Confidentiality Revisited: A Response to Manhal-Baugus (1996)

Confidentiality is an important ethical and legal concept for chemical dependency counselors and their clients. This article reviews the issues relating to confidentiality raised by Manhal-Baugus (1996), identifies several problem areas from that 1996 article, and offers additional information about confidentiality not included in the earlier article. Chemical dependency counselors are urged to consider the federal law covering the confidentiality of alcohol and drug abuse patient records in their practice.     

Generalized anxiety and panic disorders: Response to Cox, Cohen, Direnfeld, and Swinson (1996)

Contrary to the contention of Cox, Cohen, Direnfeld and Swinson (1996, Behaviour Research and Therapy, 34, 949–954) that the Beck Anxiety Inventory (BAI; Beck & Steer, 1993, Manual for the Beck Anxiety Inventory) measures primarily symptoms associated with panic attacks rather than anxiety in general, we propose that the higher level of anxiety found in patients with panic disorders not only is not an artifact of the BAI's symptom content, but patients with panic disorders truly have more anxiety than patients with other types of anxiety disorders. Furthermore, the BAI contains symptoms present in other anxiety disorders, besides panic disorder, and specifically includes 11 symptoms of generalized anxiety disorder (GAD). The BAI and revised Hamilton Anxiety Rating Scale (HARS-R; Riskind, Beck, Brown & Steer, 1987, Journal of Nervous and Mental Disease, 175, 474–479) scores of 274 (69%) outpatients with panic disorders and 123 (31%) outpatients with GAD were found to differentiate these two diagnostic groups equally and significantly. The panic disorder outpatients had higher scores on both the BAI and the HARS-R than did the GAD patients. Thus, Cox et al.'s (1996) speculation about the BAI's yielding spuriously high levels of anxiety in patients with panic disorders revives an important issue relevant to the relation of panic disorder to GAD.     

Patterns of Response Times and Response Choices to Science Questions: The Influence of Relative Processing Time

We report on five experiments investigating response choices and response times to simple science questions that evoke student “misconceptions,” and we construct a simple model to explain the patterns of response choices. Physics students were asked to compare a physical quantity represented by the slope, such as speed, on simple physics graphs. We found that response times of incorrect answers, resulting from comparing heights, were faster than response times of correct answers comparing slopes. This result alone might be explained by the fact that height was typically processed faster than slope for this kind of task, which we confirmed in a separate experiment. However, we hypothesize that the difference in response time is an indicator of the cause (rather than the result) of the response choice. To support this, we found that imposing a 3‐s delay in responding increased the number of students comparing slopes (answering correctly) on the task. Additionally a significant proportion of students recognized the correct written rule (compare slope), but on the graph task they incorrectly compared heights. Finally, training either with repetitive examples or providing a general rule both improved scores, but only repetitive examples had a large effect on response times, thus providing evidence of dual paths or processes to a solution. Considering models of heuristics, information accumulation models, and models relevant to the Stroop effect, we construct a simple relative processing time model that could be viewed as a kind of fluency heuristic. The results suggest that misconception‐like patterns of answers to some science questions commonly found on tests may be explained in part by automatic processes that involve the relative processing time of considered dimensions and a priority to answer quickly.     

Basic Response Time Tools for Studying General Processing Capacity in Attention,Perception, and Cognition

One of the more important constructs in the study of attention, perception, and cognition is that of capacity. The authors reviewed some of the common meanings of this construct and proposed a more precise treatment. They showed how the distribution of response times can be used to derive measures of process capacity and to further illustrate how these measures can be used to address important hypotheses in cognition.     

Cochlear Implantation,Enhancements, Transhumanism and Posthumanism: Some Human Questions

