An 18-month follow-up investigation of motor coordination and working memory in primary school children

The aim of the current study was to examine the relationship between motor coordination and visual working memory in children aged 5–11 years. Participants were 18 children with movement difficulty and 41 control children, assessed at baseline and following an 18-month time period. The McCarron Assessment of Neuromuscular Development provided a measure of motor skills and the CogState One-Back task was used to assess visual working memory. Multi-level mixed effects linear regressions were used to assess the relationship between fine motor skills, gross motor skills, and visual working memory. The results revealed that for children with movement difficulty, better fine motor skills at baseline significantly predicted greater One-Back accuracy and greater (i.e., faster) speed at 18-month follow-up. Conversely, fine motor skills at baseline did not predict One-Back accuracy and speed for control children. However, for both groups, greater One-Back accuracy at baseline predicted better fine and gross motor skills at follow-up. These findings have important implications for the assessment and treatment of children referred for motor difficulties and/or working memory difficulties.     

The Anomalous Wellbeing of Disabled People: A Response

Disabled people frequently find themselves in situations where their quality of life and wellbeing is being measured or judged by others, whether in decisions about health care provision or assessments for social supports. Recent debates about wellbeing and how it might be assessed (through subjective and/or objective measures) have prompted a renewed focus on disabled people’s wellbeing because of its seemingly ‘anomalous’ nature; that is, whilst to external (objective) observers the wellbeing of disabled people appears poor, based on subjective assessments, people with disabilities report a good quality of life. In this paper, I examine an article by the philosopher Dan Moller in which he seeks to explain this ‘disability paradox’. Despite agreeing with his analysis that there is more to what people value than happiness, his explanation reflects some of the difficulties presented in philosophical accounts which seek to understand the lives of disabled people: this includes an analysis which fails to problematise definitions of wellbeing and who has the ‘voice’ to do the defining; which negates the multiple identities and subject positions that disabled people occupy; and which lacks recognition of the social contexts which mediate disabled people’s lives. I suggest that there is a need to incorporate disabled people’s voices into research which deepens our empirical knowledge about the relationship between impairment and wellbeing, including the social circumstances that shape disabled people’s agency.     

The effects of relationship context and modality on ratings of funniness

There is evidence to suggest that humour is an important part of mate choice and that humour may serve as an indicator of genetic quality. The current study investigated how rated funniness from a video clip was related to an individual’s attractiveness as a short-term or long-term partner. We additionally tested for the presence of an attractiveness halo effect on humour ratings by comparing ratings of funniness from video clips, audio-only presentations, and photographs. We found that funniness was most strongly correlated with attractiveness for short-term relationships, especially in videos of males. We also found that attractiveness was related to funniness ratings differently across video, audio-only clips, and photographs. Relative to their rated funniness in the audio-only condition, with no appearance cues, attractive individuals were rated as funnier in video clips than less attractive individuals. An additional study demonstrated that ratings of flirtatiousness and funniness were strongly correlated. Perceived similarity between producing humour and flirting may explain why humour is more preferable in a short-term partner as flirting may be seen to signal proceptivity. The effects of attractiveness on humour judgement may also be explained by an association with flirtation as flirting may be most enjoyable when directed by attractive individuals.     

The areas of change questionnaire: A cross-cultural comparison of israeli and american distressed and nondistressed couples

Abstract

This study examines Israeli couples' presenting complaints about their relationship, their perceptions of one another's complaints and perceptual accuracy between actual and perceived complaints, using the Areas of Change Questionnaire (ACQ). Samples were obtained of both distressed and nondistressed couples. Each sample met stringent criteria for categorization as distressed and nondistressed. Normative data for both samples are examined and areas of similarities and differences are discussed. The instrument is found to discriminate distressed and nondistressed Israeli couples. Results are compared with a previous study of American distressed and nondistressed couples. The American finding that women desire more change in marriage is not replicated in the Israeli sample, nor the American finding that distress and stage in the life cycle are related. However, there is an indication in both samples that men, compared to women, perceive more requests for change. Men in both cultures also feel more change is asked of them than they themselves ask in return.     

Understanding,respecting and integrating difference in therapeutic practice

The purpose of this paper is to promote thought and discussion around how and why we treat patients in chosen ways. In the present climate practitioners are required to treat patients following NICE guidelines in which cognitive behavioural therapy (CBT) is the treatment of choice in the majority of diagnoses. This paper raises concerns that this may lead to an homogenization of treatment, loss of invaluable skills and understanding from other treatment approaches, and loss to the patient who may be best cared for by a combination of treatments and approaches, most notably patients presenting with complex pathology. This paper aims to present this as a general principle, and by way of example, will focus on coupling two specific treatment orientations, cognitive behavioural therapy with psychodynamic psychotherapy, with the specific diagnosis of obsessive compulsive disorder (OCD).

Methods: Clinical material is drawn from case studies from practice in secondary adult mental health care services within the NHS. All patients were referred to the psychological services for treatment for OCD and provided with 1:1 therapy with UKCP‐registered therapists. Details have been anonymized by describing fictitious cases re‐constructed from clinical material. A theoretical understanding is included which provides both an overview for integrating treatment for the specific example of OCD and is intended by extension to other diagnoses.

