Refreshing Older Adults’ Driving Skills (ROADSkills): A randomized controlled trial examining the effect of video feedback

ObjectivesThis study evaluated the effectiveness of a personalized video-based driver training program on the behind-the-wheel skills of community-dwelling older adults.MethodIn this randomized controlled trial (RCT), 80 older drivers [mean age (SD) = 71.0 (3.9)] were randomly assigned to view one of two educational videos: 1) personalized video feedback on their driving (n = 40) or 2) a generic video on aging-in-place (n = 40). The primary outcome, the total number of errors accrued in a 30-minute standardized on-road evaluation, was analyzed at baseline and 4 weeks after watching the assigned video. On-road evaluations were video-recorded and scored by a blinded rater. Self-report measures of driving abilities, behaviors, and comfort were also compared.ResultsAt the 4-week follow-up, the mean difference in the number of on-road performance errors [mean (95% CI) = -12.0 (-16.6, −7.4), p < 0.001] favored the intervention group compared to controls, with significant improvements across multiple domains: vehicle control [mean (95% CI) = -4.8 (-8.1, −1.5), p < 0.01], observing the roadway [mean (95% CI) = -5.5 (-8.4, −2.6), p < 0.001], and compliance with traffic rules [mean (95% CI) = -1.3 (-2.3, −0.2), p < 0.05]. Within-group change on behind-the-wheel errors was significant for the intervention group [mean (95% CI) = -10.3 (-13.5, −7.1), p < 0.001], but not for the control group [mean (95% CI) = 1.7 (-1.6, 4.9), p > 0.05]. No significant differences were found on the self-report measures.DiscussionA novel, video-based approach that provided personalized feedback to older drivers significantly reduced behind-the-wheel errors 4-weeks post-intervention. Changes in self-reported driving behaviors and abilities were not significant. Future research will examine the long-term effects of this approach on older adults’ actual and perceived driving abilities.     

The effects of four days of intensive mindfulness meditation training (Templestay program) on resilience to stress: a randomized controlled trial

The interest in mindfulness meditation interventions has surged due to their beneficial effects in fostering resilience and reducing stress in both clinical and non-clinical populations. However, the relaxation benefits that may occur while practicing mindfulness meditation and long-term benefits of these interventions remain unclear. Fifty-one participants were recruited and randomized into the experimental and control groups, which underwent 4 days of Intensive Meditation (Templestay program, n = 33) and Relaxation (Control, n = 18), respectively. The self-report measures of Cognitive and Affective Mindfulness Scale-Revised (CAMS) and the modified Korean version of the Resilience Quotient Test (RQT) were administered pre-, post- and 3 months after the intervention to measure participants’ levels of mindfulness and resilience. Participants in both the Templestay program and Control groups showed significant increases in their scores on CAMS and RQT after completing the program. During the 3-month follow-up, a significant interaction effect of the intervention method and time was revealed for the individuals’ CAMS and RQT scores. Our findings support the hypothesis that while relaxation practices may have certain stress reduction effects, the effects are predominantly mediated by the mindfulness meditation practice. Furthermore, the long-term benefits of increased resilience observed in the Templestay program group suggest that the practice may be a possible treatment strategy in clinical populations, such as patients with depression and anxiety.     

The power of being heard: The benefits of ‘perspective-giving’ in the context of intergroup conflict

Although hundreds of dialogue programs geared towards conflict resolution are offered every year, there have been few scientific studies of their effectiveness. Across 2 studies we examined the effect of controlled, dyadic interactions on attitudes towards the ‘other’ in members of groups involved in ideological conflict. Study 1 involved Mexican immigrants and White Americans in Arizona, and Study 2 involved Israelis and Palestinians in the Middle East. Cross-group dyads interacted via video and text in a brief, structured, face-to-face exchange: one person was assigned to write about the difficulties of life in their society (‘perspective-giving’), and the second person was assigned to accurately summarize the statement of the first person (‘perspective-taking’). Positive changes in attitudes towards the outgroup were greater for Mexican immigrants and Palestinians after perspective-giving and for White Americans and Israelis after perspective-taking. For Palestinians, perspective-giving to an Israeli effectively changed attitudes towards Israelis, while a control condition in which they wrote an essay on the same topic without interacting had no effect on attitudes, illustrating the critical role of being heard. Thus, the effects of dialogue for conflict resolution depend on an interaction between dialogue condition and participants' group membership, which may reflect power asymmetries.     

