Leveraged Resources and Systems Changes in Community Collaboration

Most models of community collaboration emphasize the ability of diverse partners to come together to enact systematic changes that improve the health of individuals and communities. The ability of these groups to leverage resources is thought to be an important marker of successful collaboration and eventual improvements in community health. However, there is a paucity of research addressing linkages between systems change activities and leveraged resources. This study used a sample of collaboratives (N = 157) that received technical assistance and funding through the Georgia Family Connection Partnership (GaFCP) between 2006 and 2007. Data were collected from collaborative report of activities and funding, member ratings of collaborative functioning, and characteristics of the communities served by the collaboratives drawn from US Census data. Cross-lagged regression models tested longitudinal associations between systems change activities and leveraged dollars. The results indicated that systems change activities predict increased leveraging of resources from state/federal and private partners. However, there was no evidence that systems changes were linked with leveraging resources from local groups and agencies. These findings have important implications for providing technical assistance and training to health partnerships. Furthermore, future research should consider the relative strength of different systems change activities in relation to the ability of coalitions to leverage resources.     

Ensemble coding of faces occurs in children and develops dissociably from coding of individual faces

Ensemble coding allows adults to access useful information about average properties of groups, sometimes even in the absence of detailed representations of individual group members. This form of coding may emerge early in development with initial reports of ensemble coding for simple properties (size, numerosity) in young children and even infants. Here we demonstrate that ensemble coding of faces, which provides information about average properties of social groups, is already present in 6–8‐year‐old children. This access to average information increases with age from 6 to 18 years and its development is dissociable from age‐related improvements in the coding of individual face identities. This dissociation provides the first direct evidence that distinct processes underlie ensemble and individual coding of face identity, evidence that has been lacking from adult studies. More generally, our results add to the emerging evidence for impressively mature sensitivity to statistical properties of the visual environment in children. They indicate that children have access to gist information about social groups that may facilitate adaptive social behaviour.     

The procedural learning deficit hypothesis of language learning disorders: we see some problems

Impaired procedural learning has been suggested as a possible cause of developmental dyslexia (DD) and specific language impairment (SLI). This study examined the relationship between measures of verbal and non‐verbal implicit and explicit learning and measures of language, literacy and arithmetic attainment in a large sample of 7 to 8‐year‐old children. Measures of verbal explicit learning were correlated with measures of attainment. In contrast, no relationships between measures of implicit learning and attainment were found. Critically, the reliability of the implicit learning tasks was poor. Our results show that measures of procedural learning, as currently used, are typically unreliable and insensitive to individual differences. A video abstract of this article can be viewed at: https://www.youtube.com/watch?v=YnvV-BvNWSo     

States of Exile and Marginalization

The experience of marginality is visceral. The artist Tracey Moffatt, Australia’s representative at the 2017 Vienna biennale, understands this exquisitely. Her work depicts marginality and states of exile powerfully and compels us to respond. In speaking to the traumatic images in her work I am aware that words are inadequate. The Lacanian Real of trauma is always an excess, the beyond of words. This is recognized by Moffatt in her largely wordless work, which nevertheless speaks to many states of exile engendered by geographical isolation, cultural domination and hybridity, powerlessness, and dependence, as well as alienated states produced by everyday misattunements.     

Reaping the Whirlwind: Reply to Garth Stevens,Gillian Eagle,Margarita Kahn,and Donna Orange

Drawing on the work of ?i?ek (1992) on the neighbor, this paper grapples with Orange’s ethical challenges in this regard. Continuing a focus on the complexity of extending a hand to the Other, the paper then address Kahn’s ideas concerning how one pole of a binary defines itself through the Other, and I speak to the issue of victims and rescuers. The resistance of the erstwhile oppressed to being defined by the Other is taken up in Eagle’s paper. Eagle discusses the perils of reflection and interpretation when at the receiving end of the jouissance of embodied and enacted hatred. In this reply I elaborate these thoughts, and then move to discuss Stevens’s paper, which offers thoughts on how to respond constructively to this jouissance so as not to make a bad situation worse.     

