The challenge of cross-cultural quality of life assessment

Abstract

As a result of an increased international cooperation in the health care field, the demand for cross-culturally applicable, patient-oriented instruments to assess the need for and to evaluate the outcome of medical interventions has also grown. However, basic problems exist in assessing health-related quality of life—one of the most prominent outcomes—across cultures. Conceptually it is unclear to which extent the quality of life construct is transferable from one cultural context to another. Methodologically, ways to assess the construct have to be sensitive to different cultures and practically, application of quality of life measures may be difficult. The current paper addresses these issues, presenting the current state of the art in cross-cultural development of health-related quality of life assessment instruments as well as a critical review thereof. Examples are provided from internationally active working groups in terms of the translation, psychometric testing and norming of quality of life questionnaires.     

The spatial mapping of concepts in English and Mandarin

ABSTRACT

English speakers have been shown to map abstract concepts in space, which occurs on both the vertical and horizontal dimensions. For example, words such as God are associated with up and right spatial locations, and words such as Satan with down and left. If the tendency to map concepts in space is a universal property of human cognition, then it is likely that such mappings may be at least partly culturally-specific, since many concepts are themselves language-specific and therefore cultural conventions. Here we investigated whether Mandarin speakers report spatial mapping of concepts, and how these mappings compare with English speakers (i.e. are words with the same meaning associated with the same spatial locations). Across two studies, results showed that both native English and Mandarin speakers reported spatial mapping of concepts, and that the distribution of mappings was highly similar for the two groups. Theoretical implications are discussed.     

Mapping an HIV/STD prevention curriculum for Zambian in-school settings

HIV/AIDS poses grave risk to human development in sub-Saharan Africa. Evidence-based interventions that are rooted in local culture could help efforts to prevent threats to human development from HIV/AIDS. We used concept mapping (Concept System, 2006 ) to construct the components and content of a locally developed HIV/AIDS curriculum for use by secondary schools in Lusaka, Zambia. Participants were school counsellors (n = 14), youth health program officers (n = 7), and regular education teachers (n = 3) from the education, health, and youth development agencies in Lusaka, Zambia (males = 11; females = 13; mean age 38; SD = 15 years). Concept mapping yielded six statement clusters defining preliminary components of a locally grounded in-school HIV/AIDS prevention curriculum and the content items that define these components: (1) life skills education (18 items), (2) sexuality and reproductive health (10 items), (3) treatment, care and support (13 items), (4) counselling (12 items), (5) basic facts about HIV/AIDS (11 items), and (6) dissemination of information about HIV/AIDS (11 items). Zambian locally constructed constructs for an HIV/STD prevention curriculum overlap those promoted by public health programs in the country and internationally.     

The Humean problem of induction and Carroll’s Paradox

Hume argued that inductive inferences do not have rational justification. My aim is to reject Hume’s argument. The discussion is partly motivated by an analogy with Carroll’s Paradox, which concerns deductive inferences. A first radically externalist reply to Hume (defended by Dauer and Van Cleve) is that justified inductive inferences do not require the subject to know that nature is uniform, though the uniformity of nature is a necessary condition for having the justification. But then the subject does not have reasons for believing what she believes. I defend a moderate externalist account that seeks to partly accommodate that objection to the radical externalist proposal. It is based on an extension of Peacocke’s theory of concepts: possession conditions for predicative concepts standing for natural properties include (fallible) dispositions to project them to new cases in accordance with inductive inferential patterns.

Congruity Effects in Time and Space: Behavioral and ERP Measures

Two experiments investigated whether motion metaphors for time affected the perception of spatial motion. Participants read sentences either about literal motion through space or metaphorical motion through time written from either the ego-moving or object-moving perspective. Each sentence was followed by a cartoon clip. Smiley-moving clips showed an iconic happy face moving toward a polygon, and shape-moving clips showed a polygon moving toward a happy face. In Experiment 1, using an explicit judgment task, participants judged smiley-moving cartoons as related to ego-moving sentences about space and about time, and shape-moving cartoons as related to object-moving sentences. In Experiment 2, participants viewed the same stimuli, but the cartoons were task-irrelevant. Event-related brain potentials revealed an early attentional effect of congruity on cartoons following sentences about space, and a later semantic effect on cartoons following sentences about time. Results are most consistent with accounts that posit differences in the processing of novel and conventional metaphors.     

