Review of the contemporary literature on how children report sexual abuse to others: findings, methodological issues, and implications for forensic interviewers

Methods used during forensic interviews with children are driven by beliefs about how children recall and report child sexual abuse (CSA) to others. Summit (1983) proposed a theory (Child Sexual Abuse Accommodation Syndrome) contending that, due to the specific traumatic characteristics of CSA, children will often delay disclosing abuse or altogether fail to disclose during childhood, deny abuse when asked, and often recant abuse allegations. His theory has had a tremendous impact on the field of CSA forensic evaluations, despite its dearth of empirical support. In this paper, we review and critique the contemporary literature from two main sources: retrospective accounts from adults reporting CSA experiences and studies of children undergoing forensic evaluation for CSA. We conclude that data support the notion that children often delay abuse disclosure, but that among valid abuse cases undergoing forensic evaluation, denial and recantation are not common. Methodological issues and implications for forensic interviewers are discussed.     

The social function of imitation in severe dementia

We report the case of Jessie, an individual with severe Alzheimer's disease. Over two sessions, we examine Jessie's spontaneous conversation behaviour and urge to communicate using the ‘still face’ paradigm. Spontaneous and deliberate imitation are also examined to identify their importance in social interactions in severe dementia. Although Jessie has difficulty producing meaningful conversation, she retains the urge to communicate and participate in social interactions. These results confirm the importance of imitation in facilitating and maintaining people with communication problems in the social world. Copyright © 2006 John Wiley & Sons, Ltd.     

Do IRBs Pass the Minimal Harm Test?

ABSTRACT— We describe examples of institutional review board (IRB) actions that have delayed or thwarted research that could not conceivably be considered to pose more than minimal risk to participants. We propose three changes to improve the IRB process and reduce both human and financial costs.     

Adult attachment, perceived stress, and PTSD among civilians exposed to ongoing terrorist attacks in Southern Israel

This study examined the relationships among exposure to terrorism, individual differences in adult attachment dimensions, perceived stress, and posttraumatic stress disorder (PTSD). A representative sample of 254 adults who had experienced more than 7 years of ongoing exposure (OGE) to rocket and mortar fire in southern Israel was compared to 308 individuals with no exposure (NE) to terrorism. OGE individuals reported significantly elevated levels of insecure attachment, perceived stress, and PTSD-symptoms as compared to the NE individuals. The associations between perceived stress and PTSD-symptoms were significantly stronger in the OGE group, compared to the NE group. For OGE individuals, the elevated level of perceived stress mediated the association between Attachment Anxiety and PTSD-symptoms. Theoretical and clinical implications of the findings are discussed.     

Counselling breast cancer patients: A specialist nurse service

The evaluation of a specialist nurse-counselling service is described. Forty newly diagnosed breast cancer patients, treated by mastectomy, were randomised to receive either routine care or routine care plus counselling by a nurse. Psychological morbidity was assessed at one week, 3 months and 12 months postoperatively to determine the efficacy of this service. Comparisons between the groups indicated that counselled patients were significantly less depressed at 3 months postoperatively and reported more beliefs in personal control over health. At 12 months postoperatively there were no significant differences between the groups. Although both groups continued to adjust throughout the year following surgery, this adjustment occurred more rapidly if patients were counselled. The results suggest that a nurse-counselling service can be of value in helping to reduce the amount of distress experienced as a result of the diagnosis and treatment of breast cancer.     

Perceptual equivalence of acoustic cues in speech and nonspeech perception

Trading relations show that diverse acoustic consequences of minimal contrasts in speech are equivalent in perception of phonetic categories. This perceptual equivalence received stronger support from a recent finding that discrimination was differentially affected by the phonetic cooperation or conflict between two cues for the /slIt/-/splIt/contrast. Experiment 1 extended the trading relations and perceptual equivalence findings to the /sei/-/stei/contrast. With a more sensitive discrimination test, Experiment 2 found that cue equivalence is a characteristic of perceptual sensitivity to phonetic information. Using “sine-wave analogues” of the /sei/-/stei/stimuli, Experiment 3 showed that perceptual integration of the cues was phonetic, not psychoacoustic, in origin. Only subjects who perceived the sine-wave stimuli as “say” and “stay” showed a trading relation and perceptual equivalence; subjects who perceived them as nonspeech failed to integrate the two dimensions perceptually. Moreover, the pattern of differences between obtained and predicted discrimination was quite similar across the first two experiments and the “say”-“stay” group of Experiment 3, and suggested that phonetic perception was responsible even for better-than-predicted performance by these groups. Trading relations between speech cues, and the perceptual equivalence that underlies them, thus appear to derive specifically from perception of phonetic information.     

An Absolutist Theory of Faultless Disagreement in Aesthetics

Some philosophers writing on the possibility of faultless disagreement have argued that the only way to account for the intuition that there could be disagreements which are faultless in every sense is to accept a relativistic semantics. In this article we demonstrate that this view is mistaken by constructing an absolutist semantics for a particular domain – aesthetic discourse – which allows for the possibility of genuinely faultless disagreements. We argue that this position (Humean absolutism) is an improvement over previous absolutist responses to the relativist's challenge and that it presents an independently plausible account of the semantics of aesthetic discourse.     

Decoupling neural networks from reality: dissociative experiences in torture victims are reflected in abnormal brain waves in left frontal cortex

From a neuroscience perspective, little is known about the long-term effect of torture. Dissociative experiences and posttraumatic stress disorder are often the results of this experience. We examined psychological dissociation within a group of 23 torture victims and report its manifestations within neural networks in the human brain. In particular, we observed that dissociative experiences are associated with slow abnormal brain waves generated in left ventrolateral frontal cortex. Given that focal slow waves often result from depriving neural networks of major input, the present results may indicate decoupling of frontal affective processors from left cortical language areas. This interpretation is consistent with the fact that disturbed access to structured verbal memory concerning traumatic events is a core feature of the dissociative experience.