Multisensory Stimulation to Improve Low- and Higher-Level Sensory Deficits after Stroke: A Systematic Review

The aim of this systematic review was to integrate and assess evidence for the effectiveness of multisensory stimulation (i.e., stimulating at least two of the following sensory systems: visual, auditory, and somatosensory) as a possible rehabilitation method after stroke. Evidence was considered with a focus on low-level, perceptual (visual, auditory and somatosensory deficits), as well as higher-level, cognitive, sensory deficits. We referred to the electronic databases Scopus and PubMed to search for articles that were published before May 2015. Studies were included which evaluated the effects of multisensory stimulation on patients with low- or higher-level sensory deficits caused by stroke. Twenty-one studies were included in this review and the quality of these studies was assessed (based on eight elements: randomization, inclusion of control patient group, blinding of participants, blinding of researchers, follow-up, group size, reporting effect sizes, and reporting time post-stroke). Twenty of the twenty-one included studies demonstrate beneficial effects on low- and/or higher-level sensory deficits after stroke. Notwithstanding these beneficial effects, the quality of the studies is insufficient for valid conclusion that multisensory stimulation can be successfully applied as an effective intervention. A valuable and necessary next step would be to set up well-designed randomized controlled trials to examine the effectiveness of multisensory stimulation as an intervention for low- and/or higher-level sensory deficits after stroke. Finally, we consider the potential mechanisms of multisensory stimulation for rehabilitation to guide this future research.     

Fluctuation of Flow and Affect in Everyday Life: A Second Look at the Paradox of Work

Studies with the Experience Sampling Method (ESM) have shown that individuals experience more flow at work than at leisure. This indicates that people enjoy working but paradoxically at the same time leisure activities are preferred (“paradox of work”). We took a second look at the paradox of work by measuring flow directly, including affect measures, and differentiating between active and passive leisure activities. We also adopted a dynamical approach based on the idea that the transitions of experiences has to be taken into account to get the total picture. For the period of 1 week, data of 100 employees with different professions were collected with the ESM (in total 4,504 measurements). In accordance with existing work, we found that flow was high during work. It was slightly (albeit significantly) higher than during active leisure activities and considerably higher than during passive leisure activities. At the same time, negative activation was low during passive and active leisure activities and lower than during work and vice versa for valence (happiness). Thus, leisure activities do have a positive affective quality that could explain why people prefer leisure to work. Regarding the dynamical approach, we tested whether flow during work would lead to higher valence in leisure but could not support this assumption. We discussed the findings and made suggestions for future research. In an additional analysis, we reveal that perceived outcome experience could partially explain why work and leisure experience differed.     

A Conceptual Structure of Justice - Providing a Tool to Analyse Conceptions of Justice

Justice is a contested concept. There are many different and competing conceptions, i.e. interpretations of the concept. Different domains of justice deal with different fields of application of justice claims, such as structural justice, distributive justice, participatory justice or recognition. We present a formal conceptual structure of justice applicable to all these domains. We show that conceptions of justice can be described by specifying the following conceptual elements: the judicandum (that which is to be judged as just or unjust), the community of justice including claim holders and claim addressees, their claims (and obligations), the informational base for the assessment, the principles of justice, and on a more practical level, the instruments of justice. By specifying these conceptual elements of justice, it is possible to analyse and compare different conceptions of justice, to assess their internal consistency, to explore new definitions of justice in an analytical way, and to explicate an idea of justice in a manner that provides concrete links to the relevant context.     

The study of emotional processes in communication: I. Measuring emotionalization in everyday face-to-face communicative interaction

The drawbacks of traditional research into emotional processes have led us to develop a set of methodologies for investigating them in everyday face-to-face communication. The conceptual basis of these procedures is a model of the eliciting conditions of emotional processes as well as a conceptualization of the emotional processes themselves. On the basis of the assumption of conversation as a rule-governed process, one can describe its default temporal, formal, and functional features, for which we use the MAS EDIT and SEQ programs, and the minimal model of communicative exchange, respectively. Violations of these default rules can be identified as unexpected/temporally unpredictable events eliciting emotionalization. The nature of emotionalization is determined by the psychological principle of “standard and deviation.” Its investigation under natural conditions requires the following: A noninvasive method of data acquisition (including procedures for rejecting faulty or missing values), measurement (high-resolution recording of physiological, psychomotor, and vocal variables), and the (nonstatistical) construction of an inventory or “relevant effects” (contrastive and template analysis). Finally, we depict three routes of investigating time courses of activation changes as dependent and independent variables and as a target of modification and reflection.     

The study of emotional processes in communication: II. Peripheral blood flow as an indicator of emotionalization

Traditional methods of analyzing human peripheral blood flow (PBF) do not account for its continuous nature or small-scale variation. Sequel transformation is presented as a new methodology for measuring these variations. This analysis generates a richer record of aspects of activation of the autonomous nervous system than traditional interbeat-interval (IBI) measurement. Presumably, in addition to heartbeat (i.e., IBI), other information can be extracted that is consistent with the influence of several physiological and psychological factors. This kind of variation is reflected in the PBF signal. After determining and extracting relevant events from vascular volume data generated by sequel transformation, we demonstrate the use of template analysis to analyze patterns of events as time courses of activation. All procedures are included in the computer program VASC Analyzer.     

To reach or not to reach? Perception of body effectivities by young infants

Two experiments compared 6‐month‐old infants as they reach for an object. All were proficient reachers but with different levels of sitting ability. The object was presented at various distances, within and beyond reach of the infant. In the first experiment, the scaling of perceived reachability in infants with different postural abilities (i.e. non‐sitter, near‐sitter, and sitter infants) was explored. The second experiment investigated the role of proprioception in the scaling of perceived reachability by non‐sitter and sitter infants. In general, results suggest that perceived reachability is calibrated in relation to the degree of postural control achieved by the infant. Infants demonstrate a sense of their own situation in the environment as well as a sense of their own body effectivities. Both determine the execution, or non‐execution, of reaching for a distal object by young infants. Copyright © 1999 John Wiley & Sons, Ltd.     

Conditioning against the Grain

This paper discusses counterexamples to the thesis that the probabilities of conditionals are conditional probabilities. It is argued that the discrepancy is systematic and predictable, and that conditional probabilities are crucially involved in the apparently deviant interpretations. Furthermore, the examples suggest that such conditionals have a less prominent reading on which their probability is in fact the conditional probability, and that the two readings are related by a simple step of abductive inference. Central to the proposal is a distinction between causal and purely stochastic dependence between variables.     

Unawareness is more than a chance event: comment on Lovibond and Shanks (2002)

P. F. Lovibond and D. R. Shanks (2002) suggested that expectancy of the unconditional stimulus and emotional ratings are valid indexes of awareness in Pavlovian conditioning and that participants are aware if they can discriminate the conditional stimuli. However, research suggests that processes that are irrelevant to awareness affect these measures. Further, as awareness refers to conscious experience, a valid measures needs to index subjective state rather than discrimination ability. In support, research using subjective measures has demonstrated qualitatively different effects depending on whether participants reported being aware or unaware of the stimuli. In this research, participants reported being unaware of the stimuli even though they were clearly able to discriminate the stimuli. These findings question the validity of Lovibond and Shanks' concept of awareness and their suggestion of a close association between conditioning and awareness.