102 results
Prospective evaluation of acute neurological events after paediatric cardiac surgery
- Olivia Frost, Deborah Ridout, Warren Rodrigues, Paul Wellman, Jane Cassidy, Victor T. Tsang, Dan Dorobantu, Serban C. Stoica, Aparna Hoskote, Katherine L. Brown
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- Cardiology in the Young , First View
- Published online by Cambridge University Press:
- 14 March 2024, pp. 1-9
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Objectives:
Children with CHD are at heightened risk of neurodevelopmental problems; however, the contribution of acute neurological events specifically linked to the perioperative period is unclear.
Aims:This secondary analysis aimed to quantify the incidence of acute neurological events in a UK paediatric cardiac surgery population, identify risk factors, and assess how acute neurological events impacted the early post-operative pathway.
Methods:Post-operative data were collected prospectively on 3090 consecutive cardiac surgeries between October 2015 and June 2017 in 5 centres. The primary outcome of analysis was acute neurological event, with secondary outcomes of 6-month survival and post-operative length of stay. Patient and procedure-related variables were described, and risk factors were statistically explored with logistic regression.
Results:Incidence of acute neurological events after paediatric cardiac surgery in our population occurred in 66 of 3090 (2.1%) consecutive cardiac operations. 52 events occurred with other morbidities including renal failure (21), re-operation (20), cardiac arrest (20), and extracorporeal life support (18). Independent risk factors for occurrence of acute neurological events were CHD complexity 1.9 (1.1–3.2), p = 0.025, longer operation times 2.7 (1.6–4.8), p < 0.0001, and urgent surgery 3.4 (1.8–6.3), p < 0.0001. Unadjusted comparison found that acute neurological event was linked to prolonged post-operative hospital stay (median 35 versus 9 days) and poorer 6-month survival (OR 13.0, 95% CI 7.2–23.8).
Conclusion:Ascertainment of acute neurological events relates to local measurement policies and was rare in our population. The occurrence of acute neurological events remains a suitable post-operative metric to follow for quality assurance purposes.
3 The Aesthetics of Empathy in Agenesis of the Corpus Callosum
- Kutter D Callaway, Kaitlyn A Nogales, Lynn K Paul, Warren S Brown
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- Journal:
- Journal of the International Neuropsychological Society / Volume 29 / Issue s1 / November 2023
- Published online by Cambridge University Press:
- 21 December 2023, pp. 6-7
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Objective:
Previous research suggests that individuals with isolated Agenesis of the Corpus Callosum (AgCC) have cognitive and psychosocial deficiencies that include impaired recognition of the emotions of others (Symington et al., 2010) and a diminished ability to infer and describe the emotions of others (Paul et al., 2021; Turk et al., 2010). In addition, galvanic skin responses effectively discriminated between emotional images despite atypical emotion ratings (Paul et al, 2006), supporting a dissociation between cognitive and affective empathy in AgCC. Likewise, atypical patterns of visual attention to faces corresponded with impaired emotion recognition in AgCC (Bridgman et al, 2014), suggesting that atypical visual attention in AgCC negatively impacts the ability to identify others’ emotions. This study used the Multifaceted Empathy Test [MET] (Foell et al., 2018) to examine the impact of visual aesthetics (photo composition) on empathetic feelings (affective empathy) and situational emotion recognition (cognitive empathy) in persons with AgCC. Both cognitive and affective empathy scores are typically higher on MET stimuli composed according to the “Golden Spiral” (Callaway, 2022).
Participants and Methods:Results from 50 control participants recruited from Cloud Research were compared to responses from 19 participants with AgCC and normal-range FSIQ (>80). Data was gathered through an online version of the MET, which uses a series of photographs of individuals displaying an emotion, half of which adhere to the compositional technique known as “The Golden Spiral.” To measure cognitive empathy, the participants are asked to pick the correct emotion being displayed with three distractors for each item. To measure affective empathy, they are then asked on a sliding scale, “how much do you empathize with the person shown” (1 = Not at all, 7 = Very much).
Results:Repeated measures mixed ANOVAs revealed no difference between AgCC and control groups on affective empathy, and as expected on the MET, both groups had significantly higher ratings for photos composed according to the Golden Spiral (AgCC, np2 = .071; control, np2 = .136). In contrast, the AgCC group scored significantly lower than controls overall on cognitive empathy, np2 =.065. Exploratory post-hoc found a significant group difference in cognitive empathy only on photos composed according to the Golden Spiral, np2 = .090, with the scores in the AgCC group unimpacted by composition type while the control group exhibiting significantly higher scores Golden Spiral images, np2 = .254.
