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Completing the arc from the desire to assert membership and rights as an handicapé, the final chapter considers how disabled Kinois turned away from this identity to pursue one of becoming a responsable, someone ‘responsible [for others]’. While controversial, begging and brokering gave access to hard-won economic resources that made it possible to have and care for children. Aspiring to such responsibilities, disabled people showed that integrating economic and social values was both means and ends. By successfully fulfilling the responsibilities of parenthood – the comparatively stable, higher value of social respectability that was once considered impossible for disabled people to achieve – they sought to become ‘valuable people’ (batu ya valeur). Claiming full adult personhood, they both conformed to and transformed the measurement of this highest regime of personhood, enjoining a debate over whether it is good to have many or fewer, well-supported children. Between action and aspiration, a testing and critiquing disposition towards value demonstrates how the extraordinary livelihood strategies of disabled people in the margins of urban society may be a most productive stage from which to examine the emerging debates about what is, or should be, good in society.
This study aimed to examine the experiences of self-identification, diagnosis, and support for adults with tic disorders (including Tourette Syndrome) in the United Kingdom (UK).
Background:
Traditionally viewed as a neurological disorder of childhood-onset, tic disorders have been observed to remit or persist, often in a milder form, into adulthood. However, the reappearance of problematic symptoms after periods of asymptomatic latency might be more common than previously recognized. The medical exposure and standardization of clinical practice for primary adult-onset or non-typical adult-presenting cases of tic disorders is currently limited and poses barriers to diagnosis.
Methods:
An online survey of 42 adults with self-identified tic symptomology explored their tic recognition and journey of attaining a confirmed diagnosis and/or self-identifying after the age of 18 in the UK.
Findings:
No significant differences were found between adult and childhood-onset cases. Elevated scores on the Acceptance and Action Tic Specific Questionnaire (AAQ-T) correlated with higher overall frequency, intensity, and severity of motor tics from the Adult Tic Questionnaire (ATQ). The AAQ-T was also shown to negatively correlate with increasing age. Nearly all adults expressed dissatisfaction with the diagnostic process, especially regarding information provided and lack of post-diagnostic support. Those who self-identified quoted fear of dismissal, long waiting lists and lack of understanding from clinicians as reasons for not seeking a formal diagnosis. Overall, the results emphasize the importance for a standardized improved comprehension of tic conditions in healthcare including how to best support adults seeking recognition later in life.
The human brain follows a clear and reliable timeline of development. Various stages of development are key to specific functions. Decision-making, due to its complexity, cannot be pinpointed to one age in development or a critical period, it undergoes several key stages through the lifespan. In the prenatal stage, myelination is important for cognitively demanding tasks like decision-making. In the newborn stage, the baby is constantly forming new synapses, increasing connectivity. During childhood most children develop the ability to use logic in decisions. Adolescence is a critical period for synaptic pruning, improving efficiency. The prefrontal cortex is considered fully mature in adulthood, around the age of 25.
A common mistake is to identify adjustment with positive behaviors and successful performance. Thus, for a significant rate of school students there is a gap between teachers’ and parents’ impressions and the students’ internal feelings of adjusting to school. However, the gap is bidirectional, with some students feeling adjusted to school even though their academic achievements are moderate or low. The existing literature on school adjustment supplies rich and relatively consistent information regarding the process that leads some students to dislike their school setting, become unmotivated to learn, and to drop out of school. However, the literature on students on the other edge (i.e., who adjusted well to, and even flourish at school) is partial and limited. Generally, comprehensive measurement of students’ school adjustment leads to the subdivisions of school students as Maladjusted, Accurately Behaved, Adjusted, and Flourishing.
Epilepsy syndromes (electroclinical syndromes) are well-recognized groupings of clinical (seizure types) and EEG features that occur together. Each syndrome typically shares a common age of onset, deficits (intellectual dysfunction), treatment and prognosis. Syndromes are classified based on their onset, epilepsy type (focal, generalized, or mixed) and development of epileptic encephalopathy (disorder in which epileptic activity contributes to severe impairments in cognition and behavior). Relatively benign syndromes are typically associated with focal, generalized tonic-clonic (GTC), typical absences and myoclonic seizures. Epileptic encephalopathies are typically associated with atonic, tonic, atypical absences, and epileptic spasms in addition to the other seizure types. [106 words/729 characters]
This book presents the lived experiences of young people with cognitive disability and their struggles as they transition to adulthood. Whether you are a young person yourself looking to transition to adulthood, a parent, or a professional supporting a young person, this book will help you understand the systemic failures which have caused abuse, exploitation, neglect and violence. But it will also outline the inner and outer resources which have enabled young people to maintain their self-belief and overcome adversity. Despite the fact society is failing these young people, the young people in this book speak of belief and have hope for the future. Drawing upon the United Nations human rights framework, this book provides a narrative for empowerment and reform. It involves the input of co-researchers with disability and includes Easy English summaries in each chapter to ensure its accessibility to young people with cognitive disability.
