The illness reframing process in an ethnic-majority population of older people with incurable cancer: variations of cultural- and existential meaning-making adjustments

Increasing numbers of older people in Western countries are living with incurable cancer as a chronic disease, receiving palliative care from specialised healthcare contexts. The study's aim was to understand variations of cultural- and existential meaning-making adjustments in a Norwegian majority population of older people with incurable cancer. Semi-structured interviews from 21 participants, aged 70–88, were analysed according to three identified types of belief frames: atheistic/humanistic, religious, and spiritual. Kleinman's medical anthropology cultural framework was adapted and applied deductively together with a reframing metaphor concept in a four-part analytic process. Independent of the differences among the types of belief frames and heterogeneous illness reframing processes, changes in the existential cultural dimension seemed to facilitate psychosocial adjustments in relation to illness, daily living, relationships, and surroundings. The results point to the need for collecting and assessing the function of this type of patient information for better understanding the patient's framework of interpretation, and for identifying treatment-planning resources.     

Training the equidistant principle of number line spacing

The characteristics of effective numerical trainings are still under scientific debate. Given the importance of number line estimation due to the strong relation between task performance and arithmetic abilities, the current study aimed at training one important number line characteristic: the equidistant spacing of adjacent numbers. Following an embodied training approach, second-graders were trained using a randomized crossover design to divide a presented line into different numbers of equal segments by walking the line with equally spaced steps. Performance was recorded, and feedback as to the correct equidistant spacing was provided using the Kinect sensor system. Training effects were compared to a control training with no involvement of task-specific whole-body movements. Results indicated more pronounced specific training effects after the embodied training. Moreover, transfer effects to number line estimation and arithmetic performance were partially observed. In particular, differential training effects for bounded versus unbounded number line estimation corroborate the assumption that not only bodily experiences but also the need for a flexible adaption of the perspective on the training material might influence training success. Hence, more pronounced training effects of the embodied training might stem from different cognitive processes involved.     

Reflections on Science and Technology

Science and technology are frequently confused. This essay points out thebases for this confusion and then focuses on a basic distinction, namely, that whereas science brings us information that we have little choice but to absorb and reflect upon, technology is something that humans elect to do and, hence, can also elect not to do. It is proposed that technological ethics are most cogently undertaken with scientific understanding as the linchpin and religious/artistic sensibilities as the muse.     

Nature and nurture: Williams syndrome across cultures

This study is concerned with ways in which children with Williams syndrome (WS), a rare neurodevelopmental disorder arising from a hemizygous deletion in chromosome band 7q11.23 including the gene for elastin (ELN) and approximately 20 surrounding genes, are affected by social mores of vastly differing cultures: the United States and Japan. WS presents a compelling model for the investigation because its genetic phenotype is well defined and results in an uneven cognitive profile as well as a social phenotype typical of the syndrome including overt over-friendliness toward strangers. While a number of research groups have been studying the cognitive strengths and weaknesses of individuals with WS in various countries, there have not been studies to date that explore the social phenotype in WS across different cultures. This study examines the ways in which social behavior in WS, stemming from specific genetic underpinnings, might be mediated by cultural expectations. We conducted a cross-cultural study using an instrument that measures aspects of sociability commonly found among people with WS. Quantitative analyses revealed a significant effect of diagnostic category in that in both countries, children with WS were rated as significantly higher in global sociability and more likely to approach strangers than were their normal counterparts. There was also an effect of culture, in that regardless of category, WS and normal children in Japan were rated lower than their counterparts in the US. We suggest that the excessively social phenotype of children with Williams syndrome, although markedly present across cultures, appears to vary in its intensity by culture. This is an intriguing illustration of interactions between nature and nurture.     

Does it only depend on the point of view? Perspective-related differences in justice evaluations of negative incidents in personal relationships

A series of four studies investigated systematic differences between actor and recipient interpretations and justice evaluations of negative incidents in interpersonal relationships. Due to a refined methodology, each negative incident was assessed both by the respective recipient and actor, and each participant reported incidents from both perspectives. The studies provided clear evidence of systematic recipient-actor differences and showed that the quality of the relationship between the parties involved in the incidents can moderate the occurrence and shape of the differences. Significant gender differences were found showing that women respond more accusingly than men in the role of the recipient and more defensively than men in the role of the actor. Copyright © 1998 John Wiley & Sons, Ltd.     

Teachers’ implicit view of intelligence predict pupils’ self-perception as learners

Teachers regularly make judgements about their pupils’ intelligence while interacting with them in the classroom. The main aims of this paper are to analyse the structure of teachers’ judgements of their pupils’ intelligence, and to evaluate the influence that teachers have on pupils’ judgements of their own and their peers’ intelligence. Cross-cultural comparisons between English and Portuguese pupils are considered. In total 58 children 10- to 11-year-old and two teachers from London, UK and 47 children 5- to 6-year-old and two teachers from Lisbon, Portugal participated. The children completed aptitude tests and self-perception measures for general ability, reading and mathematical ability. The teachers ranked their pupils’ academic abilities from ‘best in the class’ to ‘weakest in the class’. Results show that teachers’ implicit conceptions of intelligence reflect a view of intelligence that is similar to what IQ tests measure. In addition the results support the notion that children’s verbal ability is more highly valued than mathematical ability. Moreover, the results also suggest that teachers have a considerable impact on their pupils’ self-perception as learners. Cultural differences are also discussed.     

Religious Naturalism and Naturalizing Morality

I first offer some reflections on the term religious naturalism. I then outline how moral thought might be configured in the context of religious naturalism. It is proposed that the goal of morality is to generate a flourishing community and that humans negotiate their social interactions using moral capacities that are cultivated in the context of culture. Six such capacities are considered: strategic reciprocity, humaneness, fair–mindedness, courage, reverence, and mindfulness. Moral capacities are contrasted with moral susceptibilities, fueled by self–interest, and brought to the fore in times of stress and humiliation. The essay is in two parts. I first respond to Jerome Stone's query as to the nature of religious naturalism. This is followed by the text of my presentation at the 2001 AAR meeting.     

Multiple causal pathways in attention-deficit/hyperactivity disorder – Do emerging executive and motivational deviations precede symptom development?

The multiple causal pathways model on the etiology of attention-deficit/hyperactivity disorder (ADHD) is well established. However, developmental implications of the model are not yet sufficiently analyzed. The model implies that critical neural and neuropsychological deviations from normative development precede secondarily developing ADHD symptoms. Cognitive, “cool” inhibitory control (CIC) and reward-related, “hot” functions (RRF) are regarded as neuropsychological basic deficits that indicate independent causal pathways. Both functions involve top-down control networks that undergo major normative developmental changes in the preschool period. We formalized the following assumptions in a path model: (a) CIC and RRF predict change in ADHD symptoms in the preschool period, (b) the reverse is not true, and (c) CIC and RRF independently contribute to this prediction. A community-based sample of 125 (71 boys) preschoolers was assessed at at age 4 and 5 years. At each assessment wave, CIC and RRF were measured by a battery of age-appropriate valid tasks. ADHD symptoms were measured by a clinical parent interview. Evaluation of model fit using manifest maximum likelihood parameter estimation clearly supported the hypothesized path model while controlling for gender of child and maternal education level. Thus, regarding the basic deficits of CIC and RRF, the results add evidence on the developmental implications of the multiple causal pathways model. Our findings point to the potential significance of these early emerging characteristics as indicators of risk and as targets for preventive interventions.