zuber-Pitore, J. Genet Corns 9, 33–45, 2000). To further understand paternal participation, we interviewed 17 experienced prenatal genetic counselors to assess their perspectives on this issue. We investigated 6 research questions: 1) How do genetic counselors define paternal involvement, 2) how do they determine and address problematic involvement, 3) what factors influence involvement, 4) was paternal involvement addressed in training, 5) how might training be improved, and 6) how do participant strategies for addressing involvement compare to those of marriage/family therapists? Qualitative analysis revealed that 1) participants regard paternal involvement asimportant; 2) most address problematic involvement with strategies similar to those of marital/family therapists; 3) influential factors include male partner's characteristics, the couple's relationship (including culturalpractices), and pregnancy factors; and 4) participants received little or notraining on paternal involvement and recommended didactic and experientialactivities. Implications and research recommendations are presented.     

How Bad Is It? Perceptions of the Relationship Impact of Different Types of Internet Sexual Activities

Internet sex has become a ubiquitous phenomenon that is affecting couples and families. Eight scenarios (from visiting various adult web sites to having sex) involving a male or female character in a committed relationship were presented in a survey format. Participants (n = 242) rated each scenario in terms of emotional and physical involvement, amount of distraction from the primary relationship, and whether the respondent considered the scenario to be an affair. Results indicate that perceptions of internet activities differed depending on the type of internet sexual activity, although the majority of the internet sexual activities were considered to be highly emotional involving, a distraction to the relationship, and sexual in nature, though no physical contact was involved. The gender of the character in the scenario had no effect on participants' responses. Women tended to see the scenarios as being more serious than men. Clinical implications are discussed.     

发展性团体心理咨询改善大学生应对方式及其相关因素的实验研究

对发展性团体心理咨询在改善和提高大学生应对方式及能力方面的可行性及有效性进行了研究。将按照入组条件选出的28名大学生随机分为实验组(14名)和对照组(14名)。实验组接受发展性团体心理咨询干预两个月,对照组不予处理。三个月后对实验组成员进行追踪随访。采用应对方式问卷、抑郁自评量表、焦虑自评量表和社会支持评定量表进行评估。结果表明,发展性团体心理咨询明显改善了团体成员的应对方式,在提高团体成员的社会支持程度和减少情绪问题(焦虑、抑郁)方面有良好的作用。     

A Qualitative Investigation of Student and Supervisor Perceptions of Live Supervision in Genetic Counseling

Live supervision of genetic counseling students is critical for ensuring quality client care and student clinical skill development. However, no research has investigated students' and supervisors' experience of this primary supervision method. In this study, separate focus groups of students and supervisors discussed their perceptions of the nature and impact of live supervision. A modified Consensual Qualitative Research method (Hill et al. (1997) Couns Psychol 25:517–572) was used to analyze the data. Results suggest that live supervision is an essential and effective method that promotes student skill development and professional development for both students and supervisors. There is a lack of formal training regarding supervision; most learning is trial and error. Students worry about being evaluated, and supervisors wonder if they are providing supervision effectively. Both samples emphasized that client care should not be compromised. Participant recommendations for improving live supervision are described, and suggestions are made for future research.     

Connection to Early Church Theologians: Canadian Ethnographic Study on the Similarities and Differences between Prayer and Theological Reflection in Pastoral Care and Counseling

What are the similarities and differences between prayer and theological reflection in the praxis of pastoral care and counseling? This qualitative study is ethnographic in design. A review of the literature is summarized. Researchers interviewed 75 participants in four cultures: (1) chaplains and (2) pastoral counselors in the Canadian Association of Pastoral Practice and Education (CAPPE), (3) community clergy and persons in lay ministry, and (4) students after internship in a theological reflection course. Interviews were audiotaped, transcribed and then coded for themes. Findings include seeing more similarities than differences between prayer and theological reflection. One of the differences is that prayer is more affective and theological reflection is more cognitive. There are also some areas of ambiguity. Discussion includes what ought to be normative or the orthopraxis for prayer and theological reflection in pastoral care and counseling. Limitations and areas for future research are outlined.     

Value of interviews for admission to clinical training programs: Perspective of program directors

Abstract: The interview has a long history of being used to select individuals for positions in industry, professional occupations, and for a variety of specialised educational programs. Despite its widespread popularity, the selection interview is often criticised for its potential bias and unreliability, which in turn has led to its decreasing use in some settings. The purpose of the present study was to explore the views of the directors of 21 Australian clinical training programs as to the value of interviews as part of the admission process for their clinical psychology postgraduate training candidates. Three programs reported not conducting interviews at all, expressing reservations concerning their validity. Most other directors saw interviews as having at least some value, with the opportunity to evaluate interpersonal skills being one of the most commonly mentioned advantages. A variety of methods was used for the final admission decisions, with substantial variation in acceptance rates by candidates who survived the interview process. Implications for selection processes in the future are discussed.     