Conclusions:Empathic deficits in AgCC were restricted to the cognitive component, while affective empathy was not impaired. Visual aesthetics of photo composition influenced affective empathy ratings in both AgCC and control groups. However, adults with AgCC had diminished ability to give cognitive labels to the emotional states of others, which was not enhanced by the formal aesthetics of stimuli. Thus the corpus callosum seems to facilitate the ability to cognitively label emotions by facilitating visual attention. It also suggests that the corpus callosum does not facilitate affective empathy, in part because it does not appear to determine whether formal aesthetics influences the processing of visual stimuli in AgCC or neurotypical controls.
41 Aesthetic Perception in Agenesis of the Corpus Callosum
- Nathan M. LeFebre, Kutter D. Callaway, Lynn K. Paul, Warren S. Brown
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- Journal:
- Journal of the International Neuropsychological Society / Volume 29 / Issue s1 / November 2023
- Published online by Cambridge University Press:
- 21 December 2023, p. 829
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Objective:
Agenesis of the Corpus Callosum (AgCC) is the congenital absence of all or part of the corpus callosum. Previous research has demonstrated that isolated AgCC results in a pattern of cognitive and psychosocial deficiencies, even when FSIQ is in the normal range (FSIQ > 80; Brown & Paul, 2019). Importantly, individuals with AgCC have been shown to provide narratives containing fewer emotional words, social interactions, and mental inferences on the Thematic Apperception Test (TAT; Turk et al., 2009). Similarly, research has suggested deficits in the elaborative imagination of persons with AgCC when they are providing narrative descriptions of simple animations (Renteria-Vasquez et al., 2021). Such findings raise questions about aesthetic perception in AgCC. While previous research has demonstrated differences in aesthetic perception among other neuropsychological populations (e.g. Parkinson's Disease; Lauring et al., 2019), there is no research reported regarding aesthetic appreciations in AgCC. The present study employed the Assessment of Art Attributes (AAA; Chatterjee et al., 2010) to compare the conceptual and perceptual aspects of aesthetic perception of persons with AgCC to neurotypical control participants. Prior investigation by Bromberger and colleagues (2011) utilized the AAA to examine the aesthetic perception of persons with right hemisphere lesions, finding deviations in judgements of abstractness, symbolism, realism, and animacy– all classified as “conceptual attributes.” Based on these findings, it was predicted that individuals with AgCC would rate paintings differently than neurotypical controls on conceptual attributes, but not on perceptual attributes.
Participants and Methods:Thirteen persons with AgCC and 49 neurotypical individuals completed the AAA. After completing measures of artistic experience and colorblindness, participants rated 24 paintings on 14 attributes. Balance, color saturation, color temperature, depth, simplicity, and stroke made up the “perceptual scales,” while abstractness, animacy, emotion, objective accuracy, realism, interest, and preference made up the “conceptual scales.”
Results:Following Bromberger and colleagues (2011), average ratings from all control participants were used to rank the 24 paintings for each scale. Spearman's rank-order correlations were then conducted between the rankings of each participant and the average of the controls for each scale. Spearman's rho coefficients were then compared between AgCC and control groups using t-tests, controlling for multiple comparisons. As hypothesized, the AgCC group had significant deviations from the average of the controls (lower rho values) on several conceptual attributes: Abstractness (p = .004, d = .11), emotion (p < .001, d = .12), and interest (p < .001, d = .18), whereas individuals with AgCC deviated on only one perceptual attribute: Simplicity (p = .003, d = .12).
Conclusions:While generally unremarkable in the sensory aspects, persons with AgCC demonstrated greatest differences in three important conceptual aspects of aesthetic perception. This outcome suggests that such higher-order aesthetic appreciations require interhemispheric interactivity. These results further support the hypothesis that decreased elaborative imagination is a fundamental component of AgCC.
5 Social perception and ability to evaluate sincerity of speech impacted by childhood hemispherectomy
- Mitchell R Spezzaferri, Lynn K Paul, Warren S Brown
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- Journal:
- Journal of the International Neuropsychological Society / Volume 29 / Issue s1 / November 2023
- Published online by Cambridge University Press:
- 21 December 2023, p. 513
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Objective:
Hemispherectomy (HE) is a surgical intervention to treat intractable epilepsy. It involves disconnecting or removing the right or left cerebral hemisphere, depending on the location of the pathological substrate or epileptogenic activity. HE impacts neural functions related to social cognition (Fournier et al., 2008). This study investigates the effects of childhood HE on social deception and sarcasm using the Thames Awareness of Social Inferences Task (TASIT; McDonald, Flanagan, & Rollins, 2010) to explore emotion identification and social inference appraisal as adults.