‘Emotional turbulence’: the development of symbolic thinking in the psychotherapeutic treatment of an adolescent girl

Abstract

This paper is drawn from doctoral research which analysed clinical data from the once weekly psychotherapy of a young person who experienced both gender identity dysphoria and an eating disorder and whose depression had proved resistant to other interventions. Based on the psychoanalytic thinking of Klein, Segal, Bion and others regarding the role of symbolisation in development, the links between symbol formation, the depressive position and the negotiation of the Oedipus complex are outlined. Special attention is given to current thinking about the nature and genesis of gender identity dysphoria in the light of these concepts. The association with autistic features for a number of cases is briefly explored. In the light of these theoretical links, findings from the study are used to investigate and illustrate the movement this patient made within her therapy from an emotionally turbulent position where concrete thinking was manifest, to a more symbolic way of thinking that allowed emotional change, and less concrete acting out. Clinical narrative excerpts as well as findings from the study are used to discuss the progress made by the patient and to evaluate how her journey may inform future practice.     

The snake in the mandala: dialogical aspects of Jung’s ‘A study in the process of individuation’

Jung’s study centres on the amplification of pictures painted by a woman patient and posits their sequence as evincing the initial stages of the individuation process. His text performs a dialogue with its audience whereby Jung persuades us of this truth, and also reveals Jung’s dialogue with his patient and with his own ideas. The present paper revisits the clinical material first with a focus on the interaction between Jung and his patient. The second part compares the 1940 and 1950 versions of Jung’s study with attention to tensions that traverse them, such as Jung’s attitude to the animus and his two voices as a practitioner and a theorist.     

‘Out to get us’: queer Muslims and the clash of sexual civilisations in Australia

Drawing on qualitative data from interviews with twelve queer Muslims in Australia, this article analyses the ongoing struggle for queer Muslim recognition within the context of the so-called ‘Clash of Civilisations’. Analysing the rhetoric of national security and ‘Western’ civilisational identity, this article interrogates the incorporation of sexuality into the cultural and political discourse of the ‘war on terror’, from the xenophobic demonisation of Muslims as sexual predators, to liberal Islamophobia that posits Islam as an aggressive and alien Other against which liberal capitalism must be defended. Within this hostile environment, queer Muslims in Australia are articulating various strategies for finding meaning in their lives. From a Marxist perspective, this article analyses these strategies for recognition which range from complex acts of ‘closeting’ sexual, ethnic and religious identities, to subversive acts of critical hybridity that seek to negate the exclusionary nature of homophobia and Islamophobia within Australia’s multicultural society.     

Question–behaviour effect: A randomised controlled trial of asking intention in the interrogative or declarative form

Objective: This study investigated the question–behaviour effect of measuring intention in the interrogative or declarative form combined or not with a measure of moral norm.

Design: A sample of 762 participants was randomised according to a 2?×?2 factorial design.

Main outcome measures: Cognitions were assessed at the baseline, and physical activity behaviour was self-reported three weeks later. Results: At baseline, there were no significant differences on the studied variables. An ANOVA showed a significant interaction effect between the two experimental conditions (p?=?0.04). Post-hoc contrast analyses showed that the interrogative intention-only condition significantly differed from the declarative intention-only (d?=?0.21, p?=?0.03) and interrogative intention?+?moral norm (d?=?0.22, p?=?0.03) conditions.

Conclusion: Results suggest that self-posed questions about a future action increases the likelihood of doing it when these questions are not accompanied by measures of moral norm. This provides support for using introspective self-talk to favour the adoption of behaviour.     

Challenging ‘the they’: an Heideggerian reflection on the impact of power figures in children’s spiritual lives

Through the lens of Heideggerian’s Being and Time, this paper examines the world of ‘the they’ for twenty-first century children, highlighting perceived power figures in their lives. Exploring philosophically how the falling of a child’s Dasein from its primordial state into ‘the they’ culminates in an inauthentic presentation of self, it will then describe how spiritual educators might encourage a turning of the tide, allowing children to be critically aware of contingent influencers and to act upon them from a position of authenticity.     

