Instructions as discriminative stimuli

Four undergraduates were exposed to a fixed-ratio schedule under an instruction to respond slowly and to a differential-reinforcement-of-low-rate 5-s schedule under an instruction to respond rapidly. Following this, a fixed-interval schedule was in effect under those same two sets of instructions. For 3 of 4 subjects, response rates were higher with the instruction to respond slowly than with the instruction to respond rapidly during the fixed-interval schedule. For the remaining subject, low-rate responding with the instruction to respond rapidly continued during the first 17 reinforcements of the fixed-interval schedule. Such control by instructions was not observed for other subjects exposed only to a fixed-interval schedule, with or without instructions. The results demonstrate that the effect of instructions can be altered by contingencies and suggest that instructions can function as discriminative stimuli.     

Classification of vowels and consonants by individuals with moderate mental retardation: development of arbitrary relations via match-to-sample training with compound stimuli.

This study explored whether an identity-matching-based stimulus equivalence procedure could be used to teach vowel and consonant stimulus classes to 2 adolescent females with moderate mental retardation. Delayed match-to-sample trials presented a compound sample stimulus consisting of printed letters and a spoken word (“vowel” or “consonant”). The correct comparison stimulus matched only one of the letters in the compound sample. Subsequently, test trials assessed whether arbitrary relations had formed among the individual stimuli from each compound sample and whether stimuli from different compound samples had merged into larger stimulus classes. Both participants acquired five-member classes of vowel and consonant stimuli, which subsequently generalized to vocal classification and to identification in the context of four-letter words. Follow-up tests showed that the generalized performances remained intact after 6 weeks. These procedures suggest an economical approach to stimulus class development.     

Reproductive Genetic Counseling to Asian-Pacific and Latin American Immigrants

Latin and Asian-Pacific immigrants are the fastest growing new-comer groups in the U.S. contributing to 85% of immigration totals. New immigrants experience multiple barriers to accessing genetic counseling resulting from cultural, linguistic, financial, and educational factors as well as having unique perceptions on health, illness, reproduction, and life as a whole. In addition, new immigrants lack familiarity with Western medical practices as well as genetic risk and available interventions. We provided perinatal genetic services to 2430 clients, mostly new immigrants of Latin and Asian-Pacific descent over a period of 6 years. Counseling aides sharing the clients' cultural backgrounds were employed. A study assessing the efficacy of cross-cultural education regarding advanced maternal age risk and amniocentesis was implemented and linked to a database containing demographic and clinical information. Practical observations relating to cultural beliefs in the two groups relevant to perinatal genetic counseling were made.     

Practice variability in prenatal genetic counseling

This study demonstrated that the content of prenatal genetic counseling sessions varied from counselor to counselor and from center to center. The study was designed to examine which specific issues were included by genetic counselors in prenatal genetic counseling sessions, and to determine which factors led genetic counselors to include or exclude this information from such sessions. Data were collected by randomly surveying 200 full, master degree members of the National Society of Genetic Counselors (NSGC). Respondents provided information by deciding which of 45 specific issues they would include in a standard prenatal genetic counseling session, and which one factor from a bank of 11 factors most accurately described the reason for this decision. The results indicated that the issues included/excluded from sessions varied widely among genetic counselors. The results also indicated that Patient Education/Informed Decision Making (34.5%) played the largest role in decision making overall, with Standard at Center/Departmental Policy (17.6%), Personal Experience/Preference (12.4%), and Applicability (10.9%) serving as the next three most important reasons for including or excluding issues from prenatal genetic counseling sessions.     

Genetic counseling for a family with two distinct anomalies: A case report of a neural tube defect and 5p- syndrome in a fetus

A couple presented for genetic counseling because of an elevated maternal serum alpha fetoprotein. Ultrasound examination revealed the presence of a neural tube defect. The couple declined an amniocentesis, but chose serial ultrasound evaluations instead. Ultrasounds eventually identified microcephaly, but the couple continued to decline amniocentesis. After the child's birth, the diagnosis of 5p- syndrome was made. The couple's decision not to have an amniocentesis allowed the family their right to autonomy; however, prenatal chromosome analysis would have provided this couple with a great deal more prognostic information. We discuss the conflict between a counselor's duty to respect a client's freedom vs. duty to care for a client's welfare. We address issues of nondirective counseling and the need for more studies looking at the decision-making process in prenatal diagnosis.     

