“Where Does it Come from?” Experiences Among Survivors and Parents of Children with Retinoblastoma in Kenya

Genetic testing and counseling have become integral to the timely control of heritable cancers, like the childhood eye cancer retinoblastoma. This study aimed to determine attitudes, knowledge and experiences related to retinoblastoma genetics, among survivors and parents of children with retinoblastoma in Kenya. This qualitative study used focus groups as the primary data collection method, coupled with a brief demographic questionnaire. Study settings were Kenyatta National Hospital and Presbyterian Church of East Africa Kikuyu Hospital. Thematic analysis was used to identify key themes. Thirty-one individuals participated in five focus groups. Two main concepts emerged: (1) the origins of retinoblastoma are unclear, and (2) retinoblastoma is associated with significant challenges. The lack of clarity surrounding the origins of retinoblastoma was linked to limited knowledge of retinoblastoma genetics, and limited genetic counseling delivery and uptake. The challenges associated with retinoblastoma were discussed in terms of the impact of the diagnosis on individuals and families, and unmet healthcare needs related to the diagnosis. Next steps will incorporate these findings to develop evidence-informed and accessible cancer genetic services in Kenya.     

Where Does I Stand? Reflections on Home and Identity Ensnared in a Cultural Narrative

In this paper the author explores a cultural narrative that she suggests rests on the concepts of the Feminine and Masculine as such, employing both as though they contain an agreed set of universal givens. These givens are extrapolated from an androcentric perspective on female and male bodies, in particular their biological functions regarding reproduction. The metaphors of the baby-in-womb, mother’s preoccupation with child and heteronormative sexual relations are the primary cyphers for the narrative. She suggests that remaining unconscious of this narrative, such that it is taken as a universal given, can hamper a person’s relation to themselves, the world and others. The author names two concepts, Home and Identity: Home being an hospitable and accommodating space with Identity denoting the one who inhabits the space. In the narrative these two are unhelpfully categorized as belonging to the Feminine and the Masculine respectively. For ease of understanding the author uses a capital letter to designate an abstract idea, and lower case when referring to the concrete or particular. Clinical examples are given throughout the paper to illustrate how acknowledgement and awareness of this narrative might free the analyst or therapist to think more broadly around issues pertaining to space and identity.     

Does “inhibition of return” occur in discrimination tasks?

When attention is drawn to a location and then withdrawn, responding to a stimulus at that location may be slower than to one at a new location. This “inhibition of return” (IOR) has not been reliably demonstrated in tasks that require discrimination of targets from nontargets. The present experiments replicated IOR in detection and localization tasks only when target/nontarget discrimination was not also required. When discrimination was required, a consistent samelocation advantage occurred for repeated targets. Changed targets may, however, induce a bias toward opposite responses. The results cast doubt on IOR as a general attentional phenomenon.     

Does “whole-word shape” play a role in visual word recognition?

To analyze the impact of outline shape on visual word recognition, the visual pattern of the stimuli can be distorted by size alternation. Contrary to the predictions of models that rely on outline shape (Allen, Wallace, & Weber, 1995), the effect of size alternationwas greater for low-frequency words than for high-frequency words in a lexical decision task (Experiment 1). In Experiment 2, the effect of case type (lowercase vs. UPPERCASE) occurred for low-frequency words, but not for high-frequency words. The effect of neighborhood size was remarkably similar in the two experiments. The results can be readily explained in the framework of a resonance model (Grossberg & Stone, 1986), in which a mismatch between the original sensory pattern and the abstract orthographic code slows down the formation of a stable percept.     

Does half a pizza equal half a box of chocolates?: Proportional matching in an analogy task

There is now a considerable literature demonstrating analogical reasoning in children as young as 3 and 4 years of age. Here, we used analogy as a sensitive measure of proportional understanding in young children. In two experiments, we examined whether children's performance in a proportional analogy task would be affected when concrete models evoking different kinds of conceptual referents were used as the basis for the analogies. We chose two different conceptual referents (pizza and chocolates) of the kind typically used in fractions instruction. In both experiments, children were shown a base substance by the experimenter (e.g., a whole pizza) from which a proportion was then removed (e.g., a half pizza). Children were asked to complete the analogy by removing an equivalent proportion of their own target set (e.g., a whole box of chocolates changed to half a box of chocolates). This proportional matching paradigm resulted in analogy problems of the form: 8/8 pizza: 4/8 pizza: 4/4 box of chocolates:2/4 box of chocolates. Results indicated that 3- to 4-year-old children do have an emergent understanding of proportional equivalence, even when the materials to be matched are not isomorphic.     

The Primacy of the “Shoulds”: Where Is the Evidence?

A central tenet of rational emotive behaviour therapy (REBT) has always been that irrational beliefs which express demands through absolutistic shoulds, musts or oughts are the basic cause of emotional disturbance. This premise is characteristic of Ellis' theory but is not always supported by other REBT writers or other writers within the cognitive therapy field. This paper reviews a range of research findings which appear to call into question Ellis' tenet of the primacy of the shoulds and which, in turn, raise theoretical and methodological difficulties in the measurement of beliefs. This along with the current theoretical debate regarding irrational belief processes may preclude the possibility of testing the proposition that demandingness is the primary irrational or dysfunctional belief.     

A Review of: “Couple Power Therapy”

Abstract

Events of parental divorce: Stressfulness ratings by children, parents, and clinicians, by S. A. Wolchik, I. N. Sandler, S. L. Braver,&;B. S. Fogas, 1986, 14, 59-74     

Does binge eating play a role in the self-regulation of moods?

