On the Perceptual Control of Bimanual Performance

The author compares some critical findings of F. Mechsner and his colleagues with related results from other laboratories to point out that when higher levels of representation are available, those levels might come to be the focus of attention and control motor actions by overriding constraints at lower levels of the system.     

A Test of Order-Constrained Hypotheses for Circular Data With Applications to Human Movement Science

Researchers studying the movements of the human body often encounter data measured in angles (e.g., angular displacements of joints). The evaluation of these circular data requires special statistical methods. The authors introduce a new test for the analysis of order-constrained hypotheses for circular data. Through this test, researchers can evaluate their expectations regarding the outcome of an experiment directly by representing their ideas in the form of a hypothesis containing inequality constraints. The resulting data analysis is generally more powerful than one using standard null hypothesis testing. Two examples of circular data from human movement science are presented to illustrate the use of the test. Results from a simulation study show that the test performs well.     

Introduction: The Role of Process Metaphysics in Our World of Science

This article applies the analytic rigor of philosophy to the vexed topic of business strategy, and uses the objective, public evidence of business strategy as an existence proof for the possibility of free will and purpose in the private realm of subjective intentionality. The first part distinguishes three types of intentionality in philosophy—purposive intentionality, referential intentionality, and the problematic intentionality of a godlike, miraculous “inner intender.” After rejecting this third type of intentionality, and noting that its rejection saves the first two types of intentionality from guilt by association, the second part draws parallels with three types of strategy in business: purposive, referential, and godlike. The first defines the goals and objectives of a company; the second picks out and targets consumers in market driven strategy; and the third, with the help of philosophical reflections, demands a rethinking of the function of leadership without reliance on a single, godlike leader. In the third part of this article, the existence proof from the public world of business is used to shed light on the possibility of intentionality in the private world of subjective intentionality. Finally, the article draws conclusions for its three audiences: for the philosophers, with credit to Nietzsche who saw it all, a greater clarity about intentionality and free will; for business people, greater clarity about the importance of purposiveness and strategic intent; and for business philosophers, a demonstration showing how—through strategy and intentionality—we can both create value and give meaning to the lives of our employees, ourselves, and our customers.     

Cognitive Functioning,Behavior, and Quality of Life After Stroke in Childhood

Rationale: To provide a better understanding of cognitive functioning, motor outcome, behavior and quality of life after childhood stroke and to study the relationship between variables expected to influence rehabilitation and outcome (age at stroke, time elapsed since stroke, lateralization, location and size of lesion).

Methods: Children who suffered from stroke between birth and their eighteenth year of life underwent an assessment consisting of cognitive tests (WISC-III, WAIS-R, K-ABC, TAP, Rey-Figure, German Version of the CVLT) and questionnaires (Conner's Scales, KIDSCREEN).

Results: Twenty-one patients after stroke in childhood (15 males, mean 11;11 years, SD 4;3, range 6;10–21;2) participated in the study. Mean Intelligence Quotients (IQ) were situated within the normal range (mean Full Scale IQ 96.5, range IQ 79–129). However, significantly more patients showed deficits in various cognitive domains than expected from a healthy population (Performance IQ p?=?.000; Digit Span p?=?.000, Arithmetic's p?=?.007, Divided Attention p?=?.028, Alertness p?=?.002). Verbal IQ was significantly better than Performance IQ in 13 of 17 patients, independent of the hemispheric side of lesion. Symptoms of ADHD occurred more often in the patients' sample than in a healthy population (learning difficulties/inattention p?=?.000; impulsivity/hyperactivity p?=?.006; psychosomatics p?=?.006). Certain aspects of quality of life were reduced (autonomy p?=?.003; parents' relation p?=?.003; social acceptance p?=?.037). Three patients had a right-sided hemiparesis, mean values of motor functions of the other patients were slightly impaired (sequential finger movements p?=?.000, hand alternation p?=?.001, foot tapping p?=?.043). In patients without hemiparesis, there was no relation between the lateralization of lesion and motor outcome. Lesion that occurred in the midst of childhood (5–10 years) led to better cognitive outcome than lesion in the very early (0–5 years) or late childhood (10–18 years). Other variables such as presence of seizure, elapsed time since stroke and size of lesion had a small to no impact on prognosis.

Conclusion: Moderate cognitive and motor deficits, behavioral problems, and impairment in some aspects of quality of life frequently remain after stroke in childhood. Visuospatial functions are more often reduced than verbal functions, independent of the hemispheric side of lesion. This indicates a functional superiority of verbal skills compared to visuospatial skills in the process of recovery after brain injury. Compared to the cognitive outcome following stroke in adults, cognitive sequelae after childhood stroke do indicate neither the lateralization nor the location of the lesion focus. Age at stroke seems to be the only determining factor influencing cognitive outcome.     

Executive function outcomes of children with traumatic brain injury sustained before three years

Traumatic brain injury (TBI) is a common cause of disability in childhood. While the outcomes of TBI sustained in school years has been heavily researched, very little is known about the impact of TBI in infants and young children. The aim of this study was to investigate the impact of TBI on executive function (EF) in children who sustained a TBI before 3 years of age. A group of 55 children, 19 with a mild TBI, 16 children with a moderate-severe TBI, and 20 uninjured comparison children participated. The EF of children aged 3 to 6 years were compared using child-based measures of attentional control and information processing. Parents completed questionnaires rating their child's EF. Severity groups differed on the child-based EF measure of attentional control with children with TBI performing below the control group. There were no significant group differences for information processing or parent-rated EF. It appears that children who sustain a TBI before the age of 3 years display impairments in some areas of attentional control 3–4 years postinjury. The findings fit with the existing EF literature for older children.     

A Transformative Eucharistic Vision for the Entire Oikoumene

This article begins from the awareness that in a world of affluence, millions are hungry. It addresses the question as to whether this is merely an economic issue or whether it also poses an ethical and theological dilemma, considering ways in which the situation we are living in challenges our faith in the transformation of bread and wine into the body and blood of Christ. It asks how, in the situation as it is, there is any possibility of believing in such a transformation. Finally it questions whether there is any relationship between hope for the transformation of hunger amidst affluence and belief in the transformation of bread into the body of Christ, and outlines a transformative eucharistic vision for the global Christian Church.     

Coping among children and adolescents with chronic illness

The present study was aimed to investigate age and gender effects on coping with everyday stressors among children and adolescents with chronic illness and healthy controls. Patients (8–13 years of age) with asthma (n=47), atopic dermatitis (n=52), and cancer (n=57) were compared to healthy controls (n=158) matched by age, gender, and grade. Self-report data on coping with academic and interpersonal stressors were collected. The primary results indicated that coping with everyday stressors was improved in children and adolescents with chronic illness compared to healthy controls. Thus, patients reported less passive avoidance on cross-situational coping and tended to show more situation-specific coping with social and school-related stressors than healthy controls. Additionally, among the clinical groups, patients with atopic dermatitis and cancer scored higher on positive self-instructions than patients with asthma. Conclusively, the results suggest that coping with a chronic illness may lead to more effective coping with everyday stressors. Implications for evaluating coping styles in patients with chronic illness are discussed.