Loving, discernment, and distance: pastoral care in schizophrenia

Schizophrenia is very common in our society, yet many people, both clergy and lay, are afraid of it and do not know what to do when confronted with someone who suffers from the disorder. Strange ideas and behavior can be frightening for those who don't understand and often result in further marginalization, even within the church community. This article seeks to outline the main features of schizophrenia and considers how to deal with particular situations which may arise in pastoral care. It suggests ways of dealing with people who express religious delusions and also argues that the "staples" of pastoral care--relationship building, empathy and inclusion--may not always be appropriate in the care of people with schizophrenia, who often need a "safe distance" between themselves and others. Some practical advice for families is also offered.     

German noun plurals: a challenge to the dual-mechanism model

In this article, the authors test one of the central claims of the Dual-Mechanism Model (Pinker and Prince, 1994), that is, that regular inflection equals default inflection. Based on results from an elicitation task with eight agrammatic Broca's aphasics and a lexical decision task with unimpaired subjects, the authors show that this assumption is not borne out. Their data on German plural inflection rather indicate that regular inflection is not necessarily identical to default inflection. To capture the German data, they have to assume regular but input-restricted inflection besides regular default inflection.     

Body tilt effect on the reproduction of orientations: studies on the visual oblique effect and subjective orientations

Body tilt effects on the visual reproduction of orientations and the Class 2 oblique effect (E. A. Essock, 1980) were examined. Body tilts indicate whether the oblique effect (i.e., lower performance in oblique orientations than in vertical-horizontal orientations) is defined in an egocentric or a gravitational reference frame. Results showed that the oblique effect observed in upright posture disappeared in tilted conditions, mainly due to a decrease in the precision of the vertical and horizontal settings. In tilted conditions, the subjective visual vertical proved to be the orientation reproduced the most precisely. Thus, the oblique effect seemed to be not purely gravitationally or egocentrically defined but, rather, to depend on a subjective gravitational reference frame tilted in the same direction as body tilts.     

The role of motion and speech in face recognition at birth

Newborns, a few hours after birth, already encounter many different faces, talking or silently moving. How do they process these faces and which cues are important in early face recognition? In a series of six experiments, newborns were familiarized with an unfamiliar face in different contexts (photographs, talking, silently moving, and with only external movements of the head with speech sound). At test, they saw the familiar and a new faces either in photographs, silently moving, or talking. A novelty preference was evidenced at test when photographs were presented in the two phases. This result supports those already evidenced in several studies. A familiarity preference appeared only when the face was seen talking in the familiarization phase and in a photograph or talking again at test. This suggests that the simultaneous presence of speech sound, and rigid and nonrigid movements present in a talking face enhances recognition of interactive faces at birth.     

Proactive and retroactive transfer of middle age adults in a sequential motor learning task

We assessed the effects of aging in the transfer of motor learning in a sequential manual assembly task that is representative for real working conditions. On two different days, young (18–30 years) and middle-aged adults (50–65 years) practiced to build two products that consisted of the same six components but which had to be assembled in a partly different order. Assembly accuracy and movement time during tests, which were performed before and after the practice sessions, were compared to determine proactive and retroactive transfer.     

Examining the Ethics of Clinical Use of Unproven Interventions Outside of Clinical Trials During the Ebola Epidemic

The recent Ebola outbreak in West Africa began in the spring of 2014 and has since caused the deaths of over 6,000 people. Since there are no approved treatments or prevention modalities specifically targeted at Ebola Virus Disease (EVD), debate has focused on whether unproven interventions should be offered to Ebola patients outside of clinical trials. Those engaged in the debate have responded rapidly to a complex and evolving crisis, however, and this debate has not provided much opportunity for in-depth analysis. Additionally, the existing literature on access to unproven therapies has focused on contexts like HIV/AIDS and oncology, which are very different than the Ebola epidemic. In this paper, we examine the ethical issues surrounding access to unproven therapies in the context of the recent Ebola outbreak to yield new insights about this controversial and unsettled issue. We argue first that, in this context, the interests of patients in obtaining access to unproven therapies are not fully aligned with the interests of their providers and drug developers. Second, we focus on the resource constraints facing providers, funders, and patients and conclude that they often counsel against the use of unproven interventions against EVD.     

Motivation to Pursue Genetic Testing in Individuals with a Personal or Family History of Cardiac Events or Sudden Cardiac Death

Genetic testing is becoming increasingly available for cardiac channelopathies, such as long QT syndrome and Brugada syndrome, which can lead to sudden cardiac death. Test results can be used to shape an individual’s medical management and to identify at-risk family members. In our qualitative study, all participants had a personal or family history of a diagnosed cardiac arrhythmia syndrome or sudden cardiac death. Open-ended interviews were conducted individually and in focus groups. Interviews were audio recorded, transcribed verbatim, and analyzed using a qualitative grounded-theory approach. Of 50 participants, 37 described their motivations for pursuing genetic testing for long QT syndrome or another cardiac channelopathy. Participants’ motivations included: to find an explanation for a family member’s sudden death, to relieve uncertainty regarding a diagnosis, to guide future medical management, to allay concern about children or other family members, and to comply with recommendations of physicians or family members. Perceived reasons not to pursue genetic testing included denial, fear, and lack of information. The genetic counseling and informed consent process can be enhanced by understanding and addressing an individual’s internal and external motivations either for or against pursuing genetic testing.