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Climacteric symptoms among indigenous Australian women and a model for the use of culturally relevant art in health promotion.

OBJECTIVE: To evaluate climacteric symptoms among rural and remote, indigenous Australian women and to develop culturally relevant women's health midlife educational material. DESIGN: A cross-sectional pilot survey based on structured interviews of women older than 18 years of age who were available for interview and willing to participate. The study was conducted in the Kimberley region of Western Australia and southwestern Victoria between February and June 1999. Health issues central to the local community were identified by the structured survey. Development of culturally relevant information involved collaboration between indigenous women and indigenous artists, health workers, educators, and ourselves. Traditional health themes in art form were then linked with specific health issues to be addressed. Health messages were translated by Aboriginal women and health workers into both traditional language and vernacular, to target all women. RESULTS: Fifty-five women completed the survey. Thirty-eight were premenopausal, 4 were perimenopausal, and 13 were postmenopausal. The 4 perimenopausal women and 9 of the 13 postmenopausal women had climacteric symptoms, but none had been prescribed systemic or local hormonal therapy. Rates of obesity, diabetes mellitus, and hypertension were high. Midlife women's health booklets were produced in collaboration with Aboriginal elders and artists to communicate preventive health information in a visual context familiar to Aboriginal people of the Kimberley and surrounding communities. CONCLUSIONS: In contrast to the case in other non-Caucasian populations, climacteric symptoms seem to be common among Australian indigenous women and are apparently untreated. Aboriginal art and language has been employed in the development of culturally appropriate health promotion literature for Aboriginal communities in the Kimberley region of Western Australia. This process of collaboration provides a useful model for addressing women's health issues in other culturally diverse populations.

Adult↗

Using collage art work as a common medium for communication in interprofessional workshops.

This paper explores the notion that interprofessional working is often hampered by the lack of a common language set and the variety of language sets used across the caring professions. The use of art as a common ground communication tool is presented with particular reference to the medium of magazine picture collage work. The paper describes how the use of this medium can enhance the understanding of individuals in interprofessional study days and workshops, where particular issues can be presented and explored by the participants, resulting in the increased awareness of the different perceptions of shared issues. In this way the use of magazine picture collage is advocated as a communication tool aimed to build bridges across the range of language sets used by different professionals.

Art↗

Communicating with metaphor: a dance with many veils.

Health practitioners face many challenges when caring for and communicating with dying persons. As truth-tellers, we search for ways to communicate with honesty, sensitivity, and compassion. Creative use of language is one aspect of caring. Metaphorical communication can be a healing modality, one consistent with communication as an art. This article suggests that metaphor is a powerful and sensitive form of language that offers a range of characteristics particularly suitable for the art and the challenge of communicating with dying people. Metaphor, as figurative language, provides a permissible way of saying one thing and meaning another. It allows us to share a truth without the glare of reality. This author contends that metaphor is mysterious, creative, invitational, safe, open to interpretation, respectful and playful. The creative and judicious use of metaphor provides health care practitioners with many veils--veils that shield the dying from the glare of their prognosis, veils particularly valuable and suited in communicating with our palliative patient population.

Communication↗

Timed picture naming norms for 590 pictures in Dutch.

The present study presents timed norms for 590 pictures in Belgian Dutch. We determined name agreement and response latencies. Furthermore, we assessed which factors influenced the naming latencies of the pictures. It appeared that age-of-acquisition, the H-statistic (an index of name agreement), and the number of syllables of the dominant response were significant predictors of the naming latencies. These results are discussed in comparison with previous findings.

Adult↗

Melanoma: treatment guidelines for patients (Part 1).

The mutual goal of the National Comprehensive Cancer Network (NCCN) and the American Cancer Society partnership is to provide patients and the general public with state of the art cancer treatment information in understandable language. This treatment information is based on the professional guidelines developed by the NCCN. It is intended to assist patients in a discussion with their doctor about the treatment that is best for their specific situation. Part I of these guidelines addresses melanoma risk factors, prevention, diagnosis, stages, prevention, and clinical trials. Part II (June 2005) will describe decision trees for evaluation and treatment.

Clinical Trials as Topic↗

Melanoma: treatment guidelines for patients (part 2).

The mutual goal of the National Comprehensive Cancer Network (NCCN) and the American Cancer Society partnership is to provide patients and the generalpublic with state of the art cancer treatment information in understandable language. This treatment information is based on the professional guidelines developed by the NCCN. It is intended to assist patients in a discussion with their doctor about the treatment that is best for their specific situation. Part I of these guidelines addressed melanoma risk factors, prevention, diagnosis, stages, prevention, and clinical trials (Vol. 17, No 2, pp. 119-131). Part II describes decision trees for evaluation and treatment.

Aftercare↗

Descriptive cataloging for collections of medical art.

Conserving our profession's historical record would be aided by creating a guide for recording bibliographical information associated with medical art. A guide of this nature should conform to currently accepted national standards for bibliographical listings, reflect the cataloging needs of these specialized materials, and contain a sample data collection sheet. Such a guide would provide a starting point for new or undocumented collections to begin organizing and listing their holdings. This article presents a cataloging guide that is specific to the needs of collecting medical art and that conforms, in both language and structure, to established guidelines for descriptive cataloging.

Archives↗

A theory of marks and mind: the effect of notational systems on hominid brain evolution and child development with an emphasis on exchanges between mothers and children.

