Working With the Suicidal Client Who Also Abuses Substances

Substance use disorders and suicidal thoughts and behaviors commonly co-occur in adolescent and adult psychiatric populations and are often functionally interrelated. Although the evidence base for treatment of this population is sparse, integrated cognitive behavioral treatment (CBT) protocols, or those that rely heavily on CBT techniques, hold promise. In this paper, we provide an overview of the evidence-based literature for interventions that target suicidal behavior and substance use disorders with adults and adolescents. We then discuss the manner in which these behaviors may be functionally interrelated and offer a conceptual framework (S-O-R-C) to guide case conceptualization and treatment planning for clients with co-occurring suicidality and substance use disorders. Next, we provide a case example of a client with suicidal behavior and an alcohol use disorder and demonstrate how to apply an integrated CBT treatment protocol to this case. This case example is followed by a more general discussion about the potential advantages of integrated CBT protocols for suicidality and substance use disorders, guidelines for prioritizing treatment targets and skill selection for each individual client, and other important treatment considerations. We conclude with recommendations for future research in this area.     

A tutorial on the use of excel 2010 and excel for mac 2011 for conducting delay-discounting analyses

In recent years, researchers and practitioners in the behavioral sciences have profited from a growing literature on delay discounting. The purpose of this article is to provide readers with a brief tutorial on how to use Microsoft Office Excel 2010 and Excel for Mac 2011 to analyze discounting data to yield parameters for both the hyperbolic discounting model and area under the curve. This tutorial is intended to encourage the quantitative analysis of behavior in both research and applied settings by readers with relatively little formal training in nonlinear regression.     

Fundamental(ist) attribution error: Protestants are dispositionally focused

Attribution theory has long enjoyed a prominent role in social psychological research, yet religious influences on attribution have not been well studied. We theorized and tested the hypothesis that Protestants would endorse internal attributions to a greater extent than would Catholics, because Protestantism focuses on the inward condition of the soul. In Study 1, Protestants made more internal, but not external, attributions than did Catholics. This effect survived controlling for Protestant work ethic, need for structure, and intrinsic and extrinsic religiosity. Study 2 showed that the Protestant-Catholic difference in internal attributions was significantly mediated by Protestants' greater belief in a soul. In Study 3, priming religion increased belief in a soul for Protestants but not for Catholics. Finally, Study 4 found that experimentally strengthening belief in a soul increased dispositional attributions among Protestants but did not change situational attributions. These studies expand the understanding of cultural differences in attributions by demonstrating a distinct effect of religion on dispositional attributions.     

Embedding If and Only If

Some left-nested indicative conditionals are hard to interpret while others seem fine. Some proponents of the view that indicative conditionals have No Truth Values (NTV) use their view to explain why some left-nestings are hard to interpret: the embedded conditional does not express the truth conditions needed by the embedding conditional. Left-nestings that seem fine are then explained away as cases of ad hoc, pragmatic interpretation. We challenge this explanation. The standard reasons for NTV about indicative conditionals (triviality results, Gibbardian standoffs, etc.) extend naturally to NTV about biconditionals. So NTVers about conditionals should also be NTVers about biconditionals. But biconditionals embed much more freely than conditionals. If NTV explains why some left-nested conditionals are hard to interpret, why do biconditionals embed successfully in the very contexts where conditionals do not embed?     

Solidarity and Social Moral Rules

The value of solidarity, which is exemplified in noble groups like the Civil Rights Movement along with more mundane teams, families and marriages, is distinctive in part because people are in solidarity over, for or with regard to something, such as common sympathies, interests, values, etc. I use this special feature of solidarity to resolve a longstanding puzzle about enacted social moral rules, which is, aren’t these things just heuristics, rules of thumb or means of coordination that we ‘fetishize’ or ‘worship’ if we stubbornly insist on sticking to them when we can do more good by breaking them? I argue that when we are in a certain kind of solidarity with others, united by social moral rules that we have established among ourselves, the rules we have developed and maintain are a constitutive part of our solidary relationships with one another; and it is part of being in this sort of solidarity with our comrades that we are presumptively required to follow the social moral rules that join us together. Those in the Polish Revolution, for example, were bound by informally enforced rules about publicity, free speech and the use of violence, so following their own rules became a way of standing in a valuable sort of solidarity with one another. I explain why we can have non-instrumental reasons to follow the social moral rules that exist in our own society, improve our rules and even sometimes to break the otherwise good rules that help to unite us.     

