Implementation in a Changing Landscape: Provider Experiences During Rapid Scaling of Use of Evidence-Based Treatments

This study examined 133 service providers’ perspectives on a rapid shift to mandated evidence-based treatment delivery, utilizing an inductive coding process to capture themes present in their qualitative feedback. The majority of provider comments were negatively valenced, but attitudes varied considerably across response categories: comments regarding practice context and support were nearly uniformly negative, while comments regarding treatment fit and therapeutic consequences were more balanced. Treatment fit was the most commonly cited category; the fit to therapist (e.g., ease of use) subcategory was predominantly positive in contrast with the fit to client (e.g., flexibility) subcategory, which was predominantly negative. Results illustrate the intended and unintended consequences of large-scale implementation efforts on community providers, and may aid implementation researchers and system decision makers optimize the conditions under which community providers are asked to implement evidence-based treatment.     

Some Notes on Boolos’ Semantics: Genesis,Ontological Quests and Model-Theoretic Equivalence to Standard Semantics

The main aim of this work is to evaluate whether Boolos’ semantics for second-order languages is model-theoretically equivalent to standard model-theoretic semantics. Such an equivalence result is, actually, directly proved in the “Appendix”. I argue that Boolos’ intent in developing such a semantics is not to avoid set-theoretic notions in favor of pluralities. It is, rather, to prevent that predicates, in the sense of functions, refer to classes of classes. Boolos’ formal semantics differs from a semantics of pluralities for Boolos’ plural reading of second-order quantifiers, for the notion of plurality is much more general, not only of that set, but also of class. In fact, by showing that a plurality is equivalent to sub-sets of a power set, the notion of plurality comes to suffer a loss of generality. Despite of this equivalence result, I maintain that Boolos’ formal semantics does not committ (directly) second-order languages (theories) to second-order entities (and to set theory), contrary to standard semantics. Further, such an equivalence result provides a rationale for many criticisms to Boolos’ formal semantics, in particular those by Resnik and Parsons against its alleged ontological innocence and on its Platonistic presupposition. The key set-theoretic notion involved in the equivalence proof is that of many-valued function. But, first, I will provide a clarification of the philosophical context and theoretical grounds of the genesis of Boolos’ formal semantics.     

Guided search through memory

In “hybrid” search, observers search a visual display for any of several targets held in memory. It is known that the contents of the memory set can guide visual search (e.g., if the memorized targets are all animals, visual attention can be guided away from signs). It is not known if the visual display can guide memory search (e.g., if the memory set is composed of signs and animals, can a visual display of signs restrict memory search to just the signs?). In three hybrid search experiments, participants memorized sets of items that belonged to either one or several categories. Participants were then presented with visual displays containing multiple items, also drawn from one or several categories. Participants were asked to determine if any of the items from their current memory set were present in the visual display. We replicate the finding that visual search can be guided by the contents of memory. We find weaker, novel evidence that memory search can be guided by the contents of the visual display.     

Uncovering a New Moral Dilemma of Economic Optimization in Biotechnological Processing

The trend of emerging biorefineries is to process the harvest as efficiently as possible and without any waste. From the most valuable phytomass, refined medicines, enzymes, dyes and other special reactants are created. Functional foods, food ingredients, oils, alcohol, solvents, plastics, fillers and a wide variety of other chemical products follow. After being treated with nutrient recovery techniques (for fertilizer production), biofuels or soil improvers are produced from the leftovers. Economic optimization algorithms have confirmed that such complex biorefineries can be financially viable only when a high degree of feedstock concentration is included. Because the plant material is extremely voluminous before processing, the farming intensity of special plants increases in the nearest vicinity of agglomerations where the biorefineries are built for logistical reasons. Interdisciplinary analyses revealed that these optimization measures lead to significantly increased pollen levels in neighbouring urban areas and subsequently an increased risk of allergies, respectively costs to the national health system. A new moral dilemma between the shareholder’s profit and public interest was uncovered and subjected to disputation.     

Early Eye Movement Desensitisation and Reprocessing (EMDR) intervention in a disaster mental health care context

‘Early psychological intervention’ is defined as commencing treatment within three months of the traumatic event, with the aim to prevent or treat posttraumatic stress disorder, ongoing distress or acute stress disorder. In natural disaster situations, specific issues may limit the amount of time available for treatment and the possibility of interventions. Eye Movement Desensitisation and Reprocessing (EMDR) can be used without regard to these limits. The aim of the study is to evaluate the effects of EMDR, Recent Traumatic Episode Protocol (R-TEP) provided within three months of the traumatic event to a large sample of individuals exposed to the earthquake that hit Emilia Romagna Region (Northern Italy) in 2012. This study is based on a retrospective review of medical records collected during the activities of psychological and psychosocial unit in the immediate aftermath of earthquake. In total, 529 participants completed the Impact of Event Scale Revised (IES-R) (pre e post treatment). In order to provide a comparison similar to a waitlist-like control group, a method of cohort analysis was applied. In addition, possible time dependent effect was tested. ET (early-treated sample, participants treated within one month after the earthquake) and LT (late-treated sample, participants treated after the first month from the earthquake) reported at post-treatment an improvement to a level below the IES-R cutoff (65.8% of the ET sample and 64.02% of the LT sample). Control group analogue and time-outcome correlation suggest that positive changes in symptoms were likely due to the treatment provided and not merely to the time lapse from the traumatic event. The results of this study suggest that EMDR is a viable treatment option in response to a disaster crisis and in reducing psychological distress of acutely traumatized individuals within the context of a natural disaster.     

