As easy as cake or a piece of pie? Processing idiom variation and the contribution of individual cognitive differences.

Language users routinely use canonical, familiar idioms in everyday communication without difficulty. However, creativity in idiom use is more widespread than sometimes assumed, and little is known about how we process creative uses of idioms, and how individual differences in cognitive skills contribute to this. We used eye-tracking while reading and cross-modal priming to investigate the processing of idioms (e.g., play with fire) compared with creative variants (play with acid) and literal controls (play with toys), amongst a group of 47 university-level native speakers of English. We also conducted a series of tests to measure cognitive abilities (working memory capacity, inhibitory control, and processing speed). Eye-tracking results showed that in early reading behaviour, variants were read no differently to literal phrases or idioms but showed significantly longer overall reading times, with more rereading required compared with other conditions. Idiom variables (familiarity, decomposability, literal plausibility) and individual cognitive variables had limited effects throughout, although more decomposable phrases of all kinds required less overall reading time. Cross-modal priming-which has often shown a robust idiom advantage in past studies-demonstrated no difference between conditions, but decomposability again led to faster processing. Overall, results suggest that variants were treated more like literal phrases than novel metaphors, with subsequent effort required to make sense of these in the way that was consistent with the context provided.

A Glossary of Distress Expressions Among Kannada-Speaking Urban Hindu Women.

People's lived experiences of distress are complex, personal, and vary widely across cultures. So, too, do the terms and expressions people use to describe distress. This variation presents an engaging challenge for those doing intercultural work in transcultural psychiatry, global mental health, and psychological anthropology. This article details the findings of a study of common distress terminology among 63 Kannada-speaking Hindu women living in Mysuru, the second largest city in the state of Karnataka, South India. Very little existing scholarship focuses on cultural adaptation for speakers of Dravidian languages like Kannada; this study aims to fill this gap and support greater representation of this linguistic family in research on mental health, idioms of distress, and distress terminology. Between 2018 and 2019, we conducted a 3-phase study consisting of interviews, data reduction, and focus group discussions. The goal was to produce a non-exhaustive list of common Kannada distress terms that could be used in future research and practice to translate and culturally adapt mental health symptom scales or other global mental health tools.

Four hundred Greek idiomatic expressions: Ratings for subjective frequency, ambiguity, and decomposability.

Idioms differ from other forms of figurative language because of their dimensions of subjective frequency, ambiguity (possibility of having a literal interpretation), and decomposability (possibility of the idiom's words to assist in its figurative interpretation). This study focuses on the Greek language and aims at providing the first corpus of 400 Greek idioms rated for their dimensions by 113 native Greek students, aged 19 to 39 years. The study aimed at (1) rating all idioms for their degree of subjective frequency, ambiguity, and decomposability, and (2) investigating the relationships between these dimensions. Three different assessments were conducted, during which the participants were asked to evaluate the degree of idioms' subjective frequency, ambiguity, and decomposability. The idioms were selected from a dictionary of Greek idioms titled "Dictionary of Idioms in Modern Greek" (Vlaxopoulos, 2007). This study resulted in the first database of Greek idioms assessed for their dimensions. The intraclass correlation coefficient (ICC) (two-way mixed, absolute agreement) demonstrated high internal consistency in the ratings given for each dimension, for the same idiom, by the different individual raters. Correlational analyses showed that subjective frequency was positively moderately correlated with decomposability, and positively weakly correlated with ambiguity, while decomposability was positively moderately correlated with ambiguity.

Speaking of Hunger: Food Shortages, Poverty and Community Assistance in Urban South Africa.

How people speak of hunger extends beyond statements about food adequacy; people's remarks may reflect experiences of poverty and feelings of vulnerability, and may be used to request help. In this article, we build on the idea of idioms of distress to conceptualize hunger talk as expressing more than an empty belly. We draw on ethnographic data gathered in two settings in South Africa: one a peri-urban area under traditional jurisdiction in the Eastern Cape Province; the other an inner-city suburb of the largest city, Johannesburg, in Gauteng. Hunger-related idioms of distress help illustrate the complex interplay of social, economic, and cultural factors, and allow people to speak of various affective and material aspects of their lives.

Concreteness ratings for 62,000 English multiword expressions.

Concreteness describes the degree to which a word's meaning is understood through perception and action. Many studies use the Brysbaert et al. (2014) concreteness ratings to investigate language processing and text analysis. However, these ratings are limited to English single words and a few two-word expressions. Increasingly, attention is focused on the importance of multiword expressions, given their centrality in everyday language use and language acquisition. We present concreteness ratings for 62,889 multiword expressions and examine their relationship to the existing concreteness ratings for single words and two-word expressions. These new ratings represent the first big dataset of multiword expressions, and will be useful for researchers interested in language acquisition and language processing, as well as natural language processing and text analysis.

