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Receiving bad news about one’s health can be devastating, yet little is known about how the therapeutic nature of the environment where bad news is delivered affects the experience. The current study aimed to explore how patients and their families were affected by the language and the built, natural, social, and symbolic environments when receiving bad news, through the Therapeutic Landscapes theoretical framework.
Methods
Patients diagnosed with a life-limiting illness living in regional Victoria who had a hospital admission within 24 months and a diagnostic/prognostic conversation were invited to participate, as well as a family member who witnessed the conversation. Participants were recruited through social media and snowballing, resulting in 14 online semi-structured interviews being conducted between November 2021 and March 2022, audio-recorded, and transcribed verbatim. Reflexive thematic analysis was used to develop the themes.
Results
Fourteen semi-structured interviews were conducted with women aged between 30 and 77 years. Interviews lasted between 45 and 120 minutes, with an average of 69 minutes, and were conducted online or via mobile phone. Four central themes were developed: “Hearing bad news for the first time,” “Preferences for having hard conversations,” “Creating a sense of safety for ongoing care,” and “The therapeutic nature of the ward.”
Significance of results
This body of work will help inform practice and future policy regarding bad news delivery and the design and aesthetics of environments where bad news is delivered. It is essential that bad news is delivered within a quiet, calm, and emotionally safe environment within a supportive therapeutic relationship.
Across the globe radio developed rapidly as a popular and transformative technology in the aftermath of the Great War. In the 1920s it quickly became a means of mass communication reaching millions, enabling listeners access to news, information, and entertainment. In Ireland the advent of ‘wireless’ broadcasting coincided with independence and the partition of the island. Initially, broadcasting in Ireland looked inward as it sought to help define and consolidate the deeply conservative states that emerged from the violence of the Irish Revolution. However, identities throughout the island of Ireland have evolved to challenge the narrow, defensive, insular states that struggled to assert themselves a century ago. This chapter addresses the evolution of broadcasting in Ireland and how Irish writers have successfully used radio and television to find regional, national, and global audiences. Although presented in an Irish context, much of their writing transcends national borders because it explores the human condition in a variety of dramatic and comedic forms.
New technologies inevitably require new terminology. To refer to rudders, spectacles, telephones, and more, over the centuries Irish speakers borrowed words from other languages as well as repurposing native terms. In recent times, the challenge posed by loanwords has been political as much as linguistic, but, while we cannot know how people of the Middle Ages felt about the inflow of words from Norse or Norman French, technological vocabulary probably tells the history of contact between the Irish and other cultures more clearly than any other word-field. Within Irish itself, terms for inventions and innovations serve as fascinating case studies in language change and resilience: some medieval words for still-common devices have inexplicably fallen out of use; some early terms have been recorded again after long periods of silence; some words have manifested twice, hundreds of years apart. This chapter charts the emergence and development of a selection of technological terms in both medieval and modern Irish.
If learners are required to better their consecutive learning, their engagement and their motivation, they must be informed about the procedures that lead to certain grades of their individual oral and written performance. First of all, they have to understand that grading does not only depend on their respective teacher, but that he or she has to follow the often-detailed requirements of the school authorities. Furthermore, they have to be informed about the reasons why the grading of written performance is considered as more important by the authorities
To compare longitudinal verbal fluency performance among Latinx Spanish speakers who develop Alzheimer’s disease to those who do not develop dementia in absolute number of words produced on each task and their ratio to combine both scores.
Method:
Participants included 833 Latinx Spanish-speaking older adults from a community-based prospective cohort in Manhattan. We performed growth curve modeling to investigate the trajectories of letter and semantic fluency, and their ratio (i.e., ‘semantic index’), between individuals who developed Alzheimer’s disease and those who did not (i.e., controls). The semantic index quantifies the proportion of words generated for semantic fluency in relation to the total verbal fluency performance.
