Expanding the evidence: Developments and innovations in clinical practice,training and competency within voice and communication therapy for trans and gender diverse people

Background: Speech and language therapists (SLTs) deliver voice and communication therapy for trans and gender diverse people to facilitate authentic vocal and communicative expression. Davies, Papp, and Antoni (2015) have provided a comprehensive review of the literature, with recommendations for good clinical care. Several areas highlighted as gaps in the research were identified by the current authors as ones in which evidence is expanding.

Aims: To demonstrate 1) an expansion of the evidence base in particular innovations in voice group therapy for trans women and trans men; 2) the importance of delivering voice and communication therapy as part of a complete approach to trans and gender diverse health care; and (3) developments in training and competency in the UK.

Method: Data were drawn from three small-scale projects, two surveys, and one audit.

Measurements: Data from survey and audits and pre- and post-group acoustic measures of and client self-perceptual measures, including the Transsexual Voice Questionnaire (TVQ^MtF); a client-generated set of questions for trans men; and the migration of vocal identity map, adapted from Narrative Therapy practices.

Results: Positive outcomes for both pitch measures and client perception were recorded. Audit and survey data provided evidence of developments in training and competency in the UK.

Conclusion: Evidence supports group therapy as a successful approach for trans individuals across a number of parameters of voice and self-perception. Voice group protocols for both trans men and trans women should take account of the social context within which to explore relational presence and authentic voice. SLTs within gender identity clinics provide voice and communication as part of a broader pathway of care, alongside sharing professional knowledge and skills. Current UK developments are documented as indicators of positive responses to the growth in the number of SLTs seeking to develop specialist skills within this field.     

青少年网络社交使用频率对网络成瘾的影响:家庭经济地位的调节作用

相关研究表明,由于青少年在网络社交中能够获得他人的认可与支持,网络社交对网络成瘾具有显著的影响。自我价值定向理论认为自我价值是人们行为的终极理由,其中他人的认可与接纳、家庭社会经济地位都是自我价值的重要支撑。当青少年生活在高社会经济地位环境中,其自我价值可能越高,网络社交使用频率对网络成瘾的影响可能会减弱。我们从全国7个省收集了1216份青少年自评的网络社交使用频率、网络成瘾倾向以及父母自评的社会经济地位等指标的数据。结果表明:家庭社会经济地位调节着网络社交使用频率与网络成瘾倾向的关系;进一步的分析表明,在高社会经济地位的家庭中,青少年的网络社交使用频率对网络成瘾倾向的影响不显著,而在低社会经济地位的家庭中,青少年的网络社交使用频率对网络成瘾倾向的影响极其显著。结果支持了自我价值定向理论。     

Post-encoding emotional arousal enhances consolidation of item memory,but not reality-monitoring source memory

The current study examined whether the effect of post-encoding emotional arousal on item memory extends to reality-monitoring source memory and, if so, whether the effect depends on emotionality of learning stimuli and testing format. In Experiment 1, participants encoded neutral words and imagined or viewed their corresponding object pictures. Then they watched a neutral, positive, or negative video. The 24-hour delayed test showed that emotional arousal had little effect on both item memory and reality-monitoring source memory. Experiment 2 was similar except that participants encoded neutral, positive, and negative words and imagined or viewed their corresponding object pictures. The results showed that positive and negative emotional arousal induced after encoding enhanced consolidation of item memory, but not reality-monitoring source memory, regardless of emotionality of learning stimuli. Experiment 3, identical to Experiment 2 except that participants were tested only on source memory for all the encoded items, still showed that post-encoding emotional arousal had little effect on consolidation of reality-monitoring source memory. Taken together, regardless of emotionality of learning stimuli and regardless of testing format of source memory (conjunction test vs. independent test), the facilitatory effect of post-encoding emotional arousal on item memory does not generalize to reality-monitoring source memory.     

Development and Validation of the Scientific Reasoning Scale

Scientific findings and innovations play an important role in a range of decisions faced by nonscientists, yet little is known about the skills that nonscientists need in order to read and evaluate scientific evidence. Drawing on research in public understanding of science, cognitive developmental psychology, and behavioral decision research, we develop an individual difference measure of scientific reasoning skills, defined as the skills needed to evaluate scientific findings in terms of the factors that determine their quality. We present the results of three studies assessing its psychometric validity. Our results indicate that the Scientific Reasoning Scale (SRS) is internally consistent and distinct from extant measures of scientific literacy. Participants with higher SRS scores are more likely to have beliefs consistent with the scientific consensus on potentially contentious issues, above and beyond education, political and religious beliefs, and scores on two widely used measures of scientific literacy. Participants with higher SRS scores also had better performance on a task requiring them to analyze scientific information. Our results suggest that the SRS provides a theoretically informed contribution to decoding lay responses to scientific results and controversies. Copyright © 2015 John Wiley & Sons, Ltd.     