The ‘Divine Names’ and the ‘Attributes of Deity’: On the (Infinite) Analogical Interval in Forty-Six Aphorisms

For the modern tradition of analytic philosophy of religion (that this article rejects), goodness, beauty, wisdom, and so on are divine attributes, whereas, for the classical tradition of Christian theology, they are divine names. This crucial distinction between attributes and names helps to explain why feminist philosopher Grace Jantzen’s charge of an identification of the male self with the divine self in Anglo-American philosophy of religion leads on, directly, to a critique of the ‘doctrine’ of analogy. Jantzen’s critique of ‘classical theism’ is directed against the (largely modern) reduction of God to a (male) superbeing. Here, God’s ‘attributes’ are merely human ones, even if extended to a superlative degree. I distinguish the analogical reflections of Aquinas (following Dionysius) and his heirs from the anthropomorphic dissolutions of the divine in contemporary analytic philosophy of religion. Theology’s analogical speech, I argue, has the potential to answer – at least partially – the feminist critique of God as a ‘pure projection’ of ‘man’. For Aquinas, God’s perfections must be qualitatively different and not merely quantitative maximisations of our own. I contend that feminist philosophy of religion cannot afford to dismiss the potential of the way of analogy, especially in its negative or apophatic dimensions.     

Effects of massage intervention on discharged premature infants’ weight,parental stress,and parent–child attachment: A randomized controlled trial

Infant massage enhances the growth and development of premature infants and promotes parent–child bonding. However, its effects on parental stress and parent–child attachment in premature infants, as well as gender differences thereof, remain unclear. In this randomized controlled trial, we used a repeated-measures design and included 61 premature infants (mean gestational age: 35.1 ± 1.5 weeks). Weight, parental stress, and parent–child attachment were measured at multiple time points: before massage and 1, 4, 8, and 12 weeks after commencing infant massage. The results revealed that the massage group infants had significantly higher weight gain than the control (no massage) group infants at all four time points. Moreover, parents in the massage group reported notably lower levels of stress than those in the control group, particularly in the parental distress and difficult children subscales. No significant between-group differences were observed in parent–child attachment. Furthermore, no significant differences were observed between fathers and mothers in parental stress and parent–child attachment. However, fathers reported higher levels of distress than mothers at 4 and 12 weeks. In conclusion, infant massage led to increased infant weight and reduced parental stress over time, and differences between fathers and mothers were not significant, except fathers exhibiting higher levels of distress than mothers over time. Healthcare professionals should educate and support parents on infant massage before discharge of premature infants.     

Mathematical models in Newton's Principia: A new view of the ‘Newtonian Style’

In this essay I argue against I. Bernard Cohen's influential account of Newton's methodology in the Principia: the ‘Newtonian Style’. The crux of Cohen's account is the successive adaptation of ‘mental constructs’ through comparisons with nature. In Cohen's view there is a direct dynamic between the mental constructs and physical systems. I argue that his account is essentially hypothetical‐deductive, which is at odds with Newton's rejection of the hypothetical‐deductive method. An adequate account of Newton's methodology needs to show how Newton's method proceeds differently from the hypothetical‐deductive method. In the constructive part I argue for my own account, which is model based: it focuses on how Newton constructed his models in Book I of the Principia. I will show that Newton understood Book I as an exercise in determining the mathematical consequences of certain force functions. The growing complexity of Newton's models is a result of exploring increasingly complex force functions (intra‐theoretical dynamics) rather than a successive comparison with nature (extra‐theoretical dynamics). Nature did not enter the scene here. This intra‐theoretical dynamics is related to the ‘autonomy of the models’.     