Results:
Letter fluency performance did not decline in controls; we observed a linear decline in those who developed Alzheimer’s disease. Semantic fluency declined in both groups and showed an increased rate of change over time in the incident Alzheimer’s disease group; in comparison, the control group had a linear and slower decline. There were no group differences in the longitudinal trajectory (intercept and slope) of the semantic index.
Conclusion:
A decline in letter fluency and a more rapid and accelerating decline over time in semantic fluency distinguished people who developed Alzheimer’s disease from controls. Using the semantic index was not a superior marker of incident Alzheimer’s disease compared to examining the two fluency scores individually. Results suggest the differential decline in verbal fluency tasks, when evaluated appropriately, may be useful for early identification of Alzheimer’s disease in Latinx Spanish speakers, a historically understudied population.
The freedom to think what you want and to say what you think has always generated a pushback of regulation and censorship. This raises the thorny question: to what extent does free speech actually endanger speech protection? This book examines today's calls for speech legislation and places it into historical perspective, using fascinating examples from the past 200 years, to explain the historical context of laws regulating speech. Over time, the freedom to speak has grown, the ways in which we communicate have evolved due to technology, and our ideas about speech protection have been challenged as a result. Now more than ever, we are living in a free speech paradox: powerful speakers weaponize their rights in order to silence those less-powerful speakers who oppose them. By understanding how this situation has developed, we can stand up to these threats to the freedom of speech.
[38.1] Statutory reasonableness refers to the use in legislation of the ‘reasonableness’ standard in its various forms. The concept of statutory reasonableness may be profitably examined, taking in its general characteristics and its special interpretative aspects. The importance of examining it is underlined by the fact that, for a number of compelling reasons, it is widely used in statute law.
War and language have a symbiotic relationship. On the one hand, wars are carried on and remembered through a proliferation of linguistic discourse. On the other, language is often a site of violent action and the battlefield of fierce struggles for power. This chapter explores the symbiosis between war and language at two different levels. First, it delves into the language of war as explored by modern and contemporary writers and thinkers. Second, it analyzes the language on war by suggesting the most common family resemblances of war writing (e.g., the preponderance of the adynaton, the absurd, the sublime, metaliterature and self-referentiality, the embedding of reflections on war, the presence of an authorial ethical stand, the importance of the senses, factuality), as well as by studying three of its main parameters. At the end, the chapter argues that the writing on war openly addresses epistemological, ontological, and ethical issues that most, if not all, literary writing has to face sooner or later, and it concludes that since it self-consciously brings out essential aspects of any literary artifact, war writing constitutes an apotheosis of literature itself.
Monolingualism, bilingualism, and multilingualism represent concepts of individual upbringing and social organization of extreme impact and scope. All in all, the book attempted to guide the reader from a multilingualism-as-problem to a multilingualism-as-resource perspective. However, it also argued that multilingualism cannot work wonders and should not be considered a goal in itself. Running a multilingual society can produce many beneficial effects, but maintaining several languages at the same time also incurs costs that a society must be prepared to burden and share. It is crucial to know which boundary conditions tip the balance from burden to benefit, or vice versa. The book further argues for a continuum from monolingualism to multilingualism based on the dimensions of homogeneity and heterogeneity. It further introduces a novel typology of English in multilingual contexts, distinguishing between English in heritage contexts, English in bilingual heritage contexts, English in contexts of balanced bilingualism, English in indigenous multilingual contexts, English in postcolonial multilingual contexts, and English as a lingua franca in modern multilingual immigrant contexts.
This article argues that society is not a thing. It is abbreviated and adapted with permission from a public lecture, titled There Is No Such Thing as Society: Margaret Thatcher, Ludwig Wittgenstein and the Philosophy of Social Science. The original was presented by Gavin Kitching to the Cuadernos de la Catedra Ludwig Wittgenstein at Universidad Veracruzana, Mexico, in March 2019.
