A contextual approach on sex-related biases in pain judgements: The moderator effects of evidence of pathology and patients’ distress cues on nurses’ judgements of chronic low-back pain

Although women report feeling more pain than men, their pain is often underdiagnosed and undertreated. By proposing a gender-based theoretical conceptualisation, we argue that such sex-related biases may be enhanced or suppressed by contextual variables pertaining to the clinical situation, the perceiver or the patient. Consequently, we aimed to explore the moderator role of two clinically relevant variables in a chronic low-back pain (CLBP) scenario: diagnostic evidence of pathology (EP) and pain behaviours conveying distress. One-hundred and twenty-six female nurses (M?=?35.33, SD?=?7.64) participated in an experimental between-subjects design, 2 (patient's sex)?×?2 (EP: present vs. absent)?×?2 (pain behaviours: with vs. without distress). Independent variables were operationalised by vignettes depicting a patient with CLBP. Nurses judged the patient's pain on several dimensions: (1) credibility; (2) disability; (3) severity of the clinical situation; (4) psychological attributions and (5) willingness to offer support. Main findings showed that judgements of women's pain were influenced by EP, while judgements of men's pain were not. Moreover, nurses showed biases against men, but only in the presence of EP. The influence of distress cues was less consistent. Theoretical and practical implications are drawn.     

Egocentric versus Allocentric Spatial Ability in Dentistry and Haptic Virtual Reality Training

The current study investigates the role of egocentric and allocentric spatial abilities in the field of dentistry. Whereas allocentric ability requires spatial transformation from a stationary point of reference, egocentric spatial ability is tied to the sensory‐motor system, and it requires changing one's imagined perspective in space. Experiment 1 investigates the role of different spatial abilities in a tooth preparation exercise. Experiment 2 investigates the interaction of allocentric and egocentric spatial abilities with the effectiveness of haptic virtual reality training. The results show that only egocentric spatial ability was a significant predictor of success in tooth preparation. In addition, an egocentric spatial ability test was the reliable predictor of success in more complex (indirect vision) tasks during haptic virtual reality training. Our results indicate the need for the development of finer measures of the specific spatial skills that might be needed for different dental specializations. Copyright © 2013 John Wiley & Sons, Ltd.     

Family of Origin Coaching for Clinicians in a Child and Adolescent Mental Health Service

The role of the therapist as a person rather than only as a technician has become increasingly important in family therapy since the post-modern turn. Despite this there is a paucity of research exploring supervision models that focus on self-reflection, as opposed to clinical competence. This study documents the experience of a Family of Origin Coaching group, conducted with six clinicians and one supervisor working in a child and adolescent mental health service. A participatory action framework was used, with data analysed using grounded theory. A variety of benefits were reported, including personal development, an enhanced empathy towards clients and an ability to better cope with stressful team dynamics. Family of Origin coaching has the potential to yield benefits for clinicians as a compliment to traditional supervision. Issues of confidentiality and safety need to be addressed carefully, especially during times of organisational change or stress.     

Rapid naming,not cancellation speed or articulation rate,predicts reading in an orthographically regular language (Italian)

This study examined the influence of rapid automatization naming (RAN) measures on various parameters of reading performance in children who were native speakers of a language with a shallow orthography (Italian). Participants included 281 children enrolled in first-to-sixth grade. They were given a Naming test, in which they had to name rapidly matrices of colors, objects, or digits, a Cancellation test, using the same stimulus materials, and an oral Articulation test. Performance on all tests improved steadily across ages tested. Performance on the Naming test, but not on the Cancellation and Articulation tests, predicted speed and accuracy in reading; none of these measures reliably predicted the reading comprehension measure. Data on a Blending test were also available for a subsample of first- and third-graders. Both RAN and phonological ability contributed independently to the prediction of reading ability (accuracy and speed) in these participants. The results extend observations on RAN to an orthographically shallow language (Italian) and suggest an element of continuity between languages with opaque and transparent orthographies.     

Inattention,working memory,and academic achievement in adolescents referred for attention deficit/hyperactivity disorder (ADHD)

This study investigated the role of inattention and working memory in predicting academic achievement in 145 adolescents aged 13 to 18 referred for attention deficit/hyperactivity disorder (ADHD). Path analysis was used to examine whether auditory-verbal and visual-spatial working memory would mediate the relationships between classroom inattention symptoms and achievement outcomes. Results provide support for the mediational model. Behavioral inattention significantly predicted both auditory-verbal and visual-spatial working memory performance. Auditory-verbal working memory was strongly associated with adolescents' achievement in reading and mathematics, while visual-spatial working memory was only associated with achievement in mathematics. The path from inattention symptoms to reading was partially mediated by the working memory variables, but the path from inattention to mathematics was not mediated by working memory. The proposed model demonstrated a good fit to the data and explained a substantial amount of variance in the adolescents' achievement outcomes. These findings imply that working memory is a risk factor for academic failure for adolescents with attentional problems.     

