Patterns of apraxia associated with the production of intransitive limb gestures following left and right hemisphere stroke

The model of apraxia proposed by Roy (1996) states that three patterns of apraxia should be observed across pantomime and imitation conditions. In the present analysis the frequency and severity of each pattern of apraxia were examined in a consecutive sample of left-(LHD) and right-hemisphere-damaged (RHD) patients during the production of intransitive limb gestures. The results indicated that a significant proportion of LHD and RHD patients were selectively impaired in formulating the ideational component of intransitive limb gestures.     

Accidental germ-line modifications through somatic cell gene therapies: some ethical considerations

Proposed somatic cell gene-therapies (especially those involving in utero therapies) may involve a small risk of germ-line modifications; this risk has engendered serious concern, and arguments have been made that such therapies ought not be pursued if such risks exists. We argue here that while pursuing deliberate germ-line modifications in humans would be inappropriate given the current state of the art, the risk of accidental germ-line modifications from most currently proposed in utero gene therapy is no different in kind or degree from other risks regularly taken in medical procedures. Given the possible benefits of such therapies, we argue that the risk of accidental germ-line modifications is well worth taking in these cases.     

Affectionate communication,health, and relationships

A robust body of research attests to the mental and physical health correlates and consequences of affectionate communication. Like much research on personal relationships, however, this work may overrepresent certain portions of the population, may underrepresent others, and may not effectively account for intersections of identities. We define intersectionality as comprising the unique effects of two or more social identities interacting with each other. To assess this literature with an eye toward intersectionality and representation, the present article reports a systematic review of 86 individual empirical studies representing 26,013 participants. The review concludes that there is no explicit or implicit attention to intersectionality in the existing research on affectionate communication and health, and that U.S. Americans, women, younger individuals, white individuals, and students are overrepresented in research samples. The review ends with future directions to encourage more inclusive research on this topic.     

Investigating the influence of an effort–reward interaction on cognitive fatigue in individuals with multiple sclerosis

This study examined whether an alteration in the effort–reward relationship, a theoretical framework based on cognitive neuroscience, could explain cognitive fatigue. Forty persons with MS and 40 healthy age- and education-matched cognitively healthy controls (HC) participated in a computerized switching task with orthogonal high- and low-demand (effort) and reward manipulations. We used the Visual Analog Scale of Fatigue (VAS-F) to assess subjective state fatigue before and after each condition during the task. We used mixed-effects models to estimate the association and interaction between effort and reward and their relationship to subjective fatigue and task performance. We found the high-demand condition was associated with increased VAS-F scores (p < .001), longer response times (RT) (p < .001) and lower accuracy (p < .001). The high-reward condition was associated with faster RT (p = .006) and higher accuracy (p = .03). There was no interaction effect between effort and reward on VAS-F scores or performance. Participants with MS reported higher VAS-F scores (p = .02). Across all conditions, participants with MS were slower (p < .001) and slower as a function of condition demand compared with HC (p < .001). This behavioural study did not find evidence that an effort–reward interaction is associated with cognitive fatigue. However, our findings support the role of effort in subjective cognitive fatigue and both effort and reward on task performance. In future studies, more salient reward manipulations could be necessary to identify effort–reward interactions on subjective cognitive fatigue.     

A developmental analysis of the relationship between hand preference and performance: II. A performance-based method of measuring hand preference in children

The present study describes a performance-based method of measuring hand preference in children. Three aspects of handedness were considered to be important in developing the paradigm (a) overall hand preference across a number of tasks, (b) consistency of hand use and, (c) the use of the preferred hand in a bimanual task. The new paradigm, termed the WatHand Box Test (WBT), requires participants to perform a variety of unimanual tasks such as, using a hammer, tossing a ball, and opening a lock with a key. To determine the validity of the WBT and examine the developmental trends in hand preference, eighty right-handed children and adults (ages 3-4, 6-7, 9-10, and 18-24 years) performed the WBT. First, the WBT was found to correlate significantly with scores on a standard hand preference questionnaire for the adults. As well, significant developmental trends were noted in hand preference as measured by the WBT. Most specifically, three- and four-year-olds had significantly lower scores on the WBT indicating a less stable pattern of hand preference than in the other three age groups.     