Although collective bargaining is essentially a communication process, the role of language (as distinguished from discourse) in bargaining exchanges has received little attention from industrial relations scholars. Building on the work of Karl Popper, this article proposes a decomposition of language into functions and values and analyses their relevance when parties to a collective bargaining encounter engage in an integrative process. The proposed framework provides labour negotiators seeking integrative outcomes with linguistic guidelines and scholars with a tool to analyse bargaining exchanges.
When comparing a pair of attribute values, English speakers can use a “larger” comparative (“A is larger/longer/higher/more than B”) or a “smaller” comparative (“B is smaller/shorter/lower/less than A”). This choice matters because it affects people’s inferences about the absolute magnitudes of the compared items, and influences the perceived truthfulness of the comparative sentence itself. In 4 studies (total N = 2335), we investigated the language that people use to describe ordinal relations between attributes. Specifically, we examined whether demography, emotion, and personality predict the tendency to use “larger” comparatives rather than “smaller” ones. Participants viewed pairs of items differing in a single attribute and indicated the word they would use to describe the relationship between them; they also completed a series of self-report measures. Replicating previous work, we found a robust tendency to use “larger” comparatives, both when people chose between two adjectives and when they freely produced their own words in a sentence completion task. We also found that this tendency was more pronounced in older participants, those with positive mood or outlook, and among people high in agreeableness, conscientiousness, and emotional stability. However, these effects were very small, with meta-analytic effect sizes indicating they explain less than 1% of the variance. We conclude that, although people’s use of comparative adjectives is influenced by properties of the items that are being compared, the way that people describe magnitude relations is relatively stable across variation in a range of important traits and dispositions, protecting decision-makers from a potentially undesirable source of bias in their inferences and representations of described options.
In most previous studies of verbal probabilities, participants are asked to translate expressions such as possible and not certain into numeric probability values. This probabilistic translation approach can be contrasted with a novel which-outcome (WO) approach that focuses on the outcomes that people naturally associate with probability terms. The WO approach has revealed that, when given bell-shaped distributions of quantitative outcomes, people tend to associate certainty with minimum (unlikely) outcome magnitudes and possibility with (unlikely) maximal ones. The purpose of the present paper is to test the factors that foster these effects and the conditions in which they apply. Experiment 1 showed that the association of probability term and outcome was related to the association of scalar modifiers (i.e., it is certain that the battery will last at least…, it is possible that the battery will last up to…). Further, we tested whether this pattern was dependent on the frequency (e.g., increasing vs. decreasing distribution) or the nature of the outcomes presented (i.e., categorical vs. continuous). Results showed that despite being slightly affected by the shape of the distribution, participants continue to prefer to associate possible with maximum outcomes and certain with minimum outcomes. The final experiment provided a boundary condition to the effect, showing that it applies to verbal but not numerical probabilities.
As the study of moral judgments grows, it becomes imperative to compare results across studies in order to create unified theories within the field. These efforts are potentially undermined, however, by variations in wording used by different researchers. The current study sought to determine whether, when, and how variations in wording influence moral judgments. Online participants responded to 15 different moral vignettes (e.g., the trolley problem) using 1 of 4 adjectives: “wrong”, “inappropriate”, “forbidden”, or “blameworthy”. For half of the sample, these adjectives were preceded by the adverb “morally”. Results indicated that people were more apt to judge an act as wrong or inappropriate than forbidden or blameworthy, and that disgusting acts were rated as more acceptable when “morally” was included. Although some wording differences emerged, effects sizes were small and suggest that studies of moral judgment with different wordings can legitimately be compared.
