Electrophysiological correlates of emotional face processing after mild traumatic brain injury in preschool children

Evidence suggests that social skills are affected by childhood mild traumatic brain injury (mTBI), but the neural and affective substrates of these difficulties are still underexplored. In particular, nothing is known about consequences on the perception of emotional facial expressions, despite its critical role in social interactions and the importance of the preschool period in the development of this ability. This study thus aimed to investigate the electrophysiological correlates of emotional facial expressions processing after early mTBI. To this end, 18 preschool children (mean age 53 ± 8 months) who sustained mTBI and 15 matched healthy controls (mean age 55 ± 11 months) were presented with pictures of faces expressing anger, happiness, or no emotion (neutral) while event-related potentials (ERP) were recorded. The main results revealed that P1 amplitude was higher for happy faces than for angry faces, and that N170 latency was shorter for emotional faces than for neutral faces in the control group only. These findings suggest that preschool children who sustain mTBI do not present the early emotional effects that are observed in healthy preschool children at visuospatial and visual expertise stages. This study provides new evidence regarding the consequences of childhood mTBI on socioemotional processing, by showing alterations of emotional facial expressions processing, an ability known to underlie social competence and appropriate social interactions.     

A threshold approach to understanding the origins of attachment disorganization

Disorganized attachment in infancy is known to predict a wide range of maladaptive outcomes, but its origins are poorly understood. Parental lack of resolution concerning loss or trauma has been proposed to result in atypical parenting behaviors, which in turn have a disorganizing effect on the parent-child relationship. The authors review the evidence for this transmission pathway, considering other factors (e.g., social environment, child characteristics) that might enrich understanding of the antecedents of disorganization. A threshold approach is proposed to explain (a) why different parental behaviors are linked to disorganization depending on prevailing social conditions and (b) why certain children appear more vulnerable to forming a disorganized attachment relationship.     

Asian cultural values gap, cognitive flexibility, coping strategies, and parent-child conflicts among Korean Americans

The study examined Korean American college students' perceived Asian cultural values gap between themselves and their parents, cognitive flexibility, and coping strategies. The relationships between these factors were studied with the intensities and types of parent-child conflicts. The results indicated that the participants adhered less strongly to Asian values than their parents. When faced with conflicts, the participants reported using problem solving coping strategy to the greatest extent, followed by social support coping strategy, and then avoidance coping strategy. Simultaneous regression analyses revealed a positive relationship between the participant-perceived parent-child values gap and the intensity of conflicts, particularly in the area of dating and marriage. There were inverse relationships between cognitive flexibility and the intensity of conflicts, specifically in the area of dating and marriage. A positive relationship was observed between the use of social support coping strategy and intensity of conflicts. Hierarchical regression analyses revealed a significant interaction effect in which participant-perceived parent-child values gap and cognitive flexibility were related to increased frequency of dating and marriage conflicts.     

Parental Narratives About Genetic Testing for Hearing Loss: A One Year Follow Up Study

Few studies examine whether and how parental attitudes towards genetic testing change over time. In this study we interviewed parents of 14 children with newly identified hearing loss at two time points: after referral to genetics and 1 year later. Qualitative analyses of parental narratives indicate that parental attitudes did not change significantly over this time. Parents who perceived genetic testing to be useful continued to value it after testing, while parents who did not perceive it as being useful for their child’s future held the same view a year later. The only parents who changed their views regarding the usefulness of genetic testing for hearing loss were those who reported that their children underwent significant changes in their hearing loss or were faced with other life threatening conditions. Parents were also often unaware of the role of the genetic counselor and how genetic counseling could help address many of their lingering questions and concerns. These emergent themes indicate the need for geneticists and genetic counselors to be aware of and sensitized to the questions and attitudes that bring parents to a genetic evaluation, as well as the reasons why parents may not follow up with genetic testing for hearing loss when recommended.     

‘Are you a woman—or a flower?’: The capacity to experience beauty1

Being surprised by beauty, being drawn to and moved by it and surrendering to its sensory nature are all part of beauty's emotionally transformative power. And yet, psychoanalysis has had little to say about such an enriching dimension of psychological life. The author highlights how experiencing beauty is a capacity that is not isolated but is part of the lifelong experience of being changed by and changing the experience of the world we live in. She suggests that the capacity to experience beauty takes different forms at distinct points in development and in psychoanalytic treatments. The author describes two clinical occasions from a case where an analytic pair struggled to develop a greater capacity to experience beauty over time. She discusses how a theory of the aesthetic conflict was useful in helping to understand her patient's inner object world but was not sufficient when it came to understanding the experience of beauty. She shows how for both patient and analyst, experiencing beauty's full effect required responding to the call toward emotional life, surrendering to the surprise and the unknown, and letting go of the mind's struggle to find meaning and opening up to transforming and being transformed through sensory experience.     

Should Extremely Premature Babies Get Ventilators During the COVID-19 Crisis?

Abstract

In a crisis, societal needs take precedence over a patient’s best interests. Triage guidelines, however, differ on whether limited resources should focus on maximizing lives or life-years. Choosing between these two approaches has implications for neonatology. Neonatal units have ventilators, some adaptable for adults. This raises the question of whether, in crisis conditions, guidelines for treating extremely premature babies should be altered to free-up ventilators. Some adults who need ventilators will have a survival rate higher than some extremely premature babies. But surviving babies will likely live longer, maximizing life-years. Empiric evidence demonstrates that these babies can derive significant survival benefits from ventilation when compared to adults. When “triaging” or choosing between patients, justice demands fair guidelines. Premature babies do not deserve special consideration; they deserve equal consideration. Solidarity is crucial but must consider needs specific to patient populations and avoid biases against people with disabilities and extremely premature babies.     

Expulsion prevention: Framework for the role of infant and early childhood mental health consultation in addressing implicit biases

Young children of color—especially boys—are at disproportionate risk for suspension and expulsion from early care and education settings. Infant and Early Childhood Mental Health Consultation (IECMHC) is an approach associated with lower than expected expulsion rates, but the mechanisms through which it may influence preschool expulsion are unknown. This paper reflects on the parallels between IECMHC and interventions created to reduce implicit bias. Based on interviews with leaders in IECMHC practice, implementation, and evaluation, a theoretical framework was created to articulate how IECMHC is hypothesized to affect expulsion by first reducing the influence of implicit bias on disciplinary decisions. Implications for practice and research are provided.     

Understanding Information Selection and Encoding from a Dynamic,Energy Saving,Evolved, Embodied,Embedded Perspective

This article uses the Dynamic Human Centric Communication Systems Theory to reconceptualize 4 selected attributes of attention from a human‐centric point of view. Information is defined with respect to its relationship in the environment to the human in terms of time and space. The 4 attributes considered are stability, imminence, motivational relevance, and task relevance. An experiment was conducted in which encoding was assessed using a signal detection analysis of a change detection task. Results supported the prediction that story and motivational relevance would have opposite effects on the encoding of stable information as a function of imminence. Differences in memory predictions made by traditional theoretical approaches and the DHCCST are discussed in light of the results of the experiment.     

Learnability of Pregroup Grammars

This paper investigates the learnability by positive examples in the sense of Gold of Pregroup Grammars. In a first part, Pregroup Grammars are presented and a new parsing strategy is proposed. Then, theoretical learnability and non-learnability results for subclasses of Pregroup Grammars are proved. In the last two parts, we focus on learning Pregroup Grammars from a special kind of input called feature-tagged examples. A learning algorithm based on the parsing strategy presented in the first part is given. Its validity is proved and its properties are examplified.