Diversity and deliberation: bioethics commissions and moral reasoning

This article considers the sort of diversity in perspective appropriate for a presidential commission on bioethics, and by implication, high-level governmental commissions on ethics more generally. It takes as its point of comparison the respective reports on human cloning produced by the National Bioethics Advisory Commission, appointed by President Bill Clinton, and George W. Bush's President's Council on Bioethics, under the leadership of its original chair, Leon Kass. I argue that the Clinton Commission Report exemplifies forensic diversity (the type of diversity between contesting parties in a legal case), while the Kass Council Report exemplifies academic diversity (the diversity found in a medieval disputatio). Drawing upon Thomas Aquinas, I argue that the type of diversity most appropriate for such advisory bodies is deliberative diversity, which facilitates the President's process of taking counsel. After considering their respective charges, I suggest that neither the Clinton Commission nor the Kass Council possessed an adequate degree of deliberative diversity for their respective tasks.     

Evidence for an equality heuristic in social decision making

Subjects read a story in which five business partners needed to allocate the profits and expenses of the partnership in a fair and reasonable manner. Each of the partners worked independently and produced different gross incomes between $140 and $285. The gross incomes were to be divided into expenses and profits. Subjects were asked to fill in fair allocations in an accounting ledger. Three factors were manipulated: the target of the allocation task (either the expenses or the profits), the causal attributions for the differences in gross incomes (internal, external, or both), and whether the subjects were asked to fill in both columns (expenses and profits) or just one.

The results supported the hypothesis that the subjects heuristically used equality to make their allocations. Over 70% of the subjects allocated at least one column equally (although the frequency of equality use varied as a function of both the target of the allocation and the attribution given). Subjects allocated the target columns equally more often than non-target columns, even though equality for one column implied inequality for the other. The use of equality was also sensitive to the attribution given for the performance differences. Differences due to external factors, i.e., the number of people showing up at the market, produced the most equal allocations of profits (with unequal expenses) while the internal attribution produced the highest proportion of equal expense allocations (with unequal profits).     

ANXIETY SENSITIVITY AND TRAIT-SYMPTOM MEASURES OF ANXIETY AND DEPRESSION

The Icelandic version of the Anxiety Sensitivity Index was investigated in two studies of college students. A principal components analysis of ASI scores from both studies (N=718) yielded three components similar to what has been found previously: Psychological Concerns, Physical Concerns and Social Concerns. In the first study the relationship between the ASI and trait anxiety was investigated. It was analysed at the level of the total scales but also at the level of subscales of both instruments. Two subscales of the STAI, measuring respectively Anxiety-trait and Depression-trait, were used as well as the Psychological Concerns and Physical Concerns subscales of the ASI. In a second study the relationships between ASI and its subscales and two symptom measures of anxiety and depression were addressed. ASI was in both studies more strongly related to the anxiety than the depression scales. Also, in both studies the Physical Concerns subscale of the ASI was more strongly related to anxiety than to depression, whereas the Psychological Concerns subscale was equally related to anxiety and depression. Taken together the studies support the notion of different relationships between different aspects of anxiety sensitivity, and anxiety and depression as traits, cognitive symptoms and mood related symptoms.     

Factor structure and psychometric properties of the Anxiety Sensitivity Index in a sample of Croatian adults

Anxiety sensitivity (AS) refers to a person's tendency to fear anxiety-related symptoms due to the belief that these symptoms may have harmful consequences. The most widely used operationalization of AS in adults is the Anxiety Sensitivity Index (ASI). The factor structure, gender stability, and psychometric properties of the ASI in a sample of Croatian adults (N = 984) were evaluated. Results confirm the multidimensional and hierarchical structure of the ASI, which consisted of three lower-order factors (Physical Concerns, Psychological Concerns, and Social Concerns) and a single higher-order factor, AS. Furthermore, the achievement of normative scores for the ASI in a Croatian adult sample demonstrates the cross-national stability of the ASI. Reliability coefficients for the ASI, Physical Concerns, and Psychological Concerns are high and satisfactory in the total sample and for both genders. Overall, the results confirmed the cross-national stability, gender stability, reliability, and validity of the ASI in a sample of Croatian adults.     