Skills that are difficult to automate are expected to increase in demand and reward according to skill-biased technological change advocates, who have identified high rewards for cognitive and social skills. However, such broad skill categories involve numerous essential competencies that can be differentially rewarded or go simply unrewarded. Using US data, this article analyses the demand for and payment of linguistic competency, a cross-cutting kind of skill that is basic for both cognitive and social work in the new economy and is one of the human capacities that is most difficult to automate. While human capital theory predicts an increase in wages as the demand for linguistic skills rises, from cultural/institutional perspectives, it can be theorised that communicative abilities and foreign-language knowledge are socially undervalued because of their association with feminised activities, ethnicity, and low-status service jobs. We analyse the demand and reward for linguistic skills through a two-step analysis of occupational and individual data derived from two sources: the Occupational Information Network and the Current Population Survey. Results show that while ‘hard’ verbal-reasoning skills are associated with high average salaries, as is predicted by neoclassical theory, the potentially undervalued linguistic skills – interactive and multilingual skills – are unrewarded and even penalised. This evidence requires further political attention, given its implications for large number of workers, especially in feminised, low-status service jobs.
People are more likely to endorse statements of the form "A is more than B" than those of the form "B is less than A", even though the ordinal relationship being described is identical in both cases -– a result I dub the "more-credible" effect. This paper reports 9 experiments (total N = 5643) that probe the generality and basis for this effect. Studies 1–4 replicate the effect for comparative statements relating to environmental change and sustainable behaviours, finding that it is robust to changes in participant population, experimental design, response formats and data analysis strategy. However, it does not generalize to all stimulus sets. Studies 5–9 test the proposition that the effect is based on the greater ease of processing "more than" statements. I find no meaningful effect of warning people not to base their judgments on the fluency of the sentences (Studies 5 and 6), but do find associations between comparative language, credibility, and processing time: when the more-credible effect manifests, the more-than statements are read more quickly than the less-than statements, and this difference partly mediates the effect of comparative on agreement with the statements; in contrast, for a set of comparisons for which changes in the more/less framing did not affect truth judgments, there was no meaningful difference in the time taken to read the more- and less-than versions of the statements. Taken together, these results highlight the importance of comparative language in shaping the credibility of important socio-political messages, and provide some limited support for the idea that the effect of language choice is partly due to differences in how easily the statements can be processed -– although other mechanisms are also likely to be at work.
Parents support their children’s language and cognitive development through everyday, informal learning opportunities. We discuss how parents can capitalize on current research and theories of children’s development to cultivate the foundational skills needed to succeed in the twenty-first century. We first examine how children learn; specifically, how being active, engaged, meaningful, socially interactive, and joyful leads to optimal learning. We then discuss the 6 Cs (collaboration, communication, content, critical thinking, creativity, and confidence), or what children learn, and how parents can play a central role in supporting their children’ development of these skills.
Primary progressive aphasias are rare younger-onset dementias. As the label denotes, these dementias are characterised clinically by marked changes in language skills. Evidence over the years has shown that individuals with primary progressive aphasia experience widespread cognitive and behavioural changes that extend beyond language. This evidence, however, seems to be largely ignored or downplayed. This article proposes that linguistic relativity which induces a cognitive bias may be responsible for this omission; it also indicates that a revision of the current diagnostic criteria may need to be revised.
As language increasingly becomes uncoupled from the nation state, transnational writers, transnational African writers, and African writers are using language to serve their own purposes and creating new literary aesthetics. This essay, first given as a keynote speech to the 2021 African Studies Association Annual Conference, examines some debates about the relationship between language and power and argues that these are being upended by writers who do not fit conventional categories, including transnational African writers. These writers are exploring the range of options presented by their own multilingualism and making unapologetic aesthetic claims upon the English language.
Our genus is characterized by a unique dependence on technology, which is first seen in the mid-Pleistocene and becomes more sophisticated through time. The trend towards increasing encephalization appears to accelerate once tools have been acquired, coincident with a focus on meat-eating. This chapter reviews later Pleistocene species, including the Neanderthals, with whom we share many behavioral adaptations. However, there appear to be several critical differences, especially in the potential for language and possibly figurative expression, that may have made the difference over millennia, so that by 25,000 years ago we were the only human species left on Earth.