The embodied nature of medical concepts: image schemas and language for pain

Cognitive linguistics assumes that knowledge is both embodied and situated as far as it is acquired through our bodily interaction with the world in a specific environment (e.g. Barsalou in Lang Cogn Process 18:513–562, 2003; Connell et al. in PLoS One 7:3, 2012). Therefore, embodiment provides an explanation to the mental representation and linguistic expression of concepts. Among the first, we find multimodal conceptual structures, like image schemas, which are schematic representations of embodied experiences resulting from our conceptualization of the surrounding environment (Tercedor Sánchez et al. in J Spec Transl 18:187–205, 2012). Furthermore, the way we interact with the environment and its objects is dynamic and configures how we refer to concepts both by means of images and lexicalizations. In this article, we investigate how image schemas underlie verbal and visual representations. They both evoke concepts based on exteroception, interoception and proprioception which can be lexicalized through language. More specifically, we study (1) a multimodal corpus of medical texts to examine how image schemas lexicalize in the language of medicine to represent specialized concepts and (2) medical pictures to explore the depiction of image-schematic concepts, in order to account for the verbal and visual representation of embodied concepts. We explore the concept pain, a sensory and emotional experience associated with actual or potential tissue damage, using corpus analysis tools (Sketch Engine) to extract information about the lexicalization of underlying image schemas in definitions and defining contexts. Then, we use the image schemas behind medical concepts to consistently select images which depict our experience of pain and the way we understand it. Finally, such lexicalizations and visualizations will help us assess how we refer to pain both verbally and visually.     

Evaluation of a Heredofamilial Cancer Unit in Increasing Family History Collection and Genetic Counseling Referrals Among Spanish Oncologists at a University Hospital

A comprehensive family history is essential to identify patients at risk for hereditary cancer who could benefit from genetic counseling (GC). In a previous study, we observed a low occurrence of family history record (FHR) collection rate and GC referral among oncologists at our institution. The present work analyzes whether the implementation of a heredofamilial cancer unit (HFCU) would improve these parameters. We retrospectively compared the FHR rate in clinical records, National Cancer Institute (NCI) general criteria for hereditary cancer suspicion, GC referrals and FHR quality in two cohorts: cohort 1 (patients diagnosed before HFCU creation) and cohort 2 (after HFCU creation). Of 1,175 patients (590 cohort 1 and 585 cohort 2), FHRs were consigned in 27.3 % and 52.5 % of patients, respectively (p?<?0.001). The GC referral of patients with any NCI criterion was 13.6 % xin cohort 1 vs. 40.5 % in cohort 2 (p?<?0.001). FHR quality improved in terms of the total number of relatives (164 vs. 314, p?=?0.1, N.S.) and number of healthy relatives consigned (80 vs. 191, p?<?0.01). Nine mutations (6 BRCA, 1 MEN1, 2 Lynch), 4 unknown significance variants (all in BRCA) and 2 with no mutation were identified among patients referred from cohort 2. We conclude that the creation of a heredofamilial cancer unit has changed both FHR and GC referrals among oncologists at our institution, although continuous educational efforts are required.     

Temperament and Personal Wellbeing in a Sample of 12 to 16 Year-Old Adolescents

Working on the basis that temperament – understood as the root from which personality traits emerge – is related to subjective wellbeing, a study was conducted on a sample of 1.483 students in compulsory secondary education aged between 12 and 16, half of whom attended schools in a rural or semiurban area and half in an urban setting. The aims of the study were as follows: a) to determine the level of personal wellbeing in a sample of 12 to 16 year-old adolescents measured using scores obtained from the Personal Wellbeing Index (PWI), and b) to analyse the relationship between temperament, measured using the Early Adolescent Temperament Questionnaire (EATQ-R), and personal wellbeing. Results indicate, among other things, that those temperament dimensions which best predict a high level of personal wellbeing are activity level, affiliation, shyness (with a negative weight), inhibitory control and activation control.     

Suicide attempts and stressful life events among female victims of intimate partner violence living in poverty in Nicaragua

This article describes a study of 136 female intimate partner violence victims living in poverty in Nicaragua. The paper aimed to analyze the relationship between experiencing stressful life events (SLE) and perceived social support with suicide attempts, and to evaluate the differences in the SLE experienced by female suicide attempters versus non‐attempters. The results showed the existence of a high level of SLE among the interviewees, and that women who have attempted suicide have experienced substantially more of these events. Experiences of violence and less social support were especially related to suicide attempts among the interviewees.     

