When Is Seeking Safety Functional? Taking a Pragmatic Approach to Distinguishing Coping From Safety

Currently, most exposure-based treatments call for clinicians to assess for and remove all safety behaviors during exposure tasks. However, the notion that safety behaviors are detrimental across all scenarios has recently been challenged, and research regarding the effects of safety behaviors on exposure outcomes is limited and inconsistent. In clinical practice, classifying a strategy as a safety behavior can be a complex and challenging endeavor, particularly when distinguishing between harmful safety behaviors and helpful coping behaviors. We outline an approach that emphasizes the pragmatic truth criterion and uses functional outcomes to classify behaviors as serving either safety or coping functions. Our focus on doing what “works” simplifies decision-making for clinicians and maintains the focus of treatment on enhancing functioning. We propose a model for using functional outcomes to distinguish between safety and coping behaviors and illustrate our approach through case examples.     

Should We Agree to Disagree? The Multilevel Moderated Relationship Between Safety Climate Strength And Individual Safety Motivation

Organisational research investigating climate perceptions often use constructs reflecting dispersion and disagreement, termed ‘climate strength’, to investigate situational pressures on behaviour expression. Within safety-specific contexts, research has tended to emphasise the prediction of climate strength rather than an examination of its effects on behaviour. The present paper investigates the important first pathway in the prediction of safety behaviour by investigating the influence of safety climate strength on the relationship between safety climate perceptions and individual safety motivation in a safety critical context using multilevel analyses. Contrary to expectations, results initially indicated that safety climate strength negatively influenced the relationship between safety climate perceptions and safety motivation, such that greater variability was associated with greater motivation. Post hoc analysis re-grouping responses into broader functional levels found support for an interaction, suggesting a difference in the scope of influence for safety climate strength between the two levels of analysis. These findings are discussed in light of self-determination theory, and suggestions for future research and practice made.

     

Evaluating the Effectiveness of Safety Plans for Military Veterans: Do Safety Plans Tailored to Veteran Characteristics Decrease Suicide Risk?

In response to high suicide rates among veterans, the Department of Veterans Affairs (VA) has mandated that veterans at risk for suicide be given Safety Plans (SP). Research on the efficacy of SPs, however, is unclear and no prior study has examined the degree to which more personally relevant (i.e., higher quality) SPs may be associated with better outcomes or evaluate which components of SPs may be most effective at reducing suicidal behavior. The goal of the present study was to examine whether more personally relevant (i.e., higher quality) SPs reduce future suicide-related outcomes (psychiatric hospitalization, self-harm, and suicide attempts), and to determine which components of a SP may be most effective at reducing these outcomes. Participants were 68 individuals enrolled in a longitudinal national registry of returning military veterans receiving care from the VA, and who had at least one suicide-related event in the VA Suicide Prevention Applications Network. Data were collected between December 2009 and September 2016 and were analyzed between March 2016 and February 2017. Scores of SP quality were used to predict suicide-related outcomes. SP quality was low. Higher SP quality scores predicted a decreased likelihood of future suicide behavior reports (note entered into veteran’s chart after a report of any self-harm behavior, including a suicide attempt). Higher scores on Step 3 (people and places that serve as distractions) predicted a decreased likelihood of future suicide behavior reports. More personally relevant SPs may reduce future suicide-related outcomes among veterans. Low SP quality scores highlight the need for training around SP implementation in the VA.     

Anti-Luck Epistemology and Safety’s (Recent) Discontents

Anti-luck epistemology is an approach to analyzing knowledge that takes as a starting point the widely-held assumption that knowledge must exclude luck. Call this the anti-luck platitude. As Duncan Pritchard (2005) has suggested, there are three stages constituent of anti-luck epistemology, each which specifies a different philosophical requirement: these stages call for us to first give an account of luck; second, specify the sense in which knowledge is incompatible with luck; and finally, show what conditions must be satisfied in order to block the kind of luck with which knowledge was argued to be incompatible. What I’ll show here is that the modal account of luck offers a plausible story at the first stage and leads naturally to equally plausible lines to take at the second and third stages, at which a safety condition on knowledge is squarely motivated. There are, however, recent challenges—advanced by Jonathan Kvanvig (Philosophy and Phenomenological Research 77: 272–281, 2008); Kelly Becker (2007); and Jennifer Lackey (Australasian Journal of Philosophy 86(2):255–267, 2008), among others—to the plausibility of the safety-based anti-luck project I’ve sketched here at each of its three stages of development. Once I’ve made precise the challenges, I’ll show why none implies that we abandon the commitments of the safety-based anti-luck project at any of its stages. What we should conclude, then, is that a safety-condition on knowledge is motivated by independently defensible accounts of (1) what luck is; and (2) just how knowledge should be thought incompatible with it.     