A developmental analysis of the relationship between hand preference and performance: I. Preferential reaching into hemispace

The present study describes a developmental performance measure of hand preference that considers task complexity and position in hemispace. Eighty right-handed children and adults (ages 3-4, 6-7, 9-10, 18-24) were observed for hand selection responses to 2 unimanual tasks (simple vs complex) across positions in hemispace. Results revealed an age-related trend in the tendency to use the preferred hand in right and left hemispace. While the adult's and 3- to 4-year-old's preferred hand use decreased as they moved into left hemispace, children between the ages of 6 and 10 years tended to use their preferred hands consistently throughout both regions of hemispace. The relationship between hand preference and skilled, cost-efficient performance throughout development are discussed.     

Posture and target location effects on manual preference

Twenty-nine right-handed participants made unimanual movements to 5 target locations while standing and while balancing on a rocker platform. Manual preference was affected by target location (p < .001; manual preference tended to be concordant with target hemispace) and posture (p < .05; responses from the rocker platform were associated with a lower level of right-hand responding). A location by posture interaction (p < .05) indicated that the effect of posture was present only for targets in left hemispace; the right hand was used less frequently in the rocker condition than simple standing. Manual preference is viewed as a process of response selection motivated by an effort to minimize neural processing and mechanical costs.     

A performance measure of the degree of hand preference

The present paper describes a performance method for determining hand preference. The task requires participants to reach into different regions of hemispace to perform various actions (point, pick up, toss, sweep, and position) with a dowel located at each position. In accordance with the participants' hand preference as measured by the Waterloo Handedness Questionnaire, the preferred hand was used more frequently on the various performance tasks. The distribution of hand use in working space indicates that preferred hand use was almost exclusive for actions carried out in ipsilateral hemispace, while it is used only moderately for actions in contralateral hemispace, revealing that this hand is used throughout a wider range of extrapersonal space than the nonpreferred hand. These trends were observed across all of the performance tasks, suggesting that task complexity did not affect the frequency of preferred hand use either overall or, more specifically, in right hemispace, as was predicted. This finding is inconsistent with empirical work on questionnaires indicating that verbal reports of preferred hand use increase for more complex tasks (e.g., Steenhuis & Bryden, 1988). As well, performance on the preferential reaching task correlated significantly with hand preference as measured on the Waterloo Handedness Questionnaire (Bryden, 1977), unlike the other performance measure examined, indicating that the preferential reaching task is sensitive to differences in the degree of hand preference.     

Haitian and Haitian American experiences of racism and socioethnic discrimination in Miami-Dade county: At-risk and court-involved youth

We examine how juvenile justice-involved youth of Haitian descent in Miami-Dade County cope with structural racism and its impact on their mental health. Drawing on longitudinal ethnography, psychosocial assessment data, and a family-based clinical intervention funded by the National Institute on Drug Abuse, this article explores youth narratives of discrimination prior to and during the COVID-19 pandemic. We use critical race theory and theory of practice to understand youths’ perceptions as racialized bodies and stigmatized selves, highlighting the experiences and perspectives of a particular black immigrant group, ethnic beings caught up in the everyday practices of racialization, sociocultural marginalization, and racism. We frame these experiences as a variation of the complex continuum of structural racism and racial domination in the US. These experiences have caused anger, fear, anxiety, chronic anticipatory distress, and hopelessness among youth of Haitian descent. We conclude with some recommendations for therapeutic support that encourages youth to process their experiences, promotes their development of a positive self-concept, and provides them with mind-body techniques to attenuate the physical impacts of discriminatory events. The clinical trial registration number for this study intervention is NCT03876171.