Self-reported emotional experiences and eating behaviors were studied in college students in an attempt to determine what types of emotional experiences precede and follow binge eating and how specific types of compensatory behaviors modify these experiences. First-year male and female students (N=390) were surveyed for depression, anxiety, health status, life satisfaction, and eating attitudes (EAT-26). Those reporting recurrent binge eating episodes were asked to describe their emotional feelings before and after bingeing and before and after compensatory activities. EAT-26 scores corresponding to scores previously reported for eating disordered patients were found in 9.7% of students. Binge eating was nearly twice as frequent among females (16.4%) as males (8.6%) Among females, positive relationships were found between specific EAT-26 factors scores and both anxiety and depression scores. The emotional antecedents and consequences of binge eating and of compensatory activities were compared in three sub-groups of individuals who reported recurrent bingeing with loss of self-control during binges. The three sub-groups consisted of individuals who reported, 1) bingeing without engaging in compensatory activities, 2) bingeing and compensating by means other than vomiting (fasting, exercising, or use of laxatives or diuretics), and 3) bingeing and compensating by vomiting. Regardless of the type of activity, those individuals who engaged in compensatory activities reported greater negative affect preceding binge episodes than those who did not compensate. In addition, contrary to expectations, negative affect did not decrease, but instead increased significantly, following binge episodes and decreased immediately before and after compensatory activities.     

Does binge eating play a role in the self-regulation of moods?

Self-reported emotional experiences and eating behaviors were studied in college students in an attempt to determine what types of emotional experiences precede and follow binge eating and how specific types of compensatory behaviors modify these experiences. First-year male and female students (N=390) were surveyed for depression, anxiety, health status, life satisfaction, and eating attitudes (EAT-26). Those reporting recurrent binge eating episodes were asked to describe their emotional feelings before and after bingeing and before and after compensatory activities. EAT-26 scores corresponding to scores previously reported for eating disordered patients were found in 9.7% of students. Binge eating was nearly twice as frequent among females (16.4%) as males (8.6%). Among females, positive relationships were found between specific EAT-26 factors scores and both anxiety and depression scores. The emotional antecedents and consequences of binge eating and of compensatory activities were compared in three sub-groups of individuals who reported recurrent bingeing with loss of self-control during binges. The three sub-groups consisted of individuals who reported, 1) bingeing without engaging in compensatory activities, 2) bingeing and compensating by means other than vomiting (fasting, exercising, or use of laxatives or diuretics), and 3) bingeing and compensating by vomiting. Regardless of the type of activity, those individuals who engaged in compensatory activities reported greater negative affect preceding binge episodes than those who did not compensate. In addition, contrary to expectations, negative affect did not decrease, but instead increased significantly, following binge episodes and decreased immediately before and after compensatory activities.     

Does degree of handedness in a group of right-handed individuals affect language comprehension?

The impact of handedness on language processing has been studied extensively and the results indicate that there is a relationship between the two variables; however, the nature of the relationship is not at all clear. In the current study we explored degree of handedness (DH) opposed to direction in a group of right-handed individuals. fMRI was used to explore the impact of DH on the sentence comprehension network. The results revealed that during sentence comprehension activation in regions linked to semantic memory (e.g., anterior temporal cortex) were modulated by DH. Also, unexpectedly the precuneus/posterior cingulate gyrus which has been linked to episodic memory was also affected by DH. These results extend those reported previously by showing that the neural architecture that supports sentence comprehension is modulated by DH. More specifically, together the results presented here support the hypothesis proposed by Townsend, Carrithers, and Bever (2001) that DH interacts with the language system and impacts the strategy used during sentence comprehension.     

Does luck have a place in epistemology?

Some epistemologists hold that exploration and elaboration of the nature of luck will allow us to better understand knowledge. I argue this is a mistake.     

Does recall of a past music event invoke a reminiscence bump in young adults?

Many studies of the reminiscence bump (RB) in music invoke memories from different autobiographical times by using stimulus specific prompts (SSPs). This study investigated the utility of a non-SSP paradigm to determine whether the RB would emerge when participants were asked to recall a single memorable musical event from “a time long ago”. The presence of a RB in response to music has not been obtained in such a manner for younger participants. Eighty-eight 20–22 year olds reported music episodes that peaked when their autobiographical age was 13–14 years. Self-selected stimuli included a range of musical styles, including classical and non-Western pop forms, such as J-pop and K-pop, as well as generational pop music, such as the Beatles. However, most participants reported pop/rock music that was contemporaneous with encoding age, providing support for the utility of published SSP paradigms using pop music. Implications for and limitations of SSP paradigms are discussed. Participants were also asked to relate the selected musical piece to current musical tastes. Most participants liked the music that they selected, with many continuing to like the music, but most also reported a general broadening of their taste, consistent with developmental literature on open-earedness.     

Level and Inequality of Happiness in Nations: Does Greater Happiness of a Greater Number Imply Greater Inequality in Happiness?

Utilitarians and egalitarians have different priorities. Utilitarians prioritize the greatest level of happiness in society and are prepared to accept inequality, while egalitarians prioritize the smallest differences and are willing to accept a loss of happiness for this purpose. In theory these moral tenets conflict, but do they really clash in practice? This question is answered in two steps. First I consider the relation between level and inequality of happiness in nations; level of happiness is measured using average responses to a survey question on life satisfaction and inequality is measured with the standard deviation. There appears to be a strong negative correlation; in nations where average happiness is high, the standard deviation tends to be low. This indicates harmony instead of tension. Secondly I consider the institutional factors that are likely to affect happiness. It appears that level and equality of happiness depend largely on the same institutional context, which is another indication for harmony. We may conclude that the discussion between utilitarians and egalitarians is of little practical importance. This conclusion implies that increasing income inequality can go together with decreasing inequality in happiness and this conclusion provides moral support for Governments developing modern market economics