Semantic Shifts in Argumentative Processes: A Step Beyond the ‘Fallacy of Equivocation’

In naturally occuring argumentation, words which play a crucial role in the argument often acquire different meanings on subsequent occasions of use. Traditionally, such semantic shifts have been dealt with by the fallacy of equivocation. In my paper, I would like to show that there is considerably more to semantic shifts during arguments than their potentially being fallacious. Based on an analysis of a debate on environmental policy, I will argue that shifts in meaning are produced by a principle I call local semantic elaboration. I will go on to show that semantic shifts in the meaning of a word, the position advocated by a party, and the questions that the parties raise during an argumentative process are neatly tailored to one another, but can be incommensurable to the opponent's views. Semantic shifts thus may have a dissociative impact on a critical discussion. By linking the structure of argumentation to its pragmatics, however, it may be revealed that there are two practices that account for a higher order of coherence of the debate. The first practice is a general preference for disagreeing with the opponent, the second practice is the interpretation of local speech acts in terms of an overall ideological stance that is attributed to the speaker. Because of these practices, parties do not criticize divergent semantic conceptions as disruptive, but they treat them as characteristic and sometimes even metonymic reflections of the parties' positions.     

The experience of ‘healing stories’ in the life narrative: A grounded theory

‘healing stories' are part of an emergent narrative literature in psychology and counselling. This research explored the subjective experience of ‘healing stories’ within the context of individual's life narratives. A grounded theory (Strauss and Corbin, 1990) method of analysis was used to generate and analyse six participant's life narratives. Analysis of these accounts revealed three categories. The first is the context of struggle that preceded the healing process. participants told of struggle in their relationships with others as well as turmoil in their experience of themselves. The second category, the healing process reflected the participants' growing awareness of life's existential givens (Yalom, 1980). This represented a personal exploration that opened lparticipants to a ‘healing story’ that offered them an insight into choices and possibilities for liberation. The third category illustrated that in the ongoing struggle the ‘healing story’ has continued to provide inspiration in the participants' lived experience as an ‘evoked companion’ (Stern, 1985). This research posited a core dynamic whereby participants' experience of their ‘healing story’ provided not only an initial inspiration that was healing but also, in their ongoing struggle, the ‘healing story’ continued to inspire their lived experience.     

Language as power in the therapy room: A study of bilingual (Arabic–English) therapists' experiences

The topic of language as power (LaP) in individual therapeutic encounters has thus far been overlooked, and as bilingual therapists have the ability to use more than one language in the therapy room, their experience of LaP is a compelling research area that this paper attempts to explore. This qualitative, inductive, phenomenological study used interviews and interpretative phenomenological analysis to explore five bilingual Arabic–English-speaking therapists' experiences of LaP in the therapeutic encounter. The study identifies two overarching themes: (a) the emergence of identity and power from language and (b) comparisons of power in the English and Arabic languages. Within these themes, the study finds that therapists experience LaP through multiple avenues: self-disclosure, intersectionality, being transported to different identities and expressions of power and power of expression in Arabic–English. These multiple avenues illustrate the complexity of LaP in the therapeutic encounter. The study sheds light on an underexplored area in psychotherapy, illuminating an important area for psychotherapists and training institutions to consider when working with clients.     

‘A Compound Wholly Mortal’: Locke and Newton on the Metaphysics of (Personal) Immortality

In this paper I consider a cluster of positions which depart from the immortalist and dualist anthropologies of Rene Descartes and Henry More. In particular, I argue that John Locke and Isaac Newton are attracted to a monistic mind-body metaphysics, which while resisting neat characterization, occupies a conceptual space distinct from the dualism of the immortalists, on the one hand, and thoroughgoing materialism of Thomas Hobbes, on the other. They propound a sort of property monism: mind and body are distinct, with distinct characteristics and functions, but are, nevertheless, ontologically interdependent. Consciousness – the locus of personhood, and thus, a necessary condition for personal immortality – is an embodied phenomenon; its preservation requires the life and proper functioning of the body. Dying with the dissolution of his body, then, man is a compound wholly mortal. Nevertheless, both Locke and Newton accepted the possibility of personal immortality; with Hobbes, both looked to the Biblical promise of bodily resurrection. For with the re-vitalization of the body – and a subsequent restoration of consciousness and memory – personal identity is preserved, even beyond the grave.     

Problems in the study of response timing: Comments on Reece's (1976) ‘A model of temporal tracking’

Reece's (1976) generalization of the Wing-Kristofferson model for the timing of interresponse intervals is critically examined. A correct analysis of the model is presented. The crucial parameter of the model which determines the degree of dependence between the time-keeper and motor-delay processes is shown to be non-identifiable. A statistical problem concerning the estimation of the autocovariance function is pointed out, and a solution is proposed.