Psychosocial Stimulation: A Qualitative Study on Kenyan Mother’s Motives and Challenges to Promote Children’s Development

Interventions designed to enhance the mental and socio-emotional development of children in low and middle income countries through improving psychosocial stimulation are the subject of national and international organizations research and programs. Before new interventions can be designed and tested in low income countries, it is important to understand what psychosocial stimulation mothers are already providing, how beliefs influence the stimulation used, and what challenges are faced by mothers when trying to do this. We aimed to find out what types of stimulation are being commonly used by mothers in Kenya, alongside exploring the beliefs and associated challenges in providing psychosocial stimulation. This is a qualitative study using focus group discussions held in Kisumu, a regional urban centre in Western Kenya, with 35 mothers caring for at least one child under the age of 5 years. Mothers in this study identified four key themes of commonly employed stimulation: singing, play, dancing and story-telling. A range of challenges were raised such as ensuring their child’s basic physiological needs were met, managing marital conflict, and trusting non-familial caregivers, with mothers concerned that their child may be mistreated through accidental or purposeful harm. Findings indicate that mothers in a low income country are faced with multiple challenges when trying to provide psychosocial stimulation for their child’s development. It is important to consider these results when designing an intervention for this setting.     

A Virtue-Based Defense of Mathematical Apriorism

Mathematical apriorists usually defend their view by contending that axioms are knowable a priori, and that the rules of inference in mathematics preserve this apriority for derived statements—so that by following the proof of a statement, we can trace the apriority being inherited. The empiricist Philip Kitcher attacked this claim by arguing there is no satisfactory theory that explains how mathematical axioms could be known a priori. I propose that in analyzing Ernest Sosa’s model of intuition as an intellectual virtue, we can construct an “intuition–virtue” that could supply the missing explanation for the apriority of axioms. I first argue that this intuition–virtue qualifies as an a priori warrant according to Kitcher’s account, and then show that it could produce beliefs about mathematical axioms independent of experience. If my argument stands, this paper could provide insight on how virtue epistemology could help defend mathematical apriorism on a larger scale.     

Exposure-based Interventions for the management of individuals with high levels of needle fear across the lifespan: a clinical practice guideline and call for further research

Needle fear typically begins in childhood and represents an important health-related issue across the lifespan. Individuals who are highly fearful of needles frequently avoid health care. Although guidance exists for managing needle pain and fear during procedures, the most highly fearful may refuse or abstain from such procedures. The purpose of a clinical practice guideline (CPG) is to provide actionable instruction on the management of a particular health concern; this guidance emerges from a systematic process. Using evidence from a rigorous systematic review interpreted by an expert panel, this CPG provides recommendations on exposure-based interventions for high levels of needle fear in children and adults. The AGREE-II, GRADE, and Cochrane methodologies were used. Exposure-based interventions were included. The included evidence was very low quality on average. Strong recommendations include the following. In vivo (live/in person) exposure-based therapy is recommended (vs. no treatment) for children seven years and older and adults with high levels of needle fear. Non-in vivo (imaginal, computer-based) exposure (vs. no treatment) is recommended for individuals (over seven years of age) who are unwilling to undergo in vivo exposure. Although there were no included trials which examined children < 7 years, exposure-based interventions are discussed as good clinical practice. Implementation considerations are discussed and clinical tools are provided. Utilization of these recommended practices may lead to improved health outcomes due to better health care compliance. Research on the understanding and treatment of high levels of needle fear is urgently needed; specific recommendations are provided.     

Cross-cultural comparison of ADHD symptoms among Japanese and US university students

Problems related to attention, hyperactivity, and impulsiveness are known to impact social, academic, and vocational success. When the problems begin in childhood and lead to impaired functioning, the syndrome is identified as attention-deficit/hyperactivity disorder (ADHD). Symptoms of the syndrome persist into adolescence and adulthood for many individuals, but less is known about characteristics of adults compared to children, especially adults attending university. Furthermore, there is little cross-national and cross-cultural research. This study compared DSM-IV-TR ADHD symptoms of US university students (N=271) to Japanese peers (N=712). Comparison of group means on a DSM-IV-TR-based checklist indicated that Japanese students reported more problems with inattention (and overall ADHD symptoms) but not hyperactive-impulsive symptoms. Although differences were statistically significant, effect sizes were small, indicating that for practical purposes, the students reported similar levels of symptoms. Japanese students reported higher rates of meeting or exceeding symptom counts that comprise diagnostic criteria for ADHD, but differences were quite small. Using DSM-IV-TR thresholds, 5.70% of US students and 6.27% of Japanese students reported enough symptoms to meet the cut-off for inattentive, hyperactive/impulsive, or combined type during childhood. With regard to recent problems, 2.66% of US students and 4.52% of Japanese students reported enough symptoms to meet the cut-off for one of the three subtypes. Comparisons using other methods of calculating rates are also provided. This research adds to the limited knowledge of ADHD symptoms in university students across countries and it supports the view that ADHD is not merely a cultural construct. This study is among the first to identify potential attention problems in Japanese university students.     