Cognitive control in processing ambiguous idioms: evidence from a self-paced reading study.

Idioms entail a competition between bottom-up and top-down activations of literal and figurative meanings. The present study explored the involvement of cognitive control in processing Hebrew ambiguous idioms. Fifty subjects have completed a self-paced reading task and a response inhibition, stop-signal task (SST). Subjects read 26 matched pairs of almost-identical sentences, which included ambiguous idioms (e.g., "break the ice"). The ambiguity was resolved only in the third part of the sentence, which was either literal ("on the parking lot") or figurative ("with funny stories"). Figurative disambiguation parts were read significantly faster than literal ones. The means of the absolute RT difference between the literal and figurative sentences significantly correlated with the SST cognitive control measure. A comparison between three groups of cognitive control levels validated that "Good inhibitors" in the SST were also faster in processing ambiguities. The paper discusses the generality of cognitive control in linguistic processing.

Old Dogs and New Tricks: Assessing Idiom Knowledge Amongst Native Speakers of Different Ages.

Idioms, along with other formulaic multiword phrases, represent a substantial part of vocabulary knowledge. This study investigates how idiom knowledge develops through the adult lifespan, comparing familiarity and transparency ratings for a large set of common English idioms. A total of 237 participants, ranging from 18 to 77 years old, collectively rated 200 idioms. They also completed a short single-word vocabulary test and provided information about their educational background. Results showed a clear increase in idiom and single-word knowledge throughout the lifespan. For idioms, this represented a jump from the youngest age-group, then a steady increase from the age of around 25 onward. Single word vocabulary knowledge increased more evenly as a function of age. Perceptions of transparency were not affected in the same way. I discuss what these results suggest about the development of vocabulary through the lifespan.

A pilot study adapting and validating the Harvard Trauma Questionnaire (HTQ) and PTSD checklist-5 (PCL-5) with Indian women from slums reporting gender-based violence.

BACKGROUND: Despite high rates of gender-based violence (GBV) in India, culturally sensitive measures that examine universal and culturally relevant trauma reactions are lacking. Although the Harvard Trauma Questionnaire (HTQ) has been used in India, no study has adapted the measure in full for use with this population. Similarly, the  PTSD checklist-5 (PCL-5) has not yet been validated in India. This study describes the adaptation, validation, and results from the adapted HTQ, and embedded PCL-5, for Indian women from slums reporting GBV. METHOD: This study used the adaptation framework proposed by the HTQ measure developers. The adapted HTQ contained a (1) trauma screen relevant for stressors faced by Indian women from slums, (2) description of the index trauma, (3) description of any ongoing stressors, (4) universal trauma reactions (i.e., PTSD measured by the PCL-5), and culturally relevant trauma reactions (i.e., idioms of distress measured by a scale developed for the study). This measure was piloted on 111 women from Indian slums in face-to-face interviews. Trauma characteristics, types of ongoing stressors, and psychometric properties of the PCL-5 and idioms of distress scale were explored. These scales were validated against measures of depression (PHQ-9), anxiety (GAD-7), and somatic complaints (PHQ-15). RESULTS: The majority of participants (77%) reported physical beatings, 18% reported unwanted sexual touch, and 28.8% reported infidelity as the primary emotional abuse. Further, 96.7% of GBV was perpetrated by partner or family member and over half reported ongoing stressors (e.g., poverty-related strain). The PCL-5 embedded in the HTQ yielded good internal consistency (Cronbach's alpha = .88) as did the idioms of distress scale with deletion of one item (Cronbach's alpha = .80). Both scales were externally valid, yielding large correlations with depression, anxiety, and somatic complaints (rs between .54 and .80, ps < .05). DISCUSSION: This is the first study to develop a comprehensive measure of trauma exposure with universal and culturally relevant trauma reactions in India. This study also enhances HTQ usage in India by delineating all the steps in the adaptation process. Results can inform the development of trauma-focused interventions for Indian women from slums.

Scratching your tête over language-switched idioms: Evidence from eye-movement measures of reading.