Sosa’s Safety Condition and Problem of Philosophical Skepticism

Philosophia - This paper aims to show that Sosa’s theory of knowledge based on safety condition can provide a convincing response to the problem of philosophical skepticism. With regard to...     

Building Schools’ Readiness to Implement a Comprehensive Approach to School Safety

Research consistently finds that a comprehensive approach to school safety, which integrates the best scientific evidence and solid implementation strategies, offers the greatest potential for preventing youth violence and promoting mental and behavioral health. However, schools and communities encounter enormous challenges in articulating, synthesizing, and implementing all the complex aspects of a comprehensive approach to school safety. This paper aims to bridge the gap between scientific evidence and the application of that evidence in schools and communities by defining the key components of a comprehensive approach to school safety and describing how schools can assess their readiness to implement a comprehensive approach. We use readiness and implementation data from the Safe Communities Safe Schools project to illustrate these challenges and solutions. Our findings suggest that (1) readiness assessment can be combined with feasibility meetings to inform school selection for implementation of a comprehensive approach to school safety and (2) intentionally addressing readiness barriers as part of a comprehensive approach may lead to improvements in readiness (motivation and capacity) to effectively implement a comprehensive approach to school safety.     

Can Civility Norms Boost Positive Effects of Management Commitment to Safety?

We proposed that civility norms would strengthen relationships between management commitment to safety and workers' safety motivation, safety behaviors, and injuries. Survey data were obtained from working adults in hazardous jobs—those for which physical labor is required and/or a realistic possibility of physical injury is present (N = 290). Results showed that management commitment positively related to workers' safety motivation, safety participation, and safety compliance, and negatively related to minor injuries. Furthermore, management commitment to safety displayed a stronger positive relationship with safety motivation and safety participation, and a stronger negative relationship with minor worker injuries when civility norms were high (versus low). The results confirm existing known relationships between management commitment to safety and worker safety motivation and behavior; furthermore, civility norms facilitate the relationships between management commitment to safety and various outcomes important to worker safety. In order to promote an optimally safe working environment, managers should demonstrate a commitment to worker safety and promote positive norms for interpersonal treatment between workers in their units.     

How Does Anticipated Regret Influence Health and Safety Decisions? A Literature Review

Making important decisions about health and safety often involves contemplating the regret that may arise if a decision turns out badly. Does anticipated regret decrease risky behaviors and promote precautionary behaviors? The present article reviews the role of anticipated regret in health and safety decisions by outlining findings from the most commonly researched topics. In line with an extended theory of planned behavior, the review concludes that anticipated regret generally predicts behavioral intentions, and intentions in turn influence health and safety behavior. The review discusses methodological recommendations and implications for interventions, and identifies unanswered questions and directions for future research.     

Beyond Implications and Applications: the Story of ‘Safety by Design’

Using long-term anthropological observations at the Center for Biological and Environmental Nanotechnology in Houston, Texas, the article demonstrates in detail the creation of new objects, new venues and new modes of veridiction which have reoriented the disciplines of materials chemistry and nanotoxicology. Beginning with the confusion surrounding the meaning of ‘implications’ and ‘applications’ the article explores the creation of new venues (CBEN and its offshoot the International Council on Nanotechnology); it then demonstrates how the demands for a responsible, safe or ethical science were translated into new research and experiment in and through these venues. Finally it shows how ‘safety by design’ emerged as a way to go beyond implications and applications, even as it introduced a whole new array of controversies concerning its viability, validity and legitimacy.     

From “Home” to “Camp”: Theorizing the Space of Safety

In this article, I discuss how the space of the classroom is a contested object that is constituted by historical, cultural, political, social, psychological, and discursive practices (Lefebvre in The production of space, Blackwell, Oxford, UK, 1991). I then employ Deleuze and Guattari’s notion of “assemblage” to characterize the ways in which educational spaces cohere “content and affect” quoted in Puar (Terrorist assemblages: Homonationalism in queer times, Duke University Press, Durham, 2007, 193) into discursive figures of the heteronormative and racialized national “family.” Finally, I argue that in order to advance contemporary theorizing on safe space we might consider shifting the metaphor of the classroom (and/or schooling) as a situation of home (in loco parentis) to that of a metaphor of camp. As a discursive practice, “camp” is like “home” in that it has multiple associations of past histories. However, the advantage of the metaphor of classroom as camp allows for a more capacious range of past histories of association, from recreation to temporary inhabitation to forced relocation, thus foregrounding the innate political implications of theorizing space. Moreover, the metaphor of camp implies transience (whether real or imaginary) while keeping in mind the partial and situated nature of particular places and spaces. Foregrounding the transient component/feature of safe space allows us to make visible and explore the possibilities and limitations of conceptualizing relations of power as circuitous, contested and performative through competing claims to particular places as objects of safety.     