Participants and Methods:Fifteen adults with hemispherectomy and 16 neurotypical controls completed the TASIT. All HE patients underwent hemispherectomy (right-HE = 10) during childhood (age of surgery = 3 months to 16 years) and had FSIQ > 70 at the time of study. HE and control groups were matched for age (HE M = 25.7, SD = 5.4; control M = 27.1, SD = 10.7) and education (HE M = 14.0, SD = 1.88; control M = 13.3, SD = 1.8). FSIQ was significantly lower in the HE group than control group (HE M= 90.8, SD = 9.4; control (M = 100.4, SD = 7.1). TASIT uses videotaped vignettes to assess aspects of social perception: emotion recognition (Part 1), social inference regarding sincerity, simple sarcasm, and paradoxical sarcasm (Part 2) and social inference regarding sincerity of speech (lie vs sarcasm) in the presence of additional text or visual cues (Part 3).
Results:For Part 1, MANCOVA (covarying FSIQ) found no group difference in emotion identification. Analysis of data from Part 2 was conducted using repeated measures ANCOVA accounting for 2 groups x 3 conditions (sincere, simple sarcasm, and paradoxical sarcasm) and revealed only a significant overall group effect, F (1, 28) = 5.72, p = .024, np2 = .170. Likewise, analysis of Part 3 using repeated measures ANCOVA accounting for 2 groups x 2 cue types (visual, text) and 2 actor intentions (lie, sarcasm) revealed only a significant overall group effect, F (1,28) = 11.35, p = .002, np2 = .288, with no interaction of group by condition.
Conclusions:HE patients exhibited no difficulty identifying basic emotional expressions. Performance was significantly impaired when additional social information was added to the context (i.e., detecting sarcasm or deception). HE patients begin to struggle with the complexity of new social information or how it changes the meaning of a conversation. Even simple sarcastic exchanges are difficult to interpret. When a visual or textual cue was introduced to reveal the true state of affairs, HE patients could not could integrate the information into their interpretations of the scenario. There are unique contributions of the left and right hemispheres to cognitive processes for complex social behavior, and absence of an entire hemisphere results in deficits in social language comprehension. Future research should investigate performance differences in left vs. right HE patients.
2 Musical perception skills in Agenesis of the Corpus Callosum
- Kameron J Rigg, Matthew Wallace, Kutter D Callaway, Lynn K Paul, Warren S Brown
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- Journal:
- Journal of the International Neuropsychological Society / Volume 29 / Issue s1 / November 2023
- Published online by Cambridge University Press:
- 21 December 2023, pp. 5-6
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Objective:
Agenesis of the corpus callosum(AgCC) is a disorder in which the connection between the two brain hemispheres is congenitally absent. Previous research has suggested that the auditory system can be affected in individuals with AgCC (Demopoulos et al., 2015). However, the nature of AgCC’s effect on musical perception skills is unclear. This study investigated the impact of AgCC on the music perception skills in high-functioining adults using a brief version of the Profile of Music Perception Skills (PROMS; Zentner, M. & Strauß, H. 2017). It was hypothesized that individuals with AgCC would have diminished music perception abilities when compared to a neurotypical control group.
Participants and Methods:Participants included 10 high-functioning adults with AgCC that had an intelligence quotation within the normal range (FSIQ>80) and 63 neurotypical controls who were recruited via Cloud Research. During the PROMS the participants were asked to listen to two different sound excerpts after which they were asked whether the second sound was the same or different from the first (correct answers= 2 points, uncertain answers= 1 point, and remaining answers not coded). The participants answered questions in four different areas of musical perception: Melody, Tuning, Accent, and Tempo.
Results:Results indicated that there was not a significant difference between the control group and the AgCC participants on music perception skills on the overall PROMS scores F(1,72)= .365, P-value= .548. Tested individually, none of the 4 individual domains showed a significant difference: Melody F(1,72)=2.67, P-value= .107; Tuning F(1,72)= .271, P-value= .606; Accent F(1,72)= .017, P-value= .897; or Tempo F(1,72)=.106, P-value= .746.
