Fingarette on the disease concept of alcoholism

Herbert Fingarette [1] argues that alcoholism is not a disease and that the alleged alcoholic under certain circumstances has the power to control his or her drinking disorders. I shall analyze Fingarette's argument and show that his position rests on some logical and conceptual confusions. In analyzing Fingarette's argument for the self-control theory of drinking disorders I conclude that it is problematic for the following reasons: (1) his argument assumes that the identification of a single cause of alcoholism is a necessary condition of its being a disease; (2) unless it is already assumed (a priori) that persons with drinking disorders possess freedom and self-control to the extent that Fingarette assumes they do, then such persons are likely to suffer from apathy or defeatism regarding their condition; (3) even if Fingarette is correct in his criticism of certain health care programs for those with drinking disorders, it does not follow from this that certain theories about the possible causes of such disorders are false; (4) Fingarette's claim that those with drinking disorders are morally responsible for their actions that result from their disorders is problematic, that is, unless it can be shown that such persons act freely; and (5) Fingarette attempts to support the self-control theory of alcoholism by refuting a ‘straw man’ conception of the disease model of alcoholism.     

‘Dear Hindu Friends’: official Diwali greetings as a medium for diplomatic dialogue

ABSTRACT

This article discusses greeting messages as a genre of interreligious communication. Greeting messages are defined as official communication issued by religious institutions and addressed to the members of another religious community on the occasion of specific feast days or anniversaries. Drawing on the insights of politolinguistic analysis, this article treats these messages primarily as a form of public diplomacy. The case study analyses the messages issued on the occasion of the Hindu festival Diwali/Deepavali by the Pontifical Council for Interreligious Dialogue and World Council of Churches between 2015 and 2017. Distributed through the social media and posted on the institutional websites, the Diwali messages seek to speak as a Christian voice to all Hindus. Beyond the official addressee, the messages also potentially face the scrutiny of the global public sphere, especially an internal Christian readership. This article analyses what language strategies are used to deal with these varied demands.     

Perspectives on Factors Impacting Youth’s Reentry into Residential Care: An Exploratory Study

Multiple placements in therapeutic residential care is expensive, and is associated with poor outcomes; thus, identifying barriers to successful reintegration into the home and community school settings is essential for developing appropriate post-discharge supports, and reducing societal costs. Participants were seven youth (four female; three White/Caucasian, one Black/African American, one Hispanic/Latino, two multi-racial) recently readmitted to a therapeutic residential care program and five of their primary caregivers (four female; four White/Caucasian, one Black/African American). Through semi-structured interviews with caregivers and youth, this exploratory study investigated (1) the perceptions of preparedness for the youth’s successful transition from therapeutic residential care to the home setting, (2) the post-discharge factors that contributed to the youth’s return to care, and (3) the lessons learned about the youth’s transition from therapeutic residential care to home. The results of this exploratory, qualitative study revealed rich information about youth and their caregivers’ perspectives about their experiences prior to returning to care, such as the importance of healthy relationships (family and peers), transition planning, and post-discharge supports at the individual, family, and school levels.     

Short-term effects of a multi-disciplinary cardiac rehabilitation programme on psychological well-being, exercise capacity and weight in a sample of obese in-patients with coronary heart disease: a practice-level study

Given that many patients referred to cardiac rehabilitation (CR) are obese, diet therapy, exercise training, nutritional and psychological counselling for both obesity and psychological distress should be included as important components in all CR programmes. In this practice-level, observational study we evaluated the short-term within-group effects of a four-week multi-factorial inpatient CR programme specifically addressed to weight loss, fitness improvement and psychological health increase on 176 obese in-patients with coronary heart disease (CHD). Outcome measures were exercise capacity measured with estimated metabolic equivalents (METs), body mass index (BMI) and psychological well-being (PGWBI). Results show statistically significant improvements in all the PGWBI sub-scales and total score, except in general health (p = 0.393). No moderation effects were found for BMI class, age, diabetes and ejection fraction (EF). METs significantly increased by 30.3% (p < 0.001) and BMI decreased by 1.37 points (p < 0.001). Significant correlations were found between BMI and weight reductions with PGWBI anxiety and total score improvements. This multi-disciplinary CR programme including diet therapy, exercise training and psychological counselling provides indication for short-term within-group effectiveness on functional exercise capacity, BMI and PGWBI in a sample of obese in-patients with CHD. However, controlled studies are needed to corroborate the results we found.     

Disengaging the negative priming mechanism in location tasks

In a location-based negative priming task, targets that appear at locations that were previously occupied by distractors are typically responded to more slowly than are targets that appear at formerly unoccupied positions. In the present study, we attempted to disengage the location-based negative priming mechanism by presenting visual cues indicating the most likely location of the upcoming target. The first experiment showed that 75% cue-target validity was not sufficient to affect the negative priming mechanism. However, the second experiment demonstrated that a much reduced, but not eliminated, negative priming effect occurred with 100%cue-target validity. These findings are similar to those found with inhibition of return, suggesting that location-based inhibition of return effects and location-based negative priming effects may share a common inhibition mechanism.