Biomedical engineering technologies such as brain–machine interfaces and neuroprosthetics are advancements which assist human beings in varied ways. There are exciting yet speculative visions of how the neurosciences and bioengineering may influence human nature. However, these could be preparing a possible pathway towards an enhanced and even posthuman future. This article seeks to investigate several ethical themes and wider questions of enhancement, transhumanism and posthumanism. Four themes of interest are: autonomy, identity, futures, and community. Three larger questions can be asked: will everyone be enhanced? Will we be “human” if we are not, one day, transhuman? Should we be enhanced or not? The article proceeds by concentrating on a widespread and sometimes controversial application: the cochlear implant, an auditory prosthesis implanted into Deaf patients. Cochlear implantation and its reception in both the deaf and hearing communities have a distinctive moral discourse, which can offer surprising insights. The paper begins with several points about the enhancement of human beings, transhumanism’s reach beyond the human, and posthuman aspirations. Next it focuses on cochlear implants on two sides. Firstly, a shorter consideration of what technologies may do to humans in a transhumanist world. Secondly, a deeper analysis of cochlear implantation’s unique socio-political movement, its ethical explanations and cultural experiences linked with pediatric cochlear implantation—and how those wary of being thrust towards posthumanism could marshal such ideas by analogy. As transhumanism approaches, the issues and questions merit continuing intense analysis.     

Questions of criteria: Reply to Peterzell (1997)

In a reply to our report on hemispheric differences in processing band-pass filtered letters (Christman, Kitterle, & Niebauer, 1997), Peterzell (1997) argues that our results are not attributable to hemispheric asymmetries in spatial frequency processing. Rather, Peterzell argues that factors such as response criteria and stimulus visibility can account for our results. We argue that our results are attributable (at least in part) to hemispheric asymmetries in spatial frequency processing, while at the same time we acknowledge the potential influence of other factors in the determination of hemispheric differences.     

Six Questions for the Resource Model of Control (and Some Answers)

The resource model of self‐control casts self‐control as a capacity that relies on some limited resource that exhausts with use. The model captured our imagination and brought much‐needed attention on an important yet neglected psychological construct. Despite its success, basic issues with the model remain. Here, we ask six questions: (i) Does self‐control really wane over time? (ii) Is ego depletion a form of mental fatigue? (iii) What is the resource that is depleted by ego depletion? (iv) How can changes in motivation, perception, and expectations replenish an exhausted resource? (v) Has the revised resource model unwittingly become a model about motivation? (vi) Do self‐control exercises increase self‐control? By providing some answers to these questions – including conducting a meta‐analysis of the self‐control training literature – we highlight how the resource model needs to be revised if not supplanted altogether.     

Phonological typicality influences sentence processing in predictive contexts: reply to Staub, Grant, Clifton, and Rayner (2009)

In 2 separate self-paced reading experiments, Farmer, Christiansen, and Monaghan (2006) found that the degree to which a word's phonology is typical of other words in its lexical category influences online processing of nouns and verbs in predictive contexts. Staub, Grant, Clifton, and Rayner (2009) failed to find an effect of phonological typicality when they combined stimuli from the separate experiments into a single experiment. We replicated Staub et al.'s experiment and found that the combination of stimulus sets affects the predictiveness of the syntactic context; this reduces the phonological typicality effect as the experiment proceeds, although the phonological typicality effect was still evident early in the experiment. Although an ambiguous context may diminish sensitivity to the probabilistic relationship between the sound of a word and its lexical category, phonological typicality does influence online sentence processing during normal reading when the syntactic context is predictive of the lexical category of upcoming words.     

Emotional (Non-)Expression and Health: Data,Questions, and Challenges

The available evidence on the relationship between expression and non-expression of emotions (E/NE) and health is selectively and critically reviewed. It is concluded that research in this field still lacks conceptual lucidity with regard to the many existing E/NE concepts. Despite the fact that few studies adopted appropriate designs for examining causal relationships, some intriguing results have been reported showing promise for the future. These results involve prospective associations between E/NE and chronic disease, such as cardiovascular disease and HIV infection related outcomes. Future studies have to better discriminate between (i) various forms of E/NE, (ii) different (social) contexts of E/NE as well as different cognitive decision processes underlying E/NE, and (iii) individuals for whom different forms of E/NE may be adaptive. We recommend that besides (quasi)experimental studies on the potential mechanisms involved, more prospective studies are conducted in this field in order to allow for causal inferences.     

