Evidence that intergenerational income mobility is the strongest predictor of drug overdose deaths in U. S. Midwest counties.

BACKGROUND: Our goal in this report was to quantify the degree to which opioid prescription rates and socioeconomic correlates of income inequality predicted overdose deaths in the 1055 U.S. Midwest counties. The study follows up a state-level analysis which reported that opioid prescription rates, social capital and unemployment explained much of the variance in opioid overdose death rates (Heyman, McVicar, & Brownell, 2019). METHODS: We created a data set that included drug overdose death rates, opioid prescription rates, and correlates of income inequality. Given that the variables of interest varied at the state and county level, multilevel regression was our statistical approach. RESULTS: From 2006 to 2021, Midwest overdose drug deaths increased according to an exponential equation that closely approximated the equation that describes the increases in overdose deaths for the entire U.S. from 1978 to 2016 (e.g., Jalal et al., 2018). Retail opioid prescription sales increased from 2006 to 2012, but then declined so that by 2017 they were lower than in 2006. The regression analyses revealed that intergenerational income mobility was the strongest predictor of overdose deaths. The other consistently statistically significant predictors were opioid prescription rates, social capital, and unemployment rates. Together these predictors, plus pupil teacher ratios, single parent families, and attending college accounted for approximately 47 % of the variance in overdose death rates each year. In keeping with the decline in opioid prescription rates, the explanatory power of opioid prescription rates weakened over the course of the study. CONCLUSIONS: Overdose deaths increased at a constant exponential rate for the years that it was possible to apply our regression model. This occurred even though access to legal opioids decreased. What remained invariant was the predictive strength of intergenerational income mobility; each year it was the predictor that explained the most variance in overdose deaths.

Treatment of metaphor interpretation deficits subsequent to traumatic brain injury.

OBJECTIVE: To improve oral interpretation of metaphors by patients with traumatic brain injury (TBI). DESIGN: Both single subject experimental design and group analysis. SETTING: Patients' homes. PARTICIPANTS: Eight adult patients with moderate to severe traumatic brain injury sustained 3 to 20 years before testing. INTERVENTION: The Metaphor Training Program consisted typically of 10 baseline sessions, 3 to 9 1-hour sessions of structured intervention, and 10 posttraining baseline sessions. Training used extensive practice with simple graphic displays to illustrate semantic associations. MAIN OUTCOME MEASURES: Quality of orally produced metaphor interpretation and accuracy of line orientation judgments served as dependent measures obtained during baseline, training, posttraining, and at a 3- to 4-month follow-up. Untrained line orientation judgments provided a control measure. RESULTS: Group data showed significant improvement in metaphor interpretation but not in line orientation. Six of 8 patients individually demonstrated significant improvement in metaphor interpretation. Gains persisted for 3 of the 6 patients at the 3- to 4-month follow-up. CONCLUSION: The Metaphor Training Program can improve cognitive-communication performance for individuals with moderate to severe traumatic brain injury. Results support the potential for treating patients' residual cognitive-linguistic deficits.

Is purity a distinct and homogeneous domain in moral psychology?

"No" is our answer to the question in our title. In moral psychology, a purity violation (defined as an immoral act committed against one's own body or soul) was theorized to be a homogeneous moral domain qualitatively distinct from other moral domains. In contrast, we hypothesized heterogeneity rather than homogeneity, overlapping rather than distinct domains, and quantitative rather than qualitative differences from other hypothesized domains (specifically, autonomy, which is harm to others). Purity has been said to consist of norms violations of which elicit disgust and taint the soul. Here we empirically examined homogeneity: whether violations of body (e.g., eating putrid food) belong in the same moral domain as violations of the soul unrelated to bodily health (e.g., selling one's soul, desecrating sacred books). We examined distinctness: whether reactions to purity violations differ in predicted ways from those to violations of autonomy. In four studies (the last preregistered), American Internet users (in Studies 2 and 4, classified as politically conservative or liberal; Ns = 80, 96, 1,312, 376) were given stories about violations based on prior studies. Nonhealth purity violations were rated as relatively more disgusting, but less gross (the lay term for the reaction to putrid things) and more likely to taint the soul than were health-related ones. Surprisingly, both health and nonhealth purity violations were typically judged as only slightly immoral if at all. Autonomy violations were rated as more disgusting and tainting of the soul than were purity violations. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Language experience matters for the emergence of early numerical concepts.

