Prognosis in medicine: An analysis of its meaning and rôles

The medical concept of prognosis is analysed into its basic constituents: patient data, medical intervention, outcome, utilities and probabilities; and sources of utility and probability values are discussed. Prognosis cannot be divorced from contemplated medical action, nor from action to be taken by the patient in response to prognostication. Regrettably, the usual decision-theoretic approach ignores this latter aspect. Elicitation of utilities, decision contemplation and prognostic counselling interweave, diagnostics playing a subsidiary role in decision-oriented clinical practice. At times the doctor has grounds for withholding information. As this is known to the patient, prognostic counselling becomes a conflict-prone and rationality-thwarting activity. The meaning of standard phrases such as “prognosis of a disease”, “the prognosis of this patient”, “the prognosis is unknown”, is examined.     

An Investigation of Couples’ Help-Seeking: A Multiple Case Study

Research of the effectiveness of couples counseling has demonstrated clear benefits (e.g.; Lebow et al. (Journal of Marital and Family Therapy, 38(1):145–168, 2012)). However, relatively few couples initiate counseling and seek help. This exploratory study employed a qualitative multiple case study approach to heterosexual couples (N?=?7) that were currently in the process of seeking conjoint therapy to identify intra and interpersonal factors that influence relational help-seeking. Participants reported that female partners were the first to perceive a problem and suggest seeking professional help. In turn, male partners reported feeling a sense of failure and fear of judgment when considering couples counseling. Patterns of blame, withdrawal, and aggression contributed to increased distress, which eventually led these couples to counseling, some with mixed-agendas for services.     

A neuronal retuning hypothesis of sentence-specificity in Broca’s area

It is clear that the left inferior frontal gyrus (LIFG) contributes in some fashion to sentence processing. While neuroimaging and neuropsychological evidence support a domain-general working memory function, recent neuroimaging data show that particular subregions of the LIFG, particularly the pars triangularis (pTri), show selective activation for sentences relative to verbal working memory and cognitive control tasks. These data suggest a language-specific function rather than a domain-general one. To resolve this apparent conflict, I propose separating claims of domain-generality and specificity independently for computations and representations—a given brain region may respond to a specific representation while performing a general computation over that representation, one shared with other systems. I hypothesize that the pTri underlies a language-specific working memory system, comprised of general memory retrieval/attention operations specialized for syntactic representations. There is a parallelism of top-down retrieval function among the phonological and semantic levels, localized to the pars opercularis and pars orbitalis, respectively. I further explore the idea of how such a system emerges in the human brain through the framework of neuronal retuning: the “borrowing” of domain-general mechanisms for language, either in evolution or development. The empirical data appear to tentatively support a developmental account of language-specificity in the pTri, possibly through connections to the posterior superior temporal sulcus (pSTS), a region that is both anatomically distinct for humans and functionally essential for language. Evidence of representational response specificity obtained from neuroimaging studies is useful in understanding how cognition is implemented in the brain. However, understanding the shared computations across domains and neural systems is necessary for a fuller understanding of this problem, providing potential answers to questions of how specialized systems, such as language, are implemented in the brain.     

An Exploration of Trainees’ Perception of Clinical Psychology Training in India: A Qualitative Analysis

This study explored trainees’ perception of clinical psychology training in India. A sample of 20 (18 females; 2 males; Mean age?=?25 years) clinical psychology trainees participated in the study following written informed consent. Participants were interviewed individually (40–50 min) using a semi-structured interview schedule developed for the study. Interviews were audio recorded and transcribed. Broader themes were identified using principles of content analysis. The findings indicated trainees’ great enthusiasm about practical training, supervisor supervision and hospital based training. Results also showed poor recognition of the role of research and theory in training, unilateral view of supervision, poor perception of secondary goals and components of training and limited awareness about variety of clinical material. The results are indicative of trainees’ preference of clinical component of training over theory and research components of training, the backbone of prevailing systems of training globally. The preliminary findings suggest the need for further research in this area.     

Interpreting inconsistent response patterns: A reaction to William's estimate of “true hypothesis behavior”

Williams (1974) has proposed a model that attempts to estimate true hypothesis behavior from inconsistent response patterns during sets of blank trials. This model includes an assumption of random responding during such blank-trial sets. Several kinds of data, however, suggest that inconsistent response patterns are produced by systematic processes. These patterns, therefore, may not contribute to a simple estimate of true hypothesis behavior.     

