Enhancing the care of children with chronic diseases through the narratives of patient,physician, nurse and carer

We tested the hypothesis that a narrative approach may enhance a bio‐psycho‐social model (BPS) in caring for chronically ill children. Forty‐eight narratives were collected from 12 children with six different medical conditions, their mothers, physicians, and nurses. By a textual analysis, narratives were classified on their predominant focus as disease (biological focus), illness (psychologic focus), or sickness (social focus). Sixty‐one percent of narrative’ text were classified as illness, 28% as disease and 11% as sickness. All narratives had a degree of illness focus. Narratives by patients and physicians on the one hand, and nurses’ and mothers’ on the other were disease focused. Narratives were also evaluated with respect to the type of medical condition: Illness was largely prevalent in all but Crohn’s disease and HIV infection, the latter having a predominance of sickness most probably related to stigma. Narrative exploration proved a valuable tool for understanding and addressing the needs of children with complex conditions. Narrative approaches allow identification of the major needs of different patients according to health conditions and story tellers. In the narratives, we found a greater illness and disease focus and surprisingly a low sickness focus, except with HIV stories. Narrative medicine provides a tool to strengthen the BPS model in health care.     

Temporal ontology: tenselessness and quantification

Synthese - Temporal ontology is concerned with the ontological status of the past, the present and the future, with presentism and eternalism as main contenders since the second half of the last...     

Human Self-Domestication and the Evolution of Pragmatics

As proposed for the emergence of modern languages, we argue that modern uses of languages (pragmatics) also evolved gradually in our species under the effects of human self-domestication, with three key aspects involved in a complex feedback loop: (a) a reduction in reactive aggression, (b) the sophistication of language structure (with emerging grammars initially facilitating the transition from physical aggression to verbal aggression); and (c) the potentiation of pragmatic principles governing conversation, including, but not limited to, turn-taking and inferential abilities. Our core hypothesis is that the reduction in reactive aggression, one of the key factors in self-domestication processes, enabled us to fully exploit our cognitive and interactional potential as applied to linguistic exchanges, and ultimately to evolve a specific form of communication governed by persuasive reciprocity—a trait of human conversation characterized by both competition and cooperation. In turn, both early crude forms of language, well suited for verbal aggression/insult, and later more sophisticated forms of language, well suited for persuasive reciprocity, significantly contributed to the resolution and reduction of (physical) aggression, thus having a return effect on the self-domestication processes. Supporting evidence for our proposal, as well as grounds for further testing, comes mainly from the consideration of cognitive disorders, which typically simultaneously present abnormal features of self-domestication (including aggressive behavior) and problems with pragmatics and social functioning. While various approaches to language evolution typically reduce it to a single factor, our approach considers language evolution as a multifactorial process, with each player acting upon the other, engaging in an intense mutually reinforcing feedback loop. Moreover, we see language evolution as a gradual process, continuous with the pre-linguistic cognitive abilities, which were engaged in a positive feedback loop with linguistic innovations, and where gene-culture co-evolution and cultural niche construction were the main driving forces.     

Individual cognitive style affects flood-risk perception and mitigation intentions

Risk perception of natural hazards has been widely studied as one of the potential determinants of people's behaviors and behavioral intentions. However, individual differences can also affect risk perception. The present work focused on the link between an individual cognitive mindset (i.e., level of holism) and flood-risk perception. It also assessed the consequences of such a link on public and personal mitigation intentions, taking into account the sense of connection with the environment, the psychological distance from the adverse event, and the role played by previous personal experience with flooding. Our study (N = 191) showed that the individual cognitive style predicted risk perceptions and personal (for both experienced and no-experience groups) and public (only for experienced group) mitigation intentions, through the mediation of the sense of connection with the environment and the psychological distance from the adverse event. Results are discussed in terms of their practical implications for public communication and policies about environmental hazards.     

Intrafemale agonistic interactions in the domestic rabbit (oryctolagus cuniculus L.)

Agonistic interactions between adult domestic rabbit females were observed. Females were housed in groups of four in outdoor enclosures measuring 4 × 4 m. Agonistic patterns included aggression (AG), flight (FL), and submission (SB). Observations focused on 1) initial interactions between unfamiliar females, concomitant with the formation and establishment of a social structure (Phase 1); and 2) interactions between familiar females organized in a stable social structure (Phase 2). AG was frequent between unfamiliar females and appeared related to the acquisition of social dominance. When social organization was settled, there was a dramatic reduction in the number and frequency of aggressive behaviors. Similarly, FL was more frequent when females were unfamiliar, but it did not appear to be merely a response to AG. The decreased frequency of both AG and FL in Phase 2 was paralleled by an increased frequency of SB with respect to FL. Under stable social conditions, subordinate females frequently signalled submission to dominant counterparts. In contrast, the latter did not signal their social status with any consistent behavioral pattern. It follows that SB was not necessarily induced as the appropriate response to aggression given by dominant females. Thus, SB appeared relevant in social communication especially in structured groups, where it conveyed information on the actor's subordination and possibly inhibited the receiver's aggression. A further possibility is that it has an autonomous rather than secondary role in the maintenance of stable dominance/subordination relationships.     

Memory distortions: When suggestions cannot be easily ignored

In the present study, the persistence of personal false memories (FMs) after social feedback that denies their truth was assessed. Participants imitated actions performed by the experimenter (Session 1) and watched a doctored video with performed and critical “fake” actions (Session 2), followed by a memory rating and a recognition task. A few days later (Session 3), participants were clearly told that some memories were false and received daily reminders of the correct list of objects/actions before testing their memory again in Session 4. Results of both memory ratings and recognition indicated effective FM implantation. Interestingly, response times for correct rejections were longer for fake than true objects, suggesting participants struggled to ignore false suggestions. Crucial for our aim, Session 4 showed that FM persisted also after the debriefing and repeated presentations of correct list of objects/actions, suggesting that FMs for actions are rather difficult to discard.     

Correction to: Embodied memories: Reviewing the role of the body in memory processes

Psychonomic Bulletin & Review - This paper omitted a reference: Dutriaux, L., & Gyselinck, V. (2016). Learning is better with the hands free: The role of posture in the memory of...     

First steps toward an understanding of procedural fairness

In four experiments, we tested whether 20‐month‐old infants are sensitive to violations of procedural impartiality. Participants were shown videos in which help was provided in two different ways. A main character provided help to two other agents either impartially, by helping them at the same time, or in a biased way, by helping one agent almost immediately while the other after a longer delay. Infants looked reliably longer at the biased than at the unbiased help scenarios despite the fact that in both scenarios help was provided to each beneficiary. This suggests that human infants can attend to departures from impartiality and, in their second year, they already show an initial understanding of procedural fairness.