Research has shown a link between the acquisition of numerical concepts and language, but exactly how linguistic input matters for numerical development remains unclear. Here, we examine both symbolic (number word knowledge) and non-symbolic (numerical discrimination) numerical abilities in a population in which access to language is limited early in development-oral deaf and hard of hearing (DHH) preschoolers born to hearing parents who do not know a sign language. The oral DHH children demonstrated lower numerical discrimination skills, verbal number knowledge, conceptual understanding of the word "more", and vocabulary relative to their hearing peers. Importantly, however, analyses revealed that group differences in the numerical tasks, but not vocabulary, disappeared when differences in the amount of time children had had auditory access to spoken language input via hearing technology were taken into account. Results offer insights regarding the role language plays in emerging number concepts.

On the set of emotions with facial signals.

Which, if any, emotions have a facial signal? Studies from AI to Zoology sometimes presuppose an answer to this question. According to one important and influential research program, the basic (fundamental and discrete) emotions can be identified by their possession of a biologically based unique and universally recognized facial signal. To the classic set of six such emotions, researchers recently advanced 12 new candidates, which were examined in the present study with a standard free-labeling procedure in three samples: English-speaking Americans (n = 200), Mandarin-speaking Chinese (n = 101), and Malayalam-speaking Indians (n = 200). In the three samples, respectively, a majority of respondents chose the predicted label for only one, one, and none of the 12 faces. That is, a majority of respondents failed to choose the predicted label for 11 of the 12 faces in the English-speaking (proportion of respondents range for the 11: .04 to .45) and Mandarin-speaking (proportion of respondents range for the 11: .00 to .44) samples; a majority of respondents failed to choose the predicted label for any of the 12 faces in the Malayalam-speaking sample (proportion of respondents range: .00 to .42). The modal choice in the three samples was the predicted label for five, six, and one, respectively, of the 12 faces. "Recognition" of the predicted emotion was negligible (< 15% of respondents) for five, eight (two of which were modal), and 10, respectively, of the 12 faces. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The hidden effect of hearing acuity on speech recall, and compensatory effects of self-paced listening.

OBJECTIVE: The purpose of this research was to determine whether negative effects of hearing loss on recall accuracy for spoken narratives can be mitigated by allowing listeners to control the rate of speech input. DESIGN: Paragraph-length narratives were presented for recall under two listening conditions in a within-participants design: presentation without interruption (continuous) at an average speech-rate of 150 words per minute; and presentation interrupted at periodic intervals at which participants were allowed to pause before initiating the next segment (self-paced). STUDY SAMPLE: Participants were 24 adults ranging from 21 to 33 years of age. Half had age-normal hearing acuity and half had mild- to-moderate hearing loss. The two groups were comparable for age, years of formal education, and vocabulary. RESULTS: When narrative passages were presented continuously, without interruption, participants with hearing loss recalled significantly fewer story elements, both main ideas and narrative details, than those with age-normal hearing. The recall difference was eliminated when the two groups were allowed to self-pace the speech input. CONCLUSION: Results support the hypothesis that the listening effort associated with reduced hearing acuity can slow processing operations and increase demands on working memory, with consequent negative effects on accuracy of narrative recall.

Aprosodia Following Focal Brain Damage: What's Right and What's Left?

PURPOSE: Hemispheric specialization for the comprehension and expression of linguistic and emotional prosody is typically attributed to the right hemisphere. This study used techniques adapted from meta-analysis to critically examine the strength of existing evidence for hemispheric lateralization of prosody following brain damage. METHOD: Twenty-one databases were searched for articles published from 1970 to 2020 addressing differences in prosody performance between groups defined by right hemisphere damage and left hemisphere damage. Hedges's g effect sizes were calculated for all possible prosody comparisons. Primary analyses summarize effects for four types: linguistic production, linguistic comprehension, emotion comprehension, and emotion production. Within each primary analysis, Hedges's g values were averaged across comparisons (usually from a single article) based on the same sample of individuals. Secondary analyses explore more specific classifications of comparisons. RESULTS: Out of the 113 articles investigating comprehension and production of emotional and linguistic prosody, 62 were deemed appropriate for data extraction, but only 21 met inclusion criteria, passed quality reviews, and provided sufficient information for analysis. Evidence from this review illustrates the heterogeneity of research methods and results from studies that have investigated aprosodia. This review provides inconsistent support for selective contribution of the two cerebral hemispheres to prosody comprehension and production; however, the strongest finding suggests that right hemisphere lesions disrupt emotional prosody comprehension more than left hemisphere lesions. CONCLUSION: This review highlights the impoverished nature of the existing literature; offers suggestions for future research; and highlights relevant clinical implications for the prognostication, evaluation, and treatment of aprosodia. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.20334987.

