Cultural issues in making and using the visual problem appraisal “Kerala’s Coast”

Integrated Coastal Zone Management (ICZM) is a complex multi-actor issue. Staff members of Cochin University (CUSAT) from India and colleagues from the Netherlands interpreted this issue as a challenge to initiate and enhance multi-stakeholder dialogue and action and the idea was born to produce a Visual Problem Appraisal (VPA). VPA is a film-based learning system that aims to induce social learning, to increase problem and policy analysis competencies, to reduce self-referentiality, to increase commitment for concerned stakeholders, and to enhance intersubjective consensus. In 2003 Indian and Dutch university staff members and Indian filmmakers produced two documentaries and 23 films portraying the Keralite stakeholders in their natural environment, exposing their engagement with, and different perspectives on, ICZM. Although produced for formal education, the notion emerged that the VPA might as well work in the reality of ICZM in Kerala. It was a fascinating conversion of questioning the nature of some events and frictions that occurred during the production process. As critical incidents were attributed to various cultural disparities such as local/foreign, male/female, higher/lower status, the hypothesis was formulated that if producing the VPA had already set a deep impact; how about using it directly with involved stakeholders? This hypothesis was tested in 2004 in workshops with publics, ranging from CUSAT students to local stakeholders of the Thycattussery Panchayat. The process of producing and testing the VPA Kerala’s Coast was a complex and intriguing multidisciplinary and multicultural project. We wondered what made the project a success. Framing the project as a space of cultural communication gave guidance to the questions that articulated our search to understand the process we had been immersed in. In this article we describe the events and analyze critical incidents that occurred during the production and the use of the VPA. The outcome leads to valuable recommendations for international and intercultural teams working on similar production and research projects.     

Bayesian Risk Assessment in Genetic Testing for Autosomal Dominant Disorders with Age-Dependent Penetrance

Risk assessment is an essential component of genetic counseling and testing, and the accuracy of risk assessment is critical for decision making by consultands. However, it has been shown that genetic risk calculations may have high error rates in practice. Risk calculations for autosomal dominant disorders are frequently complicated by age-dependent penetrance and sensitivities of less than 100% in genetic testing. We provide methods of risk calculation for prototypical pedigrees of a family at risk for an autosomal dominant disorder with age-dependent penetrance. Our risk calculations include scenarios in which the sensitivity of genetic testing is less than 100%, and in which the sensitivity of genetic testing varies for different family members at risk. Our Bayesian methods permit autosomal dominant disease probabilities to be calculated accurately, taking into account all relevant information. Our methods are particularly useful for hereditary cancer syndromes, in which genetic testing can seldom achieve 100% sensitivity. Our methods can be applied to many different scenarios, including those where the sensitivity of genetic testing varies for different family members at risk. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.     

The association between children's numerical magnitude processing and mental multi-digit subtraction

Children apply various strategies to mentally solve multi-digit subtraction problems and the efficient use of some of them may depend more or less on numerical magnitude processing. For example, the indirect addition strategy (solving 72–67 as “how much do I have to add up to 67 to get 72?”), which is particularly efficient when the two given numbers are close to each other, requires to determine the proximity of these two numbers, a process that may depend on numerical magnitude processing. In the present study, children completed a numerical magnitude comparison task and a number line estimation task, both in a symbolic and nonsymbolic format, to measure their numerical magnitude processing. We administered a multi-digit subtraction task, in which half of the items were specifically designed to elicit indirect addition. Partial correlational analyses, controlling for intellectual ability and motor speed, revealed significant associations between numerical magnitude processing and mental multi-digit subtraction. Additional analyses indicated that numerical magnitude processing was particularly important for those items for which the use of indirect addition is expected to be most efficient. Although this association was observed for both symbolic and nonsymbolic tasks, the strongest associations were found for the symbolic format, and they seemed to be more prominent on numerical magnitude comparison than on number line estimation.     

Characteristics of patients in routine psycho-oncological care,and changes in outcome variables during and after their treatment

Objective: The primary aim of this study was to determine the characteristics of clients and interventions in routine psycho-oncological care. The secondary aim was to determine the course of symptomatology during and after the psychological interventions.

Design: During a period of nine months, all clients who sought help in one of the seven psycho-oncological care institutes in the Netherlands were approached to participate in the present study (N = 483). Information was gathered with respect to demographic and medical characteristics, and type and duration of the interventions. In addition, depression, anxiety, well-being, quality of life, fatigue and daily function were determined before interventions and three and nine months later.

Results and conclusions: Compared to the Dutch cancer population, patients in psycho-oncological care were more often young and female. Compared to the general Dutch population, they were highly educated and were more likely to have a partner. Clinical levels of depression, anxiety and/or fatigue were found among 83% of the patients. After three months, only 23% had completed their intervention; this figure was 62% after nine months. Symptoms decreased significantly for all outcome variables. An importance difference with randomised controlled trials is the low session frequency and the long intervention time of patients in clinical care.     

In Politics We Trust…or Not? Trusting and Distrusting Demonstrators Compared

This article sheds light on the debate regarding political trust and protest activity. The debate boils down to the question whether trust in politics is positively or negatively related to protest activity. We exploit a dataset encompassing data on about 9,000 demonstrators spread over seven European countries. These demonstrators' trust in their parliaments varies widely, ranging from trustworthy capable, to corrupt incapable. We examine the diverging sociodemographic profiles and motivational dynamics that turn distrusting and trusting citizens into demonstrators. We hypothesize and show that distrusting demonstrators turn their back to institutionalized politics; for them, demonstrating substitutes the party politics they distrust. For trusting demonstrators, demonstrating supplements party politics. Trusting and distrusting demonstrators also differ considerably in terms of motivation. Distrusting demonstrators are stronger motivated to demonstrate than trusting demonstrators. Moreover, while political cynicism amplifies the motivation of distrusting demonstrators, it suppresses the motivation of trusting demonstrators. We conclude that the question to be answered is not so much whether people who engage in protest activity trust or distrust their political elites, but rather who the trusting and distrusting protesters are and why they protest.