This chapter uncovers the unintended trajectory of Taiwanese women’s freedom among younger adopted daughters in the Japanese colonial courts. Family-centric, gender-based physical unfreedom continued to be one of the salient administrative and legal problems in Taiwan from the precolonial period to the late 1910s. Male household heads were not ready to follow the judicial construction of women’s freedom of movement during the early to mid-1920s. However, Japanese judges involved with female litigants shifted their focus to women’s freedom of choice – defined by intent and contractual freedom among adopted daughters – as a new boundary delineating their relationships with households in civil and criminal cases in the late 1920s. Women’s choice continued to be a central point of dispute when adopted daughters became targets of their parents and strangers. These daughters’ ambiguous capacity regarding their age, class background, and sexual integrity was misrepresented to legitimize their adverse labor and life conditions, including sex work. Yet, it was within the flexible contours of choice that the courts protected women’s agency, which, in turn, became a constitutive part of colonial history.
This study aimed to parse between-person heterogeneity in growth of impulsivity across childhood and adolescence among participants enrolled in five childhood preventive intervention trials targeting conduct problems. In addition, we aimed to test profile membership in relation to adult psychopathologies. Measurement items representing impulsive behavior across grades 2, 4, 5, 7, 8, and 10, and aggression, substance use, suicidal ideation/attempts, and anxiety/depression in adulthood were integrated from the five trials (N = 4,975). We applied latent class growth analysis to this sample, as well as samples separated into nonintervention (n = 2,492) and intervention (n = 2,483) participants. Across all samples, profiles were characterized by high, moderate, low, and low-increasing impulsive levels. Regarding adult outcomes, in all samples, the high, moderate, and low profiles endorsed greater levels of aggression compared to the low-increasing profile. There were nuanced differences across samples and profiles on suicidal ideation/attempts and anxiety/depression. Across samples, there were no significant differences between profiles on substance use. Overall, our study helps to inform understanding of the developmental course and prognosis of impulsivity, as well as adding to collaborative efforts linking data across multiple studies to better inform understanding of developmental processes.
Constructions of adulthood tend to be under-studied and under-theorised. In the face of this challenge, this chapter focuses on three vernacular verse hagiographies – commonly known as Guthlac A, Juliana, and Andreas – as well as Judith, which centres on a deuterocanonical Old Testament figure. In different ways, these poems all depict maturity as associated with increased social usefulness. Masculine youthful waywardness seems to be more of a source of interest to poets than similar behaviour in women, but it is an underappreciated quality of Old English poetry that unruly youth in women is represented; in particular, St Juliana rebels against societal expectations in a manner that is explicitly linked with her youth. Nonetheless, the seemingly later poems, Andreas and Judith, both problematise – in different ways–the idea that growth through adulthood is always, or even commonly, a linear, teleological drive towards physical and intellectual excellence.
Separated by almost three hundred years and by significant developments in the construction of childhood as an identity distinct from adulthood, the early seventeenth and late nineteenth centuries stand out as periods of intense and popular activity by child actors, and specifically by companies of child actors who played adult roles and deliberately juxtaposed the age categories of performer and character. While much excellent period-specific work has been accomplished during the last twenty years on early modern boy actors and on the ‘infant phenomena’ of the Victorian stage, there has as yet been no attempt to compare children’s professional performance during these two periods. This article contrasts the repertoire of the boy companies of Jacobean London with that of the children’s opera companies who toured the UK and Ireland throughout the 1880s performing comic operas such as H.M.S. Pinafore and Les Cloches de Corneville. It also explores what it meant for children to perform as adults during these two periods, and what the latter reveals about the historical construction and policing of age categories.