On evidence for a dozen new basic emotions: A methodological critique.

Much theory, research, and application regarding emotion is based on a set of basic emotions. But the question remains: which emotions are in that set? One proposal is to expand the classic set of six with 12 new ones, each indicated by a facial expression purported to convey that one specific emotion universally. A series of studies offered as support for this proposal relied on presenting participants with the emotion label embedded in a story and then asking them to choose among four facial expressions or none. Here we critique that response procedure (used in various studies) as confounding emotion with story. Our Study 1 (N = 1,230 residents of the United States) found that the same response procedure could "show" that the facial expressions used in that previous research convey emotions other than the ones that had been proposed. Our Study 2 (N = 64 in India and N = 56 in China) found similar results with participants who speak non-Indo-European languages (Malayalam and Mandarin). Altogether, our results question whether the proposed set of new basic emotions is warranted, given problems in the response procedure in which an emotion is embedded in a story. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Components of speech prosody and their use in detection of syntactic structure by older adults.

Young and older adults heard sentences in which one character was describing another character ("The doctor said the nurse is thirsty"), where the character being described could be determined only by the prosodic pattern in which the sentence was heard. Using computer editing, the authors generated sentences that were heard with either one (Experiment 1) or two (Experiment 2) of three ordinarily co-occurring prosodic features reduced (pitch variation, amplitude variation, timing variation). For both age groups, timing variation was the most valuable of the three prosodic features. These results add to our understanding of the effective preservation of spoken language comprehension in normal aging.

Evidence that social-economic factors play an important role in drug overdose deaths.

BACKGROUND: Drug overdose deaths in the United States increased from approximately 16,000 per year in 2001 to 41,000 per year in 2014. Although every US state witnessed an increase, the increases were much larger in some states than others. There was also variation as a function of race and ethnicity. Non-Hispanic Whites accounted for more than 80% of the deaths, and in some states their rates were about ten times greater per capita than Hispanic and Non-White rates. State and temporal differences provide an opportunity to evaluate explanations of what is driving drug overdose deaths. In this report, we evaluate the degree to which state level variation in opioid prescription rates and social-economic conditions explain state level variation in overdose death rates. METHODS AND DATA: We used publicly available data from the Center for Disease Control (CDC), Bureau of Labor Statistics (BLS), Drug Enforcement Agency (DEA) and the Opportunity Insights project. RESULTS: Legally prescribed opioids, social capital and work force participation accounted for 53-69% of the between-state variation in overdose deaths in Non-Hispanic Whites. Prescriptions and the two social economic measures accounted for about the same amounts of unique variation, but shared variation among the three independent variables was the strongest predictor of overdose deaths. Panel regression results of the year-to-year changes in overdose deaths were similar. However, the pattern of correlations for Hispanics and Non-Whites was quite different. Neither opioid prescriptions nor social capital were significant predictors of overdose deaths in the between-state and between-year Hispanic and Non-White regression analyses. CONCLUSIONS: Common variation in opioid prescriptions rates, social capital, and work force participation proved the strongest predictor of drug overdose deaths in Non-Hispanic Whites. We discuss reasons why the same did not hold for the Hispanic/Non-White population.

No support for the claim that literary fiction uniquely and immediately improves theory of mind: A reply to Kidd and Castano's commentary on Panero et al. (2016).