Counterfactual reasoning and the problem of selecting antecedent scenarios

A recent group of social scientists have argued that counterfactual questions play an essential role in their disciplines, and that it is possible to have rigorous methods to investigate them. Unfortunately, there has been little (if any) interaction between these social scientists and the philosophers who have long held that rigorous counterfactual reasoning is possible. In this paper, I hope to encourage some fresh thinking on both sides by creating new connections between them. I describe what I term “problem of selecting antecedent scenarios,” and show that this is an essential challenge in real-life counterfactual reasoning. Then, I demonstrate that the major extant theories of counterfactuals (especially the Lewis/Stalnaker theory and Igal Kvart’s rival account) are unable to solve this problem. I show that there are instances of real-life counterfactual reasoning in the social sciences that are counterexamples to both of these accounts. And finally, I develop a new theory of how to select antecedent scenarios that overcomes these difficulties, and so would be part of a more adequate theory of counterfactuals (and counterfactual reasoning).     

A preliminary study of a traumatic injury prevention program

Abstract

This study examined the long-term impact of a five component spinal cord injury prevention program presented to adolescents. A sample of 445 teenagers who attended a junior high school in which an educational intervention was presented three years earlier and a control group of 379 students who had not been exposed to the intervention completed a questionnaire assessing their safety knowledge, attitudes, and self-reported behaviors. Total scores on the questionnaire between treatment and control groups differed significantly. Students in the treatment group reported significantly more frequent seat belt use, stronger belief that seat belts were important to their safety, lower likelihood of riding with friends who had been drinking, higher rates of friends' use of seat belts, greater awareness of the age group most likely to be injured, and increased knowledge that they could prevent spinal cord injury.     

Ion-beam synthesis of amorphous gallium nitride

Amorphous gallium nitride (a-GaN) has been synthesized for the first time by implanting gallium into amorphous silicon nitride (a-SiNx) films. The a-GaN is only formed when gallium is implanted into hydrogenated amorphous silicon nitride (a-SiNx:Hy) films with x > 1.5. The nitrogen concentration x of the substrate is varied by changing the feed-gas ratio during plasma-enhanced chemical vapour deposition of the nitride film. Using a pre-determined composition and implant condition, the implanted gallium is made to bond with the nitrogen to form a surface layer of a-GaN. Low-temperature annealing, compatible with large-area glass substrates, is then used to increase the thickness of the a-GaN and to transform more of the a-SiNx. X-ray photoelectron spectroscopy and Rutherford back-scattering spectroscopy have been used to examine the bond structure, composition and the depth profile of the synthesized material.     

Longitudinal Test of Forgiveness and Perceived Forgiveness as Mediators between Religiosity and Marital Satisfaction in Long-Term Marital Relationships

Abstract

Substantial research has found relations between religiosity and martial satisfaction. More longitudinal studies are needed to understand the inner-workings of this relationship. Over a four-year period, dyadic data from 331 married couples was used to test the longitudinal mediating effects of spousal forgiveness and partners’ perceptions of spousal forgiveness between religiosity and marital satisfaction. Husbands’ religiosity was associated with increases in wives’ marital satisfaction but the measures of forgiveness were not significant mediators in this relationship. Wives’ religiosity was predictive of lower levels of wives’ perceptions of spousal forgiveness, which led to decreases in both wives’ and husbands’ marital satisfaction.     

EMBODIED COGNITION AND RELIGION

It is argued that there are good scientific grounds for accepting that cognition functions in a way that reflects embodiment. This represents a more holistic, systemic way of thinking about human beings, and contributes to the coordination of scientific assumptions about mind and body with those of the faith traditions, moving us beyond sterile debates about reductionism. It has been claimed by Francisco Varela and others that there is an affinity between Buddhism and embodied cognition, though it is argued here that they are less closely aligned than is sometimes assumed. Embodied cognition also accords well with the holistic strand of thinking about human nature in Judeo‐Christian thinking. While accepting the persuasiveness of the general case for cognition being embodied it is suggested here that some forms of cognition are more embodied than others, and that it may be one of the distinctive features of humans that they have developed a capacity for relatively nonembodied forms of cognition.