Correcting Misperceptions About Cognitive Processing Therapy to Treat Moral Injury: A Response to Gray and Colleagues (this issue)

We respond to the commentary by Gray, Nash, and Litz (this issue) regarding the use of cognitive processing therapy (CPT) to address moral injury as described in our previous publication (Wachen et al., 2016). In their commentary, Gray et al. posit that CPT is inappropriate when applied to the treatment of war-related traumas involving “real moral and ethical transgressions” (i.e., moral injuries). However, Gray and colleagues’ assertions are centered on a premise that is incorrect, namely that CPT is based on the idea that “self-blame and guilt are inherently illogical or inaccurate,” and that CPT assumes that all beliefs associated with moral injury are erroneous. On the contrary, we acknowledge that self-blame and guilt may be accurate responses to warzone trauma, yet disagree that CPT is not suitable in these situations. This response serves to clarify some of the inaccurate interpretations of the treatment as stated by Gray and colleagues, and reiterates the position of CPT on many of the issues that were raised. Specifically, we discuss the use of Socratic questioning within CPT to address the issue of moral injury. Furthermore, we highlight the strong evidence base for the use of CPT in treating veterans and active military. Until it has been determined through empirical study, it is premature to assert that CPT is insufficient in addressing moral injury in combat personnel.     

Identity,Knowledge, and Toni Morrison's Beloved: Questions about Understanding Racism

In discussing Drucilla Cornell's remarks about Toni Morrison's Beloved, I consider epistemological questions raised by the acquiring of understanding of racism, particularly the deep-rooted racism embodied in social norms and values. 1 suggest that questions about understanding racism are, in part, questions about personal and political identities and that questions about personal and political identities are often, importantly, epistemological questions.     

The Nature of Preschool Phonological Processing Abilities and Their Relations to Vocabulary, General Cognitive Abilities, and Print Knowledge

The development of reading-related phonological processing abilities (PPA) represents an important developmental milestone in the process of learning to read. In this cross-sectional study, confirmatory factor analysis was used to examine the structure of PPA in 129 younger preschoolers (M = 40.88 months, SD = 4.65) and 304 older preschoolers (M = 56.49 months, SD = 5.31). A 2-factor model in which phonological awareness and phonological memory was represented by one factor and lexical access was represented by a second factor provided the best fit for both samples and was largely invariant across samples. Measures of vocabulary, cognitive abilities, and print knowledge were significantly correlated with both factors, but phonological awareness/memory had unique relations with word reading. Despite significant development of PPA across the preschool years and into kindergarten, these results show that the structure of these skills remains invariant.     

Some prior considerations about dissonance to understand its reduction: Comment on McGrath (2017)

In a recent contribution to this journal, McGrath (2017) provided an overview of the reduction process of cognitive dissonance theory. To discuss the reduction strategy, she reviewed relevant studies and highlighted the means to reduce dissonance as well as factors that promote their use. In the present paper, we would like to raise some points which have not been considered by McGrath. First, we stress the historical development of the theory that orientated the study of attitude change as the major means of reduction. Second, we raise the issue of the term “dissonance” and the different conceptions about its reduction. Last, on the strength of published data, we insist on resistance to change as a central and essential factor to predict the reduction strategy. We consider that these elements, in addition to McGrath's valuable contribution, provide a comprehensive understanding of the current view of the dissonance reduction process.     

How Emotions Shape Moral Behavior: Some Answers (and Questions) for the Field of Moral Psychology

Within the past decade, the field of moral psychology has begun to disentangle the mechanics behind moral judgments, revealing the vital role that emotions play in driving these processes. However, given the well‐documented dissociation between attitudes and behaviors, we propose that an equally important issue is how emotions inform actual moral behavior – a question that has been relatively ignored up until recently. By providing a review of recent studies that have begun to explore how emotions drive actual moral behavior, we propose that emotions are instrumental in fueling real‐life moral actions. Because research examining the role of emotional processes on moral behavior is currently limited, we push for the use of behavioral measures in the field in the hopes of building a more complete theory of real‐life moral behavior.     

People with AIDS (PWA) Since Highly Active Antiretroviral Therapy, 1996

Although clarity about HIV transmission biology and effective therapy should mean that an AIDS diagnosis is more socially acceptable today, for some groups the cultural stigma of HIV infection has changed little in the last 30 years. This paper will examine why representations of HIV-positive gay men suggest they pose a special civic risk and how these conceptualizations have harnessed cultural anxieties about racial and sexual minorities to shape public policy and behavior since the advent of Highly Active Antiretroviral Therapy (HAART) in 1996.