Kidd and Castano (in press) critique our failure to replicate Kidd and Castano (2013) on 3 grounds: failure to exclude people who did not read the texts, failure of random assignment, and failure to exclude people who did not take the Author Recognition Test (ART). This response addresses each of these critiques. Most importantly, we note that even when Kidd and Castano reanalyzed our data in the way that they argue is most appropriate, they still failed to replicate the pattern of results reported in their original study. We thus reaffirm that our replication of Kidd and Castano (2013) found no evidence that literary fiction uniquely and immediately improves theory of mind. Our objective remains not to prove that reading literary fiction does not benefit social cognition, but to call for in-depth research addressing the difficulties in measuring any potential effect and to note the need to temper claims accordingly. (PsycINFO Database Record

Inference of beliefs and emotions in patients with Alzheimer's disease.

The present study compared 20 patients with mild to moderate Alzheimer's disease with 20 older controls (ages 69-94 years) on their ability to make inferences about emotions and beliefs in others. Six tasks tested their ability to make 1st-order and 2nd-order inferences as well as to offer explanations and moral evaluations of human action by appeal to emotions and beliefs. Results showed that the ability to infer emotions and beliefs in 1st-order tasks remains largely intact in patients with mild to moderate Alzheimer's. Patients were able to use mental states in the prediction, explanation, and moral evaluation of behavior. Impairment on 2nd-order tasks involving inference of mental states was equivalent to impairment on control tasks, suggesting that patients' difficulty is secondary to their cognitive impairments. ((c) 2006 APA, all rights reserved).

Effects of syntactic features on sentence-picture matching in Broca's aphasics: a reply to Drai and Grodzinksy (2005).

We reanalyzed the data in , considering individual patients' responses to different sentence types to be non-independent events. The analyses revealed effects of two of the three factors identified by Drai and Grodzinsky--constituent movement and passive mood. The result is inconsistent with the trace deletion hypothesis; we conclude that features of syntactic structure other than constituent movement are relevant to understanding performance variation in patients with Broca's aphasia.

Variable solutions to the same problem: aberrant practice effects in object naming by three aphasic patients.

Although deficits in confrontation naming are a common consequence of damage to the language areas of the left cerebral hemisphere, some patients with aphasia show relatively good naming ability. We measured effects of repeated practice on naming latencies for a set of pictured objects by three aphasic patients with near-normal naming ability and by neurologically intact young and older adults. While the non-injured participants showed a systematic reduction in overall mean latencies and reduced trial-to-trial latency variability, the aphasic patients did not. Examination of the latency distributions suggests that successful naming by aphasic patients may come about by different underlying operations.

Does reading a single passage of literary fiction really improve theory of mind? An attempt at replication.

[Correction Notice: An Erratum for this article was reported in Vol 111(5) of Journal of Personality and Social Psychology (see record 2016-50315-003). In the article, due to an error in stimulus construction, four items (three authors, one foil) were omitted from the ART presented to all participants tested by Research Group 1. These omissions do not undermine the results in the primary analyses, which all included ART and ART Condition (as covariates). Any variation across research groups, including this difference in reading exposure measurement, is accounted for in the multilevel analyses. Therefore, the Table 2 title should appear as Reading the Mind in the Eyes Test (RMET) Scores by Condition and Overall Unadjusted Means for the Current Study and Kidd and Castano (2013), as Well as the Zero-Order Pearson's Correlations Between RMET and ART Scores Overall and by Condition. The ART data columns should be deleted, and the table note should begin as follows: RMET scores were transformed to correct for skew prior to correlational analyses. The section title above the Discussion section should appear as Comparison of Our RMET Scores to Kidd and Castano Data, with the first two sentences appearing as follows: To determine whether the responses in our sample were similar to what Kidd and Castano (2013) found, we compared our mean performance on the RMET to theirs. Our grand mean (26.28) was significantly higher than theirs (25.18), t(1=, 374) = 3.71, p< .001, d = 0.21. All versions of this article have been corrected.] Fiction simulates the social world and invites us into the minds of characters. This has led various researchers to suggest that reading fiction improves our understanding of others' cognitive and emotional states. Kidd and Castano (2013) received a great deal of attention by providing support for this claim. Their article reported that reading segments of literary fiction (but not popular fiction or nonfiction) immediately and significantly improved performance on the Reading the Mind in the Eyes Test (RMET), an advanced theory-of-mind test. Here we report a replication attempt by 3 independent research groups, with 792 participants randomly assigned to 1 of 4 conditions (literary fiction, popular fiction, nonfiction, and no reading). In contrast to Kidd and Castano (2013), we found no significant advantage in RMET scores for literary fiction compared to any of the other conditions. However, as in Kidd and Castano and previous research, the Author Recognition Test, a measure of lifetime exposure to fiction, consistently predicted RMET scores across conditions. We conclude that the most plausible link between reading fiction and theory of mind is either that individuals with strong theory of mind are drawn to fiction and/or that a lifetime of reading gradually strengthens theory of mind, but other variables, such as verbal ability, may also be at play. (PsycINFO Database Record

Treating Metaphor Interpretation Deficits Subsequent to Right Hemisphere Brain Damage: Preliminary Results.

