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1.
Nature ; 631(8021): 610-616, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38961302

RESUMO

From sequences of speech sounds1,2 or letters3, humans can extract rich and nuanced meaning through language. This capacity is essential for human communication. Yet, despite a growing understanding of the brain areas that support linguistic and semantic processing4-12, the derivation of linguistic meaning in neural tissue at the cellular level and over the timescale of action potentials remains largely unknown. Here we recorded from single cells in the left language-dominant prefrontal cortex as participants listened to semantically diverse sentences and naturalistic stories. By tracking their activities during natural speech processing, we discover a fine-scale cortical representation of semantic information by individual neurons. These neurons responded selectively to specific word meanings and reliably distinguished words from nonwords. Moreover, rather than responding to the words as fixed memory representations, their activities were highly dynamic, reflecting the words' meanings based on their specific sentence contexts and independent of their phonetic form. Collectively, we show how these cell ensembles accurately predicted the broad semantic categories of the words as they were heard in real time during speech and how they tracked the sentences in which they appeared. We also show how they encoded the hierarchical structure of these meaning representations and how these representations mapped onto the cell population. Together, these findings reveal a finely detailed cortical organization of semantic representations at the neuron scale in humans and begin to illuminate the cellular-level processing of meaning during language comprehension.


Assuntos
Compreensão , Neurônios , Córtex Pré-Frontal , Semântica , Análise de Célula Única , Percepção da Fala , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Compreensão/fisiologia , Neurônios/fisiologia , Fonética , Córtex Pré-Frontal/fisiologia , Córtex Pré-Frontal/citologia , Percepção da Fala/fisiologia , Narração
2.
Proc Natl Acad Sci U S A ; 120(37): e2308938120, 2023 09 12.
Artigo em Inglês | MEDLINE | ID: mdl-37669388

RESUMO

A growing consensus suggests that a cause of support for undemocratic practices and partisan violence is that partisans misperceive the other side. That is, they vastly exaggerate the extent to which members of the other party support undemocratic practices and violence. When these misperceptions are corrected, citizens' own beliefs moderate. I present results from an experiment that show that misperception corrections do not have an effect in the presence of competing information (i.e., that challenges the validity of the correction or offers a conflicting narrative). Basic corrections do not constitute a robust way to counter democratic backsliding stemming from citizens' misperceptions. The results highlight the need to devise stronger misperception interventions and, more generally, to consider competing information environments when devising any scalable behavioral intervention.


Assuntos
Narração , Pâncreas , Consenso , Violência
3.
Proc Natl Acad Sci U S A ; 120(51): e2300986120, 2023 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-38079546

RESUMO

How does meaning vary across the world's languages? Scholars recognize the existence of substantial variability within specific domains, ranging from nature and color to kinship. The emergence of large language models enables a systems-level approach that directly characterizes this variability through comparison of word organization across semantic domains. Here, we show that meanings across languages manifest lower variability within semantic domains and greater variability between them, using models trained on both 1) large corpora of native language text comprising Wikipedia articles in 35 languages and also 2) Test of English as a Foreign Language (TOEFL) essays written by 38,500 speakers from the same native languages, which cluster into semantic domains. Concrete meanings vary less across languages than abstract meanings, but all vary with geographical, environmental, and cultural distance. By simultaneously examining local similarity and global difference, we harmonize these findings and provide a description of general principles that govern variability in semantic space across languages. In this way, the structure of a speaker's semantic space influences the comparisons cognitively salient to them, as shaped by their native language, and suggests that even successful bilingual communicators likely think with "semantic accents" driven by associations from their native language while writing English. These findings have dramatic implications for language education, cross-cultural communication, and literal translations, which are impossible not because the objects of reference are uncertain, but because associations, metaphors, and narratives interlink meanings in different, predictable ways from one language to another.


