scholarly journals A Review of Multimodal Hallucinations: Categorization, Assessment, Theoretical Perspectives, and Clinical Recommendations

2020 ◽  
Author(s):  
Marcella Montagnese ◽  
Pantelis Leptourgos ◽  
Charles Fernyhough ◽  
Flavie Waters ◽  
Frank Larøi ◽  
...  
Keyword(s):  
Explanatory Power ◽  
Sensory Modality ◽  
User Involvement ◽  
Assessment Tools ◽  
Adverse Impact ◽  
Future Research ◽  
Service User Involvement ◽  
Theoretical Perspectives ◽  
Sensory Modalities ◽  
Underlying Processes

Abstract Hallucinations can occur in different sensory modalities, both simultaneously and serially in time. They have typically been studied in clinical populations as phenomena occurring in a single sensory modality. Hallucinatory experiences occurring in multiple sensory systems—multimodal hallucinations (MMHs)—are more prevalent than previously thought and may have greater adverse impact than unimodal ones, but they remain relatively underresearched. Here, we review and discuss: (1) the definition and categorization of both serial and simultaneous MMHs, (2) available assessment tools and how they can be improved, and (3) the explanatory power that current hallucination theories have for MMHs. Overall, we suggest that current models need to be updated or developed to account for MMHs and to inform research into the underlying processes of such hallucinatory phenomena. We make recommendations for future research and for clinical practice, including the need for service user involvement and for better assessment tools that can reliably measure MMHs and distinguish them from other related phenomena.

scholarly journals A Review of Multimodal Hallucinations: Categorisation, Assessment, Theoretical Perspectives And Clinical Recommendations

2020 ◽  
Author(s):  
Marcella Montagnese ◽  
Pantelis Leptourgos ◽  
Charles Fernyhough ◽  
Flavie Waters ◽  
Frank Laroi ◽  
...  
Keyword(s):  
Explanatory Power ◽  
Sensory Modality ◽  
User Involvement ◽  
Classification Systems ◽  
Assessment Tools ◽  
Future Research ◽  
Theoretical Perspectives ◽  
Sensory Modalities ◽  
Potential Clinical Impact ◽  
Underlying Processes

Hallucinations can occur in different sensory modalities within an individual, both simultaneously and serially in time. Historically, they have typically been studied in clinical populations as phenomena occurring in a single sensory modality. Yet, hallucinatory experiences that occur in two or more sensory systems - multimodal hallucinations (MMHs) - are more prevalent than previously thought, and may have greater adverse impact than unimodal ones, but they remain relatively under-researched. Why people experience multi- modal hallucinations, what the implications for the person are, and how this could impact how such experiences are treated when distressing remain under-studied questions. Here, we review the available literature on MMHs and discuss some key concepts in the field, namely a) the definition and categorisation of both serial and simultaneous MMHs, b) which assessment tools are available and how they can be improved, and c) the explanatory power that current hallucination theories might have for MMHs. Overall, we suggest that current models need to be updated or developed in order to account for MMHs and to inform research into the underlying processes of such hallucinatory phenomena. We make recommendations for future research and clinical practice, highlighting the potential clinical impact of MMHs, the need for better assessment tools that can reliably measure MMHs and distinguish them from other related phenomena (such as delirium), as well as the need for service-user involvement in the validation of classification systems of MMHs.

A Common Model is Essential for a Cumulative Science of Wisdom

2020 ◽  
Author(s):  
Igor Grossmann ◽  
Nic M. Weststrate ◽  
Michel Ferrari ◽  
Justin Peter Brienza
Keyword(s):  
Assessment Tools ◽  
Future Research ◽  
Evidence Based ◽  
Cognitive Components ◽  
Shared Language ◽  
Theoretical Assumptions ◽  
The Common ◽  
The Relationship ◽  
Underlying Processes

We have introduced a common wisdom model to establish a shared language, clarify underlying theoretical assumptions, advance assessment tools, and foster evidence-based interventions for stimulating wisdom during challenging societal times. The common wisdom model synthesizes the views of numerous contemporary scientists working on wisdom and includes two components: perspectival meta-cognition and moral aspirations. Having received insightful commentaries on our model, here we consider the overall motivation for the model, address remaining jingle-jangle fallacies, clarify the meaning of morality for wisdom, and expand upon the relationship between moral and meta-cognitive components within the common wisdom model. We reflect on how the common wisdom model provides a nexus for integrating insights across multiple areas of research, affording plentiful opportunities for future research into wisdom’s development, function, and underlying processes. We situate our reflections in the context of present-day pandemic-related uncertainties and unfolding societal shifts.