How orthographic transparency affects morphological processing in young readers with and without reading disability

This study investigates how orthographic modifications to the stems of complex words affect morphological processing in proficient young Spanish readers and children with reading deficits. In a definition task all children, irrespective of their reading skill, were worse at defining derived words that had an orthographic alteration of the base stem than words with no orthographic alteration. In a go/no‐go lexical decision task, an interaction between base frequency and orthographic alteration was found: base frequency affected derived words with no orthographic alteration more than words with alterations, irrespective of reading skill. Overall, results show that all children benefit from a high frequency base, skilled children outperform children with reading deficits and morphological processing is affected by orthographic alterations similarly in proficient and impaired readers.     

Would you post that picture and let your dad see it? Culture,honor, and Facebook

Honor means “high respect; esteem,” but it has different associations for different cultures. In honor cultures (Turkey), esteem depends on one's own perception of self‐worth and on other people's opinions. In those cultures, honor is easily lost and difficult to regain. In dignity cultures (northern America), esteem mainly depends on the individual and cannot be taken away by others. One way to lose honor in Turkey is through behaviors that may be seen as “potentially improper.” Thus, we expected that posting pictures of such behaviors on Facebook (e.g., at a party; with one's boyfriend/girlfriend) and letting others see them would be less likely in Turkey than in the northern United States. Moreover, we investigated whether honor endorsement was the reason for this difference. We examined participants' posting intentions and actual Facebook behaviors. As expected, Turkish participants were less willing to post and let others (especially their relatives) see their potentially improper pictures compared with northern Americans. Moreover, honor endorsement negatively predicted the willingness to post such pictures only in Turkey, especially for women. This suggests that in honor cultures, the concern for losing honor could be the underlying reason for avoiding social media postings that could be potentially perceived as improper. Copyright © 2015 John Wiley & Sons, Ltd.     

Can Culture Influence Body‐Specific Associations Between Space and Valence?

People implicitly associate positive ideas with their dominant side of space and negative ideas with their non‐dominant side. Right‐handers tend to associate “good” with “right” and “bad” with “left,” but left‐handers associate “bad” with “right” and “good” with “left.” Whereas right‐handers' implicit associations align with idioms in language and culture that link “good” with “right,” left‐handers' implicit associations go against them. Can cultural conventions modulate the body‐specific association between valence and left‐right space? Here, we compared people from Spanish and Moroccan cultures, which differ in the strength of taboos against the use of the left hand, and therefore in their preference for the right. Results showed stronger explicit associations between space and valence in Moroccan participants than in Spaniards, but they did not show any increased tendency for right‐handed Moroccans to associate “good” with “right” implicitly. Despite differences in cultural conventions between Spaniards and Moroccans, we find no evidence for a cross‐cultural difference in the implicit association between space and valence, which appears to depend on patterns of bodily experience.     

Changes in Roman Catholic Beliefs and Practices in Ireland between 1981 and 2008 and the Emergence of the Liberal Catholic

This study aimed to investigate the changes that have occurred in the religious beliefs and practices of Roman Catholics in Ireland between 1981 and 2008 and to examine the extent to which Catholics have become liberal in their attitudes towards social issues over this period. Data were derived from 23 religious indicators and six social items sourced from the European Values Study (EVS). Only Roman Catholic respondents (n=3810) were included in the analysis. Data were analysed using ANOVA, t-tests, and chi-square tests. The majority of religious indicators were found to be in significant decline between 1981 and 2008. Also, Catholic attitudes towards homosexuality, euthanasia, abortion, prostitution, divorce, and the use of ‘soft drugs’ were found to have become significantly more liberal over this period. These findings support not only the notions of privatisation of religion and morality but also the emergence of a liberal ethos among a considerable proportion of Catholics in Ireland. Results are discussed in relation to theories of secularisation, believing without belonging, and the emergence of Liberal Catholics. Suggestions for future research, such as investigating the effect of conflict between one’s Catholic identity and liberal views, are made.