Creating Supportive Environments for Children Who have had Exposure to Traumatic Events

The prevalence of trauma among young children and its impact on educational outcomes is gaining attention. It is probable that the needs of children who have experienced or been exposed to trauma have long gone unmet due to identification challenges and a lack of knowledge concerning best practices. For this study, qualitative interviews were conducted to gather perspectives of 14 community-based service providers who worked with children and families regarding trauma-related concerns. Each shared his or her perspectives on knowledge and skills early childhood education teachers need to support children who have experienced traumatic events and partner with their families. Research questions were: What should early childhood teachers know about (1) trauma experiences among young children; (2) the emotional and behavioral patterns of children who have experienced traumatic events; and (3) supporting the social and emotional well-being of children in the classroom setting, including partnering with families, who have experienced or been exposed to traumatic events? Participants indicated that teachers might not readily connect children’s behaviors and emotions to trauma. However, teachers can use approaches and strategies (e.g., being attuned and supporting positive social and emotional and communicative responses) that promote social and emotional well-being for children who experience trauma. Participants also noted that teachers can resist re-traumatization by making adaptations to social, physical, and temporal aspects of the classroom environment. Findings indicate that trauma-informed care might be viable in early childhood classroom settings. Implications for research are discussed.     

Nussbaum,Kant, and the Capabilities Approach to Dignity

The concept of dignity plays a foundational role in the more recent versions of Martha Nussbaum’s capabilities theory. However, despite its centrality to her theory, Nussbaum’s conception of dignity remains under-theorised. In this paper we critically examine the role that dignity plays in Nussbaum’s theory by, first, developing an account of the concept of dignity and introducing a distinction between two types of dignity, status dignity and achievement dignity. Next, drawing on this account, we analyse Nussbaum’s conception of dignity and contrast it with Kant’s conception of dignity. On the basis of this comparison between Nussbaum and Kant, we highlight tensions between Nussbaum’s Aristotelianism, which is central to her conception of dignity, and her commitment to political liberalism. This leads us to conclude that Nussbaum’s claim that her conception of dignity is only a partial political conception is implausible and that her conception of dignity seems to commit her to a satisficing form of perfectionist liberalism.     

Explaining Gender Differences in Responses to Supportive Messages: Two Tests of a Dual-Process Approach

We propose a comprehensive explanation for gender differences in responses to supportive communication grounded in a dual-process theory of communication outcomes. Two studies confirmed consistent gender differences in responses by US college students to supportive communication and assessed the mediating effects of an ability factor (cognitive complexity) and two motivational factors (expressive and instrumental orientations) on situation elaboration and message evaluation. Study 1 focused on everyday comforting contexts (N?=?318), whereas Study 2 focused on bereavement (N?=?103). Both studies found that cognitive complexity mediated gender differences in situation elaboration and further found that cognitive complexity and expressive orientation collectively mediated gender differences in evaluative responses to supportive messages. Theoretical and pragmatic implications of the results are discussed.     

User-Centred Design of Communication Environments and Systems for Disabled People

The present paper presents the preliminary results of an ongoing research programme carried on at the Politecnico di Milano in the INDACO department in collaboration with a non-governmental organization called Sim-patia. The Sim-patia organization is in charge with the management of a rest house for people suffering from physical and cognitive pathologies that reduce their motion capabilities and self support in the daily activities. The ongoing research employs user-centred techniques to investigate the physical and cognitive needs of the patients in residence. Preliminary results of the experiments showed the effectiveness of the video communication solution developed for a particular physical environment. This experience is quite significant for our national context since up to now no similar cases have been published in Italy. The present paper illustrates the design approach, the first results of the research project and the evaluation activities performed on the prototyped solution.     

Liberal Learning as Freedom: A Capabilities Approach to Undergraduate Education

In this paper, I employ the pioneering works of Nussbaum, Sen, Saito, and Walker, in conjunction with the U.S. tradition of academic freedom, to outline a capability-centered vision of undergraduate education. Pace Nussbaum and Walker, I propose a short list of learning capabilities to which every undergraduate student should be entitled. This working definition of undergraduate education offers a starting point for discussion and experimentation. I employ it here to engage the current controversy in U.S. colleges and universities over the nature, value, and legitimacy of undergraduate students’ academic freedoms. In contrast to the anti-indoctrination emphasis of David Horowitz’s Academic Bill of Rights, I argue that students’ academic freedoms can be more effectively secured through the articulation of “essential freedoms for liberal learning” whose principal focus is not the behavior or political affiliations of teachers but the intellectual needs and circumstances of students.     