Early nicotine exposure compromises offspring’s phenotype at long-term in both sexes. We hypothesize that offspring exposed to nicotine during breastfeeding show deregulated central and peripheral endocannabinoid system (ECS), compromising several aspects of their metabolism. Lactating rats received nicotine (NIC, 6 mg/Kg/day) or saline from postnatal day (PND) 2 to 16 through implanted osmotic minipumps. Offspring were analyzed at PND180. We evaluated protein expression of N-acylphosphatidylethanolamide-phospholipase D (NAPE-PLD), fatty acid amide hydrolase (FAAH), diacylglycerol lipase (DAGL), monoacylglycerol lipase (MAGL) and cannabinoid receptors (CB1 and/or CB2) in lateral hypothalamus, paraventricular nucleus of the hypothalamus, liver, visceral adipose tissue (VAT), adrenal and thyroid. NIC offspring from both sexes did not show differences in hypothalamic ECS markers. Peripheral ECS markers showed no alterations in NIC males. In contrast, NIC females had lower liver DAGL and CB1, higher VAT DAGL, higher adrenal NAPE-PLD and higher thyroid FAAH. Endocannabinoids biosynthesis was affected by nicotine exposure during breastfeeding only in females; alterations in peripheral tissues suggest lower action in liver and higher action in VAT, adrenal and thyroid. Effects of nicotine exposure during lactation on ECS markers are sex- and tissue-dependent. This characterization helps understanding the phenotype of the adult offspring in this model and may contribute to the development of new pharmacological targets for the treatment of several metabolic diseases that originate during development.
The juvenile justice system in the USA adjudicates over seven hundred thousand youth in the USA annually with significant behavioral offenses. This study aimed to test the effect of juvenile justice involvement on adult criminal outcomes.
Methods
Analyses were based on a prospective, population-based study of 1420 children followed up to eight times during childhood (ages 9–16; 6674 observations) about juvenile justice involvement in the late 1990 and early 2000s. Participants were followed up years later to assess adult criminality, using self-report and official records. A propensity score (i.e. inverse probability) weighting approach was used that approximated an experimental design by balancing potentially confounding characteristics between children with v. without juvenile justice involvement.
Results
Between-groups differences on variables that elicit a juvenile justice referral (e.g. violence, property offenses, status offenses, and substance misuse) were attenuated after applying propensity-based inverse probability weights. Participants with a history of juvenile justice involvement were more likely to have later official and violent felony charges, and to self-report police contact and spending time in jail (ORs from 2.5 to 3.3). Residential juvenile justice involvement was associated with the highest risk of both, later official criminal records and self-reported criminality (ORs from 5.1 to 14.5). Sensitivity analyses suggest that our findings are likely robust to potential unobserved confounders.
Conclusions
Juvenile justice involvement was associated with increased risk of adult criminality, with residential services associated with highest risk. Juvenile justice involvement may catalyze rather than deter from adult offending.
In modern humans, counts of tooth cementum annulations (TCA) have been widely used to determine adult age at death using classical histology. This destructive technique requires physically thin sectioning the teeth which may not be an option for valuable fossil and subfossil specimens. For over a decade, propagation phase contrast synchrotron X-ray microtomography (SRμCT) at the European Synchrotron Radiation Facility has paved the way to non-destructively visualize dental microstructures that remain otherwise invisible to conventional X-ray absorption-based μCT. Here we extend the use of SRμCT to the non-destructive visualization of TCAs in known age archeological modern human teeth, for adult age at death estimation. Our results show that virtual sections are able to elucidate true cementum annulations even if their visibility is often close to the resolution limit of our setup. This is a promising first step in non-destructive adult age at death estimation which future technical fine-tuning will undoubtedly improve further
Adulthood holds special promise for creativity. Not only is this developmental period the longest, but it is also the most advanced in terms of maturity of mental and biological structures people achieve. Therefore, adulthood quite naturally forms an arena for creative activities and achievements. However, creativity in adulthood does not only (or even not mainly) refer to test-measured creative potential; rather, it denotes expertise-based, mature, and, in some rare cases, eminent creativity. What are the milestones of creative development in adulthood? Why is it that so many people do not reach the level of mature creativity? What makes adults realize, or not, their creative potential, and invest their time and effort to develop it? We discuss these questions and show some new avenues for future research.