Programmatic adverse impact research: Discussing implications and future research

2007 ◽  
Author(s):  
Eric M. Dunleavy ◽  
Scott B. Morris ◽  
Philip Bobko ◽  
Kevin R. Murphy ◽  
Robert E. Ployhart ◽  
...  
Keyword(s):  
Adverse Impact ◽  
Future Research ◽  
Impact Research

scholarly journals Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group

2021 ◽  
pp. bjsports-2020-103696
Author(s):  
Richard Weiler ◽  
Cheri Blauwet ◽  
David Clarke ◽  
Kristine Dalton ◽  
Wayne Derman ◽  
...  
Keyword(s):  
Consensus Statement ◽  
Assessment Tool ◽  
Return To Sport ◽  
Position Statement ◽  
Assessment Tools ◽  
Future Research ◽  
Concussion Management ◽  
Rule Changes ◽  
Specific Rule ◽  
And Performance

Concussion is a frequent injury in many sports and is also common in para athletes. However, there is a paucity of concussion research related to para sport, and prior International Concussion in Sport (CIS) consensus papers have not substantively addressed this population. To remedy this and to improve concussion care provided to para athletes, the concussion in para sport (CIPS) multidisciplinary expert group was created. This group analysed and discussed in-depth para athlete-specific issues within the established key clinical domains of the current (2017) consensus statement on CIS. Due to the onset of the COVID-19 pandemic, the group held all meetings by video conferencing. The existing Sport Concussion Assessment Tool 5 (SCAT5) for the immediate on-field and office-based off-field assessment of concussion was evaluated as part of this process, to identify any para athlete-specific concerns. Regular preparticipation and periodic health examinations are essential to determine a baseline reference point for concussion symptoms but pose additional challenges for the interpreting clinician. Further considerations for concussion management for the para athlete are required within the remove, rest, reconsider and refer consensus statement framework. Considering return to sport (RTS), the 2017 CIS consensus statement has limitations when considering the RTS of the para athlete. Case-by-case decision making related to RTS following concussion is imperative for para athletes. Additional challenges exist for the evaluation and management of concussion in para athletes. There is a need for greater understanding of existing knowledge gaps and attitudes towards concussion among athlete medical staff, coaches and para athletes. Future research should investigate the use and performance of common assessment tools in the para athlete population to better guide their clinical application and inform potential modifications. Concussion prevention strategies and sport-specific rule changes, such as in Para Alpine Skiing and Cerebral Palsy Football, also should be carefully considered to reduce the occurrence of concussion in para athletes.

Examining the Relationship Between Black Racial Identity Clusters and Postpartum Depressive Symptoms

2021 ◽  
pp. 107839032110026
Author(s):  
Kortney Floyd James ◽  
Dawn M. Aycock ◽  
Jennifer L. Barkin ◽  
Kimberly A. Hires
Keyword(s):  
Depressive Symptoms ◽  
Racial Identity ◽  
Assessment Tools ◽  
Future Research ◽  
Full Time ◽  
Black Mothers ◽  
Postpartum Depressive Symptoms ◽  
Black Racial Identity ◽  
Postpartum Mothers ◽  
The Relationship

Background: This study examined the relationship between racial identity clusters and postpartum depressive symptoms (PPDS) in Black postpartum mothers living in Georgia. Aims: A cross-sectional study design using Cross’s nigrescence theory as a framework was used to explore the relationship between Black racial identity and PPDS. Method: Black mothers were administered online questionnaires via Qualtrics. A total sample of 116 self-identified Black mothers were enrolled in the study. Participants ranged in age from 18 to 41 years ( M = 29.5 ± 5.3) and their infants were 1 to 12 months old ( M = 5.6 ± 3.5). The majority of mothers were married or cohabitating with their partner (71%), had a college degree (53%), and worked full-time (57%). Results: Hierarchical cluster analysis identified six racial identity clusters within the sample: Assimilated and Miseducated, Self-Hating, Anti-White, Multiculturalist, Low Race Salience, and Conflicted. A Kruskal-Wallis H test determined there was no difference in PPDS scores between racial identity clusters. Conclusion: This study is the first to explore the relationship between Black racial identity clusters of postpartum mothers and their mental health. Findings emphasize the complexity of Black racial identity and suggest that the current assessment tools may not adequately detect PPDS in Black mothers. The implications for these findings in nursing practice and future research are discussed.

scholarly journals Equality in the Youth Court: Meaning, Perceptions and Implications of the Principle of Equality in Youth Justice

Youth Justice ◽  
2021 ◽  
pp. 147322542110134
Author(s):  
Yannick van den Brink
Keyword(s):  
Conceptual Model ◽  
Ethnic Minorities ◽  
Fundamental Principle ◽  
Future Research ◽  
Youth Justice ◽  
Specific Context ◽  
Youth Court ◽  
Low Socioeconomic ◽  
Policy Practice ◽  
Theoretical Perspectives

Equality is a fundamental principle, also in youth justice. Nevertheless, children from ethnic minorities, children with disabilities and children from low socioeconomic backgrounds are vastly overrepresented in youth detention populations across the globe. This article combines interdisciplinary theoretical perspectives and empirical findings from interviews with practitioners from two English youth courts to explore the meaning, perceptions and implications of the principle of equality in the specific context of the youth court. Ultimately, this article presents the first contours of a conceptual model of equality in the youth court, which aims to inform policy, practice and future research.