Conclusions:Contrary to the hypothesis of this study, the results showed that the participants with AgCC did not perform significantly differently in the PROMS total score when compared to neurotypical controls, nor were there significant differences in any of the four of the subtests (Melody, Tuning, Accent, and Tempo). Thus these high-functioning individuals with AgCC did not have deficient music perception abilities. These findings demonstrate that although the auditory system may be affected in some individuals with AgCC, we do not see differences in musical perception skills in high-functioning individuals with AgCC.
1 Exploratory Factor Analysis of the Core Neurocognitive Syndrome in Agenesis of the Corpus Callosum
- Enya Valentin, Lynn K Paul, Warren S Brown
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- Journal:
- Journal of the International Neuropsychological Society / Volume 29 / Issue s1 / November 2023
- Published online by Cambridge University Press:
- 21 December 2023, pp. 4-5
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Objective:
A previous review of the syndrome of Agenesis of the Corpus Callosum (ACC) identified three primary deficits: reduced interhemispheric transfer of sensory motor information, slowed cognitive processing, and deficits in complex problem solving (Brown & Paul, 2019). Interaction of these three deficits contributes to a variety of secondary cognitive and psychosocial deficiencies across domains. Recent research has also identified a possible fourth core deficit in ACC: restricted capacity for elaborative thought and creativity (Renteria et al., 2022; Bogen & Bogen 1988). We examined the syndrome of ACC using an exploratory factor analysis of neuropsychological test data (not including data regarding interhemispheric transfer) and hypothesized it would organize into factors of (1) reduced cognitive processing speed, (2) difficulty with complex problem solving, and (3) difficulty with creative tasks.
Participants and Methods:The present study analyzed archival data from individuals with ACC (N=60) acquired from common neuropsychological instruments: D-KEFS, WAIS-III, and WRAT-2. Among the participants, 13 had partial ACC, 1 was unspecified, and the remainder had complete ACC. The participants’ ages ranged from 7 to 55 years (M = 21.55, SD = 12.36), with an education level that ranged from 2 to 19 years (M = 11.59, SD = 3.77). All participants had complete data for at least one assessment and all available data was included. Missing values (49.85%) were excluded from analysis. Factor analysis (principal factor solution with promax rotation) was conducted with 33 commonly derived summary (standard) scores. Horn’s Parallel Analysis recommended a 4-factor solution, but we elected to generate a 3-factor model that would more closely follow previous literature.
Results:Factor one involved processing speed and was comprised primarily of D-KEFS Color Word Interference Word Reading (1.02) and Color Naming (.78), D-KEFS Trail Making Test Visual Scanning (.86) and Number Sequencing (.74), and WAIS-III Processing Speed Index (.68). The second factor included several problem solving measures [e.g. D-KEFS Sorting Test Free Sorting (.90) and Sort Recognition (.90), and WAIS-III Perceptual Organization Index (.72)], as well as several additional measures including WAIS-III Working Memory Index (.84), WRAT-2 Arithmetic (.83), and WAIS-III Verbal Comprehension Index (.80). Finally, the third factor involved several measures requiring mental flexibility and cognitive control [e.g. D-KEFS Twenty Questions Test Achievement Score (.70), D-KEFS Design Fluency Switching Condition (.56), and D-KEFS Trail Making Test Number-Letter Switching Condition (.44)], as well as a measure of single word reading [WRAT-2 Reading (.66)].
Conclusions:The findings support inclusion of slowed cognitive processing speed as a core feature of the neurocognitive syndrome in ACC described by Brown and Paul (2019). The second factor is partially consistent with a deficit in complex problem solving, but is not restricted to that cognitive domain. Likewise, the third factor is largely related to mental flexibility and control (one aspect of creativity), but is not restricted to that domain. Future attempts to model the neurocognitive syndrome of ACC may provide greater clarity by including a wider range of cognitive and psychosocial indices and excluding individuals with comorbid neuropathology.
39 Empathic Abilities of Individuals with Agenesis of the Corpus Callosum
- Kaitlyn A. Nogales, Kutter D. Callaway, Lynn K. Paul, Warren S. Brown
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- Journal:
- Journal of the International Neuropsychological Society / Volume 29 / Issue s1 / November 2023
- Published online by Cambridge University Press:
- 21 December 2023, pp. 827-828
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Previous research suggests that individuals with isolated Agenesis of the Corpus Callosum (AgCC) have cognitive and psychosocial deficits including that of complex processing of emotions (Anderson et al., 2017) and their ability to verbally express emotional experiences (Paul et al., 2021). Additionally, research suggests individuals with AgCC show impaired recognition of the emotions of others (Symington et al., 2010), as well as diminished ability to infer and describe the emotions of others (Renteria-Vazquez et al., 2022; Turk et al., 2010). However, the nature of the empathic abilities of individuals with AgCC remains unclear in empirical research. Capacity for empathetic feelings and situational recognition in persons with AgCC were tested using the Multifaceted Empathy Test [MET] (Foell et al., 2018). We hypothesized that individuals with AgCC would have lower abilities for both cognitive and affective empathy than neurotypical controls.