Two population-based cross-sectional surveys involving randomly selected Chinese adults aged 35–74 years were conducted in Qingdao, China in 2006 and 2009. Nine thousand fifty-five subjects from the two surveys were grouped into four birth groups of fetal/infant exposed (born between 1 January 1959 and 31 December 1962), childhood exposed (born between 1 January 1950 and 31 December 1958), adolescence exposed (born between 1 January 1942 and 31 December 1949) and the unexposed (born before 1941 and after 1963). Multivariate logistic regression models were used to calculate the OR and 95 % CI of hyperuricaemia in different exposed groups. Overall, famine exposure in the fetal/infant period, childhood and adolescence was not associated with adulthood hyperuricaemia (all P > 0·05). In females, childhood exposed group (OR = 1·59, 95 % CI 1·25, 2·02) and adolescence exposed group (OR = 1·74, 95 % CI 1·30, 2·33) both had higher risks to have hyperuricaemia in adult. However, this difference was not found in fetal/infant exposed group. In males, no significant relation was observed in any famine exposed group (all P > 0·05). Exposure to famine in childhood and adolescence is associated with an increased risk of hyperuricaemia for adulthood of females, but not in males. Adequate nutrition during early life appears to be beneficial to prevent hyperuricaemia of adult females.
Epilepsy syndromes (electroclinical syndromes) are well-recognized groupings of clinical (seizure types) and EEG features that occur together. Each syndrome typically shares a common age of onset, deficits (intellectual dysfunction), treatment, and prognosis. Syndromes are classified based on their onset, epilepsy type (focal, generalized, or mixed), and development of epileptic encephalopathy (disorder in which epileptic activity contributes to severe impairments in cognition and behavior). Relatively benign syndromes are typically associated with focal, generalized tonic clonic (GTC), typical absences, and myoclonic seizures. Epileptic encephalopathies are typically associated with atonic, tonic, atypical absences, and epileptic spasms in addition to the preceding seizure types.
We aimed to describe associations between diet quality in adolescence and adulthood and knee symptoms in adulthood. Two hundred seventy-five participants had adolescent diet measurements, 399 had adult diet measurements and 240 had diet measurements in both time points. Diet quality was assessed by Dietary Guidelines Index (DGI), reflecting adherence to Australian Dietary Guidelines. Knee symptoms were collected using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Data were analysed using zero-inflated negative binomial regressions. The overall adolescent DGI was not associated with adult knee symptoms, although lower intake of discretionary foods (e.g. cream, alcohol, bacon and cake) in adolescence was associated with lower pain (mean ratio (MR) 0·96) and dysfunction (MR 0·94). The overall adult DGI was not associated with knee symptoms; however, limiting saturated fat was associated with lower WOMAC (Pain: MR 0·93; stiffness: MR 0·93; dysfunction: MR 0·91), drinking water was associated with lower stiffness (MR 0·90) and fruit intake was associated with lower dysfunction (MR 0·90). Higher DGI for dairy products in adulthood was associated with higher WOMAC (Pain: MR 1·07; stiffness: MR 1·13; dysfunction: MR 1·11). Additionally, the score increases from adolescence to adulthood were not associated with adult knee symptoms, except for associations between score increase in limiting saturated fat and lower stiffness (MR 0·89) and between score increase in fruit intake and lower dysfunction (MR 0·92). In conclusion, the overall diet quality in adolescence and adulthood was not associated with knee symptoms in adulthood. However, some diet components may affect later knee symptoms.
While phenotypically indistinguishable with respect to callousness, individuals with primary and secondary callous–unemotional (CU) traits may show different developmental outcomes. This research predominantly comprised cross-sectional studies of male participants with a focus on maladaptive correlates. Thus, the present study examined whether youth with primary and secondary CU traits identified in Grade 7 reported distinct maladaptive outcomes (internalizing, externalizing, and substance use problems; criminal offenses; and sexual and partner experiences) and adaptive outcomes (health and wellbeing, education, and employment) in adulthood at age 25. We also examined sex differences. Participants included the high-risk control and normative samples from the Fast Track project (N = 754, male = 58%, Black = 46%). Youth with secondary CU traits reported higher levels of adult internalizing and externalizing psychopathology, a greater number of sexual partners and risky sexual behavior, and a greater number of violent offenses, compared with individuals with primary CU traits and those with low CU and anxiety symptoms. Conversely, youth with primary CU traits and low symptoms had higher wellbeing and happiness scores than those with secondary CU traits. Finally, there was differentiation on outcomes between female primary and secondary CU variants and male primary and secondary CU variants.