NONEMPIRICAL REALITY: TRANSCENDING THE PHYSICAL AND SPIRITUAL IN THE ORDER OF THE ONE

I describe characteristic phenomena of quantum physics that suggest that reality appears to us in two domains: the open and well‐known domain of empirical, material things—the realm of actuality—and a hidden and invisible domain of nonempirical, non‐material forms—the realm of potentiality. The nonempirical forms are part of physical reality because they contain the empirical possibilities of the universe and can manifest themselves in the empirical world. Two classes of nonempirical states are discussed: the superposition states of microphysical entities, which are nonempirical because observation destroys them, and the virtual states of material systems, which are nonempirical because they are empty. The non‐empirical part to physical reality represents a predetermined and hidden order that exists before it is empirical, and the visible world is an emanation out of it. I discuss consequences for our understanding of human nature, the origin of life, and human values. Reality is an indivisible wholeness that is aware of its processes, like a Cosmic Spirit, and it reveals its awareness in the mindlike properties of elementary processes as well as in the human consciousness. Thus, one is led to G. W. F. Hegel's thesis that the Cosmic Spirit is thinking in us.     

How are religious concepts created? A form of cognition and its effects

Science that needs logical demonstration has failed to eliminate religious concepts. It is as if they have own validity that cannot be broken by scientific knowledge we trust the most at present. In this paper, I will attempt to establish a new cognitive theory to help explain the basis of belief in religious concepts. This form of cognition will be named simply unifying-induction or unifying-inductive cognition. As illustrations, I will consider some typical religious discourses involving concepts such as “all-in-one” or “one is everything.” It is these typically religious discourses that science has not been able to easily sweep away by its logical scientific proofs. In the end, although we perhaps cannot know if the religious beings such as gods really exist or not, we may understand these concepts are very the creation of human cognition. It also has important implications for other disciplines such as robotics, developmental psychology, cognitive archaeology, the history of science, the study of religion and so on.     

器官移植道德反思——兼评器官商品化

自从器官移植技术出现以来,器官移植供体的缺乏就成为了制约其发展的瓶颈问题,而脑死亡临床诊断标准的出台为解决这个问题指明了方向。如何为脑死亡立法和器官移植立法寻求合理的道德支持是立足点,也是现代生命伦理学的热点与难点之一。以器官移植的供体来源短缺为切入点,提出了解决有关立法和寻求新的道德资源支持的一些思路与方向,坚决反对通过器官商品化来解决移植供体短缺的问题。     

道德概念垂直空间隐喻的心理现实性及双向映射

研究以大学生为被试,通过三个实验考察道德概念垂直空间隐喻的心理现实性及双向映射。实验1采用面孔图片和道德词汇的匹配记忆任务发现,道德词出现在上方时,被试对词语和面孔的匹配再认率更高;不道德词出现在下方时,被试对词语和面孔的匹配再认正确率更高。结果证实了道德概念的垂直空间隐喻的心理现实性。实验2通过道德评价任务发现,被试倾向于把空间上方出现的面孔评价为更加道德,把在空间下方的面孔评价为更加不道德,证实了空间信息对道德评价的影响。实验3采用带有空间位置信息的词语记忆任务。结果表明,在位置判断任务中,被试更多地将道德词判断为在上方出现过,更多地将不道德词判断为在下方出现过。结果显示词语的道德色彩影响了空间信息判断。研究结论:传统道德概念垂直空间隐喻存在心理现实性;道德概念和空间概念之间存在双向映射。