‘Pick me up and not a down down,up up’: how are the identities of people with aphasia represented in aphasia,stroke and disability websites?

Suddenly acquiring a permanent impairment means a person must learn to think differently (Frank, 1995), and he or she does so partly by telling stories. The most commonly told illness narratives are 'restitution' narratives. People with aphasia (a communication impairment commonly following stroke) surfed aphasia, stroke and disability websites, read the personal stories attached to them, and created their own narratives in response. Charitable and disability-related websites excluded people with aphasia through their tone, content and narrative 'voice.' Engagement with some websites was contingent on subscribing to a specific perspective on aphasia. Personal narratives attached to charitable websites were seen to reflect the organisational stance. In particular, idiosyncracies of aphasic language were often eliminated. When participants constructed their own web pages they replicated the stylistic traits that had previously been criticised. Identities are mercurial and difficult to pinpoint. Further work with people with aphasia using videoclips, soundclips and other non-text-based techniques to create illness narratives is planned.     

Laughter,the Best Mediation: Humor as Emotion Management in Interaction

Recent work in emotions and emotion management suggests that humor is a social phenomenon and serves an important purpose in interaction. That is, humor can be viewed as interpersonal emotion management, whose purpose is to manage the emotions of others as well as of the self. This article offers the following definition as an analytical tool: humor as emotion management is an expert cultural performance; which strengthens or restores the feeling norms of the situation and creates amusement in the self and others; generating positive sentiments among members of an interacting group by bonding them and/or reducing an external threat; often at the expense of some excluded person(s), event(s), or object(s).     

The Care of the Patient

Abstract

The author recently became aware of many MBA students who expressed feelings of not belonging, of being different from others in their program. At the same time, articles began appearing in the press about changing the MBA curricula to include more consideration of morals and ethics. It is the purpose of this paper to examine the conflict aroused in many students who choose a business career for economic reasons and find it difficult to reconcile the societal stereotypes and expectations of the business world with their own values and self-concepts. Much has been written about career choice and identity consolidation, of the ways in which ideals are incorporated into a professional identity in, for example, medicine, law, humanities, and science. A literature search revealed little related to business, where most of the articles concern gender differences. Some of the issues noted here seem more akin to the way in which creative artists struggle with producing commercial forms of their art to survive. In psychodynamic terms, the ambivalence seems to be related to the incapacity of some students to internalize certain concepts and goals in such a way that they can proceed, in the more usual way, to employ the imitative processes that facilitate learning and promote meaningful identifications. Anecdotal case material is included to illustrate the author's belief that a brief therapeutic contact may be useful toward helping such students remedy a temporary imbalance by regaining a sense of self-esteem which permits greater resolution of integration.     

Assassination and leadership: Traditional approaches and historiometric methods

Research on the assassinations and attempted assassinations of leaders seems warranted, as leaders and their interactions with extreme followers (e.g., fanatics) and non-followers (e.g., assassins) can have tremendous consequences not only for the leaders but also their larger collectives (e.g., nations, social movements). Based on the traditional and established leadership approaches of power orientation and outstanding leadership, we explored whether particular types of leaders were more likely victims of assassinations and targets of assassination attempts. Using historiometric methods, we found that socialized as well as pragmatic and ideological leaders were the most frequent victims of assassinations; but personalized as well as pragmatic and ideological leaders were the most frequent targets of assassination attempts; and for U.S. Presidents, socialized charismatics were the most frequent victims of assassinations and targets of assassination attempts. Results regarding leader paranoia, regions of the world, and assassins operating alone or as a group in relation to assassinations and leadership approaches also are presented. Implications of these findings for future leadership research involving leaders and their extreme followers, non-followers, and larger collectives are discussed.     