An Uphill Climb

Abstract

The Community Partnership Team (CPT) was created to more effectively address the problems of child sexual victimization and domestic violence in the rural, northeast corner of Connecticut. A multi-disciplinary team was formed to improve collaboration between agencies serving victims of violence. Observations of meetings and confidential interviews suggested that most participants felt quite positively about the process; however, serious conflicts emerged between agencies serving different types of victims. Results indicated that it is important to identify barriers to collaboration, to recognize and use differences to build relationships across agencies, and to maintain a formal mechanism for resolving conflict.     

Mentoring Program Enhancements Supporting Effective Mentoring of Children of Incarcerated Parents

Children of incarcerated parents (COIP) are at risk for a range of negative outcomes; however, participating in a mentoring relationship can be a promising intervention for these youth. This study examined the impact of mentoring and mentoring program enhancements on COIP. Secondary data analyses were conducted on an archival database consisting of 70,729 matches from 216 Big Brothers Big Sisters (BBBS) local agencies to establish the differential effects of mentoring on COIP. A subset of 45 BBBS agencies, representing 25,252 matches, participated in a telephone interview about program enhancements for better serving COIP. Results revealed that enhanced program practices, including having specific program goals, providing specialized mentor training, and receiving additional funding resulted in better outcomes for COIP matches. Specifically, specialized mentor training and receiving additional funding for serving matches containing COIP were associated with longer and stronger matches. Having specific goals for serving COIP was associated with higher educational expectations in COIP. Results are discussed in terms of benefits of a relationship‐based intervention for addressing the needs of COIP and suggestions for program improvements when mentoring programs are serving this unique population of youth.     

Choice of Weapon or Weapon of Choice? Examining the Interactions between Victim Characteristics in Single‐victim Male Sexual Homicide Offenders

As most studies report that the majority of sexual homicide offenders (SHOs) prefer to kill with their own hands, research has largely neglected to examine the choice of weapon by these offenders. The US Supplementary Homicide Reports show that although a large number of SHOs murder their victim using personal weapons (e.g. bare hands and manual or ligature strangulation), the majority use an alternative weapon (e.g. edged weapons, contact weapons, and firearms). The present study hypothesises that the choice of weapon is in part influenced by victim characteristics. To identify specific combinations and interactions between victim characteristics and the choice of a personal or edged weapon during the commission of a sexual homicide, a combination of exhaustive chi‐square automatic interaction detector and conjunctive analysis is used on a sample of 2,472 single‐victim male SHOs from a 36‐year period of Supplementary Homicide Report data (1976–2011). Findings show that SHOs choose their weapon according to some victim characteristics. Implications of the findings are discussed in light of police suspect prioritisation. Copyright © 2014 John Wiley & Sons, Ltd.     

Is Veteran Status and Suicide Risk Assessed in Community Long‐Term Care? A Review of the States' Assessment Instruments

Given recent policy initiatives to address suicide risk among older persons and veterans, community‐based elder serving agencies may serve an important role in identifying and referring individuals at risk for suicide. A review of state‐level long‐term assessment instruments was conducted to determine whether veteran status and suicide are assessed. Data from forty‐three state's Units on Aging instruments were content analyzed. Results indicate that over two thirds of the states in this review included questions about suicide and veterans in their assessments, 69.8% and 67.4% respectively. Suicide risk among elders and veterans must be addressed at local, state, and federal levels so that concerted attention and oversight can be provided for matching elders to the services they need.     

