Professional preparation of individuals who provide genetic counseling services

An unprecedented increase has occurred in demand for genetic counseling services during the current decade. This study examined the complex issue of who currently provides genetic counseling services and the professional preparation of these personnel. A self-administered questionnaire was mailed to 325 genetic counseling professionals in the southeastern United States who were members of the Southeast Regional Genetics Group (SERGG), National Society of Genetic Counselors, or American Society of Human Genetics States; 204 completed the questionnaire (63%). Seventy percent of respondents were female and 30% were male. Thirty percent of respondents held MD degrees; nine physicians held PhD degrees. Most physicians were male. Thirty-two percent of respondents held master's degrees in genetic counseling; five counselors held PhD degrees. Twenty-three percent of respondents were nurses; eight nurses held master's degrees. Three percent of respondents were social workers. Individuals with other degrees, such as an associate of science in medical technology and a doctoral degree in education, also provided genetic counseling. Genetic counseling typically involved a team effort, consisting mainly of physicians and genetic counselors. Most respondents reported college coursework in human genetics, supervised training, and seminar/workshop training. Thirty percent reported college coursework in counseling techniques, supervised training, and seminar/workshop training. Policy recommendations are offered concerning professional preparation of genetic counselors.     

Newborn screening for cystic fibrosis: Educational implications

We examined the educational implications of newborn screening for cystic fibrosis (CF) as performed by combining the measurement of immunoreactive trypsin with analysis for the most common CF mutation, F508. Four out of 77 (5%) of maternity staff from 11 hospitals in rural New South Wales, Australia had learned about the salient features of the screening protocol from a pamphlet distributed from a central laboratory. In comparison, a didactic lesson resulted in a significantly greater (p<0.00006) number of maternity staff learning about the salient features of the screening protocol. Most maternity staff expanded their explanation to parents of newborn babies because of the didactic lesson.     

The effects of verbal feedback and listener type on the speech of preschool children

The present study simultaneously assessed the relative contributions of feedback indicative of comprehension and the apparent age of the listener, either an adult or a doll which resembled a toddler, in a 2 (listeners) × 2 (types of feedback, C = comprehension, NC = noncomprehension) design. Two groups of children, a 3-year-old (N = 13, 7 boys, 6 girls) and a 5-year-old group (N = 12, 6 boys, 6 girls) were asked to tell stories to both the adult and doll in both C and NC conditions. The doll was constructed with an internal speaker such that it could actually carry on a conversation with the children. The conversations were taped, transcribed, and scored for mean length of utterance (MLU), transitional utterance length to each C and NC signal, and the proportion of child questions, exact self-repetitions, repetition and reductions, and rephrases/elaborations. The data analysis revealed that all children appropriately modified the length of their utterances (MLU) in the doll condition but not in the adult condition, indicating that they were sensitive to both the feedback and the nature of their listeners. Older children were more likely than younger children, and girls more likely than boys to adjust the length of their utterances appropriately to each type of feedback, slightly increasing the length of the subsequent utterance to a C signal and decreasing the length to an NC signal. The younger children were also more likely to respond with a simple repetition to NC cues from the adult.     

Children's self-concept and attitude toward school in open and traditional classrooms

Children from a traditional school and two open schools were compared, using the Pictorial Self-Concept scale and the Attitude Toward School scale. To control for the self-selection of open school students, the traditional school subjects were divided into those whose parents favored and those whose parents did not favor open education. Three of the 12 analyses were significant, but not in the predicted, or in any orderly, direction. These results were attributed to chance. Attitude toward school was higher for females than males and decreased for kindergarden to grade 2. Self-concept increased form kindergarten to grade 2, with no significant sex differences.     

“in”, “on”, and “under” revisited

The present study presents evidence that young children's comprehension of the locatives ‘in’, ‘on’, and ‘under’ is, at least in part, contextually determined. Children aged 1;6–3;0 were given tasks with verbal instructions which were either contextually congruent or incongruent. The results were interpreted in terms of the non-linguistic as well as linguistic strategies apparently used to interpret speech. The results and interpretation are in contrast to those of earlier research.     

Traditional attitudes and teacher consistency in producing student learning gains in the early elementary grades

Questionnaire responses of second- and third-grade teachers specially selected because of their relatively high consistency in producing student learning gains on standardized achievement tests (N =30) were compared with responses of other teachers working in the same school system at the same grade levels (N = 38). Due to sample selection procedures, the highly consistent teachers were older and averaged more years of teaching experience than the teachers in the comparison group. In order to see whether the consistent teachers differed in any other ways from the teachers in the comparison group, the teachers in each group were administered a 495-item questionnaire. Group difference analyses revealed 57 items showing differences beyond the .05 level of significance, when only about 25 would have been expected by chance. For the most part, the items showing group differences did not form interpretable patterns. However, a subset of 10 items emerged from a factor analysis to form a traditionalism factor. Further analyses revealed that the highly consistent teachers were more traditional in their attitudes and beliefs than the teachers in the comparison group, and that this difference was not related to teacher age or years of experience. Thus, traditionalism in beliefs and attitudes was related to consistency in relative success in producing student learning gains. Possible reasons for this puzzling finding are discussed.     

