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Chapter 10 describes how to create networks of support and gives some examples of how to make visual maps of support networks with children and young people. We also discuss how your networks of support can overlap with those of other people you know and how to map out interconnected webs of support.
Prisons reflect a justice system for the rich, and an injustice system for the poor. Most people in prison are poor. Given the high recidivism rates, the purpose of prisons is not to teach convicted criminals that crime does not pay. A close examination of what happens to people in prison shows that there is very little effort to reform and offer education, and much more effort to isolate and punish. There is serious collatoral damage, with the deepest harm inflicted on the family of the incarcerated. In the United States, the children of incarcerated, paroled, and recently released parents number well over three million. Having a parent incarcerated negatively impacts these children, particuarly in terms of their mental health and educational performance. Ethnic groups are disproportionally represented in prison, but poverty is the most common feature of all the people from different ethnic groups in prison. The poor are the victims of the ongoing prison boom in the United States and in much of the rest of the world.
Chapter 26 concerns children and young people who have experiences where they have lost touch with reality. These experiences may be due to a range of underlying causes. We also discuss hearing voices in children and young people, which may not necessarily indicate a mental disorder. We also consider children and young people who experience more significant changes in their functioning as a result of having lost touch with reality. These children and young people may be developing a psychotic illness. We discuss the range of psychotic illnesses and how to treat them.
There is increasing interest in the utilization of proton beam radiation therapy (PRT) to treat pediatric brain tumors based upon presumed advantages over traditional photon radiation therapy (XRT). PRT provides more conformal radiation to the tumor with reduced dose to healthy brain parenchyma. Less radiation exposure to brain tissue beyond the tumor is thought to reduce neuropsychological sequelae. This systematic review aimed to provide an overview of published studies comparing neuropsychological outcomes between PRT and XRT.
Method:
PubMed, PsychINFO, Embase, Web of Science, Scopus, and Cochrane were systematically searched for peer-reviewed published studies that compared neuropsychological outcomes between PRT and XRT in pediatric brain tumor patients.
Results:
Eight studies were included. Six of the studies utilized retrospective neuropsychological data; the majority were longitudinal studies (n = 5). XRT was found to result in lower neuropsychological functioning across time. PRT was associated with generally stable neuropsychological functioning across time, with the exception of working memory and processing speed, which showed variable outcomes across studies. However, studies inconsistently included or considered medical and sociodemographic differences between treatment groups, which may have impacted neuropsychological outcomes.
Conclusions:
Despite methodological limitations, including limited baseline neuropsychological evaluations, temporal variability between radiation treatment and first evaluation or initial and follow-up evaluations, and heterogenous samples, there is emerging evidence of sociodemographic inequities in access to PRT. With more institutions dedicating funding towards PRT, there may be the opportunity to objectively evaluate the neuropsychological benefits of patients matched on medical and sociodemographic variables.
How do violations of predictability and plausibility affect online language processing? How does it affect longer-term memory and learning when predictions are disconfirmed by plausible or implausible words? We investigated these questions using a self-paced sentence reading and noun recognition task. Critical sentences violated predictability or plausibility or both, for example, “Since Anne is afraid of spiders, she doesn’t like going down into the … basement (predictable, plausible), garden (unpredictable, somewhat plausible), moon (unpredictable, deeply implausible).” Results from sentence reading showed earlier-emerging effects of predictability violations on the critical noun, but later-emerging effects of plausibility violations after the noun. Recognition memory was exclusively enhanced for deeply implausible nouns. The earlier-emerging predictability effect indicates that having word form predictions disconfirmed is registered very early in the processing stream, irrespective of semantics. The later-emerging plausibility effect supports models that argue for a staged architecture of reading comprehension, where plausibility only affects a post-lexical integration stage. Our memory results suggest that, in order to facilitate memory and learning, a certain magnitude of prediction error is required.