Assuntos
Idioma , Semântica , Humanos , Comunicação , Desenvolvimento da Linguagem , Narração
4.
Nature ; 576(7787): 442-445, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31827284

RESUMO

Humans seem to have an adaptive predisposition for inventing, telling and consuming stories1. Prehistoric cave art provides the most direct insight that we have into the earliest storytelling2-5, in the form of narrative compositions or 'scenes'2,5 that feature clear figurative depictions of sets of figures in spatial proximity to each other, and from which one can infer actions taking place among the figures5. The Upper Palaeolithic cave art of Europe hosts the oldest previously known images of humans and animals interacting in recognizable scenes2,5, and of therianthropes6,7-abstract beings that combine qualities of both people and animals, and which arguably communicated narrative fiction of some kind (folklore, religious myths, spiritual beliefs and so on). In this record of creative expression (spanning from about 40 thousand years ago (ka) until the beginning of the Holocene epoch at around 10 ka), scenes in cave art are generally rare and chronologically late (dating to about 21-14 ka)7, and clear representations of therianthropes are uncommon6-the oldest such image is a carved figurine from Germany of a human with a feline head (dated to about 40-39 ka)8. Here we describe an elaborate rock art panel from the limestone cave of Leang Bulu' Sipong 4 (Sulawesi, Indonesia) that portrays several figures that appear to represent therianthropes hunting wild pigs and dwarf bovids; this painting has been dated to at least 43.9 ka on the basis of uranium-series analysis of overlying speleothems. This hunting scene is-to our knowledge-currently the oldest pictorial record of storytelling and the earliest figurative artwork in the world.


Assuntos
Pinturas/história , Animais , Bovinos , Cavernas , Feminino , História Antiga , Atividades Humanas/história , Humanos , Indonésia , Narração/história , Datação Radiométrica , Suínos
5.
Proc Natl Acad Sci U S A ; 119(45): e2211715119, 2022 11 08.
Artigo em Inglês | MEDLINE | ID: mdl-36322749

RESUMO

Lifelong experiences and learned knowledge lead to shared expectations about how common situations tend to unfold. Such knowledge of narrative event flow enables people to weave together a story. However, comparable computational tools to evaluate the flow of events in narratives are limited. We quantify the differences between autobiographical and imagined stories by introducing sequentiality, a measure of narrative flow of events, drawing probabilistic inferences from a cutting-edge large language model (GPT-3). Sequentiality captures the flow of a narrative by comparing the probability of a sentence with and without its preceding story context. We applied our measure to study thousands of diary-like stories, collected from crowdworkers, about either a recent remembered experience or an imagined story on the same topic. The results show that imagined stories have higher sequentiality than autobiographical stories and that the sequentiality of autobiographical stories increases when the memories are retold several months later. In pursuit of deeper understandings of how sequentiality measures the flow of narratives, we explore proportions of major and minor events in story sentences, as annotated by crowdworkers. We find that lower sequentiality is associated with higher proportions of major events. The methods and results highlight opportunities to use cutting-edge computational analyses, such as sequentiality, on large corpora of matched imagined and autobiographical stories to investigate the influences of memory and reasoning on language generation processes.


Assuntos
Rememoração Mental , Narração , Humanos , Compreensão , Idioma , Aprendizagem
6.
Proc Natl Acad Sci U S A ; 119(4)2022 01 25.
Artigo em Inglês | MEDLINE | ID: mdl-35064081

RESUMO

The scientific literature sometimes considers music an abstract stimulus, devoid of explicit meaning, and at other times considers it a universal language. Here, individuals in three geographically distinct locations spanning two cultures performed a highly unconstrained task: they provided free-response descriptions of stories they imagined while listening to instrumental music. Tools from natural language processing revealed that listeners provide highly similar stories to the same musical excerpts when they share an underlying culture, but when they do not, the generated stories show limited overlap. These results paint a more complex picture of music's power: music can generate remarkably similar stories in listeners' minds, but the degree to which these imagined narratives are shared depends on the degree to which culture is shared across listeners. Thus, music is neither an abstract stimulus nor a universal language but has semantic affordances shaped by culture, requiring more sustained attention from psychology.