PURPOSE: This investigation sought to determine whether a structured intervention focused on improving use of semantic associations could improve patients' ability to provide oral interpretations of metaphors following Right Hemisphere Damage (RHD). METHODS: Principles of single subject experimental design provided the basis for the study. Five patients received either 10 or 20 baseline assessments of oral metaphor interpretation and, as a control, assessments of line orientation skill. They then received approximately 10 one-hour sessions of structured intervention to improve oral metaphor interpretation followed by post-training assessments and a 3 month follow up. RESULTS: Patients' performances revealed evidence of good response to training as shown by patients' ability to reach criterion on all intervention tasks and by their significant improvement on oral metaphor interpretation. There was relatively little improvement on the line orientation task. DISCUSSION: The results of this study support the clinical usefulness of this new approach to treating communication deficits associated with RHD due to stroke, even years post-onset. There are, however, questions that remain unanswered. For example, additional data will be needed to gauge how a patient's severity of impairment relates to the potential for improvement, to chart the durability and scope of improvement associated with the training, and to determine the type of visuospatial ability needed for using this type of pictorial material.

Theory of mind and the right cerebral hemisphere: refining the scope of impairment.

The neuropsychological and functional characterisation of mental state attribution ("theory of mind" (ToM)) has been the focus of several recent studies. The literature contains opposing views on the functional specificity of ToM and on the neuroanatomical structures most relevant to ToM. Studies with brain-lesioned patients have consistently found ToM deficits associated with unilateral right hemisphere damage (RHD). Also, functional imaging performed with non-brain-injured adults implicates several specific neural regions, many of which are located in the right hemisphere. The present study examined the separation of ToM impairment from other deficits associated with brain injury. We tested 11 patients with unilateral right hemisphere damage (RHD) and 20 normal controls (NC) on a humour rating task, an emotion rating task, a graded (first-order, second-order) ToM task with non-mentalistic control questions, and two ancillary measures: (1) Trails A and B, in order to assess overall level of impairment and set-shifting abilities associated with executive function, and (2) a homograph reading task to assess central coherence skills. Our findings indicate that RHD can result in a functionally specific deficit in attributing intentional states, particularly those involving second-order attributions. Performance on ToM questions was not reliably related to measures of cognitive impairment; however, performance on non-ToM control questions was reliably predicted by Trails A and B. We also discuss individual RHD patients' performance with attention to lesion locus. Our findings suggest that damage to the areas noted as specialised in neuroimaging studies may not affect ToM performance, and underscore the necessity of combining lesion and imaging studies in determining functional-anatomical relations.

Inference of mental states in patients with Alzheimer's disease.

INTRODUCTION: The ability to determine what someone thinks or knows often requires an individual to infer the mental state of another person, an ability typically referred to as one's "theory of mind". The present study tests this ability in patients with mild-to-moderate Alzheimer's disease (AD). METHODS: Three theory of mind tests and three standardised neuropsychological tests were presented to a group of patients with AD (n = 25) and a group of healthy elderly controls (n = 15). RESULTS: On the first two theory of mind tasks, the performance of the AD patients was nearly perfect and did not differ from that of the controls: AD patients showed no difficulties in either attributing a false belief to another person, or in recognising their own previous false beliefs. On the third theory of mind task, where the key information was embedded in a story narrative, AD patients per formed significantly worse than controls. However, their performance on this task was similar to the control condition, which used a similar story but which did not involve beliefs. CONCLUSIONS: These results, as well as those involving correlations between the neuropsychological tests and performance on the third task, suggest that the AD patients' difficulty may be secondary to their cognitive impairments, rather than a primary impairment in theory of mind.