Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board

American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention.     

Value-based adoption of augmented reality: A study on the influence on online purchase intention in retail

The increasing use of digital technology-based retail services provides new opportunities for digital marketing. In this paper, we investigate how augmented reality (AR) technology can be leveraged as part of the firm's strategy. We explore the online purchase intention through AR smart glasses (ARSG), considering consumers' value assessment through a cost–benefit analysis and the influence of technical, experiential and social AR value drivers. We develop an augmented value-based adoption model addressing four main objectives: (1) Evaluate the effect of the perceived value of ARSG, (2) Evaluate the effect of immersion (experiential dimension), (3) Evaluate the effect of AR devices and technical complexity (technical dimension) and (4) Evaluate the importance of subjective norms (social dimension) on the online purchase intention through AR technology. Based on an ESIC Tech Lab experiment with two types of ARSG from market leaders and AR retail apps, the study uses survey data from 253 participants. The results suggest that the technical dimension has an ambiguous effect, with tech-complexity enhancing directly the perceived value of ARSG for online purchase while reducing the net value of consumers' economic cost–benefit analysis. We find strong evidence that the experiential and social AR dimensions (in the form of immersion and subjective norm) have a significant positive influence on consumers' purchase intention online, which are better predictors than the pure economic cost–benefit assessment (through usefulness and difficulty). Furthermore, the technical innovativeness of consumers is found to increase directly the online purchase intention through ARSG.     

Pain in the eye of the beholder: Variations in pain visual representations as a function of face ethnicity and culture

Pain experienced by Black individuals is systematically underestimated, and recent studies have shown that part of this bias is rooted in perceptual factors. We used Reverse Correlation to estimate visual representations of the pain expression in Black and White faces, in participants originating from both Western and African countries. Groups of raters were then asked to evaluate the presence of pain and other emotions in these representations. A second group of White raters then evaluated those same representations placed over a neutral background face (50% White; 50% Black). Image-based analyses show significant effects of culture and face ethnicity, but no interaction between the two factors. Western representations were more likely to be judged as expressing pain than African representations. For both cultural groups, raters also perceived more pain in White face representations than in Black face representations. However, when changing the background stimulus to the neutral background face, this effect of face ethnic profile disappeared. Overall, these results suggest that individuals have different expectations of how pain is expressed by Black and White individuals, and that cultural factors may explain a part of this phenomenon     

INTERMITTENT REGRESSIONS IN A SERIAL AFTERIMAGE EXPERIMENT AS SIGNS OF SCHIZOPHRENIA

S mith G. J. W., R uuth E., F ranzén G. & S jöholm L. Intermittent regressions in a serial afterimage experiment as signs of schizophrenia. Scand. J. Psychol ., 1972 , 13 , 27 33.—A group of 35 young patients suspected of schizophrenia were tested in a serial afterimage (AI) experiment and were also rated on the Rockland-Pollin scale. Subjects with high psychotic scores showed one or more regressions to immature (size-constant, positive, physiognomic) images in their Al serials, images typical of children who cannot clearly distinguish their Ails as subjective phenomena distinct from the outside world. The Al test thus indicates schizophrenics to be characterized by intermittent withdrawal into a world of experiencing the self and non-self as not clearly distinguished. Regressions were rare in two control groups.     

Two temporal parameters of food postponement

Rats were trained to press a lever under schedules of food postponement. In the absence of lever presses, food was delivered periodically (food-food interval). Responses initiated a second interval (response-food interval) that was reset by each additional response. Performance was first studied at different response-food intervals with the food-food interval fixed at 30 or 60 sec, or 10 min. Response-food intervals were examined in ascending order and then recovery was studied at shorter intervals. Finally, the food-food interval was manipulated with response-food interval fixed at 30 sec. At food-food intervals of 30 and 60 sec, responding first increased and then decreased as the response-food interval increased. At the 10-min food-food interval, responding decreased with increasing response-food interval. In general, very low rates of responding occurred when the response-food interval was 60 sec or more and when it equalled or exceeded the food-food interval. However, responding was maintained in one animal when the food-food interval was decreased from 120 to 15 sec with the response-food interval at 30 sec. Results, in terms of several dependent variables, are compared with data on shock avoidance. Effects of response-independent and response-produced food and shock are discussed.     

Free-operant avoidance in the pigeon using a treadle response

A free-operant avoidance schedule was used to establish and maintain foot-treadle responding by two Homing, one White King, and two Carneaux pigeons. In the absence of responding, the interval between shocks equaled 10 sec. Each time a treadle response occurred the shock was postponed for 32 sec. Pigeons appear to learn the treadle response more quickly and use it to avoid shock more successfully than do rats bar pressing on similar schedules. The treadle response becomes highly stereotyped and interresponse time distributions obtained from terminal behavior appear very similar to data obtained from rats. It is concluded that the difficulty in training pigeons to avoid electric shock is not in establishing avoidance behavior but in attempting to evaluate such behavior with the key-peck response.     

Projected afterimages after manipulation of cognitive schemes in children.

Telling one group of subjects that afterimages are a physical reality largely independent of the observer and another group that afterimages are projected by the subject himself, it was predicted that the afterimages in these groups would differ. In all 10 pairs of nine-year-old children, matched with respect to cognitive maturity, the subject getting the former instruction reported more size-constant and/or positive afterimages than the subject getting the latter instruction.