Taking Racism to Heart: Race-Related Stressors and Cardiovascular Reactivity for Multiracial People

Multiracial people experience an accumulation of racial stress for both their minority and their multiracial identities, yet no research has examined the physiological impact of this stress. This within-groups experimental study examined whether two race-related stressors—identity invalidation and discrimination from family—affect cardiovascular reactivity for Black/White multiracial adults (N = 60). The authors found a Condition × Phase interaction effect indicating that discrimination from family affected blood pressure. Invalidation had no effect on blood pressure. Las personas multirraciales experimentan una acumulación de estrés racial tanto a causa de su identidad multirracial como de su identidad como minoría, pero no hay investigaciones que hayan examinado el impacto psicológico de este estrés. Este estudio experimental dentro de grupos examinó si dos factores causantes de estrés relacionados con la raza (la invalidación de la identidad y la discriminación por parte de la familia) afectan a la reactividad cardiovascular de personas adultas multirraciales blancas/negras (N = 60). Los autores hallaron un efecto de interacción Condición × Fase que indica que la discriminación por parte de la familia tuvo un efecto sobre la presión sanguínea. La invalidación no tuvo efecto sobre la presión sanguínea.     

Educating for Autonomy: Liberalism and Autonomy in the Capabilities Approach

Martha Nussbaum grounds her version of the capabilities approach in political liberalism. In this paper, we argue that the capabilities approach, insofar as it genuinely values the things that persons can actually do and be, must be grounded in a hybrid account of liberalism: in order to show respect for adults, its justification must be political; in order to show respect for children, however, its implementation must include a commitment to comprehensive autonomy, one that ensures that children develop the skills necessary to make meaningful choices about whether or not to exercise their basic capabilities. Importantly, in order to show respect for parents who do not necessarily recognize autonomy as a value, we argue that the liberal state, via its system of public education, should take on the role of ensuring that all children within the state develop a sufficient degree of comprehensive autonomy.     

An Iterative Parametric Bootstrap Approach to Evaluating Rater Fit

When analysts evaluate performance assessments, they often use modern measurement theory models to identify raters who frequently give ratings that are different from what would be expected, given the quality of the performance. To detect problematic scoring patterns, two rater fit statistics, the infit and outfit mean square error (MSE) statistics are routinely used. However, the interpretation of these statistics is not straightforward. A common practice is that researchers employ established rule-of-thumb critical values to interpret infit and outfit MSE statistics. Unfortunately, prior studies have shown that these rule-of-thumb values may not be appropriate in many empirical situations. Parametric bootstrapped critical values for infit and outfit MSE statistics provide a promising alternative approach to identifying item and person misfit in item response theory (IRT) analyses. However, researchers have not examined the performance of this approach for detecting rater misfit. In this study, we illustrate a bootstrap procedure that researchers can use to identify critical values for infit and outfit MSE statistics, and we used a simulation study to assess the false-positive and true-positive rates of these two statistics. We observed that the false-positive rates were highly inflated, and the true-positive rates were relatively low. Thus, we proposed an iterative parametric bootstrap procedure to overcome these limitations. The results indicated that using the iterative procedure to establish 95% critical values of infit and outfit MSE statistics had better-controlled false-positive rates and higher true-positive rates compared to using traditional parametric bootstrap procedure and rule-of-thumb critical values.     

Environmental Choice and Control In Community Care Settings for Older People1

This study focuses on the long-term stable levels of environmental choice and control available in community care settings, and explores how variations in these factors affect elderly residents of such settings. New methods to evaluate naturally-existing levels of policy choice and resident control are developed and applied to a representative sample of residential care facilities. The findings showed that residents with more functional resources, and women residents, were inore likely to live in facilities high in choice and control, and that these personal and environmental factors were associated with better resident functioning and more cohesive, independence-oriented social environments with relatively little conflict. Functionallyable residents reacted more positively to high control and women residents reacted more positively to high choice. Investigators who attempt to manipulate perceived control in institutional settings need to consider the existing opportunities residents have to exercise control, as well as the levels of other relevant personal and environmental resources.     

Methods for Assessing Quality of Life and Well-Being in Frail Older People

The appropriateness, reliability and convergence of differing methods and associated instruments for the assessment of quality of life and well-being in frail older people was examined in 60 ( S 65 years of age) nursing home residents. The feasibility of measuring quality of life and well-being via a variety of instruments was explored through observation (an adaptation of Dementia Care Mapping), structured interview (Schedule for the Evaluation of Individual Quality of Life - Direct Weighting), and proxy questionnaire (Pleasant Events Schedule - Alzheimer Disease; Apparent Emotion Rating Scale). The observational assessment and Pleasant Events Schedule demonstrated good reliability. Significant associations were found between well-being as assessed by observation, and active social interaction and engagement in recreation as assessed by observation, quality of life as assessed by structured interview, and enjoyment of activities as assessed by proxy questionnaire. These findings indicate the importance of social activity in later life, and the potential of different approaches for the appropriate assessment of key aspects of quality of life in frail older people.     

