Differences in Individual Approaches: Communication in the Familial Breast Cancer Consultation and the Effect on Patient Outcomes

This multicenter study aimed to assess (i) whether individual clinical geneticists and genetic counselors vary in their communication skills and (ii) whether this variation in communication impacts on patient outcomes, such as anxiety, depression, genetics knowledge, and satisfaction. One hundred and fifty women from high-risk breast cancer families attending their first genetic counseling consultation completed pre and post-consultation self-report questionnaires. The consultations were audiotaped and transcribed verbatim. Univariate analyses showed highly significant differences between individual clinical geneticists and genetic counselors in: facilitating understanding (p 0.001); facilitating active involvement (p 0.001); facilitating partnership building (p = 0.003); addressing emotional concerns (p 0.001); and discussing prophylactic mastectomy (p = 0.017). Multivariate linear regressions showed that this variation in communication resulted in a greater change in patients depression 4 weeks after the counseling session (p = 0.017). These findings suggest clinical geneticists and genetic counselors have achieved some standardization in communicating information, but showed diversity in their facilitation skills. Communication skills may be a useful area to explore further in this field.     

Preadolescent Clues to Understanding Depression in Girls

Between the ages of 10 and 15, increases in depression among girls result in a rate that is twice as high as the rate of depression in boys. This sex difference remains throughout early and middle adulthood. Prior to early adolescence, there is essentially no sex difference in the rate of depression. The aim of the present review is to examine whether the preadolescent period is a time during which precursors to depression in girls can be identified. First, existing areas of research on explaining sex differences in depression, including cognitive and affiliative style and the socialization of emotion, are reviewed. Second, the hypothesis that for some girls, preadolescent precursors to depression take the form of excessive empathy, compliance and regulation of negative emotions is articulated. Third, ways of building on existing models by including the proposed preadolescent precursors are proposed. Finally, approaches to testing the hypotheses that individual differences in these domains during preadolescence may explain later individual differences in adolescent onset depression are explored.     

Religious Activity and Risk Behavior Among African American Adolescents: Concurrent and Developmental Effects

This study examines how religious activity is associated with risk behaviors, concurrently and developmentally among urban African American adolescents. Seven hundred and five African American youths were interviewed annually during high school. Retention rates for the study exceeded 90%. Frequency of religious activity, sexual intercourse, and alcohol, cigarette, and marijuana use were assessed at each wave. Growth curve analyses found negative concurrent associations between religious activity and each of the four risk behaviors. The developmental effects of religious activity varied by gender. Higher levels of religious activity in 9th grade predicted smaller increases in marijuana use among males and cigarette use among females. In addition, larger decreases in religious activity during high school were associated with greater increases in alcohol use among males and sexual intercourse among females. During high school, religious activity limits the development of certain types of risk behavior among African American youth, even after controlling for reciprocal effects.     

Who's in Charge?: Coparenting in South and Southeast Asian Families

In light of the evolving roles of parents and the involvement of extended family within Asian cultures, the traditionally Western dyadic coparenting construct must be reconceptualized to include not only the coparenting relationship, but also other caregivers within the coparenting network. Theoretical and empirical evidence on coparental systems are discussed and two studies from South and Southeast Asian cultures are presented to highlight subcultural variations in cocaregiving networks. Results indicated that mothers were the primary caregivers across both cultural contexts. Extended family members assumed important coparental responsibilities in both cultural contexts. These findings highlight the need to reconceptualize and expand the dyadic coparental unit to include extended family members. We also discuss the relevance of the broader coparental network in examining the Asian childs education as well as cognitive and socioemotional development.     

Ritualistic Behavior in Young Children

The aim of this study was to examine ritualistic behavior at its developmental peak. Children 20–59 months of age were sampled through a national system of daycare centers in Israel (N = 228). The order of onset of the ritual behaviors measured was virtually identical to that reported for an American sample (D. W. Evans et al., 1997). Gender and age effects were found for fearfulness but not for ritualistic behavior. Maternal reports of ritualistic behavior were highly correlated with reported fears, and with shy and emotional temperament. Mothers of the children who were in the top 10% in their use of rituals according to maternal report, worried about their child's ritualistic behavior, even though maternal worry was not correlated with ritualistic behavior for the whole distribution.     

