Gesture and speech integration: an exploratory study of a man with aphasia

Background: In order to fully comprehend a speaker’s intention in everyday communication, we integrate information from multiple sources including gesture and speech. There are no published studies that have explored the impact of aphasia on iconic co-speech gesture and speech integration. Aims: To explore the impact of aphasia on co-speech gesture and speech integration in one participant with aphasia (SR) and 20 age-matched control participants. Methods & Procedures: SR and 20 control participants watched video vignettes of people producing 21 verb phrases in 3 different conditions, verbal only (V), gesture only (G) and verbal gesture combined (VG). Participants were required to select a corresponding picture from one of four alternatives: integration target, a verbal only match, a gesture only match, and an unrelated foil. The probability of choosing the integration target in the VG that goes beyond what is expected from the probabilities of choosing the integration target in V and G was referred to as multi-modal gain(MMG). Outcomes & Results: SR obtained a significantly lower multi-modal gain score than the control participants (p<0.05). Error analysis indicated that in speech and gesture integration tasks, SR relied on gesture in order to decode the message, whereas the control participants relied on speech in order to decode the message. Further analysis of the speech only and gesture only tasks indicated SR had intact gesture comprehension but impaired spoken word comprehension. Conclusions & Implications: The results confirm findings by Records (1994) which reported that impaired verbal comprehension leads to a greater reliance on gesture to decode messages. Moreover, multi-modal integration of information from speech and iconic gesture can be impaired in aphasia. The findings highlight the need for further exploration of the impact of aphasia on gesture and speech integration

Service users as the key to service change? The development of an innovative intervention for excluded young people

Background. Excluded young people, especially those affected by street gangs, often have complex unmet needs and high levels of health and social inequalities. This paper outlines the development of Music & Change, an innovative and comprehensive intervention accessible to young people, which aimed to holistically meet the mental health and other needs of its participants and ultimately to reduce offending rates. Its central principle was co-production and partnership with its potential users. Method. The setting was an inner-city housing estate; the core group of participants was 15 young people aged 16-22. The intervention used contemporary music skills (e.g. DJing and lyric writing) and other co-produced project activities as a vehicle to build relationships with practitioners and address young people’s multiple needs. Data was gathered using a focused ethnography, largely from field notes, and analysed using thematic analysis in order to ascertain users’ perceptions of its delivery. Results. Young people identified six key principles of the intervention, such as the need for, consistent relationships with trusted staff, mental health support to be wrapped round other youth-led activities and local service delivery within their safe territories. Discussion. Music & Change was valued by young people who do not easily engage with professionals and services. The findings led to the development of the ‘Integrate’ model, which is using these co-produced principles to underpin several new pilot projects that aim to address the health and social inequalities of excluded young people

Practice to Policy: Clinical Psychologists' Experiences of Macro-Level Work

Aims: Many clinical psychologists have ventured beyond therapeutic and assessment roles to undertake public policy work. However, little research has systematically examined clinical psychologists’ roles in policy work and the implications of such work for the profession. This qualitative study examined the influences, processes, skills and knowledge underpinning policy work by clinical psychologists, and the challenges and facilitators encountered. / Method: Participants were 37 UK clinical psychologists, from a broad spectrum of specialties, who had engaged in public policy work. They were selected by purposive sampling and snowballing to take part in a semi-structured interview about their experiences of policy work and social action. Transcripts were analyzed using Thematic Analysis. / Results: The analysis yielded six themes, grouped into two domains: (1) ’Getting There’, describing participants’ professional journeys to policy work, including early influences and career paths, and (2) ‘Being There’ describing their experiences of working in this way, the challenges and facilitators in the process, and the skills and knowledge upon which they drew. / Conclusions: Clinical psychologists already possess core clinical and research skills that may potentially be adapted to work within broader political systems. However, they need to learn to use their existing skills in a different context, and also acquire some additional skills unique to policy-level work

