A comprehensive, interdisciplinary view of inner speech may be a unique lens through which we can better understand living with aphasia and aphasia recovery

2021 ◽  
Author(s):  
Brielle C Stark ◽  
Julianne M Alexander

Purpose: While behavioral aphasia therapy is beneficial (Brady et al., 2016), we do not fully understand factors that predict therapy response, or that contribute to extra-linguistic aspects of living with aphasia (e.g., psychosocial). The purpose of this Viewpoint is to postulate that inner speech – the ability to talk to oneself in one’s head – may be an important factor. However, prior work evaluating inner speech in aphasia has been limited in scope. Here, we innovatively draw from interdisciplinary evidence to discuss a more comprehensive view of inner speech and propose how evaluating a multidimensional inner speech may be meaningful in understanding living with aphasia and aphasia recovery. Methods: We give an interdisciplinary overview of inner speech, as it relates to aphasia. Results: Research with persons with aphasia shows that inner speech can be relatively spared in comparison to overt speech. However, this research has taken a narrow view of inner speech, defining inner speech as a covert ‘voice’ drawn upon during experimental tasks, such as object naming, rhyme decisions, or tongue twisters. Cross disciplinary research evaluating inner speech has identified its multidimensionality (specifically, dimensions of intentionality, condensation, and dialogality). Inner speech evaluated across these dimensions in neurotypical populations has shown that inner speech can be related to personal factors like self-awareness; retain phonetic features but also be like ‘thinking in pure pictures; and be both monologic and dialogic. Conclusions: Quantifying a multidimensional inner speech in aphasia will enable future work elaborating on factors related to extra-linguistic and linguistic processes of recovery, as well as living well with aphasia.

2019 ◽  
Author(s):  
Ladislas Nalborczyk ◽  
Romain Grandchamp ◽  
Ernst H. W. Koster ◽  
Marcela Perrone-Bertolotti ◽  
Hélène Loevenbruck

Although having a long history of scrutiny in experimental psychology, it is still controversial whether inner speech (covert speech) production is accompanied by specific activity in speech muscles. We address this question by briefly reviewing previous findings related to inner speech and to the broader phenomenon of motor imagery. We then present the results of a preregistered experiment looking at the electromyographic correlates of both overt speech and inner speech production of two phonetic classes of nonwords. An automatic classification approach was undertaken to discriminate between two articulatory features contained in nonwords uttered in both overt and covert speech. Although this approach led to reasonable accuracy rates during overt speech production, it failed to discriminate inner speech phonetic content based on surface electromyography signals alone. However, exploratory analyses conducted at the individual level revealed that it seemed possible to distinguish between rounded and spread nonwords covertly produced, in two participants. We discuss these results in relation to the existing literature and suggest alternative ways to test the engagement of the speech motor system during inner speech production. Pre-registered protocol, preprint, data, as well as reproducible code and figures are available at: https://osf.io/czer4/.


2021 ◽  
pp. 105413732110398
Author(s):  
Erica Frechman ◽  
Patricia M. Wright

Burnout in hospice and palliative care nurses is a growing issue, especially in light of the COVID-19 pandemic. However, few studies have focused specifically on burnout in this population. A scoping review was undertaken to identify what is known about burnout among hospice and palliative care nurses, and to unify disparate findings. Analysis of eight articles revealed three overarching categories: personal factors, organizational/workplace factors, and nursing professional development factors. Each category was then divided into three cross-cutting subcategories: contributory and noncontributory factors, mitigating factors, and workplace issues. Recommendations for individuals include self-care as well as self-awareness of intrinsic characteristics that can predispose one to burnout. Within the workplace, leaders are challenged to support evidence-based practice and ongoing education. Role modeling positive communication skills, effective conflict mitigation, responsiveness, promotion of equity, and workplace commitment also help to create a culture of wellness. Nursing professional development may aid in resilience-building, and promotion of self-efficacy, self-confidence, and assertiveness. Although all identified recommendations were derived from the literature, no interventional studies have been conducted to test the effects of suggested interventions. Future research should include interventional studies as well as qualitative research to capture nuanced experiences of burnout in hospice and palliative care nurses.


