Patient Perspectives on Intimate Partner Violence Discussion during Genetic Counseling Sessions

Intimate partner violence (IPV) is a major health concern in the United States (ACOG 2013). The World Health Organization (WHO) describes IPV as any physical, sexual, psychological harm by a current or former intimate partner (WHO 2016). Due to the psychosocial depth and nature of discussions within genetic counseling sessions, patients may disclose and/or discuss IPV as it relates to sexual well-being, reproductive and overall health. This study aims to assess the role for IPV screening, counseling and intervention in genetic counseling practice by investigating the incidence, experiences and attitudes about IPV among genetic counseling patients. Patients receiving genetic counseling at an urban metropolitan hospital were anonymously surveyed about experiences and perspectives on IPV as a topic of discussion during genetic counseling sessions. Among 60 eligible patients, 50 completed the survey (49 females, 1 male, of which, 5 identified as LGBT) ages 20 to 66. The incidence of IPV in this group was 16.0 % (n = 8). Majority of participants had never been asked about IPV by a healthcare provider (n = 32; 64.0%), would have felt comfortable answering questions about IPV by their healthcare provider (n = 34; 68.0%), and would have felt comfortable answering questions about IPV by their genetic counselor (n = 39; 78.0%). Perspectives from all participants, notably those with IPV history, provided insights to the role of genetic counselors in areas for IPV screening and counseling training.     

Perseverance in solving Sudoku: role of grit and cognitive flexibility in problem solving

Problem solving is a higher order cognitive capacity with implications for everyday functioning. Although Grit predicts academic outcomes, the relation between facets of Grit, Consistency and Perseverance, and problem solving remain unknown. We report the results of two studies conducted to examine the impact of facets of grit on problem solving within the context of solving Sudoku puzzles. In Study 1, Grit-Perseverance predicted performance on the hard versus easy puzzle. In Study 2, we increased the difficulty level of the puzzles and assessed cognitive flexibility using the Wisconsin Card Sort Test. Grit-Perseverance was associated with effort on both the hard and very hard puzzles. Further, mediation analyses revealed that Grit-Perseverance indirectly predicted increased effort on the very hard puzzle through decreased cognitive flexibility. Overall our results demonstrate that Grit-Perseverance, not Consistency, impacts problem solving and highly gritty individuals may be most successful in solving challenging problems that are moderately constrained.     

The Lexical Stroop Sort (LSS) picture-word task: a computerized task for assessing the relationship between language and executive functioning in school-aged children

The relationship between language development and executive function (EF) in children is not well understood. The Lexical Stroop Sort (LSS) task is a computerized EF task created for the purpose of examining the relationship between school-aged children’s oral language development and EF. To validate this new measure, a diverse sample of school-aged children completed standardized oral language assessments, the LSS task, and the widely used Dimensional Change Card Sort (DCCS; Zelazo, 2006) task. Both EF tasks require children to sort stimuli into categories based on predetermined rules. While the DCCS largely relies on visual stimuli, the LSS employs children’s phonological loop to access their semantic knowledge base. Accuracy and reaction times were recorded for both tasks. Children’s scores on the LSS task were correlated with their scores on the DCCS task, and a similar pattern of relationships emerged between children’s vocabulary and the two EF tasks, thus providing convergent validity for the LSS. However, children’s phonological awareness was associated with their scores on the LSS, but not with those on the DCCS. In addition, a mediation model was used to elucidate the predictive relationship between phonological awareness and children’s performance on the LSS task, with children’s vocabulary fully mediating this relationship. The use of this newly created and validated LSS task with different populations, such as preschoolers and bilinguals, is also discussed.     

Acquisition of structural versus object landmark knowledge

Three experiments investigated the acquisition and retention of structural and object landmarks in virtual indoor environments. The experiments investigated the rate of acquisition and memory retention for hallway structure (structural landmarks) and pictures (object landmarks). The experiments investigated the rate of acquisition, the role of information content, and memory retention of this information when participants were trained and tested in novel virtual indoor environments. The results from these experiments suggest that (a) even initially, participants are biased toward encoding building structure over object landmarks; (b) participants are sensitive to the information content of landmarks and will allocate memory resources to landmarks that are more informative; and (c) information about these landmarks is retained even after a 1-year delay.     

The Metaphysics of Ethical Love: Comparing Practical Vedanta and Feminist Ethics

In this paper I compare two very different deployments of love in ethics. Swami Vivekananda's concept of ethical love ties into the project of constructing an alternative masculinity for a colonized people; while feminist care ethics uses love to escape the perceived masculinity of traditional ethical theory. Using Kenneth Goodpaster's distinction between ‘framework questions’ and ‘application questions,’ I try to show that love in Practical Vedanta addresses the former while feminist care ethics concerns itself with the latter. Even though this difference, I suggest, could be a function of their varying historical-political contexts, the two issues need to be taken together for a more complete understanding of the ethical subject.