AN EVALUATION OF GENTLE TEACHING AND VISUAL SCREENING IN THE REDUCTION OF STEREOTYPY

Gentle teaching and visual screening techniques have been used to control severe behavior problems in persons with mental retardation. An alternating treatments design was used to compare gentle teaching, visual screening, and a task-training condition in the reduction of the high-level stereotypy of 3 persons with mental retardation. Following a baseline phase, a task-training condition using standard behavioral techniques was implemented to establish the effects of training the subjects on the tasks. Results showed a modest decrease in stereotypy. This phase was followed by an alternating treatments phase in which visual screening, gentle teaching, and baseline conditions were compared. Both procedures were superior to the control condition in reducing stereotypic behavior, with visual screening being more effective than gentle teaching. When compared with data from the prior phase, gentle teaching was found to be more effective than task training for 2 subjects but less effective for the 3rd, whose stereotypy increased during gentle teaching. Two succeeding phases in which visual screening was implemented across two and then all three daily conditions reduced stereotypy further to near-zero levels. An additional phase with 1 subject demonstrated that the treatment effects of visual screening were easily replicated across therapists. Mixed and idiosyncratic changes in collateral behaviors occurred. For example, “bonding,” the goal of gentle teaching, occurred at the same low levels under both treatments, contrary to the predictions of gentle teaching's proponents. The results indicate that gentle teaching may not be the universal treatment of choice for stereotypy its proponents suggest, and that it requires further empirical evaluation.     

MULTIPLE TREATMENT INTERFERENCE IN THE ALTERNATING TREATMENTS DESIGN AS A FUNCTION OF THE INTERCOMPONENT INTERVAL LENGTH

In experimental designs requiring the administration of more than one treatment to the same subject(s), the effect of one treatment may be influenced by the effect of another treatment (Campbell & Stanley, 1963), a phenomenon known as multiple treatment interference. We conducted two studies in which multiple treatment interference in an alternating treatments design was shown to be a function of the length of the intercomponent interval (ICI) separating treatment conditions. In the first study, we evaluated the effects of four different treatments on the mouthing of a severely retarded boy. Under a 1-min ICI no consistent differential responding to treatment was obtained. Differential responding emerged when the ICI was increased from 1 min to 120 min, thus suggesting multiple treatment interference in the lack of differential responding under a 1-min changeover interval. Functional control of the nondifferential and differential responding as a function of the ICI length was replicated in a reversal phase. In the second study, we compared two treatment procedures for the disruptive noncompliant behavior of a moderately retarded boy. Multiple treatment interference (i.e., the lack of differential responding) occurred with the 1-min intercomponent interval. An increase to a 120-min ICI again resulted in differential responding. A replication of multiple treatment interference by a reversal to a short interval phase was not achieved in the second subject. Results of this study support much of the basic literature on discrimination and multiple treatment interference. Major findings of this study are twofold: Multiple treatment interference can depend on the length of the changeover interval between treatments and multiple treatment interference can take the form of a lack of differential responding to various treatments. Implications for future research are discussed.     

有无二胎与父母教养能力感的关系:头胎子女亲子依恋的调节作用

研究选取650名中小学生为研究对象,采用父母教养能力感量表和亲子依恋安全性问卷,考察了有无二胎与父母教养能力感的关系,并探讨了头胎子女的父子依恋和母子依恋在有无二胎与父母教养能力感关系中的调节作用。研究发现：（1）二胎家庭中父母的教养能力感高于独生子女父母的教养能力感;（2）头胎子女的母子依恋能够调节有无二胎与父母教养能力感的关系：对于高母子依恋组的被试而言,有无二胎无法预测父母教养能力感,而对于低母子依恋组的被试来说,有无二胎能显著正向预测父母教养能力感。而父子依恋的调节作用不显著。结果表明,对高母子依恋群体而言,有无二胎不影响父母教养能力感,而对于低母子依恋群体来说,家庭中有二胎会促进父母教养能力感的发展。     

建构主义教学与元思维的关系:认知压力的解释

本研究采用建构主义教学评估问卷、认知压力问卷、一般元思维量表与情境元思维量表对381名学生进行测量,考察了建构主义教学与元思维之间的关系,以及一级、二级认知压力在其中的中介或解释作用。研究采用结构方程模型分析,结果显示:(1)仅考虑一级认知压力时,建构主义教学能正向预测两种元思维,一级认知压力在建构主义教学与两种元思维间皆起部分中介作用;(2)仅考虑二级认知压力时,其在建构主义教学与两种元思维间皆起完全中介作用;(3)同时加入两种认知压力时,仅二级认知压力的中介作用显著。