Trauma Recovery in Interprofessional Cross-Cultural Contexts: Application of an Ethical Framework

Research into the complex interactions of personal, professional, and interprofessional ethics is in its infancy. Where interprofessional decision making is made in cross-cultural contexts, ethical dilemmas multiply; inversely, research to guide judgments is sparse. This study sought to explore interprofessional ethical decision making within a project, which delivered Western trauma-recovery training to counselors in Palestine. A cross-cultural interprofessional ethical framework was adapted and later applied to project decision making. A case study is presented based on field note reflections. Researchers perceived the following to be important in addressing ethical decision-making dilemmas: defining interprofessional and cross-cultural language; long-standing relationships of trust; workers liberated from organizational agendas; democratized processes; and flexible structures. Recommendations are provided to help plan and evaluate interprofessional cross-cultural initiatives.     

The influence of functional social support on executive functioning in middle-aged African Americans

ABSTRACT

Social support has a positive influence on cognitive functioning and buffers cognitive decline in older adults. This study examined the relations between social support and executive functioning in middle-aged adults. A community-based sample of African Americans completed the Interpersonal Support Evaluation List, a measure of functions of social support, and two measures of executive functioning, the Stroop Color and Word Test and the Wisconsin Card Sorting Test (WCST). Hierarchical regression analyses were used to explore the hypothesis that different facets of perceived social support influence performance on measures of executive functioning. After controlling for age, gender, and education, social support facets including belonging support, selfesteem support, appraisal support, and tangible support were significant predictors of Stroop performance. In addition, tangible support significantly predicted WCST performance. These findings add to previous literature on social support and cognition; however, findings for middle-aged adults are unique and suggest that social support has a positive influence on some executive functions in African Americans prior to old age.     

Three Ways of Being Church

This article proposes a theological re-appraisal of three images of the Church: institution, servant and community. The defining characteristics of an institution can be applied positively to the Church when it is seen to have been instituted by Jesus Christ. But what is instituted is a continuing relationship grounded in Christ's own presence. The servant Church is characterized by its commitment to the purposes of God in ‘secular’ society and the promise of God's kingdom. The community model of the Church has two common expressions, one emphasizing social relationships, one stressing mystical communion, but these are grounded in the trinitarian community itself. While each model has its own contribution and integrity, taken together they suggest mutual inter-dependence, itself reflecting the divine community and expressed in the mutually affirming virtues of faith, hope and love.     

Prediction of treatment outcomes and longitudinal analysis in children with autism undergoing intensive behavioral intervention

Outcome prediction is an important component of treatment planning and prognosis. However, reliable predictors of intensive behavioral intervention (IBI) have not been clearly established. IBI is an evidence-based approach to the systematic teaching of academic, social, verbal, and daily living skills to individuals with autism spectrum disorder. Incorporating longitudinal analysis to IBI outcome studies may help to identify outcome predictors of clinical value. Twenty-four children with autism underwent on average two years of IBI and completed language, daily living skills, cognitive, and motor assessments (Early Learning Accomplishment Profile and the Learning Accomplishment Profile-Diagnostic, 3rd edition) every six months. We used multilevel analysis to identify potential longitudinal predictors including gender, age, intervention intensity, intervention duration, total intervention time, and pre-intervention functioning. Results indicated that total intervention time, pre-intervention functioning, and age caused the greatest increase in goodness-of-fit of the longitudinal multilevel models. Longitudinal analysis is a promising analytical strategy to identify reliable predictors of the clinical outcome of IBI.     

Children's and adolescents' intuitive judgements about distributive justice: Integrating need,effort, and luck

This study investigated the principles that children and adolescents rely on when allocating a resource fairly. In a series of three experiments, 51 Swiss children (aged 7 and 9 years) and 309 German children (aged 6, 9, and 15 years) participated. A different situational context was presented in each experiment, where luck, need and effort of two protagonists were systematically varied. Primary-school children relied mainly on need when making distributive justice judgements. Effort became more prominent as the allocation principle in adolescence. Equality occurred rarely in all age groups. Integrational capacity and the ability to differentiate between the three situational contexts increased from childhood to adolescence. The data suggest the conclusion that the development of distributive justice decisions has both generalized and context-specific components.     