Assuntos
Percepção Auditiva , Cultura , Imaginação , Música , Narração , Humanos , Semântica
7.
Proc Natl Acad Sci U S A ; 119(24): e2123171119, 2022 06 14.
Artigo em Inglês | MEDLINE | ID: mdl-35671430

RESUMO

This paper explores the chemistry of mercury as described in ancient alchemical literature. Alchemy's focus on the knowledge and manipulation of natural substances is not so different from modern chemistry's purposes. The great divide between the two is marked by the way of conceptualizing and recording their practices. Our interdisciplinary research group, composed of chemists and historians of science, has set off to explore the cold and hot extraction of mercury from cinnabar. The ancient written records have been perused in order to devise laboratory experiments that could shed light on the material reality behind the alchemical narratives and interpret textual details in a unique perspective. In this way, it became possible to translate the technical lore of ancient alchemy into the modern language of chemistry. Thanks to the replication of alchemical practices, chemistry can regain its centuries-long history that has fallen into oblivion.


Assuntos
Alquimia , Química , Mercúrio , Química/história , História Antiga , Pesquisa Interdisciplinar , Conhecimento , Mercúrio/história , Narração
8.
J Cogn Neurosci ; 36(11): 2368-2385, 2024 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-38991132

RESUMO

While recounting an experience, one can employ multiple strategies to transition from one part to the next. For instance, if the event was learned out of linear order, one can recall events according to the time they were learned (temporal), similar events (semantic), events occurring nearby in time (chronological), or events produced by the current event (causal). To disentangle the importance of these factors, we had participants watch the nonlinear narrative, Memento, under different task instructions and presentation orders. For each scene of the film, we also separately computed semantic and causal networks. We then contrasted the evidence for temporal, semantic, chronological, or causal strategies during recall. Critically, there was stronger evidence for the causal and chronological strategies than semantic or temporal strategies. Moreover, the causal and chronological strategies outperformed the temporal one even when we asked participants to recall the film in the presented order, underscoring the fundamental nature of causal structure in scaffolding understanding and organizing recall. Nevertheless, time still marginally predicted recall transitions, suggesting it operates as a weak signal in the presence of more salient forms of structure. In addition, semantic and causal network properties predicted scene memorability, including a stronger role for incoming causes to an event than its outgoing effects. In summary, these findings highlight the importance of accounting for complex, causal networks in knowledge building and memory.


Assuntos
Rememoração Mental , Semântica , Humanos , Feminino , Masculino , Rememoração Mental/fisiologia , Adulto Jovem , Narração , Adulto , Fatores de Tempo , Dinâmica não Linear , Adolescente
9.
J Cogn Neurosci ; 36(11): 2495-2517, 2024 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-39106161

RESUMO

Making sense of natural language and narratives requires building and manipulating a situation model by adding incoming information to the model and using the context stored in the model to comprehend subsequent details and events. Situation model maintenance is supported by the default mode network (DMN), but comprehension of the individual moments in the narrative relies on access to the conceptual store within the semantic system. The present study examined how these systems are engaged by different narrative content to investigate whether highly informative, or semantic, content is a particularly strong driver of semantic system activation compared with contextually driven content that requires using the situation model, which might instead engage DMN regions. The study further investigated which subregions of the graded semantic hub in the left anterior temporal lobe (ATL) were engaged by the type of narrative content. To do this, we quantified the semantic, pragmatic, social, ambiguous, and emotional content for each sentence in a complete narrative, the English translation of The Little Prince. Increased activation in the transmodal hub in the ventral ATL was only observed for high semantic (i.e., informative) relative to low semantic sentences. Activation in the dorsolateral and ventrolateral ATL subregions was observed for both high relative to low semantic and social content sentences, but the ventrolateral ATL effects were more extensive in the social condition. There was high correspondence between the social and pragmatic content results, particularly in the ventrolateral ATL. We argue that the ventrolateral ATL may be particularly engaged by internal, or endogenous, processing demands, aided by functional connections between the anterior middle temporal gyrus and the DMN. Pragmatic and social content may have driven endogenous processing given the pervasive and plot-progressing nature of this content in the narrative. We put forward a revised account of how the semantic system is engaged in naturalistic contexts, a critical step toward better understanding real-world semantic and social processing.