Local and global effects of motivation on cognitive control

Motivation has been found to enhance cognitive control, but the mechanisms by which this occurs are still poorly understood. Cued motivational incentives (e.g., monetary rewards) can modulate cognitive processing locally??that is, on a trial-by-trial basis (incentive cue effect). Recently, motivational incentives have also been found to produce more global and tonic changes in performance, as evidenced by performance benefits on nonincentive trials occurring within incentive blocks (incentive context effect). In two experiments involving incentivized cued task switching, we provide systematic evidence that the two effects are dissociable. Through behavioral, diffusion-modeling, and individual-differences analyses, we found dissociations between local and global motivational effects that were linked to specific properties of the incentive signals (i.e., timing), while also ruling out alternative interpretations (e.g., practice and speed??accuracy trade-off effects). These results provide important clues regarding the neural mechanisms by which motivation exerts both global and local influences on cognitive control.     

Making Sense of Animal Disenhancement

In this paper I look at moral debates about animal disenhancement. In particular, I propose that given the particular social institutions in which such disenhancement will operate, we ought to reject animal disenhancement. I do this by introducing the issue of animal disenhancement and presenting arguments in support of it, and showing that while these arguments are strong, they are unconvincing when we look at the full picture. Viewing animal disenhancement in a context such as high intensity food production, we see that the arguments in support of it fall short of other ethical considerations, leading me to conclude that the moral and pragmatic reasons weigh against animal disenhancement.     

Response to an intervening event reverses nonspatial repetition effects in 2AFC tasks: Nonspatial IOR?

The repetition effect in two-alternatiave forced choice (2AFC) tasks is a cornerstone effect in human cognition. Yet the experiments described here show that the customary benefit of repetition reverses to a cost of repetition when participants respond to an irrelevant event between targets. In Experiments 1A-1C, participants made manual 2AFC decisions to both of two consecutive targets on a trial and, on some trials, also made a manual response to an intervening event that appeared between the two targets. A repetition benefit was observed when no intervening event appeared, whereas a repetition cost was observed when a response was required to an intervening event. Experiment 2 ruled out a solely strategic interpretation of the repetition cost effect observed on intervening event trials. In Experiments 3A and 3B, an intervening event that required a simple vocal "go" response also produced a repetition cost. In Experiment 4, a repetition cost was observed when the intervening event was changed to a tone presented aurally. In Experiment 5, the repetition benefit was observed when a response was withheld to an intervening event. A dual-process interpretation of these results is discussed, with one process related to episodic integration, and the other related to processes that produce inhibition of return.     

EMPIRICISM FOR CYBORGS

One important debate between scientific realists and constructive empiricists concerns whether we observe things using instruments. This paper offers a new perspective on the debate over instruments by looking to recent discussion in philosophy of mind and cognitive science. Realists often speak of instruments as ‘extensions’ to our senses. I ask whether the realist may strengthen her view by drawing on the extended mind thesis. Proponents of the extended mind thesis claim that cognitive processes can sometimes extend beyond our brains and bodies into the environment. I suggest that the extended mind thesis offers a way to make sense of realists’ talk of instruments as extensions to the senses and that it provides the realist with a new argument against the constructive empiricist view of instruments.     

Do Measures of Executive Functioning and Manipulation of Ego Depletion Predict How University Students Discount Probabilistic Gains and Losses?

Discounting occurs when the subjective value of an outcome is altered because the outcome is delayed or uncertain. Previous research has suggested that how individuals discount delayed gains is related to executive functioning. The present study attempted to extend this relationship to discounting of probabilistic gains and losses, and to examine whether diminishing cognitive resources would impact how participants discounted monetary outcomes. In Experiment 1, university students completed an executive function measure and then a probability-discounting task that involved the hypothetical sum of either $1,000 or $100,000 framed as either a gain or a loss. The executive function of organization was a significant predictor of how participants discounted all four outcomes while motivational drive predicted discounting of losses, but not gains. In Experiment 2, participants completed the same measures with the addition of an ego-depletion task to deplete cognitive resources before making discounting decisions. The executive function of motivational drive and empathy were significant predictors of how participants discounted both loss outcomes. The results suggest that discounting of monetary outcomes is related to the executive function of organization for gains and motivational drive, and empathy for losses. They also support the notion that the discounting of gains may be a distinct process from the discounting of losses.