Participants and Methods:Results from 50 neurotypical control participants recruited from MTurk Cloud were compared to responses from 19 AgCC participants with normal-range FSIQ (>80) drawn from the individuals with AgCC involved with the Human Brain and Cognition Lab at the Travis Research Institute. The research was completed through an online version of the MET. The MET uses a series of photographs of individuals displaying an emotion. To measure cognitive empathy, the participants are asked to pick the correct emotion being displayed with three distractors for each item. To measure affective empathy, they are then asked on a sliding scale, “how much do you empathize with the person shown” (1 = Not at all, 7 = Very much).
Results:Results of a MANOVA showed a trend for a significant overall difference between individuals with AgCC and controls for empathic abilities F(1, 67) = 2.59, p-value = .082, with persons with AgCC showing less empathy overall. Follow-up one-way ANOVAs showed that individuals with AgCC scored significantly lower in cognitive empathy F(1, 67) = 4.63, p-value = .035, ηp2 = .065; however, affective empathy was not significantly different between groups F(1, 67) = .537, p-value = .466, ηp2 = .008.
Conclusions:Results suggest that adults with AgCC have a diminished ability to give cognitive labels to the emotional states of others compared to neurotypical controls. However, contrary to our hypothesis, participants with AgCC had affective responses to the pictures of the emotional states of others which were similar to neurotypical controls. Recent research has shown that individuals with AgCC have difficulty inferring and elaborating on the more complex cognitive, social, and emotional aspects of simple animations (Renteria-Vazquez et al., 2022; Turk et al., 2010). Cognitive empathy would require this form of elaborative thinking, even when affective empathy is normal. Similarly, Paul et al. (2021) described alexithymia in persons with AgCC as difficulty in expressing emotions linguistically, but found similar endorsements of emotional experience when compared to neurotypical controls. This study provides further evidence to suggest the corpus callosum facilitates the ability to cognitively label emotions but not necessarily the ability to experience emotions affectively.
1 Moral Reasoning in Individuals with Agenesis of the Corpus Callosum
- Edita Shahnazarian, Kutter D Callaway, Lynn K Paul, Warren S Brown
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- Journal:
- Journal of the International Neuropsychological Society / Volume 29 / Issue s1 / November 2023
- Published online by Cambridge University Press:
- 21 December 2023, pp. 681-682
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Objective:
Previous research has demonstrated that individuals with Agenesis of the Corpus Callosum (AgCC), the congenital absence of all or part of the corpus callosum, exhibit a pattern of cognitive and psychosocial deficits, even with a FSIQ in the normal range (FSIQ > 80; Brown & Paul, 2019). This includes a core deficit in their complex reasoning and novel problem-solving (Brown & Paul, 2019), with secondary deficits in capacity to imagine complex emotional/cognitive consequences of potential actions involving others (Young et al, 2019), deficits in emotion
perception (Symington et at., 2010, Bridgman et al 2014), and difficulty with cognitively processing emotions within the context of social interactions (Anderson et al., 2017). This constellation of deficits is likely to also impact moral reasoning. While previous research has demonstrated differences in moral reasoning among other neuropsychological populations such as those with ventromedial prefrontal damage (Moretto et al., 2010) and frontotemporal dementia (Gleichgerrcht et al., 2011), there is no research reported regarding moral judgements in AgCC. This study employed the Moral Dilemmas Scale (Greene, 2001) to compare the moral judgements of persons with AgCC to neurotypical controls. It was predicted that individuals with AgCC would be less contextually nuanced than neurotypical controls in responding to moral dilemmas.
Participants and Methods:Results consist of data derived from 57 neurotypical control participants (ages 23 to 64 years) recruited from MTurk Cloud and 19 AgCC participants (ages 23 to 77 years) with normal-range FSIQ (>80) drawn from the individuals with AgCC involved with the Human Brain and Cognition Lab at the Travis Research Institute. All participants completed an online version of the Moral Dilemmas Scale (Greene, 2001). The scale consists of 25 dilemmas, of which 11 are considered high-conflict, 7 low-conflict and 7 impersonal. Participants were instructed to read each dilemma and rate whether they found the action to be “appropriate” or not. The high-conflict dilemmas share a similar structure in which responses reflect either a utilitarian or deontological judgement.