New Directions in Capacity Building: Incorporating Cultural Competence into the Interactive Systems Framework

The UMBC Psychology Department's Center for Community Collaboration (CCC) provides training and support for capacity building to promote substance abuse and mental health treatment as well as adherence improvement in community agencies funded through the Ryan White Act serving persons living with HIV/AIDS. This article describes an approach to dissemination of Evidence Based Practices (EBPs) for these services that uses the Interactive Systems Framework (ISF) and incorporates a collaborative process involving trainer cultural competence, along with a comprehensive assessment of organizational needs, culture, and climate that culminates in tailored training and ongoing collaboration. This article provides: (1) an overview of the CCC's expanded ISF for the effective dissemination of two EBPs—motivational interviewing and the stages of change perspective; (2) an examination of the role of trainer cultural competence within the ISF framework, particularly attending to organizational culture and climate; and (3) case examples to demonstrate this approach for both general and innovation‐specific capacity building in two community based organizations. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

Trait dissociation and commission errors in memory reports of emotional events

In 2 studies we examined whether trait dissociation is related to spontaneous commission errors (reports of events that did not occur) in free recall of emotional events. We also explored whether the functional locus of the dissociation-commission link is related to repeated retrieval or shallow encoding. In Experiment 1 participants were exposed to a staged incident and were repeatedly asked to add more information to their written accounts of the event. Dissociation levels were related to commission errors, indicating that people who report many dissociative experiences tend to make more commission errors. However, it was not the case that the overall increase in commission errors over successive retrieval attempts was typical for high dissociative participants. In Experiment 2 participants saw a video fragment of a severe car accident. During the video, half the participants performed a dual task, and the other half did not. Participants performing the dual task made more commission errors than controls, but this effect was not more pronounced in those with high trait dissociation scores. These studies show that there is a link between dissociation and spontaneous commission errors in memory reports of emotional events, but the functional locus of this link remains unclear.     

Improving college students’ evaluation of text learning using idea-unit standards

When recalling key definitions from class materials, college students are often overconfident in the quality of their responses. Even with commission errors, they often judge that their response is entirely or partially correct. To further understand this overconfidence, we investigated whether idea-unit judgements would reduce overconfidence (Experiments 1 and 2) and whether students inflated their scores because they believed that they knew answers but just responded incorrectly (Experiment 2). College students studied key-term definitions and later attempted to recall each definition when given the key term (e.g., What is the availability heuristic?). All students judged the quality of their recall, but some were given a full-definition standard to use, whereas other students first judged whether their response included each of the individual ideas within the corresponding correct answer. In Experiment 1, making these idea-unit judgements reduced overconfidence for commission errors. In Experiment 2, some students were given the correct definitions and graded other students’ responses, and some students generated idea units themselves before judging their responses. Students were overconfident even when they graded other students’ responses, and, as important, self-generated idea units for each definition also reduced overconfidence in commission errors. Thus, overconfidence appears to result from difficulties in evaluating the quality of recall responses, and such overconfidence can be reduced by using idea-unit judgements.     

The Factor Structure of the Ohio Scales: A Practical Measure of Psychological Symptoms in Youth

Stakeholders have increased the focus on accountability for community mental health agencies, leading to the need for an efficient method of measuring mental health outcomes for youth. The Ohio Scales were developed specifically to address the drawbacks of existing measures of child and adolescent mental health such as length, cost, and ease of scoring. The current study examined the factor structure of the Ohio Scales Problem Severity scale and explored the concurrent validity of those factors by comparing them to similar factors on the Child Behavior Checklist and Youth Self Report, two well-established measures of childhood mental health. Using archival data from a community mental health agency serving youth and families, a randomly split sample was used to conduct an exploratory factor analysis on one subsample followed by a confirmatory factor analysis on a second subsample. The results of these analyses indicated that a four-factor model provided the best fit to the data for both youth and parent report on the Ohio Scales. The four factors included: Aggression, Delinquency, Depression, and Anxiety. Comparing the Ohio Scale factors to the factors on the Child Behavior Checklist and YSR revealed that theoretically similar factors (e.g., Anxiety and Internalizing) were more highly correlated than dissimilar factors (e.g., Anxiety and Externalizing). These results provide concurrent validity of the four-factor model of the Ohio Scales. These factors may provide more specific information regarding the types of emotional and behavioral problems youth and parents are reporting to clinicians.     