Adam Smith: Self-Command,Practical Reason and Deontological Insights

In this paper, I argue that, in his Theory of Moral Sentiments, Adam Smith conflates two different meanings of ‘self-command’, which is particularly puzzling because of the central role of this virtue in his theory. The first is the matrix of rational action, the one described in Part III of the TMS and learned in ‘the great school of self-command’. The second is the particular moral virtue of self-command. Distinguishing between these two meanings allows us, on the one hand, to solve some apparent paradoxes of the text; and, on the other, to identify various features of both the practical reason and deontological ethical traditions that are present in Smith's sentimentalism, enriching his phenomenological account of moral actions.     

A Comparison of Personal Project Motives in Three Age Groups

This study examined the extent to which adolescents systematically perceive a discrepancy between private and group norms about the acceptability of bullying and examined the association between norm estimation and actual bystander behavior. Ninety-one 8th graders (42 male and 49 female) described their personal attitudes about bullies and victims as well as their perceptions of their classmates' attitudes. Teachers rated adolescents' participant roles during bullying episodes at school. Results provided support for the premise that teens systematically perceive their peers to hold less prosocial views (e.g., to be more tolerant of bullies, less empathic toward victims, and less inclined to believe they have a responsibility to protect victims) than they themselves do. This tendency to perceive oneself as “out of step” with the group (i.e., pluralistic ignorance) was particularly salient among girls. In addition, there was a significant association between perceived self–other discrepancy in attitudes toward bullying and adolescents' actual bystander behavior when confronted by peer harassment. The more students viewed themselves as out-of-step with group norms about bullying, the higher their teacher-rated scores on passive bystander behavior. Potential implications of these findings and future directions are discussed.     

Self-transcendent positive emotions increase spirituality through basic world assumptions

Spirituality has mostly been studied in psychology as implied in the process of overcoming adversity, being triggered by negative experiences, and providing positive outcomes. By reversing this pathway, we investigated whether spirituality may also be triggered by self-transcendent positive emotions, which are elicited by stimuli appraised as demonstrating higher good and beauty. In two studies, elevation and/or admiration were induced using different methods. These emotions were compared to two control groups, a neutral state and a positive emotion (mirth). Self-transcendent positive emotions increased participants' spirituality (Studies 1 and 2), especially for the non-religious participants (Study 1). Two basic world assumptions, i.e., belief in life as meaningful (Study 1) and in the benevolence of others and the world (Study 2) mediated the effect of these emotions on spirituality. Spirituality should be understood not only as a coping strategy, but also as an upward spiralling pathway to and from self-transcendent positive emotions.     

Growing Older in Portugal: Gender Issues in Physical Health and Well-being

This article presents three studies which demonstrate that (1) Older women enjoy the status of grandparenthood, and they show resources, continued personal growth, and positive functioning; (2) Spouses provide emotional support, and widowhood has an impact on the experience of emotional loneliness; and (3) As they age, men remain cognitively more preserved, and women affectively more preserved. Over a 3-year period, older people showed smooth changes in physical health, cognitive functioning, and mental health. Results are discussed in terms of healthy living, resilience, positive affect, and also conditions that promote undesirable pathways in older age. Implications for feminist therapy with older people are discussed.     

Neuroanatomical correlates of category-specific semantic disorders: A critical survey

Current models of verbal short‐term memory (STM) propose various mechanisms for serial order. These include a gradient of activation over items, associations between items, and associations between items and their positions relative to the start or end of a sequence. We compared models using a variant of Hebb's procedure in which immediate serial recall of a sequence improves if the sequence is presented more than once. However, instead of repeating a complete sequence, we repeated different aspects of serial order information common to training lists and a subsequent test list. In Experiment 1, training lists repeated all the item–item pairings in the test list, with or without the position–item pairings in the test list. Substantial learning relative to a control condition was observed only when training lists repeated item–item pairs with position–item pairs, and position was defined relative to the start rather than end of a sequence. Experiment 2 attempted to analyse the basis of this learning effect further by repeating fragments of the test list during training, where fragments consisted of either isolated position–item pairings or clusters of both position–item and item–item pairings. Repetition of sequence fragments led to only weak learning effects. However, where learning was observed it was for specific position–item pairings. We conclude that positional cues play an important role in the coding of serial order in memory but that the information required to learn a sequence goes beyond position–item associations. We suggest that whereas STM for a novel sequence is based on positional cues, learning a sequence involves the development of some additional representation of the sequence as a whole.