Idioms are semantically non-compositional multiword units whose meanings often go beyond literal interpretations of their component words (e.g., break the ice, kick the bucket, spill the beans). According to hybrid models of idiom processing, idioms are subject to both direct retrieval from the lexicon in early stages of processing, and word-by-word compositional reanalysis in later stages of comprehension. However, a less clear aspect is how disrupting an idiom's canonical form, and thus its direct retrieval, impacts the time course of comprehension. In this eye-tracking reading study, healthy English-French bilingual adults with English as their dominant language read sentences containing English idioms in their canonical form (e.g., break the ice), or in a switched form where the phrase-final noun was translated into French (e.g., break the glace). Thus, within this manipulation, momentary language switches modified the canonical form of idioms, while at the same time minimally altering the semantics of their component words, thus nudging readers towards a compositional processing route. Analyses of eye-movement data revealed switching costs in longer reading times at early (but not late) processing stages for idioms compared to matched literal phrases. Interestingly, the cost of language switching was attenuated by the availability of a translationally equivalent idiom in the non-target language (French, e.g., briser la glace). Taken together, these results suggest that direct retrieval is the preferential route in the comprehension of idioms' canonical forms, which acts as an effective repair strategy by the language-processing system when recovering the underlying form of modified idioms.

The Phenomenology of 'Solved' Reincarnation Stories Among Druze in Israel: Private Self, Symbolic Type and Daily Life.

This article examines the self-concept of the person who experienced Notq -the Druze phenomenon of remembering and talking about previous life. We focus on 'solved' stories- ones in which the person identifies his/her previous incarnation. The central question of this study is: What is the phenomenological experience of a person who has had Notq? In-depth semi-structured interviews were conducted with twenty-three Israeli Druze adults. The findings expose the Notq's experience and its manifestations throughout 'Notq's life career'. The findings also show that Notq provides psychological resources which create a symbolic type who represents the central ethos of the Druze. In the discussion we argue that Notq can be perceived as a cultural idiom providing unique psychological and cultural resources. This study contributes to the research of psychology and culture by examining the Druze belief in reincarnation, the interpretation of cultural idioms and cautions against treating them as idioms of distress.

Tension and Other Idioms of Distress Among Slum Dwelling Young Men: A Qualitative Study of Depression in Urban Bangladesh.

In low- and middle-income countries (LMIC) it is vital to understand acceptable, comprehensive, and culturally appropriate ways of communicating about mental distress. Diagnostic terminology is rarely used, may be stigmatizing, and is subject to misinterpretation. Local terms, such as idioms of distress, can improve mental health literacy and service delivery. Our objective was to examine lived experience and coping connected to distress and depression in an under-researched population: young men from LMIC urban slums. We conducted 60 qualitative interviews with men (ages 18-29) in Bhashantek slum, Bangladesh. Themes were generated using thematic analysis and grounded theory techniques. The heart-mind (mon), mentality (manoshikota), mood (mejaj), head (matha or "brain"), and body (shorir) comprised the self-concept, and were related to sadness, hopelessness, anger, worry, and mental illness. The English word "tension" was the central idiom of distress. "Tension" existed on a continuum, from mild distress or motivational anxiety, to moderate distress including rumination and somatic complaints, to severe psychopathology including anhedonia and suicidality. Respondents connected "tension" to burnout experiences and mental illness which was summarized in an ethnopsychological model. These findings can inform culturally sensitive measurement tools and interventions that are acceptable to the community, potentially increasing engagement and enhancing therapeutic outcomes.

The Hair in the Garland: Hair Loss and Social Stress Among Women in South India.

Generations of scholars have debated hair's significance as a symbol of womanhood, fertility, and spiritual morality in South India. For contemporary Indian women, hair is a site of concern, often expressed as an everyday preoccupation with hair loss or "hair fall," as it is known in the subcontinent. This exploratory study investigated hair fall among Kannada-speaking Hindu women in the South Indian city of Mysuru, Karnataka. It used a series of focus group discussions to explore how women talk about the causes and consequences of hair fall, and how women cope with hair-related distress. Participants articulated clear, shared ideas about why hair falls and how it can be managed. They connected hair fall to broader stressors in their lives both directly and symbolically. Hair fall, therefore, appears to function idiomatically in this context, both as an idiom of distress in its own right, and as a symptom of other idioms and forms of distress. Additional research is needed to establish the importance of hair fall relative to other distress constructs, and to more directly assess its potential value in research and intervention.

Functional anatomy of idiomatic expressions.