Neural correlates of metonymy resolution

Metonymies are exemplary models for complex semantic association processes at the sentence level. We investigated processing of metonymies using event-related functional magnetic resonance imaging (fMRI).During an 1.5 Tesla fMRI scan, 14 healthy subjects (12 female) read 124 short German sentences with either literal (like “Africa is arid”), metonymic (“Africa is hungry”), or nonsense (“Africa is woollen”) content. Sentences were constructed so that they obey certain grammatical, semantic, and plausibility conditions and were matched for word frequency, semantic association, length and syntactic structure. We concentrated on metonymies that were not yet fossilised; we also examined a wide variety of metonymic readings.Reading metonymies relative to literal sentences revealed signal changes in a predominantly left-lateralised fronto-temporal network with maxima in the left and right inferior frontal as well as left middle temporal gyri. Left inferior frontal activation may reflect both inference processes and access to world knowledge during metonymy resolution.     

Perceived norms and social values to capture school culture in elementary and middle school

The current study was designed to gain insights into shifting school culture by examining perceived peer group norms and social values across elementary and middle school grades. Perceived norms were assessed by asking participants (N = 605) to estimate how many grade mates were academically engaged, disengaged, and antisocial. To capture social values, peer nominations were used to assess “coolness” associated with these behaviors. Perceived norms became gradually more negative from fall to spring and across grades four to eight. Whereas academic engagement was socially valued in elementary school, negative social and academic behaviors were valued in middle school. Additionally, improved social status was associated with increased academic engagement in fifth grade, disengagement in seventh and eighth grades, and antisocial behavior in sixth grade. The findings suggest that differences between elementary and middle school cultural norms and values may shed light on negative behavior changes associated with the transition to middle school.     

Teachers' attunement to students' peer group affiliations as a source of improved student experiences of the school social-affective context following the middle school transition

A randomized control trial examined the impact of a professional development program on rural teachers' attunement to student social dynamics, and the influence of teacher attunement on students' school experiences. In intervention schools serving Latino and White rural early adolescents, teachers (N = 14) received training on social dynamics and aspects of early adolescent adjustment; control school teachers (N = 12) received no training. Social cognitive mapping procedures assessed and compared students' and teachers' perceptions of peer groups; structured observations assessed teachers' management of social dynamics. Students (N = 225) self-reported their perceptions of the school social-affective context. Intervention and control schools differed on teacher attunement and management of the social environment. Students whose teachers were more attuned to peer group affiliations evidenced improved views of the school social environment. Findings are discussed in terms of attunement as an element of teachers' invisible hand, and for teachers' role in promoting productive contexts for students during the middle school transition.     

Speed and Rhythm Affect Temporal Structure of Variability in Reaching Poststroke: A Pilot Study

Temporal structure reveals the potential adaptive strategies employed during upper extremity movements. The authors compared the temporal structure of upper extremity joints under 3 different reaching conditions: preferred speed, fast speed, and reaching with rhythmic auditory cues in 10 individuals poststroke. They also investigated the temporal structure of these 3 reaching conditions in 8 healthy controls to aid in the interpretation of the observed patterns in the poststroke cohort. Approximate entropy (ApEn) was used to measure the temporal structure of the upper extremity joints. ApEn was similar between conditions in controls. After stroke, ApEn was significantly higher for shoulder, elbow, and wrist both at fast speed and with rhythmic cues compared with preferred speed. ApEn at index finger was significantly higher only with rhythmic cues compared with preferred speed. The authors propose that practice reaching at faster speed and with rhythmic cues as a component of rehabilitation interventions may enhance adaptability after stroke.