Results:“Approve” responses to each of the 3 categories of dilemma were separately tallied for each individual and subjected to a 2group ANOVA. Results revealed the control group produced a significantly higher rate of “appropriate” responses to high-conflict dilemmas than did the individuals with AgCC (F=8.17, p = .006, n2 =.113). However, no significant differences were found among the two groups for results on low (n2 = .013) and impersonal (n2 = .003) dilemmas alone. Furthermore, a X2 analysis of responses to each high conflict dilemma revealed a significant difference in 5 out of the 11 such that more persons with AgCC gave a deontological judgement.
Conclusions:Results suggested that adults with AgCC respond similarly to neurotypical controls with respect to the low conflict or
impersonal dilemmas. However, with respect to high conflict dilemmas, compared to controls they tend to respond in a more deontological than utilitarian basis - that is, based on general principles without contextual nuance. These findings are consistent with the conclusion of Renteria-Vasquez et al. (2021) that persons with AgCC have difficulty imagining the wider implications of present information.
Evaluation of a rapid diagnostic test for measles IgM detection; accuracy and the reliability of visual reading using sera from the measles surveillance programme in Brazil, 2015
- Lenesha Warrener, Nick Andrews, Halima Koroma, Isabella Alessandrini, Mahmoud Haque, Cristiana C. Garcia, Aline R. Matos, Braulia Caetano, Xenia R. Lemos, Marilda M. Siqueira, Dhanraj Samuel, David W. Brown
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- Journal:
- Epidemiology & Infection / Volume 151 / 2023
- Published online by Cambridge University Press:
- 04 August 2023, e151
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Laboratory-based case confirmation is an integral part of measles surveillance programmes; however, logistical constraints can delay response. Use of RDTs during initial patient contact could enhance surveillance by real-time case confirmation and accelerating public health response. Here, we evaluate performance of a novel measles IgM RDT and assess accuracy of visual interpretation using a representative collection of 125 sera from the Brazilian measles surveillance programme. RDT results were interpreted visually by a panel of six independent observers, the consensus of three observers and by relative reflectance measurements using an ESEQuant Reader. Compared to the Siemens anti-measles IgM EIA, sensitivity and specificity of the RDT were 94.9% (74/78, 87.4–98.6%) and 95.7% (45/47, 85.5-99.5%) for consensus visual results, and 93.6% (73/78, 85.7–97.9%) and 95.7% (45/47, 85.5-99.5%), for ESEQuant measurement, respectively. Observer agreement, determined by comparison between individuals and visual consensus results, and between individuals and ESEQuant measurements, achieved average kappa scores of 0.97 and 0.93 respectively. The RDT has the sensitivity and specificity required of a field-based test for measles diagnosis, and high kappa scores indicate this can be accomplished accurately by visual interpretation alone. Detailed studies are needed to establish its role within the global measles control programme.
The Criminalization of Violence in the Medieval West
- Edited by Hannah Skoda, University of Oxford
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- Book:
- A Companion to Crime and Deviance in the Middle Ages
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- Amsterdam University Press
- Published online:
- 14 February 2024
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- 30 June 2023, pp 326-341
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Summary
TO TALK ABOUT when and how violence in the medieval West became criminal, we need first to decide what we mean by “violence” and what we mean by “criminal.” We also need to decide when our definitions might apply. The meanings of the English words “violence” and “crime,” and the Latin and French words on which they are based, have changed considerably over time. If we go into the Middle Ages using them in ways that its denizens would not have understood, we risk misunderstanding and mischaracterizing the period. We would also miss an opportunity. For much of the Middle Ages, what constitutes “violence” and what constitutes “crime” are moving targets. The ways that these words and their meanings evolved over the course of the period both reflect and help us see the process by which many if not most acts of what we would call violence came to be thought of as what we would call crimes.
In modern legal English (as opposed to broader popular or literary usage), the word “crime” covers offences against the common good as defined by the law, and punishable by the state whose job it is to uphold the law. Crimes are therefore tantamount to offences against the state as the representative of society as a whole, as opposed to actions that cause harm to person or groups qua persons or groups (i.e., civil wrong, or tort). The word of course has a medieval antecedent; it derives from the Latin crimen, through the old French crime. But for much of the Middle Ages, crimen had a much more flexible and extensive semantic field than that of the modern word crime. It could refer to a broad range of wrongs or offences. It was not restricted to any particular category of acts, save that it might lean towards the idea of sin. “Crime” as a legal category with something like its modern meaning only begins to emerge from the twelfth century onwards.
