Mismatched response predicts behavioral speech discrimination outcomes in infants with hearing loss and normal hearing

Children with hearing loss (HL) remain at risk for poorer language abilities than normal hearing (NH) children despite targeted interventions; reasons for these differences remain unclear. In NH children, research suggests speech discrimination is related to language outcomes, yet we know little about it in children with HL under the age of 2 years. We utilized a vowel contrast, /a-i/, and a consonant-vowel contrast, /ba-da/, to examine speech discrimination in 47 NH infants and 40 infants with HL. At Mean age =3 months, EEG recorded from 11 scalp electrodes was used to compute the time-frequency mismatched response (TF-MMR_SE) to the contrasts; at Mean age =9 months, behavioral discrimination was assessed using a head turn task. A machine learning (ML) classifier was used to predict behavioral discrimination when given an arbitrary TF-MMR_SE as input, achieving accuracies of 73% for exact classification and 92% for classification within a distance of one class. Linear fits revealed a robust relationship regardless of hearing status or speech contrast. TF-MMR_SE responses in the delta (1–3.5 Hz), theta (3.5–8 Hz), and alpha (8–12 Hz) bands explained the most variance in behavioral task performance. Our findings demonstrate the feasibility of using TF-MMR_SE to predict later behavioral speech discrimination.     

Examining the Association between Hazardous Waste Facilities and Rural “Brain Drain”*

Abstract Rural communities are increasingly being faced with the prospect of accepting facilities characterized as “opportunity‐threat,” such as facilities that generate, treat, store, or otherwise dispose of hazardous wastes. Such facilities may offer economic gains through jobs and tax revenue, although they may also act as environmental “disamenities.” This analysis examines the possibility that the presence of such facilities equates with lower loss of rural human capital, a question as yet unexamined on a national scale within the academic literature. Making use of secondary data from several different sources, we examine the association between age‐ and education‐specific outmigration and 1) the number of hazardous waste facilities, 2) the number of large quantity hazardous waste generators, and 3) the number of hazardous waste landfills and incinerators across rural counties within the 48 contiguous states. Our findings suggest that the presence of hazardous waste facilities does not clearly equate with reductions in rural “brain drain.”     

Care Of The Soul In Family Therapy

The writing of this article is an attempt to present the struggle of coming to terms with what moves me at my deepest levels and how this conjuncts with my work as a family therapist.     

Working with Domestic Violence: Ethical Dilemmas in Five Theoretical Approaches

Therapists working with domestic violence are trained in many different theoretical models, each based on different values and assumptions. Each model raises different ethical dilemmas. In this paper, five theoretical approaches are evaluated in relation to the ethical principles of: respect for clients' autonomy; beneficence; non‐maleficence; and justice. The inverse relationship between respect for autonomy and beneficence and non‐maleficence is discussed. The hierarchical asymmetry involved in the therapeutic relationship is also explored.     

Beyond death: inheriting the past and giving to the future, transmitting the legacy of one's self

This study explores the phenomenon of legacy as a component of the aging experience among women. Against a backdrop of prior focus on transmission of material possessions as the primary form of legacy, the concept is critically examined in developing an expanded, theoretically and empirically grounded perspective. In-depth interviews with 38 women, ranging in age from 31 to 94 and representing diverse marital, parental, and health statuses, reveal multiple dimensions of leaving a legacy in terms of content, creation, and transmission. Through the stories of the participants in this study, legacy emerges as a means of passing on the essence of one's self, in particular one's values and beliefs. Legacy is a method of leaving something behind after death and making meaning of the end of life. The desire to leave a legacy is manifest in many different ways dependent on the individual and their culture. While the idea of legacy is often couched in terms of material possessions, it appears that passing on values and beliefs is more important to older adults.     

Sexual identity development among gay, lesbian, and bisexual youths: consistency and change over time

A longitudinal report of 156 gay, lesbian, and bisexual youths examined changes in sexual identity over time. Fifty-seven percent of the youths remained consistently self-identified as gay/lesbian, 18% transited from bisexual to gay/lesbian, and 15% consistently identified as bisexual over time. Although youths who consistently identified as gay/lesbian did not differ from other youths on time since experiencing sexual developmental milestones, they reported current sexual orientation and sexual behaviors that were more same-sex centered and they scored higher on aspects of the identity integration process (e.g., more certain, comfortable, and accepting of their same-sex sexuality, more involved in gay-related social activities, more possessing of positive attitudes toward homosexuality, and more comfortable with others knowing about their sexuality) than youths who transited to a gay/lesbian identity and youths who consistently identified as bisexual. Contrary to the hypothesis that females are more sexually fluid than males, female youths were less likely to change identities than male youths. The finding that youths who transited to a gay/lesbian identity differed from consistently gay/lesbian youths suggests that identity integration continues after the adoption of a gay/lesbian sexual identity.