A continuing sense of self in the lived experience of dementia

ABSTRACT

Diagnosis with dementia often leads to an overwhelming fear of loss of self, which is assumed in the social discourse about the condition. After my own diagnosis with dementia in 1995, I reflected on this fear from a Christian theological perspective and was nonetheless able to discover a sense of hope. Highlighting what remains in dementia, as seen through the lens of the lived experience, provides a counter-story to the views of outside observers, which have dominated the literature to date. Although people with dementia experience a change in their cognitive sense of self, there are still important aspects of self that remain, which are: a sense of being an embodied self, in relationships with others and with God, and being able to find meaning in the present moment. By demonstrating that people living with dementia have a continuing sense of self, the aim is to prompt improved pastoral care and ministry.     

Affordances for drinking alcohol: A non‐participant observation study in licensed premises

Alcohol misuse is a pressing area of public health concern. This non‐participant observational study investigated the functional characteristics of on‐licensed premises where alcohol is consumed. Seven different licensed premises from South Central England were visited and observed for similar three hour periods on Saturday evenings. Observations within these ecological niches were grouped using a functional taxonomy of affordances and effectivities related to alcohol drinking. Affordances provide a theoretically grounded and useful concept for evaluating how individuals behave in drinking contexts, while identifying action opportunities for inhibiting and promoting consumption. Identified alcohol‐related affordances were related to: Alcohol access, regulations, furnishing, alternative opportunities for action, décor and lighting, drink and accessory availability, and action opportunities provided by others. This research has implications for understanding alcohol consumption in real‐time, social environments, with direct implications for preventing excessive consumption within community alcohol outlets.     

Discovery and Revitalization of “Feeling of Hometown” from a Disaster Site Inhabitant's Continuous Engagement in Reconstruction Work: Ethnographic Interviews with a Radiation Decontamination Worker Over 5 Years Following the Fukushima Nuclear Power Plant Accident1

After hometown loss due to the Fukushima Nuclear Power Plant accident, many radiation decontamination workers started to engage in the reconstruction of their hometown. However, little is known regarding the meaning of experience of engaging in such work. We describe the process of such experience through a series of ethnographic interviews over 5 years with a radiation decontamination worker. The process was classified into the following three periods: “recovery of lost land by inhabitants' own hands,” “goal loss and semiotic trap in pursuit of recovery,” and “revitalization of feeling of hometown.” Consequently, the informant overcame the contradiction theorized as a “semiotic trap” that radiation decontamination for physical recovery would make his return to home impossible, and updated his narrative to the revitalization of “feeling of hometown” through continuous engagement in the work by creating a sense for transplacement, in which the individual focuses on the psychological aspects of his/her hometown instead of the physical aspects. Psychological reconstruction for disaster victims requires the discovery and revitalization of feeling of hometown rather than the completion of physical reconstruction.     

Cultural Dimensions of Early Pregnancy Loss: Spiritual and Religious Issues

Nearly one in five clinically confirmed pregnancies ends in a loss before 20 weeks (Bardos et al., 2015). Despite the prevalence of miscarriage, many women and partners experience a lack of acknowledgment and support while also encountering complicated concerns related to the intersection of perinatal loss, culture, religious and spiritual issues, medical treatment, their reproductive stories, and grief (Randolph et al., 2015). Counselors working with these clients must address complex cultural considerations. As such, we review key cultural and religious/spiritual issues related to early pregnancy loss and offer recommendations for practice based on the current literature in the context of the Association for Spiritual, Ethical, and Religious Values in Counseling (2009) counseling competencies.     

维吾尔族与汉族的大学生在汉语歧义词消解中的语境促进效应及反应抑制效应

词汇歧义是语言的普遍现象。在汉语中, 歧义词的种类繁多, 是少数民族学生汉语学习困难的重要原因之一。通过两个实验, 考察在不同加工时间条件下维吾尔族和汉族的大学生在汉语歧义词消解中的语境促进效应及抑制效应。结果发现, 两个民族的大学生均出现了语境促进效应, 但在短时加工条件下, 汉族大学生的语境促进效应显著大于维吾尔族大学生, 在长时加工条件下, 两个民族的大学生的语境促进效应并无显著差异。在短时加工条件下, 仅汉族大学生可以有效地抑制无关信息的干扰; 在长时加工条件下, 两个民族的大学生均可以有效地抑制无关信息的干扰。整个研究表明, 在汉语歧义词消解中, 随着加工时间增加, 维吾尔族大学生的语境促进效应和对无关信息的抑制均可以达到与汉族大学生相近的水平。     

习得性无助是习得的吗？——对习得性无助理论及其反思的评述

Seligman和Maier（1967）在动物实验的基础上提出了著名的习得性无助理论,但在2016年,Maier和Seligman二人却联合发文对该理论进行了反思：从最新的神经生物学证据来看,习得性无助的经典理论概括存在基本错误,习得性无助并非习得而来！所谓“习得性”无助,实质上是动物对厌恶刺激长期作用的先天适应性反应,而非认知学习的结果。本文简要梳理习得性无助理论的起源与发展,深入分析这一反思的核心内容、依据及意义,对其中否定习得性无助理论概括的观点,从证据的充分性、研究范式的效度、规范概念等角度作了进行进一步的探讨,并结合新的实验范式对未来研究提出建议。     

Leading the Way on Diversity: Community Psychology's Evolution from Invisible to Individual to Contextual

To take up the AJCP editor's call to think forward in this article, I offer up three challenges that revolve around further contextualizing our understandings of diversity, i.e., reconsidering the notion of “difference” between discrete categories; more fully emphasizing diversity as socially situated; and further delving into local, setting‐specific practices that shape the meanings of diversity. Enhanced attention to these three challenges can transform theory, research, and action about diversity as we move into community psychology's next 50 years.     

Inferring Others' Hidden Thoughts: Smart Guesses in a Low Diagnostic World

People are biased toward believing that what others say is what they truly think. This effect, known as the truth bias, has often been characterized as a judgmental error that impedes accuracy. We consider an alternative view: that it reflects the use of contextual information to make the best guess when the currently available information has low diagnosticity. Participants learnt the diagnostic value of four cues, which were present during truthful statements between 20% and 80% of the time. Afterwards, participants were given contextual information: either that most people would lie or that most would tell the truth. We found that people were biased in the direction of the context information when the individuating behavioral cues were nondiagnostic. As the individuating cues became more diagnostic, context had less to no effect. We conclude that more general context information is used to make an informed judgment when other individuating cues are absent. That is, the truth bias reflects a smart guess in a low diagnostic world. Copyright © 2015 John Wiley & Sons, Ltd.     

Semantically incongruent objects attract eye gaze when viewing scenes for change

Past research has shown that change detection performance is often more efficient for target objects that are semantically incongruent with a surrounding scene context than for target objects that are semantically congruent with the scene context. One account of these findings is that attention is attracted to objects for which the identity of the object conflicts with the meaning of the scene, perhaps as a violation of expectancies created by earlier recruitment of scene gist information. An alternative account of the performance benefit for incongruent objects is that attention is more apt to linger on incongruent objects, as perhaps identifying these objects is more difficult due to conflicting information from the scene context. In the current experiment, we present natural scenes in a change detection task while monitoring eye movements. We find that eye gaze is attracted to these objects relatively early during scene processing.