Skilled Immigrants and the Negotiation of Family Relations During Settlement in Calgary,Alberta

When re-establishing their lives in Canada, international migrants with dependent children regularly encounter dramatically different conditions for family life. The parents’ employment situation, the limited availability of extended kin to help with child rearing, and a multicultural and relatively more permissive social environment, all of these invite or even demand changes in newcomers’ family practices. Yet, more information is needed about the ways in which skilled immigrants negotiate the changed conditions for work and family life in this country, and the impact this has on family dynamics during settlement. Drawing on data from interviews with 30 skilled immigrants living in Calgary, Alberta, this paper explores how coming to Canada impacted participants’ situations of paid work, parenting practices, and familial gender relations. Findings suggest that strained economic and social resources often limited the extent to which mothers and fathers were able to maintain an organization of family life similar to what they had established in their country of origin. However, while in some cases, shifts in family formation caused heightened levels of stress and strain and further entrenched the doing of conventional gender roles, in others, changed conditions acted as a catalyst for positive change. The tools that eased the burdens of settlement for some are explored, and recommendations are made for how to better support newcomer families.     

The Effectiveness of Family History Questionnaires in Cancer Genetic Counseling

The number of individuals receiving genetic counseling for hereditary breast and ovarian cancer syndrome has steadily risen. To triage patients for genetic counseling and to help reduce the amount of time needed by a genetic counselor in direct patient contact, many clinics have implemented the use of family history questionnaires. Although such questionnaires are widely used, scant literature exists evaluating their effectiveness. This article explores the extent to which family history questionnaires are being used in Ontario and addresses the utility of such questionnaires in one familial cancer clinic. By comparing the pedigrees created from questionnaires to those updated during genetic counseling, the accuracy and effectiveness of the questionnaires was explored. Of 121 families recruited into the study, 12% acquired changes to their pedigree that led to a revised probability estimate for having a BRCA1 or BRCA2 mutation and 5% acquired changes that altered their eligibility for genetic testing. No statistically significant difference existed between the eligibility for genetic testing prior to and post counseling. This suggests that family history questionnaires can be effective at obtaining a family history and accurately assessing eligibility for genetic testing. Based on the variables that were significantly associated with a change in probability estimate, we further present recommendations for improving the clarity of such questionnaires and therefore the ease of use by patients.     

Attentional requirements for object-location priming

The purpose of the present experiments was to investigate whether a verbal and a spatial secondary task would disrupt priming for object-location associations. Symbols were placed one at a time in one of nine locations in a rectangle. Implicit memory was tested with a reaction time (RT) task. All symbols were placed in the same location of the rectangle across 10 trial blocks; then, all their locations were changed. Responses were made on the numeric keypad, which corresponded to the spatial locations used in the rectangle. A decrease in RTs across the first 10 trial blocks followed by an increase in RTs when the symbols changed locations would indicate priming for the associations. The results were that implicit memory for object-location associations was obtained under single-, but not under dual-task conditions. We have interpreted the results in terms of a working memory model that posits that implicit memory will suffer when cognitive resources are limited.     

A component model for diagnosing and treating children who stutter

Nine components of stuttering and their distribution among 54 children who stutter are described. The components are arranged into a model that includes four neurologic components (attending disorder, auditory-processing disorder, sentence-formulation disorder, and oral-motor disorder) and five traditional components (high self-expectations, manipulative stuttering, disruptive communication environment, unrealistic parental expectations, and abnormal parental need for the child to stutter). Diagnostic and treatment usefulness of the model are discussed. Thirty-two of the children have been followed through component-based treatment and 12 mo post termination. Results indicate that treatment was successful with 27 (84%) of the 32 children. Only one child regressed during the 12 mo after treatment ended. These results suggest that treating the neurologic and traditional factors which disrupt fluency improves maintenance and carry-over.     

Similarities Between the Psychological Profiles of Complex Regional Pain Syndrome and Conversion Disorder Patients

The psychological profile of 17 Complex Regional Pain Syndrome type I (CRPS) and 20 Conversion Disorder (CD) patients were compared, using the Minnesota Multiphasic Personality Inventory (MMPI) and standardized, semistructured psychological interviews. Both groups presented abnormally high somatization scores. Low anxiety scores in both groups indicate that somatization may have served as a defense mechanism to bind anxiety. Depression was apparent in both groups, indicating that psychological distress accompany these syndromes. About one third of the participants in both groups presented comorbid Axis I disorders, mostly depression and PTSD. CRPS patients have traditionally been looked upon as suffering from mainly organic symptoms, whereas CD patients have been labeled as psychiatric patients. These results may indicate the need to reexamine the traditional classifications in respect to disorders that involve body and mind.     

Subjective Screening of Stuttering severity, locus of control and avoidance: research edition

This article describes the Subjective Screening of Stuttering (SSS): research edition that is designed to quantify the selected self-reports of people who stutter (PWS) prior to, during, and following their treatment. The three areas screened by the SSS are perceived stuttering severity, the level of internal or external locus of control, and reported word or situation avoidance. Each of the areas has two or three items rated for three audiences on a one to nine rating scale. Other available measures were reviewed and the need for a single instrument that provides quantified screening of each of the areas was recognized. Results of a research project using the SSS with 16 PWS indicated that percent of syllables stuttered correlated with stuttering severity (r=0.75) and with locus of control (r=0.43) but did not correlate with avoidance. These results were interpreted to indicate a need for other types of therapy following the experimental treatment studied. Reliability and validity of the SSS were judged adequate for research and clinical screening. The possible role of screening self-reports of PWS in combination with more extensive self-report instruments and with objective measures of stuttering is discussed. EDUCATIONAL OBJECTIVES: The reader will be able to (1) assess the perception of stuttering severity, avoidance and locus of control of people who stutter (PWS), and (2) determine from the PWS the self-reported outcome of treatment.     

Breast and Ovarian Cancer: The Forgotten Paternal Contribution

Five to 10% of all cases of breast and ovarian cancer are attributed to a heritable genetic predisposition. Transmission of BRCA1 and BRCA2 mutations is equally likely through maternal or paternal lineage; however, fewer referrals to cancer genetics clinics appear to be made for a paternal, than maternal, family history of breast and/or ovarian cancer. To examine this potential bias, a retrospective review of 315 patient and family charts was conducted by one familial cancer clinic in Toronto, Canada. Referral letters, risk estimates, and family histories were analyzed to identify significant differences between patients referred with maternal and paternal family histories. It was determined that patients are approximately five times more likely to be referred with a maternal family history of breast and/or ovarian cancer as compared to those with a paternal family history (p = <.0001). Individuals with a paternal family history were found to have a different, and higher, pattern of risk estimates (p = .00064). No significant difference was seen between the type of referrals sent by general practitioners, oncologists, and gynecologists. Recommendations to increase the awareness of paternal family history in assessing cancer risk are provided.