2021 ◽  
Vol 13 (21) ◽  
pp. 12184
Author(s):  
Yu Zhao ◽  
María Cruz Sánchez Gómez ◽  
Ana María Pinto Llorente ◽  
Liping Zhao

University students are expected to have the appropriate digital competence to face the demands of the changing educational model and to meet the challenges of the future work. This paper describes university students’ perceptions of digital competence and analyzes the impact of personal factors on digital competence in a sample of 5164 students from all majors in the first and fourth year of their studies at Gansu Agricultural University (China). A quantitative methodology was followed, employing a non-experimental method and the survey technique to collect data. The results obtained show that students’ perceptions of digital competencies in terms of information and data literacy, communication and collaboration, and safety were positive. Furthermore, there were significant differences in students’ self-perceptions of digital competence related to gender, grade level, area of residence, and prior relevant training in the DigComp framework-based instrument. The development of key competency areas for digital competence, such as the creation of digital content, should be promoted, along with helping students to gain knowledge when dealing with everyday technological issues. The need for training related to the use of ICT and digital competencies was also highlighted, as well as supporting the promotion of female students in selected areas of digital competence and assisting lower grade students and students from rural areas in digital competence development.


2012 ◽  
Vol 5 (2) ◽  
pp. 98-107
Author(s):  
Hernán Yair Rodríguez Betancourt ◽  
Laura Guzmán Verbel ◽  
Nataly Del Pilar Yela Solano

The following investigation was realized with the objective to characterize the personal factors that influence in the development of resilience in 200 children aged between 7 and 12 years in families linked to the program Red UNIDOS in the city of Ibague, for this was applied the inventory of resiliency factors proposed by Salgado (2005), which evaluate the level of self-esteem, empathy, autonomy, humor and creativity. The results show that the sample is in the middle of the factors evaluated (61%) and that 69% did not face adequately the adversity. We conclude that adult significant training children require psycho-afective formation to enable them to generate environments based on the self awareness of their children. Is proposed to design a training program for parents to incorporate into their speeches and actions positive representations on their children, so that achieving self-assertive and enable them to develop the ability to overcome adversity.


Author(s):  
Lianne D. Peppel ◽  
Majanka H. Heijenbrok-Kal ◽  
Thomas A. Van Essen ◽  
Godard C. W. De Ruiter ◽  
Wilco C. Peul ◽  
...  

Objective: To select a set of rehabilitation outcome instruments for a national Neurotrauma Quality Registry (Net-QuRe) among professionals involved in the care of patients with traumatic brain injury. Design: A 3-round online Delphi procedure. Subjects: Eighty professionals from multiple disciplines working in 1 of the 8 participating rehabilitation centres were invited to participate. The response rate varied from 70% to 76% per round. Methods: For the Delphi procedure, multiple outcome categories were defined based on the International Classification of Functioning, Disability and Health (ICF) with concomitant measurement instruments. For each category we strived for consensus on one instrument of at least 75%. Results: After the first round, consensus was reached for the category subjective cognitive functioning. After the second round for quality of life, pain, general functioning, anxiety and depression, general psychological functioning, communication (impairment), and personal factors. Finally, after the third round, consensus was reached for activities of daily living, participation, self-awareness, and aphasia. No consensus was reached for the categories motor function, cognitive function, comorbidity, fatigue, and employment status. Conclusion: Consensus was reached in 12 out of 17 outcome categories. A Delphi procedure seems to be a feasible method to collectively select measurement instruments for a multicentre study.


2020 ◽  
Vol 96 (1136) ◽  
pp. 325-330
Author(s):  
Sarah Ansell ◽  
James Read ◽  
Marie Bryce

Purposes of the studyTo identify the challenges to well-being experienced by general practice postgraduate trainees and to explore how the trainees respond to those challenges.Study designQualitative focus group study with doctors in their final year of general practice training (n=16). The participants in the study were recruited from one training scheme in South West England. Data were thematically analysed.ResultsParticipants reported challenges to well-being relating to dysfunctional relationships with colleagues and patients, their workload, a perceived lack of support at work and also physical environmental challenges. They identified response strategies focused on cognitive processing, physical self-care, focusing on their professional purpose, building supportive relationships and adapting their working environment where possible. Additionally, there were factors that could support trainee well-being, including personal factors such as adaptability and self-awareness, but also external and organisational factors, such as culture, supportive colleagues and organisational adaptability in relation to workload management. The importance to trainees of the idea of being a ‘good doctor’ arose repeatedly in the data, as did the importance of the organisational environment. Participants reported finding their training placements in secondary care environments particularly challenging.ConclusionThis research highlights the strategies that general practice trainees use in response to challenges, but also that the responsibility for maintaining well-being cannot be borne by individuals alone. This study identifies that supportive approaches by healthcare organisations and educators are vitally important to general practitioner trainees’ well-being.