Results: Working with the commonalities of therapeutic approaches, and integrating specific skills of CBT and psychodynamic psychotherapy, appears to offer a viable mode of treatment for cases resistant to single‐orientation therapies.

Conclusions: Coupling the skills of different therapies can be effective in treating complex patients that are referred to the secondary mental health services. Conversely, restricting practice to single orientation therapies can lead to an impoverished care for patients and diminution of invaluable therapeutic skills which may become underused, undervalued and lost in the practice of mental health care within the NHS. Acknowledgement of the skills of others, valuing these and learning from each other can help to avoid the defensive reactions of practitioners, where each may defensively retreat to their corners of specialism. Respecting and sharing skills from different orientations, and acknowledging this in the NICE guidelines, is good for both mental health services and patient care and addresses the concerns raised by practitioners exemplified by Bateman (2000 Bateman, A. 2000. Integration in psychotherapy: An evolving reality in personality disorder.. British Journal of Psychotherapy, 17(2): 147–156.  [Google Scholar], p. 147) that ‘psychotherapy continues to be bedeviled by ideological schisms with practitioners apparently ignoring alternative conceptualizations and potentially superior interventions’.     

Loneliness and social behaviours in a virtual social environment

Feeling lonely motivates people to reconnect with others, but it can also trigger a vicious cycle of cognitions and behaviours that reinforces their loneliness. In this study, we examined the behavioural consequences of loneliness in a virtual social environment. A total of 176 participants navigated a character (protagonist) through a two-dimensional browser game and rated the character's loneliness multiple times during the game. In the first part of the game, another character is introduced as the protagonist's spouse. At one point, the spouse leaves for an undetermined period of time but later returns. Immediately before this separation, higher ascribed loneliness of the protagonist was associated with more frequent interactions with the spouse. After the reunion, however, higher ascribed loneliness was associated with less frequent interactions with the spouse. Ascribed loneliness was not significantly related to the frequency of interactions with others nor to the frequency of solitary activities. These patterns held after controlling for ascribed positive affect. Participants' levels of loneliness were related to the level of ascribed loneliness only when the spouse was present but not when the spouse was absent. In sum, these findings suggest that the conditions that trigger the vicious cycle of loneliness are person- and situation-specific.     

Assessment of Historical Analysis and Argumentation (AHAA): A New Measure of Document-Based Historical Thinking

Abstract

A troubling gap exists between the current state of history assessment and the knowledge and skills deemed essential for students to thrive in the 21st century. We propose a new assessment of historical thinking that represents a promising alignment with extant cognitive research, as well as with the practices that undergird the discipline. In this article, we discuss the design of the Assessment of Historical Analysis and Argumentation (AHAA), as well as the accompanying scoring rubric, and report findings from our administration of multiple forms of the exam with secondary students (N?=?618). Evidence indicates that the exam captured student historical thinking about documents and that the items prompted students to construct a cognitive representation of intertextual reasoning. Given the dearth of assessments that capture student historical thinking about documents and their understanding of content, we believe the AHAA has the potential to be an important instructional resource.     

The Evaluation of Psychoanalytical Practice in Stockholm

The authors discuss several surveys that cover the practices of psychoanalysts and psychotherapists in the Stockholm region. They compare these practices with other psychiatrists in both the private and the public sector. In addition, they discuss the results from an attempt towards continuous evaluation of psychoanalytical practices and their treatment standards including an evaluation of the development of individual psychoanalytical processes.     

The hypnotic use of language — a Heideggerian interpretation

Abstract

This paper shows that Heidegger's theory of language has implications for our understanding of hypnosis. A Heideggerian interpretation of samples of trance inductions brings to light the fact that the hypnotic use of language differs from the everyday language in two major dimensions: in hypnosis, language “call” things into being, thus becoming “something more than a simple, practical means of communicating with others and a means of controlling nature” and in hypnosis, humans enter into a reversed relationship with language, a relationship in which it is language, rather than the hypnotist, that “speaks.”     

Neuropsychological sequelae following pediatric stroke: A nonlinear model of age at lesion effects

Aim: The distribution and quality of brain recovery following pediatric arterial ischemic stroke remains controversial. The literature suggests that age at stroke may be an important modulator of neuropsychological outcome, with reports inferring either greater vulnerability or plasticity in the nascent brain. Our aim was to investigate neuropsychological outcomes following pediatric stroke in a clinical sample with reference to age at lesion, lesion laterality, elapsed time from stroke to assessment, and persistent neurological sequelae.

Methods: Using comprehensive neuropsychological assessment batteries, we investigated retrospectively a large (n?=?44) and evenly distributed group of children who had ischemic stroke during “infancy” (1 month to 1 year), “early childhood” (1 to 6 years), and “late childhood” (6 to 16 years).

Results: Children who suffered a stroke performed significantly worse on a range of neuropsychological measures when compared to a normative sample. However, children who suffered a stroke between 1 and 6 years old demonstrated better preserved neuropsychological profiles than either the earlier (before age 1) or later (after age 6) age groups. In addition, those children suffering a left hemisphere lesion performed more poorly on a range of neuropsychological measures than did children with right hemisphere lesions.

Interpretation: Age at stroke is an important determinant of recovery following insult and may modulate neuropsychological and cognitive outcome.