Out of Darkness: Reverberations of Trauma and its Creative Transformations

Traumatic experiences have a ripple effect, which continues throughout life and function as a powerful inner force that draws the survivor like a magnet to situations and events that allow him or her to work through pain; to give it shape, to release it, to express it to others, to make sense of it and to find some meaning in it. Self-expression through the creative arts can be one of the most effective means to healing. By externalizing what is experienced internally as overwhelming and fragmenting, and by fashioning it into a creative product, the artist brings the traumatic experience into the light of day for a new viewing. This enables reflection and integration of what is internally chaotic to be defined, mastered, and integrated into a coherent meaningful narrative. The artistic product, which can be shared with witnessing others, facilitates connection and fosters a healthy narcissism. The transformation of trauma into creative self-expression is illustrated here by an analysis of three generations of survivors—the author, her father, and her daughter—who each turned to the arts as a means of self-healing.     

Telemedicine in Primary Health: The Virtual Doctor Project Zambia

Physician-researchers are bound by professional obligations stemming from both the role of the physician and the role of the researcher. Currently, the dominant models for understanding the relationship between physician-researchers' clinical duties and research duties fit into three categories: the similarity position, the difference position and the middle ground. The law may be said to offer a fourth "model" that is independent from these three categories. These models frame the expectations placed upon physician-researchers by colleagues, regulators, patients and research participants. This paper examines the extent to which the data from semi-structured interviews with 30 physician-researchers at three major pediatric hospitals in Canada reflect these traditional models. It seeks to determine the extent to which existing models align with the described lived experience of the pediatric physician-researchers interviewed. Ultimately, we find that although some physician-researchers make references to something like the weak version of the similarity position, the pediatric-researchers interviewed in this study did not describe their dual roles in a way that tightly mirrors any of the existing theoretical frameworks. We thus conclude that either physician-researchers are in need of better training regarding the nature of the accountability relationships that flow from their dual roles or that models setting out these roles and relationships must be altered to better reflect what we can reasonably expect of physician-researchers in a real-world environment.     

Social Exclusion and the Desire to Reconnect

People have a fundamental need to belong that, when satisfied, is linked to a variety of indicators of well‐being. The current article discusses what happens when social relationships go awry, namely through social exclusion. It seeks to resolve discrepancies in the literature by proposing that responses to social exclusion depend primarily on the prospect of social acceptance. When people feel socially excluded, they want to regain acceptance and thus may respond in ways that can help them do so. When the possibility of acceptance is not forthcoming, however, socially excluded people become selfish and antisocial. Evidence for this pattern was found at behavioral, cognitive, and biological levels. The motivation to gain acceptance may drive people to engage in negative health behaviors, such as smoking. Thus, excluded people demonstrate sensitivity to possible social acceptance, but they can exude an air of selfishness and hostility when there is no possibility of satisfying their need to belong.     

A Tale of Two Perspectives: Regulation Versus Self-Regulation. A Financial Reporting Approach (from Sarbanes–Oxley) for Research Ethics

Reports of research fraud have raised concerns about research integrity similar to concerns raised about financial accounting fraud. We propose a departure from self-regulation in that researchers adopt the financial accounting approach in establishing trust through an external validation process, in addition to the reporting entities and the regulatory agencies. The general conceptual framework for reviewing financial reports, utilizes external auditors who are certified and objective in using established standards to provide an opinion on the financial reports. These standards have become both broader in scope and increasingly specific as to what information is reported and the methodologies to be employed. We believe that the financial reporting overhaul encompassed in the US Sarbanes?COxley Act of 2002, which aims at preventing accounting fraud, can be applied to scientific research in 4 ways. First, Sarbanes?COxley requires corporations to have a complete set of internal accounting controls. Research organizations should use appropriate sampling techniques and audit research projects for conformity with the initial research protocols. Second, corporations are required to have the chief financial officer certify the accuracy of their financial statements. In a similar way, each research organization should have their vice-president of research (or equivalent) certify the research integrity of their research activities. In contrast, the primary responsibility of the existing Research Integrity Officers is to handle allegations of research misconduct, an after-the-fact activity. Third, generally accepted auditing standards specify the appropriate procedures for external review of a corporation??s financial statements. For similar reasons, the research review process would also require corresponding external auditing standards. Finally, these new requirements would be implemented in stages, with the largest 14 research organizations that receive 25% of the total National Institutes of Health funding, adopting these research oversight enhancements first.     

General and specific self-esteem in late adolescent students: race x gender x SES effects

This study assessed the effects of gender, race, and social class on the general and area-specific self-esteem of high school students. One hundred and ninety-five high school students served as subjects in a 2 (gender: male, female) X 2 (race: black, white) X 3 (social class: low, middle and high) factorial design. The Rosenberg General Self-Esteem, the Piers-Harris Children's Self-Concept, and the Brookover Self-Concept of Ability and School Achievement scales were the measures of either general or specific self-esteem. Females, whites, and lower social class adolescents were consistently lower in their self-esteem scores than were males, blacks, and upper social class teenagers, respectively. White females were found to be lower in general and happiness self-esteem than all other gender by race subgroups. High SES white students were lower on the happiness and behavior self-esteem measures than black students and white middle-class students. Black males and white females were less confident in their school ability than were black females and white males.     

The overtraining reversal effect in rats: A function of task difficulty

Two experiments were conducted with rats. The first study showed that in the T-maze a brightness discrimination learning problem was more difficult than a spatial learning problem, but in a Ross-maze a brightness problem was less difficult than a spatial task. T-maze brightness and Ross-maze spatial tasks were found to be of equal difficulty.

In the second experiment rats were trained either on a brightness or spatial discrimination reversal problem in the Ross-maze. It was found that overtraining facilitated reversal performance in the spatial task but not in the brightness problem. The theoretical implications of these results were discussed.     

NORMAL PEER MODELS AND AUTISTIC CHILDREN'S LEARNING

Present research and legislation regarding mainstreaming autistic children into normal classrooms have raised the importance of studying whether autistic children can benefit from observing normal peer models. The present investigation systematically assessed whether autistic children's learning of discrimination tasks could be improved if they observed normal children perform the tasks correctly. In the context of a multiple baseline design, four autistic children worked on five discrimination tasks that their teachers reported were posing difficulty. Throughout the baseline condition the children evidenced very low levels of correct responding on all five tasks. In the subsequent treatment condition, when normal peers modeled correct responses, the autistic children's correct responding increased dramatically. In each case, the peer modeling procedure produced rapid achievement of the acquisition criterion which was maintained after the peer models were removed. These results are discussed in relation to issues concerning observational learning and in relation to the implications for mainstreaming autistic children into normal classrooms.     

The interaction of semantic memory with storage and retrieval processes

A procedure for separating storage from retrieval (R. Chechile & D. L. Meyer, Journal of Mathematical Psychology, 1976, 14, 430–437) lead to the conclusion that memory development involves changes in both storage and retrieval. Nevertheless, these changes resulted from the interaction of storage and retrieval mechanisms with the age-related elaboration of the semantic memory system. This study shows that the memory improvement with age, between kindergarten and second grade, vanished when the meaningfulness of the materials were equated. The most plausible interpretation of the results is the hardware invariance hypothesis. According to that hypothesis, the memory apparatus for information processing is constant across ages, but the hardware is used more effectively if there is a better-developed semantic memory system.