Idiomatic expressions (IE) are groups of words whose meaning is different from the sum of its components. Neural mechanisms underlying their processing are still debated, especially regarding lateralization, main structures involved, and whether this neural network is independent from the spoken language. To investigate the neural correlates of IE processing in healthy Spanish speakers.Twenty one native speakers of Spanish were asked to select one of 4 possible meanings for IE or literal sentences. fMRI scans were performed in a 3.0T scanner and processed by SPM 12 comparing IE vs. literal sentences. Laterality indices were calculated at the group level. IE activated a bilateral, slightly right-sided network comprising the pars triangularis and areas 9 and 10. In the left hemisphere (LH): the pars orbitalis, superior frontal, angular and fusiform gyrus. In the right hemisphere (RH): anterior insula, middle frontal, and superior temporal gyrus. This network reveals the importance of the RH, besides traditional LH areas, to comprehend IE. This agrees with the semantic coding model: the LH activates narrow semantic fields choosing one single meaning and ignoring others, and the RH detects distant semantic relationships, activating diffuse semantic fields. It is also in line with the configuration hypothesis: both meanings, literal and figurative, are executed simultaneously, until the literal meaning is definitively rejected and the figurative one is accepted. Processing IE requires the activation of fronto-temporal networks in both hemispheres. The results concur with previous studies in other languages, so these networks are independent from the spoken language. Understanding these mechanisms sheds light on IE processing difficulties in different clinical populations and must be considered when planning resective surgery.

"Thinking Too Much": A Systematic Review of the Idiom of Distress in Sub-Saharan Africa.

Idioms of distress have been employed in psychological anthropology and global mental health to solicit localized understandings of suffering. The idiom "thinking too much" is employed in cultural settings worldwide to express feelings of emotional and cognitive disquiet with psychological, physical, and social consequences on people's well-being and daily functioning. This systematic review investigates how, where, and among whom the idiom "thinking too much" within varied Sub-Saharan African contexts was investigated. We reviewed eight databases and identified 60 articles, chapters, and books discussing "thinking too much" across Sub-Saharan Africa. Across 18 Sub-Saharan African countries, literature on "thinking too much" focused on particular sub-populations, including clinical populations, including people living with HIV or non-communicable diseases, and women experiencing perinatal or postnatal depression; health workers and caregivers; and non-clinical populations, including refugees and conflict-affected communities, as well as community samples with and without depression. "Thinking too much" reflected a broad range of personal, familial, and professional concerns that lead someone to be consumed with "too many thoughts." This research demonstrates that "thinking too much" is a useful idiom for understanding rumination and psychiatric distress while providing unique insights within cultural contexts that should not be overlooked when applied in clinical settings.

Medical idioms for clinical Bayesian network development.

Bayesian Networks (BNs) are graphical probabilistic models that have proven popular in medical applications. While numerous medical BNs have been published, most are presented fait accompli without explanation of how the network structure was developed or justification of why it represents the correct structure for the given medical application. This means that the process of building medical BNs from experts is typically ad hoc and offers little opportunity for methodological improvement. This paper proposes generally applicable and reusable medical reasoning patterns to aid those developing medical BNs. The proposed method complements and extends the idiom-based approach introduced by Neil, Fenton, and Nielsen in 2000. We propose instances of their generic idioms that are specific to medical BNs. We refer to the proposed medical reasoning patterns as medical idioms. In addition, we extend the use of idioms to represent interventional and counterfactual reasoning. We believe that the proposed medical idioms are logical reasoning patterns that can be combined, reused and applied generically to help develop medical BNs. All proposed medical idioms have been illustrated using medical examples on coronary artery disease. The method has also been applied to other ongoing BNs being developed with medical experts. Finally, we show that applying the proposed medical idioms to published BN models results in models with a clearer structure.

The Role of First Language Attrition in Persian Idiomatic Expressions.

In recent years, despite the fact that many researchers have devoted much of their attention to second language attrition, not much focus has been given to first language attrition (FLA) specifically among Iranian immigrants. The present study attempts to describe FLA in the semantic domain of idiomatic expression and effect of length of residence among Persian native speakers who live in Iran as well as those who migrate to English-speaking countries. The present study explores language attrition in three migrant populations (Persians in the United States, Australia, and Canada). The participants were selected through convenience sampling. Furthermore, to find the impact of length of residence, the immigrants were divided into two groups comprising short- and long-term residence groups. The instrument applied by the researchers for data collection included a researcher-devised idiomatic expression test to assess immigrants' level of idiom comprehension and demographic information questionnaire to have a better understanding of immigrants' background characteristics. Results revealed that the immigrants underwent FLA and the rate of attrition was higher in long-term immigrants. The results are in harmony with the Activation Threshold Hypothesis showing the language attrition among fewer L1 users. The finding of this study sheds new light on the understanding of the concept of first language attrition in migration studies.