Assuntos
Imageamento por Ressonância Magnética , Narração , Semântica , Humanos , Masculino , Feminino , Adulto , Adulto Jovem , Compreensão/fisiologia , Rede de Modo Padrão/fisiologia , Rede de Modo Padrão/diagnóstico por imagem , Lobo Temporal/fisiologia , Lobo Temporal/diagnóstico por imagem , Mapeamento Encefálico , Encéfalo/fisiologia , Encéfalo/diagnóstico por imagem , Percepção Social
10.
Neuroimage ; 292: 120613, 2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38631616

RESUMO

Punishment of moral norm violators is instrumental for human cooperation. Yet, social and affective neuroscience research has primarily focused on second- and third-party norm enforcement, neglecting the neural architecture underlying observed (vicarious) punishment of moral wrongdoers. We used naturalistic television drama as a sampling space for observing outcomes of morally-relevant behaviors to assess how individuals cognitively process dynamically evolving moral actions and their consequences. Drawing on Affective Disposition Theory, we derived hypotheses linking character morality with viewers' neural processing of characters' rewards and punishments. We used functional magnetic resonance imaging (fMRI) to examine neural responses of 28 female participants while free-viewing 15 short story summary video clips of episodes from a popular US television soap opera. Each summary included a complete narrative structure, fully crossing main character behaviors (moral/immoral) and the consequences (reward/punishment) characters faced for their actions. Narrative engagement was examined via intersubject correlation and representational similarity analysis. Highest cortical synchronization in 9 specifically selected regions previously implicated in processing moral information was observed when characters who act immorally are punished for their actions with participants' empathy as an important moderator. The results advance our understanding of the moral brain and the role of normative considerations and character outcomes in viewers' engagement with popular narratives.


Assuntos
Drama , Imageamento por Ressonância Magnética , Princípios Morais , Punição , Humanos , Feminino , Punição/psicologia , Adulto , Adulto Jovem , Sincronização Cortical/fisiologia , Empatia/fisiologia , Córtex Cerebral/fisiologia , Córtex Cerebral/diagnóstico por imagem , Narração
11.
Hippocampus ; 34(8): 438-451, 2024 08.
Artigo em Inglês | MEDLINE | ID: mdl-39016331

RESUMO

Studies of the impact of brain injury on memory processes often focus on the quantity and episodic richness of those recollections. Here, we argue that the organization of one's recollections offers critical insights into the impact of brain injury on functional memory. It is well-established in studies of word list memory that free recall of unrelated words exhibits a clear temporal organization. This temporal contiguity effect refers to the fact that the order in which word lists are recalled reflects the original presentation order. Little is known, however, about the organization of recall for semantically rich materials, nor how recall organization is impacted by hippocampal damage and memory impairment. The present research is the first study, to our knowledge, of temporal organization in semantically rich narratives in three groups: (1) Adults with bilateral hippocampal damage and severe declarative memory impairment, (2) adults with bilateral ventromedial prefrontal cortex (vmPFC) damage and no memory impairment, and (3) demographically matched non-brain-injured comparison participants. We find that although the narrative recall of adults with bilateral hippocampal damage reflected the temporal order in which those narratives were experienced above chance levels, their temporal contiguity effect was significantly attenuated relative to comparison groups. In contrast, individuals with vmPFC damage did not differ from non-brain-injured comparison participants in temporal contiguity. This pattern of group differences yields insights into the cognitive and neural systems that support the use of temporal organization in recall. These data provide evidence that the retrieval of temporal context in narrative recall is hippocampal-dependent, whereas damage to the vmPFC does not impair the temporal organization of narrative recall. This evidence of limited but demonstrable organization of memory in participants with hippocampal damage and amnesia speaks to the power of narrative structures in supporting meaningfully organized recall despite memory impairment.