A Review of “Telling Children About the Past: An Interdisciplinary Perspective”

ABSTRACT

World Heritage listing aims to provide protection for the planet's most precious natural and cultural sites. Listing can also increase awareness and visitation, particularly as presentation is a tenet of the World Heritage Convention. Visitor management, based on empirical research, is therefore required to ensure an appropriate balance between these, often conflicting, obligations of protection and presentation. Many World Heritage visitor studies have considered iconic, accessible, international tourism destinations that are facing issues of visitor congestion and threatened heritage values. To provide a balanced understanding of World Heritage tourism, further research is required, particularly focusing on various site types and different World Heritage visitors. To support this agenda, this research identified a lesser-known World Heritage Area with low visitation levels, developed a self-administered visitor questionnaire appropriate for the site, and studied the visitor characteristics, motivations, and experiences. Findings regarding visitors to the remote Riversleigh World Heritage Site in Australia indicate that these visitors differ from visitors to iconic World Heritage Areas, although motivational aspects are similar. The outcomes of the research have informed the visitor interpretive plan developed by the state government responsible for delivering on the Convention requirements for the Riversleigh World Heritage Site, and provide a visitor questionnaire that can be used, or further developed, for other sites.     

A Spanish Inquisition? The Repression of Protestantism under Mary Tudor

Abstract

The violent repression of Protestantism during the reign of Mary Tudor has inevitably been compared with the activities in the same period of the Spanish Inquisition. This paper examines the late mediaeval heresy legislation in England that was revived after Mary's accession, and compares it with the practice of the Continental tribunals of the Inquisition, in thirteenth-century France and Italy, and in Spain after 1478. The heresy trials of Mary's reign arc examined in comparison with contemporary Inquisitorial practice in the Spain of her husband Philip. The conclusion, on the basis of current research, is that there was an Inquisition in Mary's England, but that it was not especially ‘Spanish’ in its procedures.     

A truth that’s told with bad intent: An ERP study of deception

Human social cognition critically relies on the ability to deceive others. However, the cognitive and neural underpinnings of deception are still poorly understood. Why does lying place increased demands on cognitive control? The present study investigated whether cognitive control processes during deception are recruited due to the need to inhibit a tendency to state the truth, or reflect deceptive intent more generally. We engaged participants in a face-to-face interaction game and examined event-related brain potentials (ERPs) while participants lied and told the truth with or without deceptive intention. The same medial frontal negative deflection (N450) occurred when participants lied and when they told the truth with deceptive intent. This suggests that the main challenge of lying is not to inhibit a tendency to state the truth. Rather, the challenge is to handle the cognitive conflict resulting from the need to keep others’ mental states in mind while deceiving them.     

Melancholy: An elusive dimension of depression?

Journal of Medical Humanities - This paper presents a view of melancholy based on Kierkegaard's insight of the self, showing that this dimension of depression is anticipatory of threat to...     

Selectivity and stages of processing—An enduring controversy in attentional theory: A review

The relationship between attentional selectivity and stages of processing, or levels of stimulus analysis, has been a long-running controversy for attentional theory. Although the debate between early selection and late selection theory is more than two decades old, a clear theoretical resolution is still not apparent in the literature. The aim of this review is to review evidence attending this issue, and clarify the current status of this important question. The evidence is classified in terms of five general experimental questions. It is concluded that broad versions of both early and late selection are incorrect in important respects, that the common framework within which both kinds of theory are articulated is unsound, and that the evidence requires clear theoretical acknowledgment of the multilevel nature of selective attention.     

A Tale of Two Standards: An Examination of Young Adults�� Endorsement of Gendered and Ageist Sexual Double Standards

Current North American sexual standards allow women to be sexual within committed relationships but may still restrict women??s sexuality to a greater extent than men??s. We investigated whether these gender double standards interact with an age double standard that describes the elderly as less sexual than the young, to create particularly limiting sexual standards for older women. 305 Canadian undergraduates completed a 2 (target age) × 2 (target gender) × 2 (participant gender) within-subjects study measuring perceptions of younger (own age) and older (over 65 years old) men??s and women??s interest in traditional sex (e.g., cuddling, intercourse with main partner) and experimental sex (e.g., extra-relationship sex, viewing erotic materials). ANCOVAs controlling for ageist and sexist beliefs revealed the ageist double standard; the elderly were perceived to be less interested in sex overall than the young. There was also a sexual double standard; women were perceived to be more interested in traditional sex than men, and men more interested in experimental sex than women. For traditional sex, women perceived younger targets as more interested than the older targets, and women targets as more interested than men. For experimental sex, a three-way interaction showed the interplay between the sexual and ageist double standards. Elderly female targets were perceived as least interested, and young male targets as most interested. Results reinforce that the current sexual standards distinguish between sex for intimacy and sex for other reasons (e.g., pleasure) and that the standards are particularly restrictive for older women.     

