Neurological subtle signs and cognitive development: A study in late childhood and adolescence

Introduction and Aim: Neurological subtle signs (NSS) are often observed during the neurological examination of children and tend to disappear with age. Their persistence into late adolescence or young adulthood has been related to psychiatric and neurocognitive disorders. To provide a better understanding of their functional basis, a longitudinal correlational study with neurocognitive measurements was performed.

Method: We conducted multiple regression and correlation analyses of NSS with demographic and cognitive measures on a subset of 341 healthy children (56% males), taking part in a longitudinal dental study. Participants, whose ages ranged between 11–15 years, at first evaluation, undertook yearly, during 5 years, a 6-item NSS exam (producing a total score ranging between 0–18) and a comprehensive battery of neurocognitive tests. Effects of age, gender, IQ, and 7 neurocognitive factors on NSS were analyzed.

Results: Over the years, NSS scores correlated consistently with selective attention (Stroop test), motor speed (finger tapping), and visuomotor speed (pegboard speed).

Discussion: These results suggest that the disappearance of NSS in late childhood and adolescence occurs primarily in parallel with the development of motor and visuomotor functions and secondarily in relation to higher order functions such as selective attention (Stroop) and executive control (B-A Trails difference).     

Phallic Integration and Male Identity Development

The analytic setting as well as the analyst's initial communications unavoidably exert influence that may be perceived by the patient as a sexually tinged intrusion, which evokes questions about what the analyst wants. Together with the asymmetry of the analytic relationship, these phenomena uncannily bring to life a repressed relationship between infant and adult in which analogous stimuli constitute enigmas for the child. The theoretical understanding of Jean Laplanche of such enigmatic transference in terms of “primal seduction” is reviewed and clinical material is provided to illustrate Laplanche's ideas. The discussion addresses “recentralized” and “decentralized” aspects of sexuality. Primal seduction is discussed as including not only intrusion, but also qualities of stimulation and trust.     

Safety implications of co-locating road signs: A driving simulator investigation

BackgroundAs road complexity increases the requirement for number of road signs also increases, although the amount of road side space does not. One practical strategy to address this is to present multiple road signs on the same gantry (sign co-location). However, there is very little research on the safety implications of this practice.Method36 participants (mean age = 42.25 years, SD = 13.99, 18 females) completed three driving simulator scenarios, each scenario had a different sign co-location condition: no co-location, dual co-location and triple co-location. Each scenario presented similar information using direction signs, variable message signs and variable speed limit signs, under. Each drive included standard motorway driving (100 km/h speed zone) in free flow traffic and one emergency event where a lead vehicle suddenly braked. The scenario order was counterbalanced and the emergency event vehicle varied.ResultsOverall, there was no impact of co-locating signs on general driving performance. No significant difference was observed between conditions for reaction time and minimum headway in response to the emergency event. Participants were able to correctly choose their destination whether the signs were co-located or not.DiscussionFor the particular configuration of signs tested there is no evidence that co-location negatively impacts driving performance. However, there may be some implications for travel speed and the manner in which the emergency event is responded to. Future work should confirm the findings on real roads. These findings provided support for sign co-location as a practical and safe option for displaying multiple road signs in a confined area.     

描述性规范提升义务献血的意愿而非行为

描述性规范指大多数人的做法对他人态度和行为的影响。本研究试图利用描述性规范改变公众的义务献血意愿和行为。研究由两个相似实验组成。实验1发现描述性规范促进了被试义务献血的意愿, 但并没有影响实际献血行为; 实验2在实验1的基础上试图通过增加短信提醒来促进义务献血行为, 但是结果同样显示描述性规范促进了被试的献血意愿而非行为。本文对此原因进行了讨论。     

THE MAGICIAN IN THE WORLD: BECOMING, CREATIVITY, AND TRANSVERSAL COMMUNICATION

This essay interprets the meaning of one of the cards in aTarot deck, "The Magician," in the context of process philosophy in the tradition of Alfred North Whitehead. It brings into the conversation the philosophical legacy of American semiotician Charles Sanders Peirce as well as French poststructuralist Gilles Deleuze. Some of their conceptualizations are explored herein for the purpose of explaining the symbolic function of the Magician in the world. From the perspective of the logic of explanation, the sign of the Magician is an index of nonmechanistic, mutualist or circular, causality that enables self-organization embedded in coordination dynamics. Its action is such as to establish an unorthodox connection crossing over the dualistic gap between mind and matter, science and magic, process and structure, the world without and the world within, subject and object, and human experience and the natural world, thereby overcoming what Whitehead called the paradox of the connectedness of things. The Magician represents a certain quality that acts as a catalytic agent capable of eliciting transmutations, that is, the emergence of novelty. I present a model for process∼structure that uses mathematics on the complex plane and the rules of projective geometry. The corollary is such that the presence of the Magician in the world enables a particular organization of thought that makes pre-cognition possible.     

