Regional brain activity change predicts responsiveness to treatment for stuttering in adults

Developmental stuttering is known to be associated with aberrant brain activity, but there is no evidence that this knowledge has benefited stuttering treatment. This study investigated whether brain activity could predict progress during stuttering treatment for 21 dextral adults who stutter (AWS). They received one of two treatment programs that included periodic H₂¹⁵O PET scanning (during oral reading, monologue, and eyes-closed rest conditions). All participants successfully completed an initial treatment phase and then entered a phase designed to transfer treatment gains; 9/21 failed to complete this latter phase. The 12 pass and 9 fail participants were similar on speech and neural system variables before treatment, and similar in speech performance after the initial phase of their treatment. At the end of the initial treatment phase, however, decreased activation within a single region, L. putamen, in all 3 scanning conditions was highly predictive of successful treatment progress.     

The relationship between self-reported oral symptoms and life-events

Abstract

This paper investigates whether eight specific life-events were related to self-reported chronic (persistent trouble over the last 12 months) and acute (trouble in the last 14 days) oral symptoms in a sample of 3861 civil servants aged 35-44 years. The results of a logistic regression analysis taking age, social class and gender into account showed that a range of life-events—marital or family problems other than divorce, death of a relative, personal serious illness, serious illness of a close relative, major financial difficulty and mugging and robbery—were significantly associated with either acute or chronic oral symptoms. Further analysis showed that marital or family problems other than divorce was found to be the most important life event studied. The results support the argument that marital dissatisfaction leads to poorer physical and psychological health.     

Living with Hereditary Haemorrhagic Telangiectasia: stigma,coping with unpredictable symptoms,and self-advocacy

Abstract

Objective: Hereditary Haemorrhagic Telangiectasia (HHT) is a genetic condition causing frequent nose bleeds, skin lesions (telangiectasia) and arteriovenous malformations. Approximately, 50% of people experience life-threatening HHT symptoms including haemorrhages in the brain, lungs and liver. This study aimed to gain a qualitative understanding of the psychosocial impact of HHT over time. Design: Using a phenomenological framework, a rigorous narrative analysis was performed on 20 semi-structured interviews with individuals with HHT aged 20s–60s. Main outcome measures: Qualitative themes explaining life experiences prior to and following a clinical diagnosis of HHT. Results: Narratives highlighted four psychosocial themes: (i) the psychological impact of visible symptoms was significant and related to experiences of social stigma, (ii) individuals struggled to identify triggers of symptoms in order to reduce unpredictability, (iii) an illness identity was rejected by minimising HHT when talking about the present self, and by positive reframing as ‘lucky’ and (iv) self-advocacy was necessitated due to lack of expert coordinated care. Conclusion: HHT has a demanding impact on social, physical and psychological well-being. These findings have significant implications for health care, as narratives about interactions with health professionals often used the terms ‘frustrating’ and ‘not being heard’.     

Efficacy of a Post-modern Group Career Assessment Intervention of Disadvantaged High School Learners

The study used a post-modern group assessment procedure to explore career perceptions of 11 Grade 11 learners (6= males; 5= females; mean age = 17 years) from disadvantaged communities. A qualitative process of thematic content analysis was used to analyse the data. The results suggest that narrative career assessment in a group setting may provide a viable alternative to career counselling and assessment with disadvantaged learners.     

A Group of Black South Africans' Experience of Telling their Untold Stories about the Apartheid Era

The aim of this research was to explore a group of black South Africans' experiences of telling their untold stories of survival about the apartheid era. The expectation was that if they did become more aware of these alternative stories, it could have a far-reaching effect on their lives. A qualitative study was conducted with a group of seven black South African survivors of the apartheid era, ranging in age from 42–62 years (males =5, females =2). These participants formed part of an earlier study investigating their perceptions regarding factors that helped them to survive the apartheid era. For the present study, unstructured interviews were conducted focusing on their subjective experiences after the initial study. Analysis of the data yielded seven prevalent themes, namely a positive experience that made a difference, gaining of a positive attitude, not all white people are bad, transgressing the past and moving on, awareness of personal strengths, forgiveness and starting to talk to family and friends. The participants became aware of their untold stories of survival and experienced a positive change within themselves, towards others, the past and the future.     

Community as Outsider Witness: Utilising Community Members in the Reconstitution of Problem-Saturated Identities

This study explored community members' ability to enlist discourses affirming of psychiatric patients' quest for generative identities. The participants were members of the public who attended an exhibition of psychiatric patients' artwork (n = 7, age range 18–55). A Foucauldian discourse analysis was used to analyse the research interviews. Results revealed that the majority of community members used dominant cultural discourses to speak about psychiatric patient-artists. These discourses conferred a problem-saturated identity on to psychiatric patients. We conclude that community members can be recruited as outsider witnesses to support psychiatric patients' search for generative identities, provided community members resist discourses that produce problem-saturated identity conclusions.     

Reconsidering religion and fandom: Christian fan works in My Little Pony fandom

Studies of religion and fandom have tended to explore the extent to which fan cultures might be seen as forms of surrogate religion. This article suggests that a more detailed examination of the way in which believers use their faith within their individual fandoms would offer more interesting insights into both contemporary religious practice and fandom. Conducting a case study of ‘Brony’ fandom (adult fandom of cartoon My Little Pony: Friendship is Magic), this article explores the ways in which Christian fans use fan fiction and art to promote religious literacy, explore theological issues and engage in evangelism and exegesis. Fan knowledge is used as a way to quickly impart and explore complex religious concepts in a manner which utilises the shared culture of fandom. This should not be seen as a symptom of ‘mediatisation’ but as part of a complex synthesis of faith and popular culture.     

Using Stories in Dynamically Oriented Clinical Social Work

Abstract

This paper uses concepts from discourse analysis to understand the meaning making functions of narrative in clinical treatment and to describe the interactive processes through which these functions are achieved. “Negotiative” and “heuristic” narrative processes are described as they occur in ordinary conversation. The relevance of these concepts to clinical practice is then explored using case material.