Neurosurgical treatment for addiction: lessons from an untold story in China and a path forward

Addiction is a major public-health crisis associated with significant disability and mortality. Although various pharmacological and behavioral treatments are currently available, the clinical efficacy of these treatments is limited. Given this situation, there is a growing interest in finding an effective neurosurgical treatment for addiction. First, we discuss the use of ablative surgery in treating addiction. We focus on the rise and fall of nucleus accumbens ablation for addiction in China. Subsequently, we review recent studies that have explored the efficacy and safety of deep-brain-stimulation treatment for addiction. We conclude that neurosurgical procedures, particularly deep-brain stimulation, have a potentially valuable role in the management of otherwise intractable addictive disorders. Larger well-controlled clinical trials, however, are needed to assess clinical efficacy and safety. We end by discussing several key issues involved in this clinical field and identifying some areas of progress.     

Flipped classrooms: implications for K-12 students with learning and behavioural challenges from an international exploratory study of teacher educators

Flipped classrooms represent a new instructional paradigm for presenting K-12 instruction. Whereas in traditional classrooms new content is taught during the school day and application activities are assigned for homework, in flipped classrooms students are expected to acquire new content by working through assigned tasks at home prior to the next day’s class. Subsequently, class time is used for application activities. To date, limited, conflicting analyses of research about the efficacy of the flipped classroom paradigm have been reported. This lack of a clear consensus is of concern for students with serious learning and/or behavioural challenges who have not been the focus of these analyses and whose learning characteristics arguably run counter to what students must do to be successful in flipped classrooms. The investigation reported herein addresses one aspect of the aforementioned void in the literature. Data from an international survey of teacher educators from 33 countries that ascertained their thoughts about the appropriateness of the flipped classroom paradigm for students with serious learning and/or behavioural challenges are reported. Results indicate that teacher educators have reservations about the appropriateness of flipped classrooms, but that their opinions are not fully informed by knowledge about, and experience with, these classrooms.     

Advances in the Science of Assessment

Designing, developing, and administering assessments has remained fairly unchanged across the past century. However, recent developments in instructional technology, learning science theory, and advances in the design of assessments necessitate a newfound perspective on assessment. The objective of the present article is to review the topic of assessment in depth—past, present, and future. Specifically, we focus on the use of technologically rich learning environments that have spurred advances in student assessment, new methods and procedures from these advances, and consequently the need to consider implementing comprehensive assessment systems that provide rigorous and ubiquitous measurement of the whole student learning experience.     

The Black Women’s Gathering Place: reconceptualising a curriculum of place/space

ABSTRACT

This article de-centres imperialist, capitalist, patriarchal traditions of critical approaches in Curriculum Studies via an examination of experiences shared at The Black Women’s Gathering Place (BWGP), a non-traditional space where a diverse, intergenerational group of Black women engage with each other through the sharing of stories. In the BWGP, we enact components of Pinar’s [2004. What is Curriculum Theory? Mahwah, NJ: Lawrence Erlbaum] concept of currere, simultaneously re-entering our collective and individual pasts and re-imagining our futures in an effort to reconcile our public and private selves. Taking up tenets of Black feminist theory, theoretical framings of hidden curriculum, and components of Ng-A-Fook’s [2007. An Indigenous Curriculum of Place: The United Houma Nation’s Contentious Relationship with Louisiana’s Educational Institutions. New York, NY: Peter Lang] ‘Curriculum of Place,’ we reconceptualise a curriculum of place/space that negotiates dominant norms expressed in social environments. In this space, we validate traditional knowledges upheld in communities of Black women across the Diaspora. The BWGP allows us to argue for a re-presentation of extant knowledge by and about Black women.     

Negotiating Shame,Silence, Abstinence,and Period Sex: Women’s Shift from Harmful Memorable Messages about Reproductive and Sexual Health

Abstract

Early messages about reproductive and sexual health influence personal identities, health behaviors, and ongoing perceptions of sex and sexuality. Women are often socialized with negatively-valenced messages toward understanding their reproductive and sexual health. However, scholarship emphasizes a communicative approach for socializing intimate health behaviors and needs. The present study addresses the communication that prompts a shift in perception from early, harmful memorable messages to a more comprehensive perspective on sexuality. To do so, we qualitatively analyze open-ended survey responses from 191 women. Findings reinforce previous memorable message literature by revealing messages of shame, sex, abortion, childbearing, and fears of infertility. In addition, we extend the memorable messages construct by exploring how more positively valenced messages and individual moments of intervention redirect women in how they understand their intimate health and sexuality.