Reward Allocation by Impartial Allocators to Friend or Stranger Co-workers under Equal and Unequal Ability and Performance

The effects of a relationship variable (friends, strangers), an ability variable (equal, unequal), and a performance variable (equal, unequal) were studied in 40 male and 40 female university students. Eight versions of a hypothetical vignette were prepared to manipulate the eight treatment combinations. After reading an assigned vignette, subjects were asked to allocate $90 between two stranger or friend co-workers. Among other effects, the Relationship by Ability by Performance interaction was significant. The stranger, unequal ability, unequal performance allocations to the lower ability co-worker were significantly higher than the stranger, equal ability, unequal performance allocations, and the stranger, unequal ability, unequal performance allocations were higher than the friends, unequal ability, unequal performance allocations; this difference approached significance (p < .06). The questionnaire data revealed that, despite having favored strangers, the impartial allocators expected strangers to be less satisfied with their distribution than friends with their distribution. In this study, impartial allocators tended to compensate strangers to a greater extent for low performance or ability than friends or, alternatively, were more likely to ignore performance and ability differences between strangers than between friends.     

Children's moral judgments of commission and omission based on their understanding of second‐order mental states1

Abstract: Children's moral judgments about acts of commission and omission with negative outcomes were studied based on their understanding of mental states. Children (N = 142) in the first, third, and fifth grades made judgments about four tasks composed of two levels of mental states (first‐order or second‐order) and two types of acts (commission or omission). The results showed that the 7‐year‐olds responded considering only first‐order mental states, but the 9‐ and 11‐year‐olds also used second‐order mental states in their judgments. Whether the acts were commission or omission did not make a difference. These results indicate that children can make moral judgments regarding acts of commission and omission based on an understanding of second‐order mental states by approximately the age of 9 years.     

Supporting Mentoring Relationships of Youth in Foster Care: Do Program Practices Predict Match Length?

Implementation of research‐ and safety‐based program practices enhance the longevity of mentoring relationships, in general; however, little is known about how mentoring programs might support the relationships of mentees in foster care. Benchmark program practices and Standards in the Elements of Effective Practice for Mentoring, 3rd Edition (MENTOR, 2009) were assessed in the current study as predictors of match longevity. Secondary data analyses were conducted on a national agency information management database from 216 Big Brothers Big Sisters agencies serving 641 youth in foster care and 70,067 youth not in care from across the United States (Mean = 11.59 years old at the beginning of their matches) in one‐to‐one, community‐based (55.06%) and school‐ or site‐based (44.94%) matches. Mentees in foster care had shorter matches and matches that were more likely to close prematurely than mentees who were not in foster care. Agency leaders from 32 programs completed a web‐based survey describing their policies and practices. The sum total numbers of Benchmark program practices and Standards were associated with match length for 208 mentees in foster care; however, neither predicted premature match closure. Results are discussed in terms of how mentoring programs and their staff can support the mentoring relationships of high‐risk youth in foster care.     

Anxiety sensitivity-physical concerns as a moderator of the emotional consequences of emotion suppression during biological challenge: an experimental test using individual growth curve analysis

Anxiety-related responding to, and recovery from, a 5-min 10% carbon dioxide-enriched air presentation among 80 participants with no history of psychopathology was examined. Half of participants were instructed to suppress challenge-induced emotional responses, whereas their matched counterparts were instructed to observe such responses. Responding from immediately post-challenge through a 10-min recovery period was analyzed as a function of Anxiety Sensitivity-Physical Concerns and experimental condition using individual growth curve modeling. Anxiety Sensitivity-Physical Concerns moderated the effect of suppression only on emotion valence during recovery. In terms of main effects, suppression resulted in increased heart rate during recovery and Anxiety Sensitivity-Physical Concerns was positively associated with post-challenge self-reported anxiety. Results are discussed in terms of the potential role of inhibition-oriented affect regulation processes in the etiology of panic disorder.     