Assuntos
Amnésia , Hipocampo , Rememoração Mental , Humanos , Hipocampo/patologia , Hipocampo/diagnóstico por imagem , Hipocampo/fisiopatologia , Rememoração Mental/fisiologia , Masculino , Feminino , Pessoa de Meia-Idade , Amnésia/fisiopatologia , Amnésia/patologia , Amnésia/psicologia , Adulto , Narração , Idoso , Testes Neuropsicológicos , Fatores de Tempo , Córtex Pré-Frontal/patologia , Córtex Pré-Frontal/fisiopatologia , Córtex Pré-Frontal/diagnóstico por imagem , Córtex Pré-Frontal/lesões
12.
Hum Brain Mapp ; 45(11): e26802, 2024 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-39086203

RESUMO

Naturalistic paradigms, such as watching movies during functional magnetic resonance imaging, are thought to prompt the emotional and cognitive processes typically elicited in real life situations. Therefore, naturalistic viewing (NV) holds great potential for studying individual differences. Previous studies have primarily focused on using shorter movie clips, geared toward eliciting specific and often isolated emotions, while the potential behind using full narratives depicted in commercial movies as a proxy for real-life experiences has barely been explored. Here, we offer preliminary evidence that a full narrative movie (FNM), that is, a movie covering a complete narrative arc, can capture complex socio-affective dynamics and their links to individual differences. Using the studyforrest dataset, we investigated inter- and intra-subject similarity in network functional connectivity (NFC) of 14 meta-analytically defined networks across a full narrative, audio-visual movie split into eight consecutive movie segments. We characterized the movie segments by valence and arousal portrayed within the sequences, before utilizing a linear mixed model to analyze which factors explain inter- and intra-subject similarity. Our results show that the model best explaining inter-subject similarity comprised network, movie segment, valence and a movie segment by valence interaction. Intra-subject similarity was influenced significantly by the same factors and an additional three-way interaction between movie segment, valence and arousal. Overall, inter- and intra-subject similarity in NFC were sensitive to the ongoing narrative and emotions in the movie. We conclude that FNMs offer complex content and dynamics that might be particularly valuable for studying individual differences. Further characterization of movie features, such as the overarching narratives, that enhance individual differences is needed for advancing the potential of NV research.


Assuntos
Conectoma , Imageamento por Ressonância Magnética , Filmes Cinematográficos , Rede Nervosa , Humanos , Adulto , Conectoma/métodos , Rede Nervosa/fisiologia , Rede Nervosa/diagnóstico por imagem , Emoções/fisiologia , Individualidade , Feminino , Masculino , Narração , Adulto Jovem , Nível de Alerta/fisiologia
13.
J Gen Intern Med ; 39(10): 1795-1802, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38289461

RESUMO

BACKGROUND: While some prior studies of work-based assessment (WBA) numeric ratings have not shown gender differences, they have been unable to account for the true performance of the resident or explore narrative differences by gender. OBJECTIVE: To explore gender differences in WBA ratings as well as narrative comments (when scripted performance was known). DESIGN: Secondary analysis of WBAs obtained from a randomized controlled trial of a longitudinal rater training intervention in 2018-2019. Participating faculty (n = 77) observed standardized resident-patient encounters and subsequently completed rater assessment forms (RAFs). SUBJECTS: Participating faculty in longitudinal rater training. MAIN MEASURES: Gender differences in mean entrustment ratings (4-point scale) were assessed with multivariable regression (adjusted for scripted performance, rater and resident demographics, and the interaction between study arm and time period [pre- versus post-intervention]). Using pre-specified natural language processing categories (masculine, feminine, agentic, and communal words), multivariable linear regression was used to determine associations of word use in the narrative comments with resident gender, race, and skill level, faculty demographics, and interaction between the study arm and the time period (pre- versus post-intervention). KEY RESULTS: Across 1527 RAFs, there were significant differences in entrustment ratings between women and men standardized residents (2.29 versus 2.54, respectively, p < 0.001) after correction for resident skill level. As compared to men, feminine terms were more common for comments of what the resident did poorly among women residents (ß 0.45, CI 0.12-0.78, p 0.01). This persisted despite adjusting for the faculty's entrustment ratings. There were no other significant linguistic differences by gender. CONCLUSIONS: Contrasting prior studies, we found entrustment rating differences in a simulated WBA which persisted after adjusting for the resident's scripted performance. There were also linguistic differences by gender after adjusting for entrustment ratings, with feminine terms being used more frequently in comments about women in some, but not all narrative comments.