The (Gendered) Construction of Diagnosis Interpretation of Medical Signs in Women Patients

Medicine maintains a distinction between the medical symptom -- the patient'ssubjective experience and expression, and the privileged medical sign -- the objective findings observable by the doctor. Although the distinction is not consistently applied, it becomes clearly visible in the undefined, medically unexplained disorders of women patients. Potential impacts of genderized interaction on the interpretation of medical signs are addressed by re-reading the diagnostic process as a matter of social construction, where diagnosis results from human interpretation within a sociopolitical context. The discussion is illustrated by a case story and empirical evidence of the gendering in the doctor-patient relationship. The theoretical analysis is supported by semiotic perspectives of bodily signs, feminist theory on experience, and Foucault'sideas about medical perception and gaze, and concludes that a medical diagnosis is seldom a biological fact, but the outcome of a process where biological, cultural and social elements are interwoven. Further deconstruction of the chain of signs from a feminist perspective, assigning validity to the voice of the woman patient, might broaden the understanding of women'shealth, illness and disease.     

Long-term benefits of prompts to use safety belts among drivers exiting senior communities

Senior drivers are vulnerable to automobile crashes and subsequent injury and death. Safety belts reduce health risks associated with auto crashes. Therefore, it is important to encourage senior drivers to wear safety belts while driving. Using a repeated baseline design (AAB), we previously reported that motivating signs boosted safety belt usage by drivers exiting senior communities from baseline (72% and 68% usage), to postinstallation of signs (94%), to 6 months follow-up (80%). The current study was a 4-year follow-up in which six senior communities, with seat belt signs, were compared to six matched control senior communities with no signs. Safety belt usage was stable, across 4 years, at approximately 80% for both male and female drivers and front seat passengers for the six communities with signs, and was approximately 55% for control sites. These finding suggest that the simple and low-cost intervention of erecting signs to prompt safety belt use has persistent benefits that affect driver and passenger behavior alike.     

Identity and influence in social interaction

Researchers studying argumentation often make the simplifying assumption that rational persuasion can be studied independently from the processes through which social identities are established and maintained. However, developments in the study of message design, particularly the groundbreaking work of Brown and Levinson (1978, 1987) on politeness, suggests that in practice the multiple functions of messages are intertwined in message structure and effects. In contrast to the view that identity issues distort rational processes in communication, both the communication of identity and the use of identity-based appeals in social influence are best seen as prototypical examples of rationality in message design.     

Effect of design factors on drivers’ understanding of variable message signs locating traffic events

BackgroundThis article addresses how to combine three elements (a pictogram, an arrow, a city) in a variable message sign (VMS) to locate temporary events (e.g., “congestion before Milan”). We adopted the G1c stack model as a design template, an Advanced Directional Sign (ADS) recommended by the 1968 Convention to locate cities, which can be easily adapted to modern VMS. However, as most of the VMS in operation are not full-matrix, we have also adapted this design to more restrictive display conditions. This adaptation critically concerned the arrow function on the message that either points up broadly (generically, as in G1c) or connects with the city more specifically (explicit). Although G1c reads top-down like a verbal text, previous studies indicated drivers’ preference for bottom-up landmark order in VMS, so both ordering criteria were compared in the present study.MethodsThe experiment involved 99 people (70 drivers and 29 drivers in training). Participants were informed that they would see various VMS reporting certain events (e.g., congestion) related to one of four cities along the road. Their task was to identify the event location (before, after the city) after seeing blocks of two consecutive messages (first a complementary message, then the target message), limiting their response to the content of the second message. Three design-focused factors were tested: typographical alignment (left or centre), landmark order (bottom-up or top-down), and arrow function (explicit or generic). The rate of correct location answers was the dependent variable.ResultsResults revealed that comprehension varied greatly depending on the arrow’s function and the placing of elements. In the explicit-arrow messages, comprehension was good both in the Top-down and Bottom-up conditions, but in the generic-arrow messages, only in the Bottom-up condition was comprehension good. Likewise, understanding was better in the Before condition than in the After condition in all combinations of Landmark order and Arrow function conditions. In general, left alignment of the central column elements of the VMS improved comprehension respective to centred alignment. Finally, the complementary message factor had an effect under certain circumstances.Practical implicationsThe messages displaying a generic arrow (following the G1c model) were better understood when the landmarks were ordered bottom-up, not top-down. In addition, explicit-arrow messages were better understood per se (in the absence of a complementary message) than generic-arrow messages. Overall, this work suggests that improving our understanding of how thought processes and design features relate to each other can contribute to safer driving nationally and internationally.