Safety of autonomous vehicles: what are the insights from experienced industry professionals?

Many drivers support the push towards the automation of transportation. Technology and automotive companies, the general public, and governments are all seen as the main groups pushing the automation revolution forward. The key to this revolution's success will rest with the perception of the professionals in the field as their perception will affect the way that Autonomous Vehicles (AVs) are adopted. This study surveyed 185 experienced industry professionals to gather their comments and opinions on AVs' purported safety benefits and drawbacks. The results in this paper illustrate that the ‘incorrect understanding of the surrounding objects by AVs’ could be the most significant technical concern and may lead to accidents. Some professionals had concerns about trusting the AVs’ safe operation without steering wheels, while some others believed that there is a chance that having steering wheels may increase safety concerns. The findings also suggest that while AVs might reduce the number of accidents, this may not necessarily be the case for the severity of any accidents. The severity may remain unchanged or even increase as a result of the adoption of AVs. This paper's results show that the majority of the professionals consulted agreed that AVs have the potential to increase road safety significantly. However, the consensus was that more research and testing is needed in this field.     

Trait Anxiety and Fear Responses to Safety Cues: Stimulus Generalization or Sensitization?

Abnormal fear responding to threat cues may contribute to the aetiology and maintenance of persistent fears and pathological anxiety. Chronic anxiety may also involve abnormal fear responding to ??safety?? cues, which do not signal danger. Yet investigations of fear responding to acquired safety cues are scarce and the basis of such responding remains unclear. Moreover, previous studies do not distinguish between stimulus generalization (an associative mechanism based on perceptual similarity between threat and safety cues) and sensitization (a non-associative mechanism whereby fear responses to any novel, intense, or fear-related stimulus are temporarily elevated). This study investigated responses to acquired safety cues in volunteers with varying trait anxiety, using a novel fear conditioning paradigm designed to distinguish between effects of trait anxiety on generalization and sensitization. The paradigm used three conditioned stimuli: a threat cue (CS+) and two safety cues (CS?), one perceptually similar to the CS+ and one perceptually dissimilar. Conditioned fear to these cues was indexed by fear potentiation of the startle blink reflex, skin conductance responses, and self-report. To examine how trait anxiety moderated responses to safety cues, participants were divided into high and low trait anxiety subgroups. Startle, skin conductance, and self-reported fear measures indicated that generalization of fear occurred for the safety cue which resembled the threat cue, but not for the perceptually dissimilar safety cue, consistent with the stimulus generalization hypothesis. There was some evidence that stimulus generalization was exaggerated in anxious individuals. The current study sheds light on the mechanism by which fear responses to safety cues arise in healthy individuals, and offers some insight into the influence of this mechanism in chronic anxiety.     

“Can We Say the N-word?”: Exploring Psychological Safety During Race Talk

Classroom interactions that engender psychologically safe climates have rich developmental potential; these interactions often facilitate engagement in academic risk-taking and exploration (Cooper, 2013). On the contrary, classroom interactions that are threatening to adolescents’ identities send messages of devaluation and can negatively impact feelings of belonging and academic achievement, particularly for youth of color (Sherman et al., 2013). In efforts to help explicate the interrelations between racial-identity linked risks and threats and psychological safety in classroom learning contexts, this exploratory case study examined two 9th grade English Language Arts teachers’ negotiation of attunement, authenticity, and power sharing during race talk. Our in-depth analysis of these classrooms suggested the following teacher moves may be particularly important for psychological safety during race talk: teacher moves that (a) support or inhibit power sharing, (b) indicate high or low levels of teacher attunement, and (c) demonstrate or mask the teacher’s authenticity. These results have implications for understanding the co-construction of psychological safety in classrooms during identity-salient and racialized interactions.     

What am I doing here? Safety,certainty and expertise in a secure unit

This paper focuses on the potential for using systemic ideas in a forensic mental health unit. It suggests that doing so aids our understanding of common dilemmas, and that it promotes our ability to generate new perspectives when facing a therapeutic impasse. It illustrates some common dilemmas by reference to particular individuals detained in this setting, and examines the limitations of ideas popular in current systemic practice in a context where extremes of clinical experience and theoretical positions are apparent. In particular it explores the role of 'therapist' in a system defined by a medico-legal model and the implications this has for concepts such as responsibility, reality, illness and risk. It specifically attempts to illustrate the perceived usefulness of ideas put forward by Mason (1993) about safety and certainty. The art of balance between clinical and forensic perspectives emerges as extremely significant in managing the many complex and demanding issues which need to be dealt with in this context.     

