Behavioral Activation Treatment for Depression in Older Adults Delivered via Videoconferencing: A Pilot Study

Depression affects up to 25% of older adults. Underdetection and subsequent undertreatment of depression in older adults has been attributed in part to difficulties in older adults being able to access treatment. This uncontrolled pilot study, N = 3, explored the acceptability and efficacy of a brief behavioral activation treatment delivered via videoconferencing to 3 participants, aged 64 to 73 years, diagnosed with major depressive disorder. The results indicate that a 5-session behavioral activation treatment delivered via videoconferencing produced clinically significant and reliable decreases in depression. The results also showed clinically significant and reliable decreases in negative affect and clinically significant and reliable increases in positive affect. Treatment gains were maintained at 1-month follow-up. Videoconferencing can be a valuable and effective tool in increasing accessibility to psychological treatment for older adults.     

Documentary Bioethics: Visual Narratives for Generations X and Y

Narrative bioethics is primarily understood to involve storytelling through the use of literature. This article suggests that other forms of media are necessary to convey stories of an ethical nature to an audience broader than one being trained as medical professionals. "Documentary bioethics" is a manner to present and interpret stories of an ethical nature using forms of popular electronic media in a reality-based documentary style to society at large, specifically Generations X and Y.     

Religious Coping, Psychological Distress and Disability Among Patients with End-Stage Pulmonary Disease

A growing body of literature suggests that individuals who face life-threatening situations turn to religion to help them cope. Religion has been cited as the most frequently used resource to cope with stressful events (K. I. Pargament, 1997). The present study was the first to investigate the religious coping methods of patients with lung disease who are awaiting transplant and to identify which coping methods are associated with distress and disability. The study was an exploratory, cross-sectional analysis of 90 patients with end-stage pulmonary disease who were being evaluated for transplant. Results indicated that religiosity was highly prevalent. Patients employed a combination of religious coping efforts, but mostly used coping methods considered positive. Patients with late-onset pulmonary diseases used religious coping strategies more frequently than patients with cystic fibrosis. Hierarchical regression analyses identified a subset of religious coping strategies that predicted 27%, 14%, and 34% of the unique variance in depression, overall disability, and psychosocial disability, respectively.     

Parceling Component Effects of a Multifaceted Prevention Program for Disruptive Elementary School Children

This study examined predictors and outcomes of attendance in two standard components of a multifaceted preventive intervention aimed at children with early-onset disruptive behavior after 3 years of intervention. Mean rate of attendance in the Family Program, but not the Summer School Program, differed by level of child disruptiveness (grouping variable). Although predictors of attendance (SES, single-parent status, child IQ) did not differ across high- and low-disruptive groups, predictors of outcome were moderated by level of child disruptiveness for academic achievement and aggression outcomes, but not for social competence. Higher attendance in the Summer Program was associated with higher child social competence at Year 3 for all children. For academic achievement, higher attendance in the Summer Program was associated with higher scores for mild/moderately disruptive children and lower scores for highly disruptive children in Year 3. Higher attendance in the Family Program was associated with lower aggression scores for mild/moderately disruptive children. Findings highlight the importance of matching intervention components to the assessed or expressed needs of client subgroups.     

Epistemic modals, relativism and assertion

I think that there are good reasons to adopt a relativist semantics for epistemic modal claims such as ``the treasure might be under the palm tree', according to which such utterances determine a truth value relative to something finer-grained than just a world (or a <world, time> pair). Anyone who is inclined to relativise truth to more than just worlds and times faces a problem about assertion. It's easy to be puzzled about just what purpose would be served by assertions of this kind, and how to understand what we'd be up to in our use of sentences like ``the treasure might be under the palm tree', if they have such peculiar truth conditions. After providing a very quick argument to motivate a relativist view of epistemic modals, I bring out and attempt to resolve this problem in making sense of the role of assertions with relativist truth conditions. Solving this problem should be helpful in two ways: first, it eliminates an apparently forceful objection to relativism, and second, spelling out the relativist account of assertion and communication will help to make clear just what the relativist position is, exactly, and why it's interesting. Thanks to Brian Weatherson, John Hawthorne, Daniel Stoljar, Frank Jackson, Ben Blumson, Seth Yalcin, Karen Bennett, Kent Bach, Matthew Weiner, Jonathan Kvanvig, Eric Swanson, David Chalmers, Agustin Rayo, Dustin Locke, Aaron Bronfman, Michael Allers, Ivan Mayerhofer, and to the participants at the BSPC 2005 for helpful discussion.     

Women Creating Public Art and Community, 2000–2014

This narrative describes a series of 15 short‐term public art projects that were part of a program for women and girls in Lowell, Massachusetts, a mid‐size city in the United States. The projects were designed to give public space to women’s stories and perspectives by exhibiting their creative art in response to suggested themes. A few thousand women and girls representing diverse age and cultural groups created art based on their lived experiences. The organizers of the program met people in comfortable settings, tailored their art‐making approaches to particular groups, and used inclusive processes in developing and executing the program. Program successes and challenges were related to the organizational structure of the art projects, the annual themes and art media, the extent of outreach and support, the process of creation, and the impact of art exhibits. Using community psychology and feminist frameworks, authors reflect on the projects and their relevance across contexts, highlight key organizing strategies, and identify ways the project represents community psychology in action.     

The Association Between Childhood Maltreatment and Coping Strategies: The Indirect Effect Through Attachment

Maladaptive coping strategies represent a potentially treatable component of psychopathologies associated with childhood abuse and neglect. Coping strategies are relatively stable constructs that may be viewed as trait-like behavioral manifestations of larger, albeit less accessible, intra- and interpersonal processes, such as activation of the attachment system. The authors investigated a potential mediational pathway from childhood maltreatment (in the form of physical and emotional abuse experiences) to coping strategies developed in emerging adulthood through attachment organization in a sample of undergraduate psychology research participants at a public Midwestern university (N = 225). Avoidant attachment patterns helped to explain the relationship between increased instances of childhood maltreatment and a decreased use of adaptive coping strategies. Further, both anxious and avoidant attachment mediated the relationship between childhood maltreatment and an increased use of maladaptive coping. By utilizing an attachment theory–informed approach as an explanatory guide, researchers and clinicians may be better able to conceptualize, study, and treat complex cases by understanding the underlying relationships between childhood maltreatment, attachment, and coping.     

Greater autonomous motivation for study and basic psychological need satisfaction by being presently aware and ‘letting go’: An exploration of mindful attention and nonattachment

Mindful attention appears to facilitate greater satisfaction of basic psychological needs (i.e., autonomy, competence, and relatedness). Recent findings suggest that nonattachment may arise from mindfulness, with nonattachment being found to mediate relationships between mindfulness and various outcomes, such as increased wellbeing. Across two undergraduate samples, nonattachment was found to partially mediate relationships between mindful attention and the perceived satisfaction of each of autonomy, competence, and relatedness with others (N?=?247), and greater relative autonomous motivation for study (N?=?578). The findings therefore support and extend on existing research related to mindful attention within the Self-Determination Theory literature while also adding to the growing literature on the apparent benefits of nonattachment. Future research on autonomous motivation and basic need satisfaction may therefore benefit from considering nonattachment alongside mindful attention.