The Psychological Impact of Austerity: A Briefing Paper

This report directly links cuts to public services with mental health problems. Well-established psychological research that explains these links already exists. However, this knowledge has been missing from the debate on austerity so far. Psychologists are often in a position to see the effects that social and economic changes have on people. We also occupy a relatively powerful position as professionals and therefore have an ethical responsibility to speak out about these effects. Key conclusions: Austerity policies have damaging psychological costs. Mental health problems are being created in the present, and further problems are being stored for the future. We have identified five ‘Austerity Ailments’. These are specific ways in which austerity policies impact on mental health: 1. Humiliation and shame 2. Fear and distrust 3. Instability and insecurity 4. Isolation and loneliness 5. Being trapped and powerless These experiences have been shown to increase mental health problems. Prolonged humiliation following a severe loss trebles the chance of being diagnosed with clinical depression. Job insecurity is as damaging for mental health as unemployment. Feeling trapped over the long term nearly trebles the chances of being diagnosed with anxiety and depression. Low levels of trust increase the chance of being diagnosed with depression by nearly 50 per cent. These five ‘ailments’ are indicators of problems in society, of poisonous public policy, weakness of social cohesion and inequalities in power and wealth. We also know what kind of society promotes good health. Key markers are that societies are equal, participatory and cohesive. Some important indicators of a psychologically healthy society are: 1. Agency 2. Security 3. Connection 4. Meaning 5. Trust Mental health isn’t just an individual issue. To create resilience and promote wellbeing, we need to look at the entirety of the social and economic conditions in which people live

Happy to help? A systematic review and meta-analysis of the effects of performing acts of kindness on the well-being of the actor

© 2018 The Authors. Do acts of kindness improve the well-being of the actor? Recent advances in the behavioural sciences have provided a number of explanations of human social, cooperative and altruistic behaviour. These theories predict that people will be ‘happy to help’ family, friends, community members, spouses, and even strangers under some conditions. Here we conduct a systematic review and meta-analysis of the experimental evidence that kindness interventions (for example, performing ‘random acts of kindness’) boost subjective well-being. Our initial search of the literature identified 489 articles; of which 24 (27 studies) met the inclusion criteria (total N = 4045). These 27 studies, some of which included multiple control conditions and dependent measures, yielded 52 effect sizes. Multi-level modeling revealed that the overall effect of kindness on the well-being of the actor is small-to-medium (δ = 0.28). The effect was not moderated by sex, age, type of participant, intervention, control condition or outcome measure. There was no indication of publication bias. We discuss the limitations of the current literature, and recommend that future research test more specific theories of kindness: taking kindness-specific individual differences into account; distinguishing between the effects of kindness to specific categories of people; and considering a wider range of proximal and distal outcomes. Such research will advance our understanding of the causes and consequences of kindness, and help practitioners to maximise the effectiveness of kindness interventions to improve well-being

How young adults in London experience the Clubhouse Model of mental health recovery: a thematic analysis

Clubhouses are recovery orientated, participatory communities in which people with mental health diagnoses can take part in the running of the clubhouse. The objective of this research was to produce the first qualitative study of its kind, examining how the clubhouse model of mental health recovery is perceived and experienced by young adults aged 16-25. Five participants provided lengthy and detailed semi-structured interviews regarding their experiences as members of a clubhouse in London. Analysis produced themes including mixed age services as a distinct benefit, the benefits of getting involved in the work of the clubhouse, the mostly positive perception of the clubhouse compared with other mental health services, and the sense of personal change and social improvement experienced on becoming members of the clubhouse. While further research is needed, it was concluded that the clubhouse model was beneficial to all its young members, for reasons including its entirely collaborative and consultative process between staff and members, its humanitarian approach, its lack of rigid or inflexible time limits, and its reciprocal relationships, where members are expected to both provide and receive support

Grime not crime: the psychological impact of a community-based music project for marginalized young people

Socially excluded young people are a pressing problem for our society. Not only do they have a higher risk of developing distressing psychological problems and becoming young offenders, they are also less likely to seek help from mental health services. This thesis examines innovative ways of engaging and intervening with this marginalized group so as to enhance their well-being and improve their life circumstances. Part one is a literature review of community psychology interventions targeting young people. Community psychology is concerned with how the larger forces of power, oppression and exclusion affect young people and their psychological well-being. Interventions attempted to change these forces through creating collective social action, increasing youth participation and building social networks. The review evaluates their effectiveness in promoting young people's well-being and preventing psychological problems. Part two is an empirical study of a community-based intervention with marginalized young people at risk of offending. The intervention aimed to engage young people and improve social integration through the creation of music. Applied ethnography was used to investigate what psychological changes occurred in participants and through what mechanisms these changes were generated. Finally, part three is a reflection on the research process, including a commentary on issues encountered when clinical and community psychology meet

Educational Psychology Research and Practice (EPRaP): Volume 3, Issue 1

Educational Psychology Research and Practice is an open access periodical published twice a year by the School of Psychology, University of East London. It offers a forum for informed debate and discussion of Educational Psychology research and training as well as a wider focus on issues of social justice and civic engagement in applied psychological practice. EPRaP is open to publishing research findings, literature reviews, commentaries, methodology papers, reflection on practice and book/resource reviews. It is part of a research and learning culture that recognises the importance of knowledge exchange and impact for partners in the community