The trouble with Madeleine

I respond to Selinger and Mix (Selinger, E. and Mix, J. 2004. On interactional expertise: Pragmatic and ontological considerations. Phenomenology and the Cognitive Sciences 3: 145–163), concentrating on their charges that Collins (Collins, H. M. 2004a. Interactional expertise as a third form of knowledge. Phenomenology and the Cognitive Sciences 3: 125–143) underrates the importance of interactional expertise as an expertise sui generis and that the paper fails to analyse the idea of embodiment sufficiently holistically, misleading treating the ‘body’ as no more than the linear sum of its parts. This revised version was published online in June 2006 with corrections to the Cover Date.     

The copredication argument

The standard view of truth-conditional semantics is that it is world-involving in the sense that a theory that specifies truth conditions eo ipso is a theory that specifies the way the world must be if the target sentences are to be true. It would appear to follow that the semantic properties of expressions, such as nominals, specify the very worldly objects that make true or false the sentences that host the nominals. Chomsky and others have raised a fundamental complaint against this thought: perfectly quotidian nominals, such as London or book, may occur copredicatively as a single argument of categorically mismatched predicates, which prima facie preclude a coherent uniform construal of the nominal argument. The argument has hitherto been presented via examples that challenge the standard view. My aim here is to present the argument explicitly, defend it against some likely counterclaims, and resolve what might appear to be a decisive consideration against the conclusion of the argument, viz., if nominals as copredicatively occurring do not contribute uniform worldly entities, then how can the copredicative constructions be counted as true?     

Exploring Traumas in the Development of Talent: What Are They,What Do They Do,and What Do They Require?

It has recently been argued that performers benefit from trauma (i.e., memorable challenges) during development. To deepen knowledge in this area, we explored perceived traumas in the development of 20 senior-international performers with a multimethods, temporal-based design. Results showed that perceived traumas were primarily sports based, recognized from onset of investment, associated with immediately negative but ultimately positive impact, and negotiated through skills that were brought to, rather than generated by, these experiences. The findings provide an interesting contrast to messages in other early trauma-focused research and promote focus on the process and mechanisms of responding to and recovering from traumatic experiences.     

Breast Cancer Risk Assessment at the Time of Screening Mammography: Perceptions and Clinical Management Outcomes for Women at High Risk

The purpose of this study was to evaluate the utility of a breast cancer risk assessment (BCRA) at the time of screening mammogram. Women whose BCRA indicated a high risk for cancer received a letter with instructions for breast health care and genetic counseling if appropriate. After 6 months this group received surveys to evaluate their risk perception and their recall of, and compliance with, recommendations. We also explored the impact of other variables such as a recommendation for genetic counseling and physician communication with the women. After the BCRA, the majority of high risk women reported no change in their perceived risk of cancer. A woman’s perceived risk of cancer after a BCRA was significantly associated with her recall of recommendations for breast health care, but not with compliance. A recommendation for genetic counseling was not significantly related to women’s perceived risk of cancer after the BCRA. Ten percent of women who should have obtained genetic counseling actually completed an appointment. Women who discussed their BCRA results with their physicians were more compliant with a six month breast exam with a doctor (53% vs 17%, p = 0.018). Overall, women felt that the BCRA was helpful and did not cause undue stress or anxiety. Although the cohort’s compliance with recommendations was suboptimal, physicians’ interactions with their patients may have a positive influence on their compliance.     

Pediatric Whole Exome Sequencing: an Assessment of Parents’ Perceived and Actual Understanding.

Whole exome sequencing (WES) is an integral tool in the diagnosis of genetic conditions in pediatric patients, but concerns have been expressed about the complexity of the information and the possibility for secondary findings that need to be conveyed to those deciding about WES. Currently, there is no validated tool to assess parental understanding of WES. We developed and implemented a survey to assess perceived and actual understanding of WES in parents who consented to clinical WES for their child between July 2013 and May 2015. Fifty-three eligible surveys were returned (57% response rate). Areas with both low perceived and actual understanding about WES included how genes are analyzed and lack of protection against life insurance discrimination. Parents also had low actual understanding for two questions related to secondary findings – reporting of secondary findings in a parent (if tested) and whether secondary findings can be related to traits such as height and hair color. Further work to develop a validated tool to assess understanding of WES would be beneficial as WES is integrated more frequently into clinical care.     

Developing and demonstrating inhibitory stimulus control over repetitive behavior

Developing inhibitory stimulus control over repetitive behavior minimizes the social and learning disruptions caused by this behavior while allowing individuals to continue to access this source of reinforcement at nonproblematic times. These procedures involve allowing repetitive behaviors to occur in some stimulus conditions (S+) and blocking the repetitive behavior in order to disrupt the response–reinforcer relation in other stimulus conditions (S‐) such that the onset of the S‐ period results in rapid and sustained reductions in repetitive behavior. However, the demonstration of stimulus control exerted by the S‐ has often been confounded with participants' exposure to programmed reductive contingencies (i.e., behavior is reduced due to direct contact with contingencies rather than the programmed antecedent stimuli). The current study both developed and demonstrated the suppressive effects of S‐ presentation upon repetitive behavior with two children diagnosed with autism spectrum disorders. These demonstration techniques involved (a) introducing the S‐ into novel environments without the programmed contingencies that we used to establish discriminative control, (b) evaluating the reductive effects of programmed contingencies with and without the associated discriminative stimuli, and (c) evaluating latencies to the onset of repetitive behavior given S+ and S‐ presentations.     

Factors associated with school nurses’ HPV vaccine attitudes for school-aged youth

School nurses are at the intersection of the healthcare and school communities, thus, they can be considered opinion leaders in providing health advice – including information about the human papillomavirus (HPV) vaccine – to parents and students. This study examined school nurses’ attitudes toward the HPV vaccine based on age, years as a school nurse, geographic location, urban vs. rural work setting, HPV and vaccine knowledge, perception of role as opinion leaders, and school district support in providing health education. Participants (n = 413) were systematically sampled from the National Association of School Nurses’ membership and completed a web-based survey. Multiple regression was used to predict positive HPV vaccine attitudes. The model was statistically significant accounting for 50.8% of the variance (F [9, 400] = 45.96, p < .001). Positive attitudes regarding the HPV vaccine were predicted by higher HPV and vaccine knowledge (β = .096, p < .001) and stronger perceptions of role as opinion leaders for the vaccine (β = .665, p < .001). No other variables were found to be statistically significant. These results suggest knowledge is essential in predicting positive attitudes, but not the strongest predictor as perceptions of role as opinion leaders was more crucial in terms of predicting school nurses’ positive attitudes towards HPV vaccine. Despite school nurses being seen as champions for adolescent vaccines, they need additional professional development to increase their HPV vaccine knowledge and attitudes to encourage parents and adolescents to consider the uptake of HPV vaccination. To engage school nurses’ in promoting HPV vaccine uptake, interventions need to focus on increasing school nurses’ perception of their role as opinion leaders for HPV vaccine and knowledge to increase positive attitudes towards HPV vaccination for youth.