Patient preference as a predictor of outcomes in a pilot trial of person-centred counselling versus low-intensity cognitive behavioural therapy for persistent sub-threshold and mild depression

The aim of this analysis was to explore whether pre-treatment intervention preferences were related to outcomes for patients with persistent sub-threshold and mild depression who received one of two treatment types. Thirty-six patients took part in a two-arm, parallel group, pilot randomized controlled trial that compared short term (3 month and 6 month) outcomes of person-centred counselling (PCC) compared with low-intensity, CBT-based guided self-help (LICBT). Patient preferences for the two interventions were assessed at baseline assessment, and analysed as two independent linear variables (pro-PCC, pro-LICBT). Eight out of 30 interactions between baseline treatment preferences and treatment type were found to be significant at the p < .05 level. All were in the predicted direction, with patients who showed a stronger preference for a treatment achieving better outcomes in that treatment compared with the alternative. However, pro-LICBT was a stronger predictor of outcomes than pro-PCC. The findings provide preliminary support that treatment preferences should be taken into account when providing interventions for patients with persistent sub-threshold and mild depression. It is recommended that further research analyses preferences for different treatment types as independent variables, and examines preferences for format of treatment (e.g. guided self-help vs. face-to-face).     

Mindless accuracy: on the ubiquity of content in nature

It is widely held in contemporary philosophy of mind that states with underived representational content are ipso facto psychological states. This view—the Content View—underlies a number of interesting philosophical projects, such as the attempt to pick out a psychological level of explanation, to demarcate genuinely psychological from non-psychological states, and to limn the class of states with phenomenal character. The most detailed and influential theories of underived representation in philosophy are the tracking theories developed by Fodor, Dretske, Millikan and others. Tracking theorists initially hoped to ‘naturalize’ underived representation by showing that although it is distinctively psychological it is not irreducibly so, yet they ended up developing theories of representation that by their own lights don’t pick out a distinctively psychological phenomenon at all. Burge (Origins of objectivity, Oxford University Press, Oxford, 2010) sets out to develop a theory of underived representation that does pick out a distinctively psychological phenomenon. His theory promises to vindicate the Content View and the various philosophical projects that depend on it. In this paper I argue that Burge’s theory dementalizes representation for the same reason tracking theories do: These theories hold that representations are states with underived accuracy conditions, yet such states are found in all sorts of mindless systems, like plants.     

Deflationism about the necessary a posteriori and Twin Earth

Some necessary truths are a posteriori. That’s widely agreed and is presumed here. Their existence might appear to show that discoveries about how things are in fact—about how things actually are—can lead to discoveries about all the ways things might be, about the nature of logical space. I detail one way of resisting this conclusion for a number of examples, and the implications of Twin Earth for the issue. Central is the notion of a Cambridge discovery.

     

Modeling effects of risk and social distance on vaccination choice

Despite vaccines' consistently demonstrated effectiveness, vaccination rates remain suboptimal due to vaccine refusal. Low vaccination rates are particularly problematic for individuals who cannot be vaccinated for medical reasons and thus must rely on herd immunity (i.e., protection of vulnerable individuals due to the high rate of vaccination of other—often socially distant—individuals). The current study uses a novel decision‐making task to examine how three variables impacted participants' highest acceptable probability of side effects to their children: 1) the severity of the side effects their children experience, 2) the social distance to the beneficiary of the vaccination, and 3) the probability that the vaccine will prevent disease for that designated beneficiary. Participants' willingness to risk potential side effects of vaccination systematically decreased as the 1) effectiveness of the vaccination decreased, 2) the beneficiary of the vaccination became more socially distant, and 3) the severity of side effects increased. These data were well‐described by behavioral economic models used to examine the discounting of other health behavior.     

Semantic classification of pictures and words

We provide new behavioural norms for semantic classification of pictures and words. The picture stimuli are 288 black and white line drawings from the International Picture Naming Project ([Székely, A., Jacobsen, T., D'Amico, S., Devescovi, A., Andonova, E., Herron, D., et al. (2004). A new on-line resource for psycholinguistic studies. Journal of Memory & Language, 51, 247–250]). We presented these pictures for classification in a living/nonliving decision, and in a separate version of the task presented the corresponding word labels for classification. We analyzed behavioural responses to a subset of the stimuli in order to explore questions about semantic processing. We found multiple semantic richness effects for both picture and word classification. Further, while lexical-level factors were related to semantic classification of words, they were not related to semantic classification of pictures. We argue that these results are consistent with privileged semantic access for pictures, and point to ways in which these data could be used to address other questions about picture processing and semantic memory.     

Experience of Parental Marital Dissolution Earlier in Life and the Disposition to Forgive Among Older Violent and Non-Violent Prisoners

The purpose of this study was to examine differences in self-reported dispositional forgiveness types among older male prison inmates who experienced parental separation/divorce earlier in life. Participants included a sample of N = 261 incarcerated men, aged 45 and older, residing in state-managed prisons in Oklahoma. IBM/SPSS 22.0 was used to examine mean differences across forgiveness of self, situation, and others. Significant mean differences were evident only for forgiveness of situation. In particular, significant differences emerged relative to depressive affect F (1, 192) = 19.90, p < .001, and social support F (1, 192) = 18.64, p < .001. After controlling for age, race, religiosity, depression, social support, perceived health, crime type, and parental separation/divorce, one significant interaction (crime type X parental separation/divorce) emerged, F (1, 192) = 4.42, p < .05. It appears that the disposition to forgive the situation among older prison inmates depends on criminal offender type as well as whether the older inmate experienced parental dissolution earlier in life. Implications for pastoral counseling programing and forgiveness therapy treatment for older male prison inmates who experienced parental separation/divorce earlier in life are discussed.     

Associations Between the Rotter Incomplete Sentences Blank and Measures of Personality and Psychopathology

The Rotter Incomplete Sentences Blank (RISB; Rotter, Lah, & Rafferty, 1992) is a sentence completion test intended to detect psychological maladjustment. To investigate the construct validity of the measure, we investigated what aspects of personality and psychopathology are correlated with the RISB and also tested the incremental validity of the RISB in a combined sample of clinical (n = 72) and undergraduate participants (n = 69). Interrater reliability of the RISB was good (intraclass correlation > .80). The RISB overall adjustment score discriminated between clinical and undergraduate participants, and high scores on the RISB were associated with higher negative affect, more anxiety and depression, irrational thinking, and interpersonal problems. The incremental validity of the RISB was modest, but it did explain variance in satisfaction with life and personality disorder symptoms above and beyond an extracted measure of general psychological distress. Our findings support the construct validity of the RISB.     

The Influence of Spirituality and Religion on Coping for Combat‐Deployed Military Personnel

A paucity of research exists examining the role of spirituality/religion (S/R) as a protective factor for combat‐deployed military personnel. The purpose of this study is to (a) define the underlying structure of items from an author‐developed instrument measuring coping, beliefs, and support; and (b) examine how S/R affiliation, activities, and practices affect coping responses for 279 combat‐deployed military personnel. Significant predictors of coping included support, age, Christian affiliation, and frequency of S/R practices. The authors found that beliefs, S/R practices prior to deployment, previous combat deployments, and first deployment were not significant predictors of coping. Implications for counselors and future research are addressed.