Comparison of Frenotomy Techniques for the Treatment of Ankyloglossia in Children: A Systematic Review

2020 ◽  
Vol 163 (3) ◽  
pp. 428-443
Author(s):  
Usman Khan ◽  
Jake MacPherson ◽  
Michael Bezuhly ◽  
Paul Hong
Keyword(s):  
Rating Scale ◽  
Pediatric Population ◽  
Meta Analysis ◽  
Numeric Rating Scale ◽  
Assessment Tools ◽  
Future Research ◽  
Randomized Controlled ◽  
Comprehensive Search ◽  
High Level ◽  
Numeric Rating

Objective To compare the effectiveness of conventional (CF), laser (LF), and Z-plasty (ZF) frenotomies for the treatment of ankyloglossia in the pediatric population. Data Sources A comprehensive search of PUBMED, EMBASE, and COCHRANE databases was performed. Review Methods Relevant articles were independently assessed by 2 reviewers according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Results Thirty-five articles assessing CF (27 articles), LF (4 articles), ZF (3 articles), and/or rhomboid plasty frenotomy (1 article) were included. A high level of outcome heterogeneity prevented pooling of data. All 7 randomized controlled trials (RCTs) were of low quality. Both CF (5 articles with 589 patients) and LF (2 articles with 78 patients) were independently shown to reduce maternal nipple pain on a visual analog or numeric rating scale. There were reports of improvement with breastfeeding outcomes as assessed on validated assessment tools for 88% (7/8) of CF articles (588 patients) and 2 LF articles (78 patients). ZF improved breastfeeding outcomes on subjective maternal reports (1 article with 18 infants) only. One RCT with a high risk of bias concluded greater speech articulation improvements with ZF compared to CF. Only minor adverse events were reported for all frenotomy techniques. Conclusions Current literature does not demonstrate a clear advantage for one frenotomy technique when managing children with ankyloglossia. Recommendations for future research are provided to overcome the methodological shortcomings in the literature. We conclude that all frenotomy techniques are safe and effective for treating symptomatic ankyloglossia.

Comparing Primary Voice-Hearers with and without Hallucinations in Other Sensory Modalities

2021 ◽  
pp. 214-220
Author(s):  
Wei Lin Toh ◽  
Neil Thomas ◽  
Susan L. Rossell
Keyword(s):  
Functional Impairment ◽  
Auditory Hallucination ◽  
Sensory Modality ◽  
Clinical Information ◽  
Auditory Hallucinations ◽  
Auditory Modality ◽  
Positive Symptoms ◽  
Psychotic Experiences ◽  
Sensory Modalities ◽  
Preliminary Study

There has been burgeoning interest in studying hallucinations in psychosis occurring across multiple sensory modalities. The current study aimed to characterize the auditory hallucination and delusion profiles in patients with auditory hallucinations only versus those with multisensory hallucinations. Participants with psychosis were partitioned into groups with voices only (AVH; <i>n</i> = 50) versus voices plus hallucinations in at least one other sensory modality (AVH+; <i>n</i> = 50), based on their responses on the Scale for the Assessment of Positive Symptoms (SAPS). Basic demographic and clinical information was collected, and the Questionnaire for Psychotic Experiences (QPE) was used to assess psychosis phenomenology. Relative to the AVH group, greater compliance to perceived commands, auditory illusions, and sensed presences was significantly elevated in the AVH+ group. The latter group also had greater levels of delusion-related distress and functional impairment and was more likely to endorse delusions of reference and misidentification. This preliminary study uncovered important phenomenological differences in those with multisensory hallucinations. Future hallucination research extending beyond the auditory modality is needed.

A scoping review of the literature on the involvement of service users in personality disorder services

2014 ◽  
Vol 31 (4) ◽  
pp. 233-243
Author(s):  
L. Montgomery ◽  
M. Donnelly
Keyword(s):  
Health Policy ◽  
Personality Disorder ◽  
Scoping Review ◽  
Service User ◽  
Mental Health Policy ◽  
User Involvement ◽  
Service Users ◽  
Service User Involvement ◽  
Review Of The Literature ◽  
Policy Makers

BackgroundService user involvement is receiving increasing support from mental health policy makers, service planners and research commissioners. However, we lack a good understanding of the nature and extent to which service users are involved in personality disorder (PD) services and the effects of involvement in these services.ObjectivesTo review and appraise published sources; increase understanding about service user involvement in PD services; and highlight knowledge gaps and related issues.MethodsA scoping review methodology was adopted. Data were ‘charted’ to illustrate the landscape of writings and views and a qualitative analysis synthesized the results in terms of key emergent themes.ResultsOnly a small amount of published work was identified with significant gaps in the literature. Effects were reported mostly in terms processes and emotional and practical benefits for service users. Emergent themes were wellness and health, recruitment and support for service users.ConclusionsThis scoping review uncovered a lack of published work despite service user involvement being a key strand of health policy. There is a need for outcomes-focused research regarding service user involvement. Successful user involvement in PD services requires attention to be focused on the context, recruitment, support and ‘wellness’ of service users.

Sign in / Sign up

Export Citation Format

Share Document