Assuntos
Competência Clínica , Internato e Residência , Humanos , Feminino , Masculino , Competência Clínica/normas , Fatores Sexuais , Narração , Adulto , Avaliação Educacional/métodos
14.
Cogn Neuropsychol ; 41(1-2): 70-92, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38935595

RESUMO

Separable input and output phonological working memory (WM) capacities have been proposed, with the input capacity supporting speech recognition and the output capacity supporting production. We examined the role of input vs. output phonological WM in narrative production, examining speech rate and pronoun ratio - two measures with prior evidence of a relation to phonological WM. For speech rate, a case series approach with individuals with aphasia found no significant independent contribution of input or output phonological WM capacity after controlling for single-word production. For pronoun ratio, there was some suggestion of a role for input phonological WM. Thus, neither finding supported a specific role for an output phonological buffer in speech production. In contrast, two cases demonstrating dissociations between input and output phonological WM capacities provided suggestive evidence of predicted differences in narrative production, though follow-up research is needed. Implications for case series vs. case study approaches are discussed.


Assuntos
Memória de Curto Prazo , Narração , Fala , Humanos , Memória de Curto Prazo/fisiologia , Feminino , Masculino , Pessoa de Meia-Idade , Idoso , Fala/fisiologia , Afasia/fisiopatologia , Afasia/psicologia , Fonética , Adulto , Testes Neuropsicológicos
15.
Pediatr Res ; 96(2): 313-318, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38519792

RESUMO

A 7-session narrative medicine (NM) curriculum was designed and facilitated by pediatrics residents for pediatrics residents in order to unpack challenging experiences during clinical training and strengthen relationships with colleagues and patients. The primary facilitator, a resident with a master's degree in NM, provided facilitator training to her co-residents with whom she co-led the workshops in the curriculum. We conducted, transcribed, and analyzed individual interviews of 15 residents, with three resultant themes: reflection on personal and professional identity; connection to others and community building; and reconceptualization of medical practice. Residents shared that they experienced greater solidarity, professional fulfillment, appreciation for multiple facets of their identities, recognition of holding space for vulnerability, and advocacy for marginalized populations. Our study highlights the feasibility and effectiveness of peer-led NM workshops to enhance clinical training through self-reflection, inclusion of persons from underrecognized backgrounds, and promotion of values consistent with humanistic care. IMPACT: A novel narrative medicine curriculum was designed and facilitated by pediatrics residents for pediatrics residents. The curriculum was feasible and acceptable to pediatrics residents and required a facilitator with content and methodology expertise in narrative medicine to train additional facilitators. Three themes emerged from resident interviews: reflection on personal and professional identity; connection to others and community building; and reconceptualization of medical practice on individual and global levels.


Assuntos
Currículo , Internato e Residência , Medicina Narrativa , Pediatria , Humanos , Pediatria/educação , Feminino , Masculino , Educação de Pós-Graduação em Medicina , Narração
16.
Am J Public Health ; 114(10): 1008-1012, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39088788

RESUMO

Amid growing restrictions on reproductive health care nationwide, understanding real-time contextualization of patient experience is critical. This qualitative approach uses inductive content analysis to examine 74 anonymous journal entries from 2020 to 2023 from patients accessing abortions in New Mexico. Prompted by a journal titled, "Tell your story, it may help someone else," entries described decision-making, highlighted autonomy, and built solidarity. This analysis explains how patients contextualized their abortion and offers insight to improving experiences for patients traveling for abortion care. (Am J Public Health. 2024;114(10):1008-1012. https://doi.org/10.2105/AJPH.2024.307772).