Emotional discussions reduce memory recall

People often discuss events they have seen and these discussions can influence later recollections. We investigated the effects of factual, emotional, and free retelling discussion on memory recollections of individuals who have witnessed an event. Participants were shown a video, made an initial individual recall, participated in one of the three retelling conditions (emotional versus factual versus free) or a control condition, and then recalled the event individually again. Participants in the factual and free retelling conditions reported more items not previously recalled than participants in the control condition did, while the emotional condition did not show the same advantage. Participants in all three retelling conditions failed to report more previously recalled items as compared with the control condition. Finally, a memory conformity effect was observed for all three retelling conditions. These findings suggest that eyewitnesses’ discussions may influence the accuracy of subsequent memory reports, especially when these discussions are focused on emotional details and thoughts.     

情绪感染问卷的中国化修订与信效度检验

该研究旨在编制情绪感染问卷并探讨问卷的信度与效度,问卷以Doherty编制的《情绪感染问卷》(the emotional contagion scale)作为蓝本,删除了不适合东方文化的项目,增加了符合中国人的情绪情境和展现情绪方式的项目,经过预测修订后,最终问卷包含5个维度25个项目,正式施测共回收747份有效问卷,并对数据进行了信效度检验。结果表明,探索性因素分析KMO为0.802,总问卷的标准化的Cronbach’sα系数为0.852,项目分析表明项目的鉴别指数D值在0.340~0.479之间,验证性因素分析具有较好的模型拟合度,问卷的重测信度与效标关联效度均达到显著水平。情绪感染问卷的信效度均达到了测量学的要求。     

How to Do Things with Emotional Expressions: The Theory of Affective Pragmatics

It is widely accepted that emotional expressions can be rich communicative devices. We can learn much from the tears of a grieving friend, the smiles of an affable stranger, or the slamming of a door by a disgruntled lover. So far, a systematic analysis of what can be communicated by emotional expressions of different kinds and of exactly how such communication takes place has been missing. The aim of this article is to introduce a new framework for the study of emotional expressions that I call the theory of affective pragmatics (TAP). As linguistic pragmatics focuses on what utterances mean in a context, affective pragmatics focuses on what emotional expressions mean in a context. TAP develops and connects two principal insights. The first is the insight that emotional expressions do much more than simply expressing emotions. As proponents of the Behavioral Ecology View of facial movements have long emphasized, bodily displays are sophisticated social tools that can communicate the signaler's intentions and requests. Proponents of the Basic Emotion View of emotional expressions have acknowledged this fact, but they have failed to emphasize its importance, in part because they have been in the grip of a mistaken theory of emotional expressions as involuntary readouts of emotions. The second insight that TAP aims to articulate and apply to emotional expressions is that it is possible to engage in analogs of speech acts without using language at all. I argue that there are important and so far largely unexplored similarities between what we can “do” with words and what we can “do” with emotional expressions. In particular, the core tenet of TAP is that emotional expressions are a means not only of expressing what's inside but also of directing other people's behavior, of representing what the world is like and of committing to future courses of action. Because these are some of the main things we can do with language, the take home message of my analysis is that, from a communicative point of view, much of what we can do with language we can also do with non-verbal emotional expressions. I conclude by exploring some reasons why, despite the analogies I have highlighted, emotional expressions are much less powerful communicative tools than speech acts.     

Interaction effects among multiple job demands: an examination of healthcare workers across different contexts

Background and Objectives: Simultaneous exposure to time, cognitive, and emotional demands is a feature of the work environment for healthcare workers, yet effects of these common stressors in combination are not well established. Design: Survey data were collected from 125 hospital employees (Sample 1, Study 1), 93 ambulance service employees (Sample 2, Study 1), and 380 aged care/disability workers (Study 2). Methods: Hierarchical multiple regressions were conducted. Results: In Sample 1, high cognitive demand exacerbated high emotional demand on psychological strain and job burnout, whereas the negative effect of high emotional demand was not present at low cognitive demand. In Sample 2, a similar pattern between emotional demand and time demand on stress-remedial intentions was observed. In Study 2, emotional demand?×?time demand and time demand?×?cognitive demand interactions again revealed that high levels of two demands were stress-exacerbating and low levels of one demand neutralized the other. A three-way interaction on job satisfaction showed the negative impact of emotional demand was exacerbated when both time and cognitive demands were high, creating a “triple disadvantage” of job demands. Conclusions: The results demonstrate that reducing some job demands helps attenuate the stressful effects of other job demands on different employee outcomes.     

Cardiovascular reactions to psychological stress and abuse history: the role of occurrence,frequency, and type of abuse

Background and objectives: Extreme cardiovascular reactions to psychological stress have been associated with traumatic life experiences. Previous studies have focused on the occurrence or frequency of abuse rather than type of abuse. We examined how occurrence, frequency, and the type of abuse history are related to cardiovascular reactivity (CVR) to acute psychological stress. Design: The study consisted of between group and continuous analyses to examine the association between occurrence, type, and frequency of abuse with cardiovascular reactions to acute psychological stress. Methods: Data from 64 participants were collected. Heart rate, systolic blood pressure, and diastolic blood pressure were measured at baseline and during a standard mental arithmetic stress task. Results: Individuals who experienced abuse showed diminished CVR to acute psychological stress; this was driven specifically by the history of sexual abuse. Frequency of abuse did not relate to stress reactions. Conclusions: These findings accord with previous work suggesting a relationship between traumatic life experience and hypoarousal in physiological reactivity and extend previous findings by suggesting the relationship may be driven by sexual abuse.