Assessment of cognition in an adolescent Indigenous population

The assessment of cognition in Indigenous populations is often complicated by cultural and language differences and unfamiliarity with the assessment process. Cognitive tasks are being developed that reduce the impact of these factors. These processes need to be evaluated in different cultural and ethnic groups to determine whether they are appropriate. Such an assessment was recently used in two studies of cognition of 237 Indigenous Australian adolescents (age: M = 16.06 ± 2.16 years). The tasks were completed appropriately, with response times and error rates increasing for difficult tasks. Duration and error rates decreased for the round‐based tasks, in line with performance in non‐Indigenous samples. There were no gender effects. Age associations occurred in some tasks, but significant correlations were only of a small magnitude. Although the battery appeared to be completed appropriately in this study, more work needs to be conducted examining the influence of demographic factors to ensure that control data can be most appropriately matched in future studies.     

Face, Honor and Dignity in the Context of Colon Cancer

Illness narratives from patients with colorectal cancer commonly record patterns of change in social relationships that follow the diagnosis and treatment of the condition. We believe that these changes are best explained as a process of facework, which reflects losses of face on the part of the patient, and which assists in the creation of new faces that convey new senses of identity. Facework is familiar in the work by E. Goffman (1955) and has been extensively reworked since his time. There is considerable agreement that face is a pervasive and universal constituent of all social interaction, and that it expresses the subject's view of the way he or she would like to be considered by others in interactions. Ho's concept of multiple faces negotiated dynamically according to social context is particularly useful in understanding the purpose and techniques of facework (D. Y.-F. Ho, 1994). We propose a model of face that uses dignity as the face-expression of personal attributes and acquisitions, and honor as the face-expression of systemic capabilities and attainments. This model can be used to examine individual variations in response and adaptation to colon cancer and its treatment, and it provides a useful means of teaching health care workers about the experience of illness.     

Adrian Stokes and the portrait of Melanie Klein

This paper focuses on the offer by the art writer Adrian Stokes to commission and pay for a portrait of the psychoanalyst Melanie Klein by the artist William Coldstream. It details some of the precursors of this offer in Stokes's preceding involvement first with Klein and then with Coldstream; her response to this offer; and its outcome and aftermath in Stokes's subsequent writing about Klein and Coldstream.     

Role of femininity and masculinity in distressed couples' communication

The relationship between sex role identity and marital communication of maritally distressed couples was examined. Interactional behavior of 60 maritally distressed couples was coded with the Marital Interaction Coding System and examined in relation to the level of femininity and masculinity of the spouses. Base-rate analyses indicated that femininity was positively related to greater rates of negative behavior among husbands and wives. As predicted, sequential analyses supported that wives' femininity was associated with greater negative reciprocity of the wives. Men's femininity was associated with husbands' tendency to terminate fewer negative sequences of behavior in comparison with their wives. High masculinity of the wives was associated with shorter sequences of negative behavior. Implications of the findings and future directions for research are discussed.     

How older adults use cognition in sentence-final word recognition

This study examined the effects of executive control and working memory on older adults’ sentence-final word recognition. The question we addressed was the importance of executive functions to this process and how it is modulated by the predictability of the speech material. To this end, we tested 173 neurologically intact adult native English speakers aged 55–84 years. Participants were given a sentence-final word recognition test in which sentential context was manipulated and sentences were presented in different levels of babble, and multiple tests of executive functioning assessing inhibition, shifting, and efficient access to long-term memory, as well as working memory. Using a generalized linear mixed model, we found that better inhibition was associated with higher accuracy in word recognition, while increased age and greater hearing loss were associated with poorer performance. Findings are discussed in the framework of semantic control and are interpreted as supporting a theoretical view of executive control which emphasizes functional diversity among executive components.     

Shock,Adjust, Decide: Reproductive Decision Making in Cystic Fibrosis (CF) Carrier Couples—A Qualitative Study

Cystic fibrosis (CF) is the most common recessive condition affecting the White British population. Facilitating reproductive decision making for couples at genetic risk for CF is an important aspect of genetic counseling practice in the UK. The purpose of this study was to explore the reproductive decision making process for 31 members of CF carrier couples (15 men and 16 women) with or without an affected child. The design involved a qualitative approach consisting of semi-structured interviews and data analysis informed by grounded theory methodology. Sex and personal experience of CF were identified as factors that may influence reproductive decision making. Findings suggest these hypotheses: (1) CF carrier couples who have an affected child/pregnancy, are more likely to embark on another pregnancy than couples who have a healthy child from an at-risk pregnancy, and (2) men and women play different roles in the reproductive decision making process. Data analysis resulted in development of a structured framework modeling the reproductive decision making process, which may be helpful in guiding genetic counseling with CF carrier couples and other at risk couples making reproductive decisions.