A model of human language requires a theory of meaningful marks. Humans are the only species who use marks to think. A theory of marks identifies children's scribbles as significant behavior, while hypothesizing the importance of rotational systems to hominid brain evolution. By recognizing the importance of children's scribbles and drawings in developmental terms as well as in evolutionary terms, a marks-based rather than a predominantly speech-based theory of the human brain, language, and consciousness emerges. Combined research in anthropology, primatology, art history, neurology, child development (including research with deaf and blind children), gender studies and literacy suggests the importance of notational systems to human language, revealing the importance of mother/child interactions around marks and sounds to the development of an expressive, communicative, symbolic human brain. An understanding of human language is enriched by identifying marks carved on bone 1.9 million years ago as observational lunar calendar-keeping, pushing proto-literacy back dramatically. Neurologically, children recapitulate the meaningful marks of early hominins when they scribble and draw, reminding us that literacy belongs to humankind's earliest history. Even more than speech, such meaningful marks played - and continue to play - decisive roles in human brain evolution. The hominid brain required a model for integrative, transformative neural transfer. The research strongly suggests that humankind's multiple literacies (art, literature, scientific writing, mathematics and music) depended upon dyadic exchanges between hominid mothers and children, and that this exchange and sharing of visuo-spatial information drove the elaboration of human speech in terms of syntax, grammar and vocabulary. The human brain was spatial before it was linguistic. The child scribbles and draws before it speaks or writes. Children babble and scribble within the first two years of life. Hands and mouths are proximal on the sensory-motor cortex. Gestures accompany speech. Illiterate brains mis-pronounce nonsense sounds. Literate brains do not. Written language (work of the hands) enhances spoken language (work of the mouth). Until brain scans map the neurological links between human gesture, speech and marks in the context of mother/caregiver/child interactions, and research with literate and illiterate brains document even more precisely the long-term differences between these brains, the evolutionary pressure of marks on especially flexible maternal and infant brain tissue that occurred 1.9 million years, radically changing primate brain capabilities, requires an integrated theory of marks and mind.

Animals↗

Behavioral genetics: concepts for research and practice in language development and disorders.

This paper is an introduction to behavioral genetics for researchers and practitioners in language development and disorders. The specific aims are to illustrate some essential concepts and to show how behavioral genetic research can be applied to the language sciences. Past genetic research on language-related traits has tended to focus on simple etiology (i.e., the heritability or familiality of language skills). The current state of the art, however, suggests that great promise lies in addressing more complex questions through behavioral genetic paradigms. In terms of future goals it is suggested that: (a) more behavioral genetic work of all types should be done--including replications and expansions of preliminary studies already in print; (b) work should focus on fine-grained, theory-based phenotypes with research designs that can address complex questions in language development; and (c) work in this area should utilize a variety of samples and methods (e.g., twin and family samples, heritability and segregation analyses, linkage and association tests, etc.).

Environment↗

Psychopathology of expression and psychoanalysis. The influence of the therapist's analytic orientation on the patient's art product.

The graphic symbols produced by patients in analysis are essentially determined by the therapist's interpretations in the early stages of graphic communication. The patient learns the 'symbol language' of the therapist. The more intense the transference, the more evident is the adaptation of the graphic symbolism in the patient's art product to the symbol language of the therapist's analytical school. Sample cases, with predominantly Freudian or Jungian symbols in the patient's sequential graphic expressions, document that conflict resolution can be achieved equally well through different methods of graphic symbol interpretation. In any of the analytic methods, the impact of therapy can be enhanced by the use of graphic language between the analyst and patient.

Adolescent↗

Cubism, Freud, and the image of wit.

This essay contributes to the psychoanalytic understanding of creativity by applying Freud's theories of jokes and dreams to the interpretation of Cubist-paintings and collages of 1907-14. The selection of Cubism is justified on the basis of various questions which Freud and the Cubists asked in common, questions concerning reality, both external and psychic; the processes of representation and interpretation; the correspondences between the arts and other mental products, such as language and dreams; and the nature of the child and of the so-called primitive mind. Moreover, certain innovative features of Cubism--the incorporation of words, texts, and jokes into painting, and the use of collage--lend themselves to, perhaps even require, exegesis in Freudian terms.

Art↗

The influence of genetics on contemporary art.

Contemporary visual artists are incorporating genetic concepts into their work, and this work has become prominently featured in numerous museum and gallery exhibitions. Such art uses visual images that represent the language of genomics, the values affected by genetic understanding of the body and the implications of bioengineering. Here, we present various examples of how artists depict aspects of genetics as cultural icons and symbols; in particular, their focus on DNA as information and on the commercialization of genetics research material.

Art↗

Children's perceptions of purposes for studying different subjects in school.

Examiners explored 4th and 6th graders' perceptions of studying 6 subjects in school: language, math, science, social studies, music, and visual arts. Participants were asked to indicate whether they agreed or disagreed with each of 12 reasons for studying each of the 6 subjects. Five of the reasons included general educational goals that were applicable to all subjects (cross-curricular goals), 5 included objectives established for a particular subject (subject-specific objectives), and 2 represented goals irrelevant to the subject. Both 4th and 6th graders selected mainly subject-specific objectives (e.g., "learn about different rhythms") as reasons for studying music and visual arts. Many children used some of the general cross-curricular goals (e.g., "do well in school in the future"), in addition to the subject-specific goals, to describe why they were studying core subjects: language, math, social studies, and science.

Achievement↗