The impact of assuming the primary caregiver role following traumatic spinal cord injury: An interpretative phenomenological analysis of the spouse's experience

This study aimed to explore the lived experience of assuming the primary caregiver role in a group of spouses of individuals living with a traumatic spinal cord injury (SCI) (injuries ranged from paraplegia to quadriplegia). Individual in-depth interviews were conducted with 11 participants who were both the spouse and primary caregiver of an individual with a SCI; of these, 10 were female and 1 was male. All interviews were transcribed verbatim and were subjected to interpretative phenomenological analysis (IPA). Here we present three inter-related master themes: ‘The emotional impact of SCI’; ‘Post-injury shift in relationship dynamics’ and ‘Impact of caregiving on identity’. Regarding the emotional impact of spinal injury, participants reported an almost instantaneous sense of loss, emptiness and grief during the injured person's rehabilitative period and feelings of anxiety were reported in anticipation of their return to the family home. A distinct change in role from spouse and lover to care provider was reported and this ultimately contributed to relationship change and a loss of former identity. The findings are discussed in relation to extant caregiver literature and recommendations for future caregiver support are highlighted.     

State Aid to Religiously Affiliated,Non-Public Schools: An Emerging Trend or Same Old Same Old?

This article reviews judicial attitudes with regard to the constitutionality of aid for children in religiously affiliated non-public schools. The first part highlights the extent to which the Supreme Court appears to have turned the corner in its willingness to examine the effective use of resources in regular education rather than just the acceptability of aid. The second section reviews how Congressional and regulatory activities have contributed to lower court decisions that continue to focus on the narrow issues of how much money can be spent and the appropriate locations for the delivery of services to children who attend religiously affiliated non-public schools rather than the quality of education that they may be eligible to receive. Given the distinctions between the ways in which children in religiously affiliated non-public schools are treated based on whether they have disabilities, this article examines recent legal trends in considering whether there will be a new era in providing children who attend religiously affiliated non-public schools with the state aid that they deserve.     

Sleep and dream suppression following a lateral medullary infarct: a first-person account

Consciousness can be studied only if subjective experience is documented and quantified, yet first-person accounts of the effects of brain injury on conscious experience are as rare as they are potentially useful. This report documents the alterations in waking, sleeping, and dreaming caused by a lateral medullary infarct. Total insomnia and the initial suppression of dreaming was followed by the gradual recovery of both functions. A visual hallucinosis during waking that was associated with the initial period of sleep and dream suppression is described in detail. Since the changes in sleep and their recovery are comparable to results of animal experiments, it can be concluded that damage to the medullary brain stem causes extreme but short-lived alterations in conscious state and that substantial recovery occurs even though the damage to the brain stem endures.     

The prefrontal cortex in sleep

Experimental data indicate a role for the prefrontal cortex in mediating normal sleep physiology, dreaming and sleep-deprivation phenomena. During nonrandom-eye-movement (NREM) sleep, frontal cortical activity is characterized by the highest voltage and the slowest brain waves compared to other cortical regions. The differences between the self-awareness experienced in waking and its diminution in dreaming can be explained by deactivation of the dorsolateral prefrontal cortex during REM sleep. Here, we propose that this deactivation results from a direct inhibition of the dorsolateral prefrontal cortical neurons by acetylcholine, the release of which is enhanced during REM sleep. Sleep deprivation influences frontal executive functions in particular, which further emphasizes the sensitivity of the prefrontal cortex to sleep.     

Memory conformity: can eyewitnesses influence each other's memories for an event?

The current study investigated memory conformity effects between individuals who witness and then discuss a criminal event, employing a novel procedure whereby each member of a dyad watches a different video of the same event. Each video contained unique items that were thus seen only by one witness. Dyads in one condition were encouraged to discuss the event before each witness (individually) performed a recall test, while in a control condition dyads were not allowed to discuss the event prior to recall. A significant proportion (71%) of witnesses who had discussed the event went on to mistakenly recall items acquired during the discussion. There were no age‐related differences in susceptibility to these memory conformity effects in younger (18–30 years) as compared to older (60–80 years) participants. Possible social and cognitive mechanisms underlying the distortions of memory due to conformity are discussed. Copyright © 2003 John Wiley & Sons, Ltd.     

Temporal Contiguity and Contingency Judgments: A Pavlovian Analogue

The two experiments reported examine the role of temporal contiguity on judgments of contingency in a human analogue of the Pavlovian task. The data show that the effect of the actual delay on contingency judgment depends on the observer's expectation regarding the delay. For a fixed contingency between the cue and the outcome, ratings of the contingency are higher when the actual delay is congruent with the observer's expectation than when it is incongruent. We argue that our data can be understood within the context of the temporal coding hypothesis.