AUDITORY SUCCESSIVE CONDITIONAL DISCRIMINATION AND AUDITORY STIMULUS EQUIVALENCE CLASSES

This paper describes an experimental demonstration of stimulus equivalence classes consisting entirely of auditory stimuli. Stimuli were digitized arbitrary syllables (e.g., “cug,” “vek”) presented via microcomputer. Training and testing were conducted with a two-choice auditory successive conditional discrimination procedure. On each trial, auditory samples and comparisons were presented successively. As each comparison was presented, a response location (a rectangle) appeared on the computer screen. After all stimuli for a trial were presented, subjects selected one of the response locations. Six subjects acquired the conditional discrimination baseline, 4 subjects demonstrated the formation of three-member auditory equivalence classes resulting from sample-S+ relations, and 1 subject demonstrated equivalence classes resulting from sample-S— relations. Four subjects received additional training and subsequently demonstrated expansion of the three-member classes to four members each.     

Prenatal discrimination of a male and a female voice uttering the same sentence

Using a habituation/dishabituation procedure, near-term foetuses (36-39 weeks gestational age) were tested in a low variability HR state, to examine whether they could discriminate between a male and a female voice repeatedly uttering the same short sentence. Prosody and loudness of the two voices were controlled. Once the foetal heart rate (HR) habituated to the first voice, the effect of a second voice was investigated in two experimental conditions: male/female voice and female/male voice. HR variations after the onset of the second voice were compared to those occurring in two control conditions in which the same voice was presented twice (male/female voice and female/female voice). Highly conservative statistical criteria taking each subject's pre-stimulus HR variability into account showed that most foetuses exposed to the voice change displayed decelerative cardiac changes, with no significant difference between the two conditions. These HR decelerations were found in the first seconds following the onset of the new voice, and reached their peak amplitude within 10 s in most subjects. These responses lasted more than 10 s for two-thirds of the experimental subjects. Mostly transient HR accelerations and only a few decelerative changes were recorded in the control subjects. Furthermore, mean amplitudes of these changes were significantly lower than the HR decelerations induced by the new voice in the experimental conditions, suggesting that the latter were not spontaneous HR modifications but rather cardiac responses to the voice change. It is argued that near-term foetuses may perceive a difference between voice characteristics of two speakers when they are highly contrasted for fundamental frequency and timbre.     

To Use or Not to Use: The Prenatal Genetic Technology/Worry Conundrum

We conducted an exploratory, qualitative study investigating the factors influencing the use of genetic counseling and prenatal genetic testing for two groups: pregnant women 35 years of age and over (AMA) at the time of delivery and pregnant women with an abnormal maternal serum triple screen (MSAFP3). The convenience sample consisted of 25 semistructured interviews of women/couples and 50 observations of genetic counseling sessions. Worry turned out to be the most important variable influencing decision making about prenatal genetic testing and was greater in the MSAFP3 group than in the AMA group. The women in the AMA group appeared to assign the risk of having a child with Down syndrome to their age category rather than to themselves individually, whereas, the risk perception for women with an abnormal MSAFP3 appeared to have shifted from a general population risk for pregnant women to an individual, personal risk. There was a general lack of understanding and also more misinformation about the MSAFP3 screen compared to amniocentesis. Women in both groups were torn between fear of an invasive test and worry about the health of their fetus for the rest of their pregnancy if they did not undergo amniocentesis.     

Association of prenatal attachment and early childhood emotional,behavioral, and developmental characteristics: A longitudinal study

This study examines the associations between prenatal attachment and child development, socioemotional behavioral problems, and competence at early childhood. It also inquires whether maternal depression and anxiety at the prenatal period and at early childhood are associated with child outcomes. The study consisted of 83 mothers and their children. Data regarding the prenatal attachment, depression, and anxiety were collected during Weeks 28 to 40 of gestation. When the children were 21 to 31 months old, the Brief Infant and Toddler Social Emotional Assessment (BITSEA) and the Ankara Developmental Screening Inventory (ADSI) were applied to children along with Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI) administered to mothers. Results showed that prenatal attachment scores significantly correlated with BITSEA-Competency subscale scores and ADSI total scores at early childhood, r(83) = 0.246, P = .025, and r(82) = 0.316, P = .004, respectively. Prenatal attachment levels were found to be the predictors of both behavioral and emotional competence and development at early childhood, b = 0.081, t(83) = 2.273, P = .014, and b = 0.281, t(83) = 3.225, P = .002, respectively. In addition, prenatal attachment was shown to be even a stronger predictor of development than was worsening maternal depression at early childhood, b = −0.319, t(83) = 2.140, P = .035. Our results indicate that fostering prenatal attachment may be beneficial for better infant outcomes at early childhood.