Assuntos
Aborto Induzido , Humanos , Feminino , Gravidez , New Mexico , Pesquisa Qualitativa , Tomada de Decisões , Adulto , Narração
17.
Psychooncology ; 33(4): e6317, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38573227

RESUMO

INTRODUCTION: How to communicate effectively with adolescent and young adults with cancer (AYACs) is a research priority. In a UK-wide survey of young people with cancer's research priorities, communication was a striking cross-cutting theme. It is increasingly recognised that AYACs have experiences and communication needs that differ significantly from those of younger children and older adults. The purpose of this review is to explore the features of effective clinical communication with AYACs. METHODS: A literature search was undertaken to identify and map the available evidence using a broad scope to get an overview of the pertinent literature, identify knowledge gaps and clarify concepts. The searches yielded 5825 records, generating 4040 unique articles. These were screened and 71 full articles were read by four researchers with disagreements resolved by discussion leaving 29 included articles. Narrative synthesis was undertaken in relation to each of the research questions. RESULTS: Three key themes were identified: being an adolescent/young adult, supporters, and healthcare professionals (HCPs). AYACs need to feel that HCPs understand their unique perspective. They want to be involved, this changes over time and in different contexts. Supporters are a central tenet, are most often parents and undertake several roles which are not always universally supportive. HCPs enable involvement of AYACs, and this needs to be actively promoted. AYACs preference for their level of involvement requires continual assessment. The three themes are interlinked and exist within the wider scope of the triadic encounter and cancer experience. CONCLUSION: Supporters, most often parents were a key feature across the data and were seemingly paradoxical in nature. Triadic communication, the presence of a third person, is a central tenet of communication with AYACs and we propose a conceptual model to represent the nuances, components, and facets of this complex communication.


Assuntos
Comunicação , Neoplasias , Criança , Humanos , Adolescente , Adulto Jovem , Idoso , Narração , Emoções , Pessoal de Saúde , Neoplasias/terapia
18.
Psychooncology ; 33(10): e9317, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39349419

RESUMO

BACKGROUND: Despite the increasing burden of breast cancer in the developing world, there is a misunderstanding of the complex and multifaceted relationship between culture and cancer, particularly breast cancer. Hence, a dichotomy of illness narratives exists due to differential meaning making concerning breast cancer. While clinicians always recommend biomedical treatment, women with breast cancer often seek alternative treatment pathways. AIMS: To explore the experiences of women with breast cancer and clinicians in Nigeria on the dichotomy in the illness narratives. METHODS: This qualitative study used in-depth interviews and focus group discussion to explore the experiences of 22 women with breast cancer and 7 clinicians in Nigeria on the dichotomy in the illness narratives using grounded theory method analysis. RESULTS: This study revealed that many women living with breast cancer (WLBC) hold health beliefs that are contradictory to the biomedical norm. They mostly sought treatment based on the perceived aetiology of breast cancer. The treatment pathway follows faith and traditional healing as alternatives or sometimes in combination with biomedicine. WLBC reported a constant fear of biomedical treatment, perceived to be harmful to women's sexuality, fertility and body image. Hence, after perceived treatment failure from alternative care, biomedical care becomes the last resort, usually at an advanced stage of breast cancer, often responsible for poor prognosis. CONCLUSION: There is a dichotomy of illness construction between sufferers and health practitioners. To guide women with breast cancer on the path of care, modern care practitioners should consider some cultural norms and practices without compromising professional ethos.


