When Treatment is Traumatic: An Empirical Review of Interventions for Pediatric Medical Traumatic Stress

Pediatric medical traumatic stress (PMTS) is common among injured/ill children and is associated with elevated distress, treatment non‐adherence, and poor health outcomes. As survivorship of life‐threatening pediatric injury and illness continues to increase alongside rapid medical advancements, rates of PMTS and negative sequelae are expected to grow; however, research on prevention and treatment of PMTS is limited. The current study sought to systematically review the literature using a developmental framework to highlight research gaps. Sixteen peer‐reviewed studies were identified via a systematic literature search. Consistent with best practices for treatment of childhood trauma, caregiver involvement and CBT principles served as the foundation for most interventions. All studies reported improvements in PMTS; however, among the most methodologically rigorous, few found statistically superior reductions in PMTS between intervention and control groups. While many studies focused on a specific developmental stage and discussed developmental considerations, others took a “one‐size‐fits” approach. Interventions that demonstrated the most promising findings were online, self‐guided, or time‐limited. Future research would benefit from expanding diversity of participants, continuing to evaluate novel delivery methods, and integrating developmental considerations along with trauma‐informed care (TIC) approaches, given their useful framework for understanding child traumatic stress responses and avenues for prevention and treatment.     

Recognition of facial expression and identity in part reflects a common ability,independent of general intelligence and visual short-term memory

Recognising identity and emotion conveyed by the face is important for successful social interactions and has thus been the focus of considerable research. Debate has surrounded the extent to which the mechanisms underpinning face emotion and face identity recognition are distinct or share common processes. Here we use an individual differences approach to address this issue. In a well-powered (N?=?605) and age-diverse sample we used structural equation modelling to assess the association between face emotion recognition and face identity recognition ability. We also sought to assess whether this association (if present) reflected visual short-term memory and/or general intelligence (g). We observed a strong positive correlation (r?=?.52) between face emotion recognition ability and face identity recognition ability. This association was reduced in magnitude but still moderate in size (r?=?.28) and highly significant when controlling for measures of g and visual short-term memory. These results indicate that face emotion and face identity recognition abilities in part share a common processing mechanism. We suggest that face processing ability involves multiple functional components and that modelling the sources of individual differences can offer an important perspective on the relationship between these components.     

Differential effects of alcohol on associative versus item memory

Alcohol has detrimental effects on a range of cognitive processes, the most prominent being episodic memory. These deficits appear functionally similar to those observed within the normal aging population. We investigated whether an associative memory deficit, as found in older adults, would also be evident in young adults moderately intoxicated by alcohol. Participants were shown unrelated word pairs and then tested on both their item recognition (old/new item?) and associative recognition (intact/recombined pair?). Half the participants were under the influence of alcohol whereas the other half were sober. Alcohol impaired memory performance but significantly more so for associative than for item memory. Moreover, within the alcohol group, the associative memory deficit was significantly related to the amount of alcohol consumed. The findings suggest that not all aspects of episodic memory are equally impaired by alcohol, which may have practical implications for criminal investigations involving eye witnesses who have consumed alcohol.     

Was Kant a nonconceptualist?

I criticize recent nonconceptualist readings of Kant’s account of perception on the grounds that the strategy of the Deduction requires that understanding be involved in the synthesis of imagination responsible for the intentionality of perceptual experience. I offer an interpretation of the role of understanding in perceptual experience as the consciousness of normativity in the association of one’s representations. This leads to a reading of Kant which is conceptualist, but in a way which accommodates considerations favoring nonconceptualism, in particular the primitive character of perceptual experience relative to thought and judgment.

The role of social categorization and identity threat in the perception of migrants

This paper investigates how the categorization of migrant workers shapes their reception. In an experiment with Northern Irish Protestants we manipulated the representation of Poland to make the Catholicism of Polish migrants either more, or less, salient. Furthermore, judgements of Polish migrants were obtained under conditions designed to encourage participants to believe that sectarian conflict in Northern Ireland was either resolved, or still a strong feature of the present social landscape. Overall, results showed that when Poland's Catholicism was salient, participants were less welcoming of Polish migrants. Furthermore, this effect was mediated by increases in the level of symbolic threat participants believed the migrants posed to participants' (Protestant) community identity. Copyright © 2009 John Wiley & Sons, Ltd.     

Constructive and deconstructive tool modification by chimpanzees (Pan troglodytes)

Nine chimpanzees (Pan troglodytes) were tested for their ability to assemble or disassemble the appropriate tool to obtain a food reward from two different apparatus. In its deconstructed form, the tool functioned as a probe for one apparatus. In its constructed form, the tool functioned as a hook, appropriate for a second apparatus. Each subject completed four test trials with each apparatus type. Tool types were randomized and counter-balanced between the two forms. Results demonstrated that adult and juvenile chimpanzees (N = 7) were successful with both tool types, while two infant chimpanzees performed near chance. Off-line video analyses revealed that tool modifications followed by attempted solutions by the adults and juveniles were typically correct on the first attempt. Neither infant was successful in modifying tools correctly on the first attempt over all eight trials. The older chimpanzees’ ability to modify the appropriate tool consistently prior to use indicates an immediate recognition of the functional attributes necessary for the successful use of tool types on each apparatus, and represents a non-replication of a previously reported study by Povinelli.

A visual approach to statistical power analysis on the microcomputer

Computer programs for statistical power analysis typically require the user to provide a series of values and respond by reporting the corresponding power. These programs provide essentially the same functions as a published text, albeit in a more convenient form. In this paper, we describe a program that instead uses innovative graphic techniques to provide insight into the interaction among the factors that determine power. For example, fort tests, the means and standard deviations of the two distributions, sample sizes, and alpha are displayed as bar graphs. As the researcher modifies these values, the corresponding values of beta (also displayed as a bar graph) and power are updated and displayed immediately. By displaying all of the factors that are instrumental in determining power, the program ensures that each will be addressed By allowing the user to determine the impact that any modifications will have on power, the program encourages an appropriate balance between alpha and beta while working within the constraints imposed by a limited sample size. The program also allows the user to generate tables and graphs to document the impact of the various factors on power. In addition, the program enables the user to run on-screen Monte Carlo simulations to demonstrate the importance of adequate statistical power, and as such, it can serve as a unique educational tool.