Risking ‘Safety’: Breast Cancer,Prognosis, and the Strategic Enterprise of Life

Living in modern biopolitical risk culture might be seen as synonymous with living in prognosis time, in the sense that risk of illness is endlessly forecast (prognosticated) in the broad social arena. ‘Safety,’ in this context, is framed as the anticipatory guarding against risk or disease in order to ‘make live.’ Thinking of risk and safety in these ways is limited, however, in that the prognosis cannot account for the individual’s life or death drama. This paper asks: how are we to understand the constellation of risk, prognosis, and safety in relation to ‘the subject in breast cancer prognosis’?     

Unfamiliar Untrained Observers’ Ratings of Adolescent Safety Behaviors Within Social Interactions with Unfamiliar Peer Confederates

Adolescents experiencing social anxiety often engage in safety behaviors―covert avoidance strategies for managing distress (e.g., avoiding eye contact)―that factor into the development and maintenance of their concerns. Prior work supports the psychometric properties of the Subtle Avoidance Frequency Examination (SAFE), a self-report survey of safety behaviors. Yet, we need complementary methods for assessing these behaviors within contexts where adolescents often experience concerns, namely, interactions with unfamiliar peers. Recent work indicates that, based on short, direct social interactions with adolescents, individuals posing as unfamiliar peers (i.e., peer confederates) and without assessment training can capably report about adolescent social anxiety. We built on prior work by testing whether we could gather valid SAFE reports from unfamiliar untrained observers (UUOs), who observed adolescents within archived recordings of these short social interactions. A mixed clinical/community sample of 105 adolescents self-reported on their functioning and participated in a series of social interaction tasks with peer confederates, who also provided social anxiety reports about the adolescent. Based on video recordings of these tasks, trained independent observers rated adolescents’ observed social skills, and an additional set of UUOs completed SAFE reports of these same adolescents. Unfamiliar untrained observers’ SAFE reports (a) related to adolescents’ SAFE self-reports, (b) distinguished adolescents on clinically elevated social anxiety concerns, (c) related to trained independent observers’ ratings of adolescent social skills within interactions with peer confederates, and (d) related to adolescents’ self-reported arousal within these same interactions. Our findings support use of unfamiliar observers’ perspectives to understand socially anxious adolescents’ interpersonal functioning.     

Safety of micro-mobility: Riders’ psychological factors and risky behaviors of cargo TTWs in China

Cargo two- or three-wheeled vehicles (TTWs), as a new form of micro-mobility, have become a popular mode of urban cargo transportation in China. Cargo TTW riders’ psychological factors and risky behaviors lead to a number of accidents. A questionnaire is designed by comprehensively considering these factors and behaviors of cargo TTW riders that includes eleven risk factors to quantitatively analyze the risky behaviors based on structural equation modeling (SEM). One thousand three hundred nineteen participants reported using cargo TTWs on a questionnaire distributed across the country. The characteristics of riding behavior data are analyzed to verify the three-layer risk theoretical framework of “Psychological factors (Personality traits/specific factors) - Psychological acceptability of risks (confidence/perception/attitude) - Risky behaviors”. The results show that anger has a strong direct effect on riding violations, while normlessness and altruism have a direct effect on riding errors. Workload has a weak but direct effect on risky behaviors, and riding feedback has a weak and mixed effect. In addition, high-risk groups are identified by analysis of variance (ANOVA) with rider population attributes. These quantitative analyses can help guide safety countermeasures to mitigate accidents involving cargo TTWs.     

Safety equipment use and crash involvement among cyclists – Behavioral adaptation,precaution or learning?

The present study has investigated relationships between cyclists’ safety equipment use, crash involvement, and other safety relevant behavior. The main focus is on relationships that indicate either behavioral adaptation (safety equipment use leads to riskier behavior) or precautionary behavior (safety equipment is used for cycling in risky situations). Three consecutive surveys were conducted in 2015, 2016, and 2017 years among 650 Norwegian cyclists. Most items were dichotomized and analyzed with logistic regression models. In contrast to the behavioral adaptation hypothesis, regular use of safety equipment (bicycle lights, high-visibility clothing, and helmets) was found to be negatively related to some types of high-risk behavior (listening to music and taking chances while cycling). Regular use of bicycle lights and high-visibility clothing is also negatively related to collision involvement. Safety equipment use was found to be positively related to regular winter cycling and cycling in mixed traffic (not on sidewalks), and it is most likely used as a precautionary measure in such situations. Some cyclists learn from crash involvement by starting to use safety equipment after a crash, but the results do not indicate that crash involvement deters from cycling. The main conclusion from the study is that recommending, promoting or even mandating safety equipment for cyclists can be expected to improve safety and that behavioral adaptation is not likely to occur, at least not to an extent that will outweigh the positive safety effects. The results do not support reservations against the use of “sporty” (well-equipped) models in campaigns for promoting cycling.