A Video Life-world Approach to Consultation Practice: The Relevance of a Socio-Phenomenological Approach

This article discusses the [development and] use of a video life-world schema to explore alternative orientations to the shared health consultation. It is anticipated that this schema can be used by practitioners and consumers alike to understand the dynamics of videoed health consultations, the role of the participants within it and the potential to consciously alter the outcome by altering behaviour during the process of interaction. The study examines health consultation participation and develops an interpretative method of analysis that includes image elicitation (via videos), phenomenology (to identify the components of the analytic framework), narrative (to depict the stories of interactions) and a reflexive mode (to develop shared meaning through a conceptual framework for analysis). The analytic framework is derived from a life-world conception of human mutual shared interaction which is presented here as a novel approach to understanding patient-centred care. The video materials used in this study were derived from consultations in a Walk-in Centre (WiC) in East London. The conceptual framework produced through the process of video analysis is comprised of different combinations of movement, knowledge and emotional conversations that are used to classify objective or engaged WiC health care interactions. The videoed interactions organise along an active or passive, facilitative or directive typical situation continuum illustrating different kinds of textual approaches to practice that are in tension or harmony. The schema demonstrates how practitioners and consumers interact to produce these outcomes and indicates the potential for both consumers and practitioners to be educated to develop practice dynamics that support patient-centred care and impact on health outcomes.     

Sensitivity to pain, self-regulation, coping and personality in healthy adult women

The goals of this study were to investigate the relation between sensitivity to pain and subjectively perceived intensity of pain, and to establish which psychological variables affect lesser or greater objective sensitivity to experimental pain. The study sample consisted of 74 adult women without regular pain symptoms. Experimental pain was induced by means of the Portable Electronic Dolorimeter (DEP). Intensity of induced pain was evaluated using a Visual Analogic Scale (VAS). Psychological characteristics studied were self-government, stress-coping strategies, sensitivity to anxiety and the five personality dimensions evaluated by the BFQ of Caprara, Barbaranelli and Borgogni (1995). Results revealed a positive relation between sensitivity to pain and subjective intensity of pain. An analysis of variance also revealed statistically significant differences between groups with low and high sensitivity to pain in the following variables: self-motivation, focalization in problem-solving, positive reappraisal of stressful events, energy and mental openness. The importance of the study lies in the identification of specific psychological factors for intervention in the psychological treatment of pain.     

Evaluation of three sensitivity measures in magnitude estimation tasks

Taking into account the studies about the measure of sensitivity in magnitude estimation tasks, we analyze the three most common measures used in this topic: Pearson's product-moment correlation between the logarithm of the stimulus and the logarithm of the response (R), the exponent of Stevens' power function (K), and the measure "M" proposed by Garriga-Trillo. Using a sample of participants greater than usual in psychophysical studies (180 participants), we designed an experiment with two sets of stimuli with different stimulus ranges. In each of these sets, we used two kinds of stimuli (line segments and squares). Our conclusions were: (1) we rejected the use of K as a sensitivity measure because the results provided by this index were the opposite of those expected when we compared the two stimulus ranges. (2) We also rejected the use of M because this measure is a linear transformation of Kendall's coefficient of concordance. (3) Lastly, we suggest the mathematical transformation proposed by Fisher to achieve a normal distribution, and recommend this transformation as the best sensitivity measure.     

Maternal anxiety and depression and development of prematurely born infants in the first year of life

The purpose of this study was: (a) to assess and to compare anxiety and depression symptoms in mothers of preterm neonates during hospitalization in the Neonatal Intensive Care Unit, after discharge, and at the end of the infants' first year of life; and (b) to assess the child's development at 12 months of chronological corrected age (CCA). Thirty-six mothers, with no psychiatric antecedents assessed with the SCID-NP, were evaluated by STAI and BDI. The infants were assessed with Bayley-II Scales. There was a significant decrease in clinical symptoms of state-anxiety in mothers (p = .008), comparing the period during hospitalization and after discharge of the infants. Clinical symptoms of anxiety and depression were observed in 20% of the mothers at the end of the infants' first year of age. The majority of the infants exhibited normal development on Bayley-II at 12 months CCA; however, 25% of the infants displayed cognitive problems and 40% motor problems. The mothers' anxiety and depression symptoms decreased at the end of the first year of life of the pre-term infants and the children showed predominately normal development at this phase.     

Maternal concepts and expectations regarding a preterm infant

The objective of the present study was: (a) to identify the concerns, verbally expressed, of 50 mothers regarding their preterm infants (PT) and then compare their verbal expression with those of 25 mothers of full-term infants (FT); and (b) to correlate the mothers' verbal expressions with maternal and infant variables. The following instruments were used to compose and characterize the sample: Structure Clinical Interview for DSM III-R Non-Patient (SCID/NP), State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), and medical charts. Results showed that there was no difference between groups in term of mothers' expectations and conceptualizations; both groups exhibited predominantly positive expectations and concepts. In comparison with FT mothers, PT mothers verbally expressed more feelings and reactions predominantly negative or conflicting in relation to infant birth. Higher levels of maternal anxiety and depression in the PT Group were correlated with more verbal expressions about negative or conflicting emotions. In addition, lower birth weight, higher neonatal risk and longer length of stay in intensive care nursery of the infants were related with more negative or conflicting concepts by the mothers.     

Mental workload and visual impairment: differences between pupil, blink, and subjective rating

This research has two aims: (a) To study the concurrent validity of three measures of mental workload, NASA TLX rating scale, pupil dilation and blink rate, testing the hypothesis that they will provide convergent results using a single-task, and dissociative results for dual-task; and (b) To analyse their capability to predict visual search impairment. These three measures were analyzed in the same cognitive tasks in single-task and dual-task (cognitive task and visual search) conditions in a within-subjects experiment with twenty-nine participants. Mental workload measures showed concurrent validity under single-task condition, but a complex pattern of results arose in the dual-task condition: it is suggested that NASA TLX would be a subjective addition of the rating of each task; pupil dilation would measure the average arousal underlying the cognitive tasks; and the blink rate would produce opposite effects: whereas mental workload of cognitive tasks would increase blink rate, visual demand would inhibit it. All three measures were good predictors of visual impairment. The soundness of these measures is discussed with regard to the applied field of driving and other activities.     

QUINTUPLE EXTENSION: MIND, BODY, HUMANISM, RELIGION, SECULARISM

Extension of the system that includes the key substrates for sensation, perception, emotion, volition, and cognition, and all representational sources for cognition, supports the view that there is an extended mind and an extended body. These intellectual views can be made practical in a humanist system based on extensions and in religious systems based on extensions. Independently, there is also an institutional extension of secularism. Hence, I maintain, there are five principal forms of extension.     

The influence of theme identifiability

In the present study, we used the Deese/Roediger-McDermott paradigm to analyze the relationship between theme identifiability of word lists and false memories in adults and children. We conducted two normative studies to determine the identifiability levels for critical unpresented words in 40 associative lists in adults and in 16 associative lists in children. Then, in three experiments, false memories for critical words that were either easy or hard to identify were analyzed in adults and in children 4–5 years old and 11–12 years old. Opposite results were found for adults and children. Lists with highly identifiable critical words produced fewer false memories for adults but more false memories for children. These results suggest that, if they can identify critical words, adults use an identify-to-reject strategy to edit out false memories, whereas, in children, theme identification does not lead to the use of such a monitoring strategy.