“Violence” in modern English covers more or less all acts of destructive force against people or objects. It is also morally neutral; we can talk about justified and unjustified violence. The word first emerges in English in the later Middle Ages, at the turn of the fourteenth century, with more or less the same semantic field.
5 - Laypeople and Property
- from Part II - The Laity
- Warren C. Brown, California Institute of Technology
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- Book:
- Beyond the Monastery Walls
- Published online:
- 09 December 2022
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- 29 December 2022, pp 151-175
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The formulas show us property transactions among laypeople that are fundamentally similar to those between laypeople and ecclesiastical institutions that we see in the extant charters. Laypeople sold or gave property to each other, or exchanged it with each other, and they used documents to do it. However, the formulas broaden our view of the sorts of transactions laypeople engaged in and who engaged in them. For example, different kinds of property changed hands: not simply arable but also vineyards, plots of land within cities, and even townhouses. People used property as security for loans. Laypeople also arranged to hold property as benefices, or as so-called precarial grants, not only from churches/monasteries or kings but also from each other. One person used a benefice arrangement with a king to pass property to a chosen heir, in much the same way as others did with monasteries. The evidence in the formulas for these sorts of arrangements suggests that the property arrangements between lay families and ecclesiastical institutions or kings that dominate the charter record reflect only part of a larger culture, in which a variety of people in the Carolingian world used property to create and maintain ties with each other.
2 - The Manuscript
- from Part I - The Gate
- Warren C. Brown, California Institute of Technology
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- Beyond the Monastery Walls
- Published online:
- 09 December 2022
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- 29 December 2022, pp 38-79
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This chapter works through the evidence that connects Paris 2123 and the Flavigny formulas to a real historical world; that is, the evidence that the scribes who copied the formulas understood the texts that they were copying and thought that they were important and relevant. It first takes up the evidence that connects Paris 2123 to Flavigny, and works through the manuscript’s entire contents to establish the context for the Flavigny formulas themselves. It then shows how scribes behind the Flavigny collection deliberately selected their formulas; that is, chose which to copy, which to discard, and how to arrange them, and how they merged and blended preexisting material to create the formulas that they wanted. It also demonstrates the care the scribes took in copying the formulas; that is, in organizing them and making them easy to refer to, correcting mistakes, clarifying obscure language, and so on. From this material the chapter works outwards to similar evidence in other formula manuscripts, in order to further demonstrate that the formulas are not disembodied texts, but in fact have a historical context that lets us anchor them in a real world and use them as sources to learn something about that world.
Figures
- Warren C. Brown, California Institute of Technology
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- Book:
- Beyond the Monastery Walls
- Published online:
- 09 December 2022
- Print publication:
- 29 December 2022, pp ix-ix
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7 - Conflict and Justice
- from Part II - The Laity
- Warren C. Brown, California Institute of Technology
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- Beyond the Monastery Walls
- Published online:
- 09 December 2022
- Print publication:
- 29 December 2022, pp 216-251
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Summary
Many of the formulas dealing with conflict highlight formal courts and judicial processes. Others represent extrajudicial settlements. In this respect they match, though in an entirely lay context, the picture of early medieval dispute settlement visible in other sources. They make particularly clear, however, that judicial and extrajudicial settlements were points on a complex and intertwined continuum. They also tell us that people – both litigants and authority figures – could manipulate and abuse judicial processes for their own purposes. The formulas are particularly interested in interpersonal violence. We find men assaulting each other on the road and taking each other’s property. We find men killing others for a variety of reasons. Those who committed homicide not only negotiated the payment of the required blood price, but actually paid it – and had their payment recorded in a security that protected them from any further trouble. Women too are accused of homicide, sometimes by poison or sorcery but sometimes by more active means. In the end, the formulas suggest that a culture assuming a right to personal violence was alive and well in the Carolingian period, despite strenuous efforts especially by Charlemagne and Louis the Pious to regulate it.
