Use of the Labour-Intensive Method in the Repair of a Rural Road Serving an Indigenous Community in Jocotán (Guatemala)

This paper reports the results obtained in an aid project designed to improve transport in the municipal area of Jocotán (Guatemala). The rural road network of an area occupied by indigenous people was analysed and a road chosen for repair using the labour-intensive method-something never done before in this area. The manpower required for the project was provided by the population that would benefit from the project; the involvement of outside contractors and businesses was avoided. All payment for labour went into the pockets of the local people. The small earth movements made and the use of local materials guaranteed the project's environmental sustainability, while the on-site training of the local community prepared its members for the continued maintenance of the road, thus investing the project with social sustainability.     

Levels of immersion, tacit knowledge and expertise

This paper elaborates on the link between different types and degrees of experience that can be gone through within a form of life or collectivity—the so-called levels of immersion—and the development of distinct types of tacit knowledge and expertise. The framework is then probed empirically and theoretically. In the first case, its ‘predictions’ are compared with the accounts of novices who have gone through different ‘learning opportunities’ during a pre-operational training programme for running a huge nickel industrial plant in Brazil. These are also analysed vis-à-vis the experience of an expert who has designed and experienced the outcomes of two pre-operational training sessions in the nickel industry before developing and managing the one discussed here. Theoretically, the framework is used to pinpoint exactly what interactional experts who have developed their expertise through linguistic socialisation alone are able to do as well as to analyse the case of technical connoisseurs. The results indicate that the proposed framework is useful. It supports the design and improvement of training programmes for the development of tacit knowledge while at the same time bringing about a refined analysis of claims concerning the abilities of types of experts and expertise.     

Cardiovascular medicine at face value: a qualitative pilot study on clinical axiology

Introduction

Cardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter.

Results

We point out the need for strengthening the roles of healthcare personnel as educators and guidance counselors in order to meet the ends of medicine, as well as the need for an ethical discernment that is compatible with our results, namely, that the ethical values developed by healthcare professionals stem from their life history as well as their professional education.

Conclusion

We establish the kind of actions, communication skills and empathy that are required to build a stronger patient-healthcare professional relationship, which at the same time improves prognosis, treatment efficiency and therapeutic adhesion.

     

Assessing Emotional Reactivity: Psychometric Properties of the Perth Emotional Reactivity Scale and the Development of a Short Form

The Perth Emotional Reactivity Scale (PERS) is a 30-item self-report measure of trait levels of emotional reactivity. In this article, we examine the psychometric properties of the PERS subscale and composite scores in an adult community sample (N = 428), and develop an 18-item short form of the measure (PERS–S). The PERS and PERS–S are designed to assess the typical ease of activation, intensity, and duration of one's emotional responses, and do so for positive and negative emotions separately. Our confirmatory factor analyses supported that the PERS and PERS–S both had the same theoretically congruent factor structure, and that all subscale and composite scores displayed high internal consistency reliability. Correlations with scores from established measures of psychopathology and emotion regulation also supported the validity of PERS and PERS–S scores. Our data therefore suggest that the PERS–S subscale and composite scores retain the psychometric strengths of their longer PERS counterparts. We conclude that both forms of the measure have good utility. Clinical and research applications are discussed.     

Correction to: The diachronic threshold problem

Philosophical Studies -     

The Validity of the Massie-Campbell Attachment During Stress Scale (ADS)

The present study is the first step towards validating the Massie-Campbell attachment during stress scale (ADS). The ADS is a one-page guide to standardized observation of mother-infant interactions meant to detect insecure attachment behaviors. So far it was used infrequently in scientific research but it is widely applied in the Chilean public health system. To establish the ADS’s convergent, concurrent, and construct validity, the ADS was compared with the Strange Situation Procedure (SSP) and correlated with maternal sensitivity. Videotapes of the SSP were coded with the ADS and the resulting ADS attachment classifications were compared with the SSP classifications. It was found that the ADS can distinguish moderately well between securely attached and non-securely attached mother-infant dyads, and the ADS was also associated with observed maternal sensitivity. However, the ADS suffers from a number of limitations that warrant further study. In particular, the ADS proved unable to detect resistantly attached mother-infant dyads. Revision of the scale and its scoring rules seems necessary in order to improve its validity as a screening device in scientific research and clinical practice.     

Apathy and Depression as Predictors of Activities of Daily Living Following Stroke and Traumatic Brain Injuries in Adults: A Meta-Analysis

Neuropsychology Review - Apathy and depression are common sequelae of acquired brain injury (ABI). Apathy is a syndrome characterized by diminished motivation and purposeful behaviours. Depression...     

Correction to: Apathy and Depression as Predictors of Activities of Daily Living Following Stroke and Traumatic Brain Injuries in Adults: a Meta‑Analysis

Neuropsychology Review - A correction to this paper has been published: https://doi.org/10.1007/s11065-021-09509-0     

False recognition in women with a history of childhood emotional neglect and diagnose of recurrent major depression

While previous research has suggested that adults with a history of childhood sexual abuse may be more prone to produce false memories, little is known about the consequences of childhood neglect on basic memory processes. For this reason, the authors investigated how a group of women with a history of childhood emotional neglect (CEN) and diagnosed with recurrent Major Depressive Disorder (MDD) performed on the Deese–Roediger–McDermott paradigm in comparison to control groups. The results indicated that women with MDD and CEN were actually less prone to produce false memories relative to both women with MDD but no CEN and healthy women without MDD and any form of childhood maltreatment. These findings were explained in terms of the inability to extract/retrieve gist memories that support false recognition of critical lures, an explanation that seems to fit well with emerging MRI findings linking childhood neglect to reduced volume of brain regions associated to memory function.