Development and Application of a Stochastic Epidemic Model for the Transmission of Salmonella Typhimurium at the Farm Level of the Pork Production Chain

In previous work a deterministic model for the compartment level was built, taking into account the two different syndromes with which  Salmonella  Typhimurium appears at pig farms. Based on this model, a stochastic one was built in this work that simulated different compartmental sizes, taking into account compartments of 200 to 400 pigs. Multiple scenarios of starting conditions of infection (SCI) ranging from 0.25 to 100% were tested for each population size. The effect of each of these two factors on the probability of disease extinctions and the prevalence of each of the classes of the model and the risk groups of pigs were estimated. The results showed that the compartment population had an inverse effect on the probability of disease extinction. On the other hand, low SCI resulted in high levels of early extinctions reaching 45%, while higher SCI led to high levels of late extinctions. Early extinctions resulted in the absence of the pathogen from the compartment, while late extinctions did not assure it. This effect shows that reducing the population of the compartment combined with appropriate cleaning and good farming practices could have a positive effect in the reduction of the risk of introducing  S.  Typhimurium into the slaughtering procedure. On the other hand, the profile of seroprevalence at slaughter age allows for risk characterization of the farm, given the relative stability and the small variation for higher SCI.     

A Time‐Dependent Risk Assessment for Broken Compact Fluorescent Lamps

Environmental Protection Agency (EPA) ambient air quality guidelines are meant to limit long‐term exposures of toxins to safe levels. Unfortunately, there is little guidance for what constitutes a safe level from a one‐time (or very infrequent) short exposure(s). In the case of mercury, a review of the derivation of the EPA ambient air quality standard shows that it implicitly assumes a tissue burden model. The time dependence of the tissue burden is commonly described in terms of a half‐life, a modeling assumption that presumes that the decline in the tissue burden after a single exposure can be approximately described as an exponential decay. In this article, we use a simple exponential tissue burden model to derive a time‐dependent no observable adverse effect level (NOAEL) for mercury concentrations in air. The model predicts that tissue body burden will asymptotically approach the EPA air quality level for long exposure times, and reach workplace standard levels for exposures of a few hours. The model was used along with data on mercury levels from experimental work done by the Maine Department of Environmental Protection to evaluate the risks from a broken compact fluorescent lamp in a residential setting. Mercury levels approached the NOAEL only when the debris was left in an almost sealed room. Normal common‐sense cleaning measures: removal of debris to an outside area, and ventilation of the room for several minutes, reduced exposures to less than 1% of the NOAEL.     

Online bin packing of fragile objects with application in cellular networks

We study a specific bin packing problem which arises from the channel assignment problems in cellular networks. In cellular communications, frequency channels are some limited resource which may need to share by various users. However, in order to avoid signal interference among users, a user needs to specify to share the channel with at most how many other users, depending on the user’s application. Under this setting, the problem of minimizing the total channels used to support all users can be modeled as a specific bin packing problem as follows: Given a set of items, each with two attributes, weight and fragility. We need to pack the items into bins such that, for each bin, the sum of weight in the bin must be at most the smallest fragility of all the items packed into the bin. The goal is to minimize the total number of bins (i.e., the channels in the cellular network) used. We consider the on-line version of this problem, where items arrive one by one. The next item arrives only after the current item has been packed, and the decision cannot be changed. We show that the asymptotic competitive ratio is at least 2. We also consider the case where the ratio of maximum fragility and minimum fragility is bounded by a constant. In this case, we present a class of online algorithms with asymptotic competitive ratio at most of 1/4+3r/2, for any r>1. A preliminary version of this paper appeared in Proc. of Workshop on Internet and Network Economics (WINE’05, pp. 564–573). The research of W.-T.C. was supported in part by Hong Kong RGC grant HKU5172/03E. The research of F.Y.-L.C. was supported in part by Hong Kong RGC Grant HKU7142/03E. The research of D.Y. was supported by NSFC (10601048). The research of G.Z. was supported in part by NSFC (60573020).     

Family Phone Therapy in University Counseling and Psychological Service Centers: A Family Systems Approach

Abstract

This paper offers family phone therapy as a method for student mental health practitioners to overcome the obstacle of geographic distance between students and their families when family therapy is the treatment of choice. The issues of confidentiality, triangulation, diversionary conversation, and mixed communication, which present unique concerns when engaging in family phone therapy, are introduced and strategies to deal with them are discussed. A case example is presented to demonstrate the utility of family phone therapy in dealing with problems that students who use university mental health services can typically experience. Finally, implications of dealing with students' developmental tasks from an individual or family systems perspective are discussed.