The utilization of genetic counselors within a newborn screening program

Genetic counselors have participated in the Michigan Newborn Screening Program on a contractual basis since 1988. Their role includes newborn screening education and training, newborn nursery site visits, and monitoring newborn screening in hospitals. Their impact has been to improve the quality of newborn screening services by reducing errors and increasing completion of data fields on newborn screening cards, improving hospital nursery cooperation and problem solving, and enhancing health department response to specific problems.     

Neuroticism,life stress and concern about eating,body weight and apperance in a non-clinical population

Studies with clinical populations have shown a high level of neuroticism amongst those with an eating disorder. It is unclear however whether the elevated neuroticism is a function of the disorder, or if it is an aetiological factor in the disorder's development. The present survey of a non-clinical female population revealed that those high in neuroticism gave higher—but not abnormally high—scores on a measure of concern about eating. The high-N group also reported a significantly greater number of undesirable life events; a greater familiarity with ‘diet literature’; increased dieting; but no difference in body weight from those in the middle and lower ranges on the N scale. On the basis of these findings it is suggested that neuroticism is an aetiological factor in disordered eating, at least with secondary if not primary disorders. It is propesed that neuroticism is one mediating psychological factor in a triadic relationship between personal environment contingencies, socio-cultural pressures for thinness and psychological variables. Suggestions are made for future investigation of the role of neuroticism in eating disturbance, with note of potential therapeutic application of such knowledge.     

Modification of Type A behavior through aerobic exercise

This psychophysiological evaluation of an aerobic exercise program examined specifically whether aerobic training modified Pattern A for those individuals at behavioral risk for developing coronary heart disease, i.e., young Type A individuals. At pretest and posttest of this secondary prevention study, Type A and Type B subjects were assessed in three conditions: aerobic exercise program, nonaerobic activity (Aikido, a martial art) control, and notreatment control. After 10 weeks, Type A but not Type B subjects exhibited lower Pattern A behavior in the aerobic program than in control conditions. Average workout pulse rates and differentially reliable increases in aerobic capacity indicated that aerobic training was indeed aerobic, whereas aikido activity was not. Even though selected nonaerobic factors, such as locus of control and group participation, did not mediate the Pattern A decrease for Type A's when comparing aikido and aerobic conditions, changes in aerobic capacity may have been the mediator. Generalizability of the results and implications for theoretical development and clinical intervention are discussed.     

The typicality of therapeutic ‘surprises’

One reason why exposure to a feared stimulus does not result in a reduction in anxiety involves patients' cognitions as to the typicality of the encounter. This possibility was tested by relating the discrepancy between the discomfort dental patients expect to feel and their actual experience to their views of the typicality of the appointment and any change in dental anxiety reported 3 months later. As predicted, a large discrepancy between expected and experienced pain was associated with a change in anxiety only when the patients were confident that the discrepancy was a typical one. Implications for the design of therapeutic programmes are discussed.     

Selective mechanisms in visual perception

The notion of perceptual tuning is investigated by presenting alternatives either before, after, or both before and after a tachistoscopic stimulus. Study 1 (N = 12) showed that identification accuracy is best with alternatives both before and after the stimulus, poorest with alternatives after the stimulus, and intermediate with alternatives only before the stimulus. Study 2 (N = 3) indicated that performance with alternatives both before and after the stimulus varies according to where S is permitted to fixate prior to each exposure. The possibility of a central tuning mechanism was not strongly supported.     

Humility as a psychotherapeutic formulation

Humility training is conceptualized as an appropriate treatment for persons who occasionally describe themselves, but are most frequently described by others as overbearing, insensitive and deceitful. Procedures are outlined to identify unrecognized fears and improve interpersonal skills. Humility is presented as a counterpoint to assertiveness and aggression/anger control interventions.     

Neuroleptic malignant syndrome--3 case reports

An account is given of three patients who exhibited a malignant neuroleptic syndrome after the administration of neuroplegics. Like other authors, we identified typical elicitation factors and clinical characteristics. In one case a catatonic dilemma with lethal issue was observed. In the final case dealt with in this paper, the renewed application of neuroplegics following the termination of the malignant neuroleptic syndrome was tolerated without complications, whereas in the case of an epileptic patient with damage to the brain, the malignant neuroleptic syndrome returned upon dosage increase.