Older Adults’ Psychosocial Responses to a Fear of Falling: A Scoping Review to Inform Occupational Therapy Practice

Abstract

Falls in older adults are a major health concern, yet the “fear of falling”, a common psychosocial response that can occur post-fall, has seldom been investigated. A scoping review was conducted to identify and map interventions that occupational therapists can use to manage the fear of falling psychosocial response (FoFPR) among older adults. Thirteen electronic databases were searched and 22 studies were retrieved. Cognitive behavioral therapy, guided imagery, and Tai Chi were interventions found to help older adults deal with their FoFPRs. Occupational therapists assisting older adults in this area can play a significant role.     

Aristotle's Cognitive Science: Belief,Affect and Rationality

I offer a novel interpretation of Aristotle's psychology and notion of rationality, which draws the line between animal and specifically human cognition. Aristotle distinguishes belief (doxa), a form of rational cognition, from imagining (phantasia), which is shared with non‐rational animals. We are, he says, “immediately affected” by beliefs, but respond to imagining “as if we were looking at a picture.” Aristotle's argument has been misunderstood; my interpretation explains and motivates it. Rationality includes a filter that interrupts the pathways between cognition and behavior. This prevents the subject from responding to certain representations. Stress and damage compromise the filter, making the subject respond indiscriminately, as non‐rational animals do. Beliefs are representations that have made it past the filter, which is why they can “affect [us] immediately.” Aristotle's claims express ceteris paribus generalizations, subject to exceptions. No list of provisos could turn them into non‐vacuous universal claims, but this does not rob them of their explanatory power. Aristotle's cognitive science resolves a tension we grapple with today: it accounts for the specialness of human action and thinking within a strictly naturalistic framework. The theory is striking in its insight and explanatory power, instructive in its methodological shortcomings.     

Job Search and Sex Segregation: Does Sex of Social Contact Matter?

In this study, we investigate how the sex of the social contact women use to find jobs affects the segregation of women into jobs in female-dominated occupations. Using women in the Metropolitan Employer-Worker Survey (MEWS), we test two competing hypotheses from the literature. One body of literature argues that women who use men as social contacts in job search have a higher probability of finding a non-female-dominated job; another body of literature argues that sex of social contact has no effect on the probability of finding a non-female-dominated job. There are 1131 working women in the MEWS; 73% are white, 20% African American, and 2% other races. Our analysis shows that women are significantly less likely to find jobs in female-dominated occupations when their social contact is a man rather than a woman and this holds true regardless of the strength of the tie to the social contact or whether or not the social contact is work-related. We discuss the implications of these findings for theory and research on sex segregation.     

Fostering social and emotional intelligence: What are the best current strategies in parenting?

This review focuses on parenting practices that are beneficial or antagonistic to the development of emotional and social intelligence in children. We start by reviewing the somewhat nebulous concepts of emotional and social intelligence. This is followed by an examination of the association between well‐known parenting styles such as authoritative, authoritarian, permissive, and directive parenting and various indicators of child emotional and social intelligence. The strategic emotion‐coaching parenting style is also examined for its connections to comparable child outcomes. Parenting practices such as inductive discipline and parental availability also appear to cultivate emotional and social intelligence in children. Finally, overparenting is discussed as a parenting practice that apparently corrupts the development of these traits in emerging adults. We conclude that best practices, where emotional intelligence and social intelligence are the benchmarks, blend parental care and concern with a degree of parental demands on children that are appropriate for their developmental stage.     

Auditory recognition without identification

When visual recognition test items are unidentifiable--through fragmentation, for example--participants can discriminate between unidentifiable items that were presented recently and those that were not. The present study extends this recognition without identification phenomenon to the auditory modality. In several experiments, participants listened to words and were then presented with spoken recognition test items that were embedded in white noise. Participants attempted to identify each spoken word through the white noise, then rated the likelihood that the word was studied. Auditory recognition without identification was found: Participants discriminated between studied and unstudied words in the absence of an ability to identify them through white noise, even when the voice changed from male to female and when the study list was presented visually. The effect was also found when identification was hindered through the isolation of particular phonemes, suggesting that phoneme information may be present in memory traces for recently spoken words.