“Das Ding”: Excessive Existence: Discussion of “Melancholic Psychosis”

Derek Hook’s (this issue) excellent paper provides illustrations of complex Lacanian concepts through the relatively rare presentation of Lacanian case material. His paper lends itself to reading Freud with Lacan. This reply to his paper engages such a reading to show that the idea of the over present object emphasised by Lacan is prefigured in Freud in his 1917 paper on Mourning and Melancholia. My reply to Hook affirms the additional clinical themes he introduces and indicates that these themes would be anticipated if, as Lacan argues, melancholia is seen to be underpinned by a psychotic structure. Finally, the reply argues for a resurrection of the Lacanian notion of Das Ding, as it connotes differently to objet a despite overlaps in meaning and the fact that in later Lacan the term Das Ding was dropped.     

Perceptual experience shapes our ability to categorize faces by national origin: A new other-race effect

People are better at recognizing own-race than other-race faces. This other-race effect has been argued to be the result of perceptual expertise, whereby face-specific perceptual mechanisms are tuned through experience. We designed new tasks to determine whether other-race effects extend to categorizing faces by national origin. We began by selecting sets of face stimuli for these tasks that are typical in appearance for each of six nations (three Caucasian, three Asian) according to people from those nations (Study 1). Caucasian and Asian participants then categorized these faces by national origin (Study 2). Own-race faces were categorized more accurately than other-race faces. In contrast, Asian American participants, with more extensive other-race experience than the first Asian group, categorized other-race faces better than own-race faces, demonstrating a reversal of the other-race effect. Therefore, other-race effects extend to the ability to categorize faces by national origin, but only if participants have greater perceptual experience with own-race, than other-race faces. Study 3 ruled out non-perceptual accounts by showing that Caucasian and Asian faces were sorted more accurately by own-race than other-race participants, even in a sorting task without any explicit labelling required. Together, our results demonstrate a new other-race effect in sensitivity to national origin of faces that is linked to perceptual expertise.     

A Survey of Patients’ Experiences with the Cancer Genetic Counseling Process: Recommendations for Cancer Genetics Programs

In order to promote ongoing quality improvement of not only the Penn State Cancer Genetics Program, but also other cancer risk assessment programs throughout the country, we developed, piloted and conducted a survey to explore patient expectations, experiences, and satisfaction with the cancer genetic counseling process. The comprehensive survey was mailed to 340 eligible patients, 156 (45.9%) of whom returned the completed survey within the allotted time. Responses to closed-ended questions were tallied and open-ended questions were content analyzed. Major findings show that: (1) Patients were seeking cancer-related information and support throughout the cancer risk assessment process and were interested in participating in available research studies; (2) The setting in which patients are seen for cancer risk assessment may pose potential emotional ramifications; (3) Misperceptions regarding insurance discrimination and lack of insurance coverage persist; (4) Patients view the genetic counselor as responsible for updating them about new discoveries. Specific recommendations for cancer genetics programs are included.     

Smooth pursuit eye movement and schizotypy in the community

Deficits in smooth pursuit eye movements are well documented in schizophrenia and schizotypic psychopathology. The status of eye tracking dysfunction (ETD) as an endophenotype for schizophrenia liability is relatively robust. However, the relation of ETD to schizophrenia-related deviance in the general population has not been confirmed. This study examined smooth pursuit eye tracking and schizotypal personality features in the general population. Smooth pursuit eye movement and schizotypal features were measured in 300 adult community subjects. The sample included both sexes, subjects with a wide age and educational range, and subjects with no prior history of psychosis. Primary outcome measures were peak gain (eye velocity/target velocity), catch-up saccade rate, and schizotypal feature scores. Total schizotypal features were significantly associated with decreased peak gain and were associated at the trend level with increased catch-up saccade rate. These associations were essentially unchanged after controlling for age, sex, and intellectual level effects. These data confirm a hypothesized association between schizotypal features and poorer eye tracking performance (principally, peak gain) in the general population as well as support the conceptualization of ETD as an endophenotype for schizophrenia liability.