Context and Literality in Idiom Processing: Evidence from Self-Paced Reading.

In a self-paced reading study, we investigated how effects of biasing contexts in idiom processing interact with effects of idiom literality. Specifically, we tested if idioms with a high potential for literal interpretation (e.g., break the ice) are processed differently in figuratively and literally biasing contexts than idioms with a low potential (e.g., lose one's cool). Participants read sentences that biased towards a figurative or literal reading of idioms and continued with resolutions that were congruent or incongruent with these biases (e.g., [The new schoolboy/the chilly Eskimo] just wanted to break the ice [with his peers/on the lake]…). While interpretations of high-literality idioms were strengthened by supporting contexts and showed costs for incongruent resolutions, low-literality idioms did not show this effect. Rather, interpreting low-literality idioms in a literal manner showed a cost regardless of context. We conclude that biasing contexts are used in a flexible process of real-time idiom processing and meaning constitution, but this effect is mediated by idiom literality.

Increased reliance on a right hemispheric mechanism during idiom processing in adults with dyslexia.

Previous studies on adults with dyslexia (DYS) have indicated difficulties in the comprehension of figurative language. Using the divided visual field paradigm, the present study investigated the hemispheric processing of idioms among 22 adults with DYS and 21 regular reader (RR) adults. Participants performed a lexical decision task for a target word related to either a literal or a figurative interpretation of an idiom. The results show that whereas the RR group demonstrated a bilateral pattern of hemispheric processing of idiomatic meanings, the DYS group showed a right hemisphere (RH) advantage. Furthermore, both groups demonstrated the typical RH advantage in processing the literal meanings of idioms. Our findings indicate increased recruitment of the RH in dyslexia, probably due to differences in cerebral language areas or weaker LH semantic processing.

Blood, Sweat, and/or Tears: Comparing Nervios Symptom Descriptions in Honduras.

With the aim of advancing the cross-cultural investigation of the folk illness nervios, I conducted a dual-sited comparative study of symptom descriptions among two diverse research settings in Honduras. Baer et al. (Cult Med Psychiatry 27(3):315-337, 2003) used cultural consensus modeling (CCM) to confirm a core description of nervios among four Latino groups in the US, Mexico, and Guatemala, but observed that overall agreement and average competence in a shared illness model decreased along a gradient from presumably more-to-less economically developed sites. This has left unresolved whether such variation extends to other Latin American regions. This paper is an exploratory analysis of inter- and intracultural variation in nervios symptom descriptions by 50 Hondurans from the market town of Copán Ruinas (n = 25) and city of San Pedro Sula (n = 25). I performed CCM using a combination of free-listing, pile-sorting, and rating activities to establish if respondents across sites share a single model of nervios. I found consensus for the San Pedro Sula subsample, but not for Copán Ruinas or for the overall sample. Results suggest nervios is constitutive of differing forms of distress ranging from chronic illness to acute suffering, as well as anger- and panic-based manifestations that overlap with biomedical ideas about depression, anxiety, and panic disorder. This variation derives in part from demographic factors such as age, gender, and residence, but may also result from ethnic and regional diversity among subsamples. However, consensus only being present among San Pedro Sula respondents suggests their greater awareness of cultural distinctions between biomedical and folk medical knowledge, which is likely due to their exposure to manifold health frameworks in those settings.

Global Mental Health and Idioms of Distress: The Paradox of Culture-Sensitive Pathologization of Distress in Cambodia.

Efforts to provide culturally appropriate global mental health interventions have included attention to local idioms of distress. This article critically examines the potential gap between lay ethnopsychological understandings of the Cambodian idiom of baksbat (broken courage) on the one hand and clinical conceptualizations of the idiom as a potential indicator of posttraumatic stress disorder. Ethnographic semi-structured interviews with trauma survivors reveal resistance to current clinical translations and hybrid Euro-Western and Khmer treatment interventions. While the notion of idioms of distress is intended to draw attention to everyday non-pathologizing forms of discourse, the creation of hybrid assessment and treatment constructs linking idioms to trauma-related pathology may obscure the pragmatic communicative functions of the idiom, making them subordinate to an existing model of psychiatric disorder and pathologizing everyday modes of coping. Participants' narratives highlight self-perceived connections between stressors that determine the trajectory and outcome of distress and shared cultural worldviews that together uniquely shape their meaning. These observations point to the dilemmas of linking idioms of distress with co-morbid illness constructs in ways that may pathologize normal emotional responses. Results have implications for efforts to develop effective models of post-conflict trauma care in global mental health.