Survivors of childhood trauma are at increased risk of complex post-traumatic stress disorder (CPTSD). The Recovering from Child Abuse Programme (RCAP) is a cognitive behavioural therapy (CBT) group promoting adaptive coping strategies which may help overcome CPTSD symptoms in adult survivors of childhood trauma. We sought to explore patient experiences of factors influencing treatment acceptability and potential mechanisms of therapeutic change in a sample of participants in the RCAP programme. As the group was delivered during the COVID-19 pandemic, necessitating a transition to remote therapy, we further aimed to capture experiences of the transition to telehealth delivery of the programme. A naturalistic sample of 10 women with CPTSD attending a specialist out-patient psychological trauma service participated in the study. Therapy sessions were recorded, transcribed verbatim and group members completed written feedback forms following each session. Reflexive thematic analysis was used to analyse the written feedback and transcripts. The RCAP was acceptable to group members and several themes were identified related to the experience of change in the group. Key themes centred on group solidarity; safety in the psychotherapeutic process; schema changes related to the self, others and future catalysed by the shifting of self-blame; increased emotional regulation to feel safer in the present; and increased future optimism. Therapeutic progress continued following the transition to telehealth, although face-to-face delivery was generally preferred. The programme was acceptable and led to cognitive change, enabling increased emotional regulation in the present and improved self-concept, thereby addressing key symptoms of CPTSD.
Key learning aims
(1) To identify potential mechanisms of therapeutic change related to participation in the Recovery from Childhood Abuse group CBT intervention.
(2) To understand factors influencing acceptability of the group intervention among women with CPTSD to childhood sexual abuse.
While anecdotal evidence suggests that music may facilitate verbal memory, empirical evidence for this is less clear. Here, we examined whether learners’ characteristics such as age, working memory (WM), and musical training may influence the effect of music on word learning. Young and older adults learned novel word-referent mappings presented in three music conditions (spoken in the presence of background music, sung in-key, and sung out-of-key) and a control condition (spoken in quiet) and their performance was assessed immediately after learning. We found that whereas age and, to an extent, musical training had a general effect on word learning, WM modulated the effect of music: performance was worse in the music conditions relative to the control condition for learners with lower WM whereas the opposite pattern was observed for those with higher WM. Our results thus highlight the importance of considering individual characteristics in determining the effect of music on verbal memory.
School represents an important context for children’s social, moral, and identity development. Research indicates that supportive teacher-student relationships are significantly related to positive student academic achievement. Unfortunately, teacher bias as well as peer exclusion based on group identity (gender, race, ethnicity, and nationality) pervade many school contexts. The presence of these biases in the classroom is negatively related to students’ academic development, especially for children who are minoritized and marginalized. Very little research has connected teacher bias and children’s reasoning about bias and inequalities in the classroom context. The classroom is a complex environment in which to examine children’s social and moral reasoning about bias, given teachers’ position of authority which often includes power, status, and prestige. We propose that understanding both teacher bias and peer intergroup exclusion are essential for promoting more fair classrooms. This paper reviews foundational theory as well as the social reasoning developmental model as a framework for studying how children think about fairness and bias in the classroom context. We then discuss current research on children’s social-cognitive and moral capacities, particularly in the contexts of societal inequality and social inclusion or exclusion. Finally, this article proposes new directions for research to promote fairness and inclusivity in schools and suggests how these new lines of research might inform school-based interventions.
Behavioural science has found growing application in applied public policy settings, offering a vast literature to bring to bear on apparent cognitive errors. The potential, however, is not without peril. Policymakers and scholars may draw unwarranted confidence that successful behavioural interventions from elsewhere will replicate in their institutional settings. In this research, I partner with Minneapolis Public Housing and use a design-based approach to identify interventions that can reduce eviction actions. This study presents three vignettes that demonstrate and categorize the mistakes behavioural science can make when it fails to understand how formal and informal institutional features influence decision-making. But, in integrating methods and theories from the design sciences, public policy and public administration, we have the potential to create behavioural interventions that fit the social context.
Integrating services for depression into primary care is key to reducing the treatment gap in low- and middle-income countries. We examined the value of providing the Healthy Activity Programme (HAP), a behavioral activation psychological intervention, within services for depression delivered by primary care workers in Chitwan, Nepal using data from the Programme for Improving Mental Health Care.
Methods
People diagnosed with depression were randomized to receive either standard treatment (ST), comprised of psychoeducation, antidepressant medication, and home-based follow up, or standard treatment plus psychological intervention (T + P). We estimated incremental costs and health effects of T + P compared to ST, with quality adjusted life years (QALYs) and depression symptom scores over 12 months as health effects. Nonparametric uncertainty analysis provided confidence intervals around each incremental effectiveness ratio (ICER); results are presented in 2020 international dollars.
