The angular gyrus in developmental dyslexia: task-specific differences in functional connectivity within posterior cortex

Converging evidence from neuroimaging studies of developmental dyslexia reveals dysfunction at posterior brain regions centered in and around the angular gyrus in the left hemisphere. We examined functional connectivity (covariance) between the angular gyrus and related occipital and temporal lobe sites, across a series of print tasks that systematically varied demands on phonological assembly. Results indicate that for dyslexic readers a disruption in functional connectivity in the language-dominant left hemisphere is confined to those tasks that make explicit demands on assembly. In contrast, on print tasks that do not require phonological assembly, functional connectivity is strong for both dyslexic and nonimpaired readers. The findings support the view that neurobiological anomalies in developmental dyslexia are largely confined to the phonological-processing domain. In addition, the findings suggest that right-hemisphere posterior regions serve a compensatory role in mediating phonological performance in dyslexic readers.     

Thou Shalt Not Covet Another Man? Exploring Constructions of Same‐Sex and Different‐Sex Infidelity Using Story Completion

This study explores conceptualisations of same‐ versus different‐sex infidelity in the context of a heterosexual marriage using story completion. A convenience sample of 57 female and male participants completed one of four versions of a story stem featuring a husband who is either emotionally or sexually unfaithful with a woman or a man. A social constructionist thematic analysis found that same‐sex infidelity was conceptualised as the ‘worst case scenario’ and was underpinned by a heteronormative framing of repressed homosexuality. By contrast, heterosexual infidelity was understood in terms of relational deficits and the wife assuming responsibility for these. Overall, the analysis shows that in making sense of same‐sex and heterosexual infidelity, the participants drew on familiar discourses of sexuality and gender, suggesting that despite social psychological theorising related to sexual fluidity, essentialist ideas remain firmly in place. Methodologically, the study demonstrates the usefulness of a rarely used tool—the story completion task—for accessing socio‐cultural discourses and dominant meanings surrounding a particular topic. Copyright © 2014 John Wiley & Sons, Ltd.     

Victim Ambiguity: Bystander Intervention and Sexual Assault in the College Drinking Scene

Alcohol-related sexual assault is the most common form of sexual victimization on college campuses. Bystander intervention has been suggested as effective in preventing sexual assault, but its usefulness in sexual assaults that involve alcohol in particular has not yet been examined. The current study draws from intensive interviews with 30 undergraduates at a large Midwestern university to understand how students’ perceptions about sexual victimization and alcohol use affect their bystander behavior. Findings suggest that in alcohol-involved situations, the ambiguity of whether the woman is at risk and her perceived worthiness are significant barriers to intervention. Policy implications are discussed.     

3-D bone models to improve treatment initiation among patients with osteoporosis: A randomised controlled pilot trial

Objective: To investigate the efficacy of 3-D printed bone models as a tool to facilitate initiation of bisphosphonate treatment among individuals who were newly diagnosed with osteoporosis.

Design: Fifty eight participants with estimated fracture risk above that at which guidelines recommend pharmacological intervention were randomised to receive either a standard physician interview or an interview augmented by the presentation of 3-D bone models.

Main outcome measures: Participants’ beliefs about osteoporosis and bisphosphonate treatment, initiation of bisphosphonate therapy assessed at two months using self-report and pharmacy dispensing data.

Results: Individuals in the 3-D bone model intervention condition were more emotionally affected by osteoporosis immediately after the interview (p = .04) and reported a greater understanding of osteoporosis at follow-up (p = .04), than the control group. While a greater proportion of the intervention group initiated an oral bisphosphonate regimen (alendronate) (52%) in comparison with the control group (21%), the overall initiation of medication for osteoporosis, including infusion (zoledronate), did not differ significantly (intervention group 62%, control group 45%, p = .19).

Conclusion: The presentation of 3-D bone models during a medical consultation can modify cognitive and emotional representations relevant to treatment initiation among people with osteoporosis and might facilitate commencement of bisphosphonate treatment.     

The Effects of Introducing Peer Support to Young People with a Chronic Illness

Peer support groups have been an increasingly popular way of limiting the adverse effects of life with a chronic illness for adolescents although few groups have been rigorously evaluated. This paper reports the findings of a realistic evaluation of a hospital based peer support program Chronic Illness Peer Support (ChIPS), in Sydney, Australia. We collected qualitative interview and focus group data from four participant groups; new ChIPS members, their parents, older members who had been in ChIPS for two or more years, and ChIPS co-ordinators past and present. Results of qualitative data have been aggregated and organised into three categories; program attendance: getting in and staying in; program outcomes for young people: personal growth and development; and social connection. Questionnaires were also administered to fourteen new ChIPS members but no significant changes in distress or self-esteem were recorded between the beginning and the end of the short study period. The ChIPS Introductory Program fulfilled its aim, entering young people with chronic illness into the peer support program. There was evidence of initial personal growth and development in those young people, with potential for enhanced social connection from ongoing participation in ChIPS activities.