Assuntos
Neoplasias da Mama , Grupos Focais , Pesquisa Qualitativa , Humanos , Feminino , Neoplasias da Mama/psicologia , Neoplasias da Mama/terapia , Nigéria , Pessoa de Meia-Idade , Adulto , Narração , Teoria Fundamentada , Conhecimentos, Atitudes e Prática em Saúde , Idoso , Entrevistas como Assunto , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Atitude do Pessoal de Saúde , Imagem Corporal/psicologia
19.
Psychophysiology ; 61(11): e14642, 2024 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38961524

RESUMO

Narratives are effective tools for evoking emotions, and physiological measurements provide a means of objectively assessing emotional reactions - making them a potentially powerful pair of tools for studying emotional processes. However, extent research combining emotional narratives and physiological measurement varies widely in design and application, making it challenging to identify previous work, consolidate findings, and design effective experiments. Our scoping review explores the use of auditory emotional narratives and physiological measures in research, examining paradigms, study populations, and represented emotions. Following the PRISMA-ScR Checklist, we searched five databases for peer-reviewed experimental studies that used spoken narratives to induce emotion and reported autonomic physiological measures. Among 3466 titles screened and 653 articles reviewed, 110 studies were included. Our exploration revealed a variety of applications and experimental paradigms; emotional narratives paired with physiological measures have been used to study diverse topics and populations, including neurotypical and clinical groups. Although incomparable designs and sometimes contradictory results precluded general recommendations as regards which physiological measures to use when designing new studies, as a whole, the body of work suggests that these tools can be valuable to study emotions. Our review offers an overview of research employing narratives and physiological measures for emotion study, and highlights weaknesses in reporting practices and gaps in our knowledge concerning the robustness and specificity of physiological measures as indices of emotion. We discuss study design considerations and transparent reporting, to facilitate future using emotional narratives and physiological measures in studying emotions.


Assuntos
Emoções , Narração , Humanos , Emoções/fisiologia , Sistema Nervoso Autônomo/fisiologia
20.
Psychophysiology ; 61(7): e14559, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38459777

RESUMO

Emotion regulation (ER) is a multifaceted construct, involving behavioral, cognitive, and physiological processes. Although autonomic coordination is theorized to play a crucial role in adaptive functioning, few studies have examined how different individual and contextual factors together may contribute to such coordination. This study examined the joint influences of narrative processing and emotional negativity/lability (N/L) traits on the coordination of the sympathetic and parasympathetic nervous systems in a sample of 112 children, ages 8-12 years (Mage = 10.15 years, SD = 1.33). Children completed a stress-induction task followed by an interview about the task. Children's trait-level N/L was assessed via parent-report on the Emotion Regulation Checklist. Narrative processing was assessed and coded based on children's narrative accounts of the event (i.e., causal coherence, overall emotional tone). Indexes of sympathetic (skin conductance response, SCR) and parasympathetic (respiratory sinus arrhythmia, RSA) functioning were derived from physiological data obtained during the interview. Results revealed that children's trait-level N/L and narrative processing of the stressful event interacted to predict the RSA-SCR correlation. Specifically, children who were high on either N/L or narrative causal coherence, but not both, demonstrated significant RSA-SCR correlation. Similarly, children with high N/L and negative-to-neutral narratives, as well as those with low N/L and neutral-to-positive narratives, exhibited significant RSA-SCR correlation. This work provides empirical evidence that narrative processing and trait N/L, together with RSA-SCR correlation, work in tandem to regulate emotional arousal.


Assuntos
Regulação Emocional , Resposta Galvânica da Pele , Narração , Arritmia Sinusal Respiratória , Humanos , Criança , Feminino , Masculino , Arritmia Sinusal Respiratória/fisiologia , Resposta Galvânica da Pele/fisiologia , Regulação Emocional/fisiologia , Sistema Nervoso Autônomo/fisiologia , Sistema Nervoso Parassimpático/fisiologia , Emoções/fisiologia , Sistema Nervoso Simpático/fisiologia , Estresse Psicológico/fisiopatologia
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