Results
Sixty participants received ST and 60 received T + P. Implementation costs (ST = $329, T + P = $617) were substantially higher than service delivery costs (ST = $18.7, T + P = $22.4) per participant. ST and T + P participants accrued 46.5 and 49.4 QALYs, respectively. The ICERs for T + P relative to ST were $4422 per QALY gained (95% confidence interval: $2484 to $9550) – slightly above the highly cost-effective threshold – and −$53.21 (95% confidence interval: −$105.8 to −$30.2) per unit change on the Patient Health Questionnaire.
Conclusion
Providing HAP within integrated depression services in Chitwan was cost-effective, if not highly cost-effective. Efforts to scale up integrated services in Nepal and similar contexts should consider including evidence-based psychological interventions as a part of cost-effective mental healthcare for depression.
Connectives such as however and since play an important role for marking coherence relations in discourse and therefore are crucial for reading comprehension, which in turn is a strong predictor of academic success. Most research on the acquisition of connectives targeted younger children. Yet there is evidence that connective development extends well into adolescence and even adult speakers have difficulties with some coherence relations when they are conveyed by infrequent connectives bound to the written mode. In this paper, we tested the use of connectives encoding different coherence relations and bound to either the oral or the written modes. We studied the performance of native French-speaking teenagers (N = 154, Mage = 14.43, range: 12–19) in a cloze task and also assessed whether teenagers’ vocabulary level and degree of exposure to print predicted the accuracy of connective use. Our findings show that the ability to use connectives appropriately increases with age. However, age played a lesser role compared to vocabulary knowledge and degree of exposure to print, thus indicating that lexicon size and reading habits are important factors explaining individual differences in the acquisition of connectives.
An earlier evaluation (Fox et al., 2014) highlighted reductions in risk behaviours and restrictive practices for women admitted to low secure dialectical behaviour therapy (DBT) unit. Since then, a value-based healthcare model has been adopted.
Aims:
To explore changes in health, social and psychological functioning, risk, quality of life, and in incidents of violence and restrictive practices, over the initial 12-month period of admission to a specialist DBT service.
Method:
Data were extracted from electronic clinical records for 41 women with emotionally unstable personality disorder admitted to a specialist integrated practice unit (IPU) providing a comprehensive DBT programme. Secondary analysis was conducted on an anonymous dataset of routinely collected outcome measures at baseline admission, and 6 and 12 months post-admission. ANOVAs and pairwise post hoc comparisons, and non-parametric equivalents, were conducted to examine changes in outcomes.
Results:
Findings showed statistically significant improvements in mental health scores on the ReQOL (p<.01), global, wellbeing, problems, functioning and risk scores on the COREOM (all p<.01), and severe disturbance, emotional wellbeing, socioeconomic status, risk and need scores on the HoNOS-Secure (all p<.05). Significant reductions in risk behaviours (p<.01) and restrictive practices (p<.01) were also apparent. The most substantiative improvements were largely demonstrated over a 12-month admission period.
Conclusions:
Admission to the DBT IPU yielded significant improvements on outcomes pertaining to quality of life, psychological distress, and risk. Importantly, these are outcomes that aligned with patients’ perceptions of recovery.
Prototype faces, created by averaging faces from several individuals sharing a common characteristic (for example a certain personality trait), can be used for highly informative experimental designs in face research. Although the facial prototype method is both ingenious and useful, we argue that its implementation is associated with three major issues: lack of external validity and non-independence of the units of information, both aggravated by a lack of transparency regarding the methods used and their limitations. Here, we describe these limitations and illustrate our claims with a systematic review of studies creating facial stimuli using the prototypes dataset ‘Faceaurus’. We then propose some solutions that can eliminate or reduce these problems. We provide recommendations for future research employing this method on how to produce more generalisable and replicable results.
Computerized neglect tests could significantly deepen our disorder-specific knowledge by effortlessly providing additional behavioral markers that are hardly or not extractable from existing paper-and-pencil versions. This study investigated how testing format (paper versus digital), and screen size (small, medium, large) affect the Center of cancelation (CoC) in right-hemispheric stroke patients in the Letters and the Bells cancelation task. Our second objective was to determine whether a machine learning approach could reliably classify patients with and without neglect based on their search speed, search distance, and search strategy.
Method:
We compared the CoC measure of right hemisphere stroke patients with neglect in two cancelation tasks across different formats and display sizes. In addition, we evaluated whether three additional parameters of search behavior that became available through digitization are neglect-specific behavioral markers.
