Previous research has demonstrated that cognitive appraisal plays a central role in psychosocial adaptation to illness. Our research indicates that perception can also shape the nature of hope and suggests that health professionals should pay particular attention to the nature of parental hope. The fabric of parental hope can give an indication of how parents are coping and adjusting.

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The aim of this qualitative study was to examine the experience of individuals facing a choice about genetic counselling/testing in the context of newly diagnosed colorectal cancer (CRC). Nineteen individuals with newly diagnosed CRC, including 12 individuals who accepted genetic counselling (“acceptors”) and 7 individuals who declined genetic counselling (“refusers”), were interviewed using a standardized questionnaire guide which focused on motivations and barriers experienced in the decision process. Data were analyzed using Karlsson’s Empirical Phenomenological method of data analysis (Karlsson in Psychological qualitative research from a phenomenological perspective. Almgvist and Wiksell International, Stockholm, 1993). Three major themes were identified: facing challenges in health literacy; mapping an unknown territory; and adjusting to cancer. The study participants’ testimonies provided novel insights into potential reasons for patient non-engagement in pilot studies of reflex testing for Lynch syndrome, and allowed us to formulate several recommendations for enhancing patient engagement. Our study findings suggest that patient engagement in clinical cancer genetics services, including reflex testing for Lynch syndrome, can only be achieved by addressing current health literacy issues, by deconstructing current misconceptions related to potential abuses of genetic information, by emphasizing the clinical utility of genetic assessment, and by adapting genetics practices to the specific context of cancer care.

Women carrying a BRCA1 or BRCA2 genetic mutation have an up to 80% lifetime risk of developing breast cancer. It is especially important to understand the experiences of these women, as their lives are permeated with the threat of cancer. This qualitative study examined the experiences of six young women of reproductive age (age < 45 years) who were identified as carriers. The analysis of the semi-structured interviews inspired by grounded theory methodology, showed that participants experienced the same type of uncertainty demonstrated by women who have already been diagnosed with breast cancer.

Binocular disparity, resulting from the projection of a three-dimensional object on the two spatially separated retinae, constitutes one of the principal cues for stereoscopic perception. The binocularity of cells in one hemisphere stems from two sources: (1) the ganglion cells in the homonymous temporal and nasal hemiretinae and (2) the contralateral hemisphere via the corpus callosum (CC). The objectives of this study were, on one hand, to determine whether disparity-sensitive cells are present in a "higher order" area, namely area 19 of the visual cortex, of the cat and, on the other hand, to ascertain whether the CC contributes to the formation of these cells. As in areas 17-18, two types of disparity-sensitive neurons were found: one type, showing maximal interactive effects around zero disparity, responded with strong excitation or inhibition when the stimuli presented independently to the two eyes were in register. These neurons are presumed to signal stimuli situated about the fixation plane. The other type, also made up of two subtypes of opposed valencies, gave maximum responses at one set of disparities and inhibitory responses to the other set. These are presumed to signal stimuli situated in front of or behind the fixation plane. Unlike areas 17-18, however, disparity-sensitive cells in area 19 of the normal cat were less finely tuned and their proportion was lower. In the split-chiasm animal, very few cells were sensitive to disparity. These results, when coupled with behavioral data obtained with destriate animals, indicate that (1) area 19 is probably less involved in the analysis of disparity information than area 17, (2) the disparity-sensitive neurons that are sensitive to disparity are not involved in the resolution of very fine three-dimensional spatial detail, and (3) the CC only determines a limited number of these cells in the absence of normal binocular input.