A Note on (K)Nots: Response to Robert W. Kentridge''s Commentary

GY, an extensively studied human hemianope, is aware of salient visual events in his cortically blind field but does not call this "vision." To learn whether he has low-level conscious visual sensations or whether instead he has gained conscious knowledge about, or access to, visual information that does not produce a conscious phenomenal sensation, we attempted to image process a stimulus s presented to the impaired field so that when the transformed stimulus T(s) was presented to the normal hemifield it would cause a sensation similar to that caused by s in the impaired field. While degradation of contrast, spatio-temporal filtering, contrast reversal, and addition of smear and random blobs all failed to match the response to a flashed bar s(f), moving textures of low contrast were accepted to match the response to a moving contrast-defined bar, s(m). Orientation and motion direction discrimination of the perceptually matched stimuli [s(m) and T(s(m))] was closely similar. We suggest that the existence of a satisfactory match indicates that GY has phenomenal vision.     

Conduct Disorder in Girls: A Review of the Literature

The study of Conduct Disorder (CD) has primarily been limited to boys. The lack of research resulted from a premise that CD in girls was rare. However, CD in girls is a relatively common psychiatric diagnosis, and appears to be associated with several serious outcomes, such as Antisocial Personality Disorder and early pregnancy. Understanding gender differences in the course and severity of CD may lead to important information about etiology. Empirical studies on precursors, developmental course, risk factors and treatment for CD in girls are reviewed, while highlighting similarities and differences between girls and boys. Generally, CD symptoms in girls are stable. Precursors to CD in girls probably include Oppositional Defiant Disorder and temperamental factors, but also may include certain negative cognitions. What distinguishes CD in girls is the high risk they have to develop comorbid conditions, especially internalizing disorders. Risk factors for CD in girls partly overlap with those known for boys, but some factors appear to be highly salient for girls. Finally, there may be some significant effects of gender on treatment efficacy. Implications of these findings for future etiologic research are discussed.     

Psychoanalysis and Diplomacy: Part III. Potentials for and Obstacles Against Collaboration

Given the pervasive influence of Realpolitik over government and the study of international relations, and some inherent difficulties within the field of psychoanalysis, it is not surprising that political science and psychoanalysis remain distant cousins. Part III in this series on diplomacy and psychoanalysis discusses obstacles against collaboration between these two disciplines, but also points to areas where collaboration is possible and can be useful.     

Qualitative analyses of critical aspects of adaptation to the visually left-right reversed world

In this article, mechanisms of perceptual adaptation to the transposed world are analyzed based on introspective and behavioral performance data gathered during an extended period of wearing left-right reversing goggles. Three aspects central to this study were the mental map of the living space surrounding the subject, body image (both seen and felt), and the sensorimotor coordination system, which reflects the relationship between the subject and surroundings. These were investigated through map-drawing tests, self-representation tests when postures other than face forward were adopted, and after effects observed immediately after removal of the reversing goggles. It was concluded that the main course of the perceptual adaptation to the visually left-right reversed world consists of double reversals of the mental map and body image as well as the establishment of a new sensorimotor coordination system. In sharp contrast to the proprioceptive-change hypothesis, the importance of the visual nature of the body image was emphasized.     

语言理解中情绪的动态模拟

采用混合实验设计, 句子-图片匹配范式和动态过程再现范式, 以包含静态情绪和动态变化情绪信息的句子为实验材料, 以被试对图片的反应时间为因变量指标, 通过不同时间间隔的设置以及不同的实验程序, 探讨了语言理解中静态情绪和动态情绪的心理模拟及其时间进程。结果表明：(1)被试对情绪的心理模拟与句中的语言描述一致, 情绪语境能够激活被试的经验模拟。(2)被试在句子理解加工的初期就能迅速、即时地模拟静态情绪信息, 且这种模拟具有一定的稳定性和持久性。(3)被试可以对动态变化的情绪进行动态的心理模拟, 不过这种模拟所需的时间要长, 是在句子理解加工的后期完成的。被试对不同情绪变化方向的句子模拟受到原情绪状态的影响, 当阅读由消极情绪向积极情绪变化的句子时, 由于被试固着于原来的消极情绪而发生了模拟积极情绪的困难。