Children's selective trust decisions: rational competence and limiting performance factors

Recent research has amply documented that even preschoolers learn selectively from others, preferring, for example, reliable over unreliable and competent over incompetent models. It remains unclear, however, what the cognitive foundations of such selective learning are, in particular, whether it builds on rational inferences or on less sophisticated processes. The current study, therefore, was designed to test directly the possibility that children are in principle capable of selective learning based on rational inference, yet revert to simpler strategies such as global impression formation under certain circumstances. Preschoolers (N = 75) were shown pairs of models that either differed in their degree of competence within one domain (strong vs. weak or knowledgeable vs. ignorant) or were both highly competent, but in different domains (e.g., strong vs. knowledgeable model). In the test trials, children chose between the models for strength‐ or knowledge‐related tasks. The results suggest that, in fact, children are capable of rational inference‐based selective trust: when both models were highly competent, children preferred the model with the competence most predictive and relevant for a given task. However, when choosing between two models that differed in competence on one dimension, children reverted to halo‐style wide generalizations and preferred the competent models for both relevant and irrelevant tasks. These findings suggest that the rational strategies for selective learning, that children master in principle, can get masked by various performance factors.     

Construct and concurrent validity of the Cambridge neuropsychological automated tests in Portuguese older adults without neuropsychiatric diagnoses and with Alzheimer’s disease dementia

We aimed to analyze the construct and concurrent validity of the Rapid Visual Information Processing (RVP), Paired Associates Learning (PAL), Reaction Time (RTI), and Spatial Working Memory (SWM) tests from the Cambridge Neuropsychological Test Automated Battery (CANTAB®). Inclusion criteria were checked in a first session. The CANTAB and additional pencil-and-paper tests were administered within 1 week. The participants (aged 69–96 years) were 137 Portuguese adults without neuropsychiatric diagnoses and 37 adults with mild-to-moderate Alzheimer’s disease dementia. Comparisons were made between the CANTAB tests and between these tests and the Rey Complex Figure Test (RCFT), Verbal Fluency (VF) test, and some Wechsler Memory Scale-III and Wechsler Adult Intelligence Scale-III subtests. Most intra-test correlations were stronger than the CANTAB inter-test correlations. The RVP correlated more with VF animals (.44), the PAL with RCFT immediate recall (–.52), the RTI with RVP mean latency (.42), and the SWM with Spatial Span backward (–.39).     

The Ant and the Grasshopper: Adolescents’ Time Perspective,Satisfaction with Life and the Mediating Role of Hope

The present study examined the predictive role played by the three time perspective’s dimensions (Present-Hedonistic, Present-Fatalistic and Future) on the satisfaction with life and the mediational role of hope in adolescence, using cross-sectional data. Participants were 675 adolescents (333 males and 342 females), with a mean age of 17.4 years (SD = .84). Adolescents lived in Rome and its surroundings regions and attended the 3th or the 4th year of high school. A structural equation modeling was used. The results shown that Present-Hedonistic predicts directly and indirectly (through agency) the life satisfaction; Future and Present-Fatalistic predicts indirectly (through agency) the life satisfaction; the Present-Hedonistic and Future predicted the pathway, but it does not seem to play a role of mediator. This model is the same for males and females. These results offers new useful guidance to adolescents’ counsellors and educators that should endeavor to increase the hope of both Present and Future oriented adolescents.     

Portugal’s Immigration and Integration Policies: a Case Apart?

Most countries in Europe have seen the rise of anti-immigrant political parties in recent years and many have implemented more restrictive immigration measures. Portugal has moved in the opposite direction, seeking to produce some of the best practices and laws on immigration and immigrant integration. Traditional theories of immigration policy fail to account for the Portuguese case, and regional models of immigration overlook ways in which Portugal diverges. Instead, Portuguese policies are best understood as the product of (1) a political consensus on immigration that derives in part from Portugal’s social-revolutionary democratic transition; (2) innovative institutions that enjoy both autonomy and political support, enable a “whole-of-government” approach, and mediate social pressures created by immigration; and (3) leadership choices made by politicians, bureaucrats, and civil society groups to forge consensus and seek inclusion. The Portuguese case signals the importance of adopting other lenses for the comparative study of immigration policies that go beyond regional models and highlight policy similarities among countries from distinct regions.