Results:
Patients’ CoC was not affected by test format or screen size. Additional search parameters demonstrated lower search speed, increased search distance, and a more strategic search for neglect patients than for control patients without neglect.
Conclusion:
The CoC seems robust to both test digitization and display size adaptations. Machine learning classification based on the additional variables derived from computerized tests succeeded in distinguishing stroke patients with spatial neglect from those without. The investigated additional variables have the potential to aid in neglect diagnosis, in particular when the CoC cannot be validly assessed (e.g., when the test is not performed to completion).
Human decision-making is controlled by various factors including material cost–benefit considerations, values and beliefs, social influences, cognitive factors and errors. Among social influences, those by external authorities (e.g. educational, cultural, religious, political, administrative, etc.) are particularly important owing to their potential reach and power. To better understand the effects of ‘soft’ power of authorities we develop a unifying theoretical framework integrating material, cognitive and social forces controlling the joint dynamics of individual actions and beliefs. We apply our approach to three different phenomena: evolution of food sharing in small-scale societies, participation in political protests and effects of priming social identity in behavioural experiments. For each of these applications, we show that our approach leads to different (or simpler) explanations of human behaviour than alternatives. We highlight the type of measurements which can be helpful in developing practical applications of our approach. We identify and explicitly characterise the degree of mismatch between individual actions and attitudes. We assert that the effects of external authorities, of changing beliefs and of differences between people must be studied empirically, included in mathematical models, and accounted for when developing different policies aiming to modify or sustain human behaviour.
Psychology is a discipline with global influence, but continues to neglect disadvantaged minorities and continues to adopt an incorrect model of science. This volume explains what has gone wrong, and what steps should be taken for psychology to become a constructive international force. Historically, psychologists have focused only on causal explanations of behavior, neglecting normatively regulated behavior and intentionality. By giving greater importance to context and collective processes, moving from 'societies to cells,' psychologists can better understand and explain individual behavior. Poverty is an extremely powerful context that shapes cognitions and actions, with destructive consequences for disadvantaged individuals. The advocation of 'be happy psychology' and 'resilience' as solutions to problems faced by the disadvantaged leads to entrenched group-based inequalities, with the poor stuck at the bottom. Moving forwards, this volume proposes that psychologists should focus on normative systems to ultimately foster a more balanced field of study for the future.
Supporting the mental health and well-being of children and young people is a top priority for parents, caregivers and teachers, but it can be tricky to find reliable and evidence-based information. Written by an experienced child and adolescent psychiatrist, in a user-friendly question and answer format, this book outlines the mental health challenges facing our children and young people and offers practical advice on how to best support them. The book covers a wide range of topics, including how biological factors and lifestyle factors affect mental health, parenting strategies, managing school, building networks of support, and connecting with children and young people. It gives a broad overview of the most common mental health difficulties and disorders, and considers how they can be managed. A must read for anyone looking to understand what a child or young person may be experiencing and why, and the practical ways in which to effectively support them.
Bilingual children have better Theory-of-Mind compared to monolingual children, but comparatively little research has examined whether this advantage in social cognitive ability also applies to adults. The current study investigated whether multilingual status and/or number of known languages predicts performance on a mentalizing task in a large sample of adult participants. Multilingualism was decomposed based on whether English is the first language or not. All analyses controlled for well-known predictors of mentalizing, such as gender, same-race bias, and years of English fluency. We found a U-shaped trend, such that monolinguals and multilinguals did not differ much in their mentalizing ability, but bilinguals performed worse than monolinguals. Our study builds upon past work by examining a large sample of participants, measuring a crucial aspect of adult social cognition that has previously been unexplored, controlling for several nuisance variables, and investigating whether multilingualism leads to additional benefits in mentalizing abilities beyond bilingualism.
This review provides an update on what we know about differences in prediction in a first and second language after several years of extensive research. It shows when L1/L2 differences are most likely to occur and provides an explanation as to why they occur. For example, L2 speakers may capitalize more on semantic information for prediction than L1 speakers, or possibly they do not make predictions due to differences in the weighting of cues. A different weighting of cues can be the result of prior experience from the L1 and/or the prior experience in an experiment which affects L1 and L2 processing to a different extent. Overall, prediction in L2 processing often emerges later and/or is weaker than in L1 processing. Because L2 processing is generally slower, L1/L2 differences are likely to occur at certain levels of prediction, most notably at the form level, in line with a prediction-by-production mechanism.