Memory and Narrative Healing Processes in HIV Counseling: A View from Africa

The AIDS pandemic in Africa has wreaked pain on millions of people, particularly the youth. Beyond physical symptoms, the disease destroys the emotional and psychological well-being of its victims and their families. Although psychotherapists are desperately needed, most of those in Africa have not been given sufficient training in HIV counseling. In addition, access to specific models of healing for those traumatized by the news of infection with HIV disease is hardly available. Memory healing processes, which are essential in grief work in Africa, can be combined with ritual theory within a narrative framework to provide a model for bringing healing to clients traumatized by the news of HIV infection. Augustine Nwoye, Ph.D., is presently Associate Professor, and formerly Chairman, Department of Psychology, Kenyatta University, Nairobi, Kenya. A first version of the paper was presented as a Keynote Address at the International Conference in Durban, South Africa, organized by the South African Association of Marital and Family Therapy, May 2004. I thank Dr. Frida Rundell, the then President of the Association, for her invitation and hospitality.     

Interactive Genetic Counseling Role-Play: A Novel Educational Strategy for Family Physicians

Background Family physicians (FPs) are increasingly involved in delivering genetic services. Familiarization with aspects of genetic counseling may enable FPs to help patients make informed choices. Purpose Exploration of interactive role-play as a means to raise FPs’ awareness of the process and content of genetic counseling. Methods FPs attending two large Canadian family medicine conferences in 2005 were eligible—93 participated. FPs discussed a case during a one-on-one session with a genetic counselor. Evaluation involved pre and post intervention questionnaires Results FPs’ baseline genetic knowledge was self-rated as uniformly poor. Baseline confidence was highest in eliciting family history and providing psychosocial support and lowest in discussing risks/benefits of genetic testing and counseling process. Post-intervention, 80% of FPs had better appreciation of family history and 97% indicated this was an effective learning experience. Conclusions Role-play with FPs is effective in raising awareness of the process and content of genetic counseling and may be applied to other health disciplines. This research was funded by: The Canadian Institutes of Health Research (CIHR) Institute of Genetics, The Genetics Education Project (funded by the Ontario Women’s Health Council), and GeneSens (funded by a CIHR Interdisciplinary Capacity Enhancement Team Grant).     

Emotional Reaction to Fragile X Premutation Carrier Tests Among Infertile Women

Female fragile X premutation carriers are at ∼10-fold increased risk of premature ovarian failure (follicle stimulating hormone >40 mIU/mL, amenorrhea, age <40). A milder degree of premature ovarian aging (diminished ovarian reserve, where follicle stimulating hormone levels are typically 10–20 mIU/mL) results in infertility. Approximately 10% of fertility clinic patients have this diagnosis. A cohort of 20 women diagnosed with diminished ovarian reserve provided a blood specimen (confidential results), and completed structured questionnaires that assessed emotional reactions to potentially being a premutation carrier (pretest questionnaire, n = 20) and the posttest known carrier status (3 month follow-up questionnaire, n = 18 non-carriers). Responses were measured using 9-point scales, and analyzed with Fisher exact and Wilcoxon exact tests. While most participants did not view fragile X premutations as a serious medical condition, perceptions of seriousness were positively correlated with anger and regret about not knowing sooner of the potential association of these premutations with infertility. Overall, when women (pretest) imagined themselves as carriers, their self-esteem and Health Orientation Scale responses were unchanged with the exception of feeling more afraid (p = 0.004). Despite strongly wishing for negative test results, they were glad to know there might be a medical explanation for their infertility. Financial Support: This work was financially supported by a University of Virginia School of Medicine Research & Development Award.     

闯入性思维对网络成瘾的影响:一个有调节的中介模型

本研究基于有限自制力理论考察闯入性思维对网络成瘾的影响及自我控制的中介作用和认知重评的调节作用。以371名大学生为被试,采用闯入性思维量表、自我控制量表、认知重评量表和网络成瘾量表进行测试,结果发现:(1)闯入性思维和自我控制呈显著负相关,与网络成瘾呈显著正相关;自我控制与网络成瘾呈显著负相关。(2)闯入性思维通过自我控制的中介作用对网络成瘾产生影响。(3)“闯入性思维—自我控制—网络成瘾”这一中介效应的前半段受到认知重评的影响;与低认知重评的个体相比,闯入性思维对高认知重评个体自我控制的影响更小。表达抑制不能调节闯入性思维对自我控制的影响。本研究的结果表明,闯入性思维会通过降低自我控制来增加网络成瘾的风险,而且认知重评会削弱闯入性思维对自我控制的影响。