A Short-term Psychodynamic Supportive Psychotherapy for Adolescents with Depressive Disorders: A New Approach

Depression is one of the most common psychiatric disorders in both adolescents and adults. In this article, we introduce Short-term Psychodynamic Supportive Psychotherapy (SPSP) for adolescents, a relatively new form of psychodynamic therapy for depression that has been studied in a range of randomized controlled trials with adult patients. SPSP emphasizes the relational aetiology and significance of depression and is characterized by a supportive attitude which focuses more on working in the here-and-now relational patterns rather than interpreting transference manifestations. The supportive attitude of the therapist is advocated to engage the adolescent in the therapeutic relationship and to foster his or her innate developmental capacities by attending to previously unaddressed developmental needs. The developmental perspective’s interest in defense styles and stagnation resulting from problems in past and current relationships opens up opportunities for acquiring insight and change. The focus on relational functioning makes it a promising approach for adolescents because they can implement any positive change immediately in their actual environment, immersed as they are in many new and varied relationships.     

Pastoral Counseling of Older Adults: Toward a Short-term Integrative Approach

A rapidly aging population with its mental health care needs presents an enormous challenge in the current mental health field. In light of this, pastoral counselors will have an increasingly important role to play in the care of older adults because of their strategic position in the community and their competence in dealing with religious/spiritual issues particularly salient in old age. This article proposes a short-term integrative approach to enable pastoral counselors to effectively and efficiently meet the mental health care needs of the elderly.

Evaluating Models of Gesture and Speech Production for People With Aphasia

People with aphasia use gestures not only to communicate relevant content but also to compensate for their verbal limitations. The Sketch Model (De Ruiter, 2000) assumes a flexible relationship between gesture and speech with the possibility of a compensatory use of the two modalities. In the successor of the Sketch Model, the AR-Sketch Model (De Ruiter, 2017), the relationship between iconic gestures and speech is no longer assumed to be flexible and compensatory, but instead iconic gestures are assumed to express information that is redundant to speech. In this study, we evaluated the contradictory predictions of the Sketch Model and the AR-Sketch Model using data collected from people with aphasia as well as a group of people without language impairment. We only found compensatory use of gesture in the people with aphasia, whereas the people without language impairments made very little compensatory use of gestures. Hence, the people with aphasia gestured according to the prediction of the Sketch Model, whereas the people without language impairment did not. We conclude that aphasia fundamentally changes the relationship of gesture and speech.     

给予老年人体面的照护:为什么尊严很重要——欧洲经验

在医学哲学领域以及相关领域中,"尊严"的概念越来越受到关注.最近,在生物伦理学的国际会议中很流行这个概念.同时,在欧洲的许多国家中,"尊严"的概念也被引入到有关卫生保健的国家立法和政策制定中.本文将从检验一个在关于尊严和老年人的欧洲计划中产生的尊严理论模型开始.然后根据参与这个计划的老年人和卫生及社会保健的专业人员那里得到的经验进行研究,有6个国家参加这项研究.结果证明尊严是一个非常重要的事情,尤其是对那些弱势群体来说.本文结论认为:对于虚弱的老年人,相对于那种强调自主的医学伦理,长期的保健需要注重一个范围更为广泛的伦理内容.     

给予老年人体面的照护：为什么尊严很重要——欧洲经验

在医学哲学领域以及相关领域中,“尊严”的概念越来越受到关注。最近,在生物伦理学的国际会议中很流行这个概念。同时,在欧洲的许多国家中,“尊严”的概念也被引入到有关卫生保健的国家立法和政策制定中。本文将从检验一个在关于尊严和老年人的欧洲计划中产生的尊严理论模型开始。然后根据参与这个计划的老年人和卫生及社会保健的专业人员那里得到的经验进行研究,有6个国家参加这项研究。结果证明尊严是一个非常重要的事情,尤其是对那些弱势群体来说。本文结论认为对于虚弱的老年人,相对于那种强调自主的医学伦理,长期的保健需要注重一个范围更为广泛的伦理内容。     

Taking Cognitive-Behavior Therapy to School: A School-Based Mental Health Approach

This paper offers an overview using cognitive-behavior therapy (CBT) within a school system. In addition to providing services to individual students, this article provides an overview of implementing CBT into a system of school-wide mental health services. Interventions are discussed at three levels—universal school-wide interventions, target interventions with at-risk students, and intensive interventions with students in need. Examples of specific programs or intervention are given for each level.