Implications of human genome research: Impact on graduate education in genetic counseling

A conference of genetic counseling and clinical nurse specialist graduate program directors was hosted by the National Society of Genetic Counselors and funded by the Ethical, Legal, and Social Implications Program of the National Center for Human Genome Research in June 1992. One aspect of the conference addressed implications of the Human Genome Initiative for graduate education in genetic counseling. Within this paper, the topics of human variation and diversity, genetic discrimination, issues in non-directiveness, and genetic screening and policy development are reviewed and recommendations made for graduate curricula development and enhancement. In addition, suggestions are included for practicing genetic counselors.     

Update on master's genetic counseling training programs: Survey of curriculum content and graduate analysis summary

The field of genetic counseling is a recognized specialty in medical genetics with the primary practitioners being masters degree prepared individuals. Since the inception of the first master's degree genetic counseling (MGC) training program in 1969, more than 1000 genetic counselors have graduated from established training programs in United States and Canada. The MGC programs involve a 2-year academic curriculum of both didactic course work and supervised clinical field work (clinical praticums). A recent survey of 17 existing MGC training programs (16 U.S. and 1 Canadian) reveals that MGC graduates average a total of 1349 actual contact hours (range 854–1952 hours) during their 2-year degree program course of study. Clinical experience gained through clinical practica accounts for 58% of required coursework, followed by didactic coursework in basic science (21%) and counseling (16%), respectively. A few programs also have requisite laboratory practica, which accounts for 5% of overall content hours. The 17 existing MGC programs produce approximately 100 graduates annually. Although the number of programs has grown since inception of the first MGC program in 1969, the mean number of graduates per program remains fairly constant. By year 2002, the estimated total number of master's degree trained genetic counselors will approach 2200.     

A resolution to the interpretive dilemmas created by the Minnesota Multiphasic Personality Inventory 2 (MMPI-2)? A reply to Ben-Porath and Graham

In my original article (Strassberg, 1991) I described (1)some of the changes introduced by the MMPI-2, (2) possible interpretive dilemmas created by these changes, and (3) strategies for dealing with these dilemmas. In their reply to my paper, Ben-Porath and Graham (preceding paper) suggest that the differences between the MMPI-2 and the MMPI (1) are to be expected, (2) are less important than I imply, and (3) when they do occur, will almost always reveal the superiority of the MMPI-2. In this reply to Ben-Porath and Graham, I explain why, despite their reassurances, I continue to contend that interpretive dilemmas can exist when using the MMPI-2, but these should not deter us from using this instrument.     

Interpretive dilemmas created by the minnesota multiphasic personality inventory 2 (MMPI-2)

While the new MMPI-2 has the potential to provide more and better clinically relevant information than its predecessor, its introduction also creates several important problems for clinicians and researchers. In particular, the new norms and the use of uniform (rather than linear) T-scores result in the same raw scores on the two tests yielding clinical profiles that can be quite different, both qualitatively and quantitatively. These differences can result in difficulty in MMPI-2 profile interpretation when the user is relying on MMPI interpretive strategies. This paper addresses these concerns and offers some temporary remedial strategies.     

Newborn behavioral observations system in rural Pakistan: A feasibility and acceptability study

The Newborn Behavioral Observations (NBO) system is a relationship-based tool that helps parents recognize their infant's competencies and learn their behavioral cues, with the goals of enhancing parental responsiveness and satisfaction in the infant-parent relationship. In our study, a pediatrician integrated the NBO into 44 pediatric health care visits of infants in rural Pakistan villages, under the remote guidance of two U.S.-based child psychiatrists. A clinician then gave the mothers a survey about their experience of the NBO and found that the mothers were highly satisfied, reporting greater appreciation of their infant's strengths, greater understanding of their infant's behavioral cues, stronger attachment to their infant, and greater self-confidence as a mother. In their consideration of these results, the authors explore cultural reasons for the mothers’ responses and generate hypotheses to inform an outcome study of a similar intervention. This was a feasibility and acceptability study and was not randomized, had no control group, and did not use objective measures of outcome.     

COMPLEX IDENTITY: GENES TO GOD

Unraveling the complex notion of “self” and “other” necessitates a layered approach that explores biology, namely genetics; philosophy, namely event phenomenology; and culture, namely religion. This essay examines (1) the latest paradigm shift occurring in the genetic sciences due to the increased knowledge of epigenetic effects on gene expression and how our DNA functions in concert with the cellular apparatus, the body, and the environment; (2) the incorporation of relationality into a philosophical understanding of self; and (3) finally, what religion adds to this exploration of self. Thus, providing a glimpse at how these different approaches to identity help us understand the “self.”     

FAITH,SCIENCE, AND NONRELIGIOUS IDENTITY FORMATION AMONG MALE KENYAN YOUTH

The faith and science dialogue has received scholarly attention in the recent past. Within the African landscape at large, the underlying assumption has been that Africans are religious. However, there has been a rising cohort of Africans who are increasingly identified as nonreligious or atheist or agnostic. This research presents a qualitative analysis of the sociocultural factors that affect or influence these minority identities within a pluralistic African context, exploring their emergence and diversities within the African context, with a specific focus on 20 male Kenyan youth who are identified as nonreligious. This research utilized purposive sampling within nonreligious groups and networks. Second, this research aims at exploring how nonreligious identities are constructed, particularly given the concomitant issues surrounding emerging adulthood and new media. This builds up on the theories around youth and identity formation, while foregrounding science and belief as a central theme of study.     

Videoconference to supervise early intensive behavioral intervention: A preliminary evaluation of acceptability

At present, early intensive behavioral intervention (EIBI) for children with autism spectrum disorders is the intervention that has the strongest empirical support. EIBI requires frequent supervision by qualified professionals. Norway, like many other countries, has a shortage of qualified supervisors, particularly in rural regions. This study used a reversal design to investigate how supervisors and supervisees perceive the quality of EIBI supervision and the local team's preparedness when supervision was provided either on-site or via videoconference. Calculations were made on how much time could be saved on travel when part of the supervision was provided via videoconference. There were no significant differences in the supervisors' and supervisees' ratings of on-site and videoconference supervision. Moreover, the supervisors found the local EIBI teams to be better prepared when supervision was provided via videoconference, and the videoconference supervision meetings were shorter. The study discusses the implications of these findings for the accessibility of EIBI and case capacity and proposes some areas for further research.