4 - Laypeople and Documents
- from Part II - The Laity
- Warren C. Brown, California Institute of Technology
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- Beyond the Monastery Walls
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- 09 December 2022
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- 29 December 2022, pp 121-150
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Summary
This chapter works through the evidence that in the world envisioned by the Flavigny formula collection and its companions, lay people used documents and letters like those that the formula collections contain to do things that did not involve churches and monasteries, and explore how the formulas say that they used them. This evidence is considerable, and extends well beyond laypeople simply appearing as actors in transactions that were recorded in writing. It includes transactions assuming in principle that the actors involved would keep the records for future reference: laypeople presenting documents as evidence in disputes; provisions for laypeople to update their documents by erasing parts of them and then writing in new words; documents that refer to other documents; references to lay archives, particular some that had been destroyed and whose contents needed to be replaced. Socially document use ranges from members of the elites, to unfree acquiring documents giving them freedom or presenting documents as proof that they had been free to begin with, to lower-status people showing up in front of someone with higher status with a letter of recommendation, to merchants carrying copies of royal privileges with them.
Dedication
- Warren C. Brown, California Institute of Technology
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- Book:
- Beyond the Monastery Walls
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- 09 December 2022
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- 29 December 2022, pp v-vi
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Part I - The Gate
- Warren C. Brown, California Institute of Technology
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- Book:
- Beyond the Monastery Walls
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- 09 December 2022
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- 29 December 2022, pp 1-118
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10 - Conclusions
- from Part II - The Laity
- Warren C. Brown, California Institute of Technology
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- Beyond the Monastery Walls
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- 09 December 2022
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- 29 December 2022, pp 321-355
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Summary
This chapter pulls together the previous chapters’ conclusions about the early medieval laity. It then asks why new, Carolingian-style formula collections stopped being made in the course of the tenth century. After surveying possible answers offered by the scholarship, it suggests – while acknowledging that we will likely never know for certain – another, namely that they continued to be produced as long as scribes wanted to write their documents and letters like others were writing theirs, for a clientele whose interests could span very long distances. As the Carolingian world disintegrated in the later ninth and tenth centuries, this became less important. The chapter closes with the history of the manuscript Paris, BNF, ms. lat. 2123, as it disappears from view, surfaces in the early modern period, arrives at the Bibliothèque Nationale de France, and ends up in the hands of Karl Zeumer as he edited the formulas for the Monumenta Germaniae Historica. It discusses the strengths and weaknesses of the MGH edition, the impact that Zeumer’s editorial methods had on the formula texts and their images of the laity, and the resulting dangers of treating this edition, rather than the surviving manuscripts, as a primary source.
1 - Introduction
- from Part I - The Gate
- Warren C. Brown, California Institute of Technology
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- Book:
- Beyond the Monastery Walls
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- 09 December 2022
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- 29 December 2022, pp 3-37
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Summary
This chapter introduces the formulas as a source genre and in particular the manuscript and formula collection that occupies the center of this study: Paris, BNF ms. lat. 2123 and the formulas from Flavigny. It also introduces the concepts “early medieval Europe” and “early medieval laity,” in order to frame the questions that shape the book. The chapter briefly describes how the category “lay” even came to exist; that is, how and when a category “clerical” distilled out of late and post-Roman Christian society and came by the Carolingian period to separate clergy and monks from laypeople. From there it moves into what we know about how lay people lived their lives in post-Roman and early medieval Frankish Europe, and what remains unknown that makes it worth writing a new book about. The chapter then sets the Flavigny formulas in the context of the other Carolingian formula collections, presenting it (and them) as a gateway into a different world. Finally, the chapter briefly outlines the steps we need to open the gate and to understand what we see on the other side, and the topics we will explore when we get there.
8 - Power, Personal Relationships, and Letters
- from Part II - The Laity
- Warren C. Brown, California Institute of Technology
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- Book:
- Beyond the Monastery Walls
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- 09 December 2022
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- 29 December 2022, pp 252-283
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Summary
This chapter illuminates a key characteristic of lay society in the Carolingian period: it was built on personal relationships, such as those between lords and their followers, vassals, or unfree, between patrons and clients, between friends – in short, between those who could offer help and those who needed it. The importance of these relationships is revealed above all in formulas for letters, in which clients asked patrons for help or asked them to intercede with other powerful people to help them solve problems, or in which people with power wrote to an equal or superior on behalf of a supplicant. These letters reach very far down the social scale. Some deal with unfree who have gotten into difficulties and have asked a patron for help. Quite a few tell of unfree who have gotten in trouble with their own lord and run to another powerful person – such as the Carolingian courtier and lay abbot Einhard – to beg his intercession. They show us a society in which power appears to have flowed through these personal relationships as or perhaps more strongly than it did through lines that we might describe as connecting governing and governed, or ruling and ruled.