2021 ◽  
Vol 8 ◽  
Author(s):  
Alessandro Geraci ◽  
Antonella D'Amico ◽  
Arianna Pipitone ◽  
Valeria Seidita ◽  
Antonio Chella

This paper aims to discuss the possible role of inner speech in influencing trust in human–automation interaction. Inner speech is an everyday covert inner monolog or dialog with oneself, which is essential for human psychological life and functioning as it is linked to self-regulation and self-awareness. Recently, in the field of machine consciousness, computational models using different forms of robot speech have been developed that make it possible to implement inner speech in robots. As is discussed, robot inner speech could be a new feature affecting human trust by increasing robot transparency and anthropomorphism.


2021 ◽  
Vol 12 ◽  
Author(s):  
Cherise Rosen ◽  
Michele Tufano ◽  
Clara S. Humpston ◽  
Kayla A. Chase ◽  
Nev Jones ◽  
...  

This study examines the interconnectedness between absorption, inner speech, self, and psychopathology. Absorption involves an intense focus and immersion in mental imagery, sensory/perceptual stimuli, or vivid imagination that involves decreased self-awareness and alterations in consciousness. In psychosis, the dissolution and permeability in the demarcation between self and one's sensory experiences and perceptions, and also between self-other and/or inter-object boundaries alter one's sense of self. Thus, as the individual integrates these changes new “meaning making” or understanding evolves as part of an ongoing inner dialogue and dialogue with others. This study consisted of 117 participants: 81 participants with psychosis and 36 controls. We first conducted a bivariate correlation to elucidate the relationship between absorption and inner speech. We next conducted hierarchical multiple regressions to examine the effect of absorption and inner speech to predict psychopathology. Lastly, we conducted a network analysis and applied extended Bayesian Information Criterion to select the best model. We showed that in both the control and psychosis group dialogic and emotional/motivational types of inner speech were strongly associated with absorption subscales, apart from the aesthetic subscale in the control group which was not significant, while in psychosis, condensed inner speech was uniquely associated with increased imaginative involvement. In psychosis, we also demonstrated that altered consciousness, dialogic, and emotional/motivational inner speech all predicted positive symptoms. In terms of network associations, imaginative involvement was the most central, influential, and most highly predictive node in the model from which all other nodes related to inner speech and psychopathology are connected. This study shows a strong interrelatedness between absorption, inner speech and psychosis thus identifying potentially fertile ground for future research and directions, particularly in the exploration into the underlying construct of imaginative involvement in psychotic symptoms.


Background: Emotional intelligence (EI) involves a combination of competencies which allow a person to be aware of, to understand the emotions of others and to use this knowledge to foster their and others success. Objective: This study aims to provide a systematic review of published researches on the emotional intelligence among women. Methodology: To achieve this aims, papers were selected in January 2019 with search terms “Emotional intelligence” “Emotional intelligence among women” and “Gender in emotional intelligence” from five databases: Scopus, PsycINFO, Springer, Google Scholar, and ScienceDirect. 26 research based article were evaluated published from 2010 to 2018. Results: The analysis the published articles considered two basic central themes in the study of emotional intelligence among women: level of women emotional intelligence and emotional intelligence attributes. The study revealed the level of emotional intelligence is low, meaning that women are less emotionally intelligent. Similarly, the study identified ten (10) emotional intelligence attributes among women which include empathy, social responsibility, stress tolerance, emotional self-awareness, emotional expression, independence, flexibility, problem solving, impulse control, interpersonal relationships and optimism. Conclusions: Considering the results of various studies analysed in this review clearly, identified methodological weakness in emotional intelligence study such as sample size most of the studies but only few studies recognised and report the limitation. Similarly, none of these studies investigate the causes of this low state of emotional intelligence among women. The findings add to the growing empirical evidence regarding emotional intelligence. Future researches should look into some of these limitation and address sample size challenges, for batter generalization of research findings, sample size should always be considered. Future work should as well examine in more detail the role of cognitive or other factors in determining the emotional intelligence among women


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