A Review of: “A Limbo of Shards”

The following interview began as a family conversation over the Christmas holidays in 1987 at the home of Jane and Joseph (Jo) Wheelwright on the Hollister Ranch in Santa Barbara County, California. Betty, the Wheelwrights' daughter-in-law and a writer and teacher, was curious about their thoughts on gender differences. With the tape recorder running, they agreed to answer some questions.

The Wheelwrights both worked personally with C. G. Jung and have been Jungian analysts for 50 years. They, with others, founded the C. G. Jung Institute of San Fmncisco in 1943. Dr. Joseph Wheelwright is Emeritus Clinical Professor of Psychiatry at the University of California at San Francisco and a former faculty member of the University of California in Berkeley. He has published about 50 articles in various psychological journals in the US. and abroad. Jane Hollister Wheelwright has written about gender issues in Women and Men (San Francisco Jung Institute, 1978) and in For Women Growing Older: The Animus (C. G. Jung Educational Center of Houston, Texas, 1984). She grew up in the wilderness, an experience that has influenced many of her preceptions.     

A Review of Emmanuel Y. Lartey’s Postcolonializing God: An African Practical Theology

This review of pastoral and practical theologian Dr. Emmanuel Lartey’s 2013 Postcolonializing God: An African Practical Theology summarizes the book’s specific contribution to African pastoral and practical theology as well as to the broader fields of pastoral and practical theology. The reviewer outlines Lartey’s three movements of reversal, recovery, and transcendence intertwined in the active process of postcolonializing. She raises questions about developmental theories of postcolonial change and commends Lartey for locating postcolonializing in pastoral practice rather than developmental achievement.     

Processing of locatives “in,” “on,” and “under” by aphasic patients: An analysis of the regression hypothesis

The present study investigated the comprehension of aphasic subjects as to locative prepositions “in,” “on,” and “under.” Patients had to locate a movable object with reference to a stationary referential object in order to achieve the spatial relations requested under oral instructions. The influence of two types of contextual relations between the objects in each stimulus pair on the subjects' performances was examined. Spatial relations were biased by the conventional knowledge of the most normal relationship between the two elements in everyday life in Experiment 1; in Experiment 2, perceptivomotor constraints constituted the contextual bias. Analyzing the patients' responses in the light of developmental strategies did not lend support to the regression hypothesis. Broca's aphasics were sensitive to the two contextual factors investigated; Wernickes' performances were affected only by the perceptivomotor contextual bias. The results are discussed with reference to earlier studies on the differential syntactical comprehension skills of Broca's and Wernicke's aphasics in sentence-picture matching tasks and production tasks.     

Precipitate characteristics and selected area diffraction patterns of the β′ and Q′ precipitates in Al–Mg–Si–Cu alloys

In this study, the precipitate characteristics and selected area diffraction patterns (SADP) of the β?′ and Q?′ precipitates formed at the over-aged state of Al–Mg–Si–Cu alloys are systematically investigated by means of high-resolution transmission electron microscopy and transition matrix. The β?′ precipitates have two cross-sections, rectangle-shaped and round-shaped aligned with [0?0?1]_Al direction, but only rectangle-shaped cross-section exists for Q?′ precipitates. And, both of them have 12 variants and orientations with Al matrix. However, there are only three different zone axes, [0?0?0?1]_β?′, [1?4?5?0]_β?′, and [5?4?1?0]_β?′ for β?′ precipitates, and [0?0?0?1]_Q?′, [1?4?5?0]_Q?′, and [3?2 1?0]_Q?′ for Q?′ precipitates, parallel to the [0?0?1]_Al direction when they are precipitated from the Al matrix, respectively. Then, a new [0?0?1]_Al SADP model, which superposes diffraction patterns of the β?′ and Q?′ precipitates, is established. Furthermore, some “cross-shaped” diffraction streaks appeared at over-aged state can be explained reasonably by this model, which is good in agreement with the experimental data.