Using a Learning Collaborative Model to Disseminate Cognitive Processing Therapy to Community-Based Agencies

Although effective treatments for posttraumatic stress disorder exist, their use in community settings is disappointingly low. Training alone does not necessarily lead to adoption. To address this problem, we trained community clinicians in cognitive processing therapy, an evidence-based treatment for posttraumatic stress disorder, using a Learning Collaborative, an intensive training methodology focused on both clinical training and developing sustainability. Sixty clinicians within 18 agencies began the year-long, team-based Learning Collaborative. Clinicians attended three in-person Learning Sessions, received weekly consultation, and submitted audio-recorded sessions to be rated for fidelity. Clinicians were rostered as approved treatment providers if they completed all training requirements. Additionally, we engaged leadership from each agency to build a sustainable practice. Clinicians trained through the Learning Collaborative demonstrated a high degree of fidelity to the treatment (average competence ratings “satisfactory” to “good”), and most (68%) were rostered as approved treatment providers. Patients treated by clinician trainees exhibited significant symptom reductions (d = 1.68 and 1.28 for posttraumatic stress and depression symptoms, respectively, among treatment completers). At a 6-month follow-up, 95% of rostered clinicians and 100% of agencies with rostered clinicians were still providing the treatment. These results suggest that the Learning Collaborative model is a promising approach for the dissemination and implementation of evidence-based treatments for adult posttraumatic stress disorder.     

Demographic, Clinical, and Functional Characteristics of Youth Enrolled in Six California Systems of Care

We describe the demographic, functional, and clinical status of children served across six California counties implementing a longstanding integrated system of care approach called the California System of Care Model. The children enrolled in the care systems are an ethnically diverse group of predominantly pre-adolescent and adolescent males. The level of functional impairment and degree of symptomatology is high. Seventy to 80% of the youth were in the clinical or borderline clinical ranges as measured by the Child Behavior Checklist. Scores on the Child and Adolescent Functional Assessment Scale, provided by the treating clinician, indicated that up to 94% of the youth were in the moderate to severe levels of impairment. Children and adolescents rated themselves on the Youth Self Report as having lower levels of impairment than did parents. Caregivers and youth ratings emphasized externalizing rather than internalizing problems. Clinician ratings as captured by the CAFAS and the clinical diagnoses, presented a mix between internalizing and externalizing diagnoses and functional impairment areas. The six counties are serving children who have levels of impairment, similar to, or higher than, youth enrolled in other systems of care nationwide.     

Severely disturbed adolescents in community care

The purpose of this research was to study key concepts related to deinstitutionalization and community facilities for emotionally disturbed adolescents. This study was conducted in two phases: In Phase I, a statewide survey was mailed to all licensed group-care providers; in Phase II, field research methods were used to collect data on five small residential facilities, each serving between four and sixteen residents. An average of 35 hours was spent observing in each facility and a total of 53 interviews were conducted with staff, residents, and administrators. Survey results indicate that a total of 125 licensed group-care agencies in Massachusetts serve 4081 residents of all ages and disabilities in residential programs. At least sixty of these facilities accept adolescents, and seventy-four of them have state approval as residential schools for youngsters with special educational needs. Findings from the field research phase indicate that small group-care facilities place an emphasis on treatment and therapeutic intervention. The therapeutic activities in five facilities share similar features, and a classification scheme based on these similarities is offered. Other findings indicate that small residential facilities are not necessarily community-based, and that living in a small facility does not ensure integration into the community. A four-point scale is presented to measure the range of possible community-oriented activities. Four origins of decision-making about community activities are noted. Other findings indicate that the facilities are characterized by a high degree of staff/resident interaction, and that they possess some characteristics of total institutions, mediatory institutions, and families; the results suggest that these facilities are a new type of social setting with no direct correlation to other types of institutions.     

Resource allocation decision making in an uncertain environment

This experiment investigated how individuals learn to allocate limited resources across competing activities in order to maximize their objective when the form of the objective function is uncertain. On each of 25 trials, subjects selected an allocation policy and received a corresponding profit. The objective function that was used to assign profits to allocations was unknown initially and was learned through trial by trial outcome feedback. A total of 144 subjects were randomly assigned to nine groups constructed from a 3 (objective function form) by 3 (amount of error variability) factorial design. Several measures of learning were analyzed including (a) the distance between the current and optimal allocation policy as a function of training, (b) the magnitude of change in allocation as a function of past profits, and (c) the direction of change in allocations as a function of the direction of change in past profits. The results provide evidence for an integrated approach to learning — a functional learning process based on global information about the shape of the objective function and a hill-climbing learning process based on local information about trial to trial improvements in profit.