Promoting and protecting youth mental health through evidence-based prevention and treatment

For decades, empirically tested youth interventions have prevented dysfunction by addressing risk and ameliorated dysfunction through treatment. The authors propose linking prevention and treatment within an integrated model. The model suggests a research agenda: Identify effective programs for a broadened array of problems and disorders, examine ethnicity and culture in relation to intervention adoption and impact, clarify conditions under which programs do and do not work, identify change mechanisms that account for effects, test interventions in real-world contexts, and make tested interventions accessible and effective in community and practice settings. Connecting the science and practice of prevention and treatment will be good for science, for practice, and for children, adolescents, and their families.     

The Effects of Framing, Reflection, Probability, and Payoff on Risk Preference in Choice Tasks

A meta-analysis of Asian-disease-like studies is presented to identify the factors which determine risk preference. First the confoundings between probability levels, payoffs, and framing conditions are clarified in a task analysis. Then the role of framing, reflection, probability, type, and size of payoff is evaluated in a meta-analysis. It is shown that bidirectional framing effects exist for gains and for losses. Presenting outcomes as gains tends to induce risk aversion, while presenting outcomes as losses tends to induce risk seeking. Risk preference is also shown to depend on the size of the payoffs, on the probability levels, and on the type of good at stake (money/property vs human lives). In general, higher payoffs lead to increasing risk aversion. Higher probabilities lead to increasing risk aversion for gains and to increasing risk seeking for losses. These findings are confirmed by a subsequent empirical test. Shortcomings of existing formal theories, such as prospect theory, cumulative prospect theory, venture theory, and Markowitz's utility theory, are identified. It is shown that it is not probabilities or payoffs, but the framing condition, which explains most variance. These findings are interpreted as showing that no linear combination of formally relevant predictors is sufficient to capture the essence of the framing phenomenon.     

In the Name of the Spirits -- A Reading of Solov'ëv's Justification of the Good

In this contribution, the author analyzes Vladimir Solov'ëv's intention to study the idea of the Good as something relatively independent from religion and metaphysics. Some implications of Solov'ëv's definition of moral philosophy in The Justification of the Good are investigated, and illustrated with his applied ethics of war in chapter 18 of this book. It appears that Solov'ëv's moral philosophy and his account of war must be understood in connection with the central place of the cult of ancestors in his ethics. The idea of the Good and the idea of God spring from a religious origin and appear in our efforts to conjure up and exorcize the spirits of our forefathers. The author explains this ethics by referring to Solov'ëv's article China and Europe. There, Solov'ëv assumes that the Christian mind is treatened by the danger of a cultural order in which the cult of ancestors is most purely preserved. In the future war against China, however, Christian civilization must show itself superior to its enemy without betraying its loyalty to its own ancestors. The author concludes that in Solov'ëv's ethics, the moral subject is divided between the confirmation of its own autonomy and its being haunted by the spirits of its forefathers, a haunt which results in relentless wars against others     

Implementation of a Culture-Specific Intervention for a Native American Community

Psychiatric services provided to Native Americans should be culturally relevant and integrated with the values and beliefs of the culture since Native Americans use Western health care as a last resort. Reduced utilization of services may be the result of cultural beliefs that sickness or illness comes from disharmony with oneself, one's community, and nature. Treatment entails resolving the disharmony and restoring a state of balance and integration. Western psychiatric services have not usually provided active psychiatric treatment, while simultaneously encouraging participation in native ceremonies and traditions of healing. For 3 years, the Wyoming State Hospital has offered Sweat Lodge ceremonies administered by the Wind River Reservation as part of a pattern of working together to improve the care of Native Americans admitted to the facility. Results indicate increased utilization of hospital services as well as increased patient and tribal satisfaction, improved health care outcomes, and reduced length of stay. This report argues that culturally specific and sensitive treatment interventions provide a concrete and specific benefit to the population which is targeted.     

The mechanisms underlying attributive projection1

The experiment investigated the validity of the cognitive dissonance reduction and stimulus generalization explanations of attributive projection. Subjects in a high dissonance condition were informed that they possessed considerable hostility (a negative trait), while those in a low dissonance condition were told that they possessed a great deal of assertiveness (a desirable trait). The dissonance mechanism received support in that (a) subjects' reports of their anxiety indicated that an ego threat was produced only in the high dissonance condition, as expected; and (b) hostility was projected onto others to a significantly greater degree than was assertiveness. The existence of only a weak relationship between degree of ego threat produced by the personality feedback and subsequent amount of projection, however, throws into question the validity of the hypothesized defensive function of projection. No support for the generalization mechanism was obtained since the subjects did not project a greater amount of either trait onto the similar targets (college students) than onto the relatively dissimilar targets (middleaged lawyers); possible reasons for this negative result were discussed, as well as suggestions for future research.     

Goal attainment scaling: An idiosyncratic method to assess treatment effectiveness in agoraphobia

Goal attainment scaling (GAS) is an individually tailored way to measure treatment gains, using a highly standardized procedure. An advantage of the method is that it takes into account individual characteristics of the patients, and at the same time the data are suitable for quantitative analysis and comparable across patients. Despite the wide acceptance and use of the method in the evaluation of psychotherapy, data on its psychometric properties are rather scarce. In the current study, GAS was used as one of several outcome measures in a research project on the effectiveness of various treatments for panic disorder with agoraphobia. Guidelines for GAS are presented as well as data on the reliability and validity of the procedure. Results indicate that the procedure is reliable, valid, and sensitive to the improvement of patients during treatment. Comparison of GAS with standardized measures revealed considerable concordance, although the clinical end status of patients diverged somewhat dependent on the measure considered.     

The value of philosophy: A Canguilhemian perspective

This paper represents a philosophical reflection on the nature and value of philosophy itself. Georges Canguilhem somewhat scandalously argued that the fundamental value of philosophy does not lie in truth. He suggests that truth is a typical value of science because truth is what science says and what is said scientifically. Why would a philosopher depreciate his own discipline? And does he really do so? Or is there a different motivation: to help philosophy to become a much more self-confident voice? And if truth is no longer a value of philosophy, what value fits it better? The article follows Canguilhem in his conception of truth, science, and philosophy. It is against the background of these considerations that the specific revised anthropology of the scientist or philosopher is formed. The main question is what this means for current philosophy and why it could be inspiring for philosophers today.     

Dimensionality of the Rosenberg Self-Esteem Scale and its relationships with the Three-and the Five-factor personality models

We investigated the dimensionality of the French version of the Rosenberg Self-Esteem Scale (RSES; Rosenberg, 1965) using confirmatory factor analysis. We tested models of 1 or 2 factors. Results suggest the RSES is a 1-dimensional scale with 3 highly correlated items. Comparison with the Revised NEO-Personality Inventory (NEO-PI-R; Costa, McCrae, & Rolland, 1998) demonstrated that Neuroticism correlated strongly and Extraversion and Conscientiousness moderately with the RSES. Depression accounted for 47% of the variance of the RSES. Other NEO-PI-R facets were also moderately related with self-esteem.     

Separation-survivability as moral cut-off point for abortion

Abstract

We argue that separation-survivability is a significant developmental fetal milestone beyond which abortion is only rarely and exceptionally morally justifiable. Secondly, we argue that the continuous nature of prenatal development, and simultaneous parallel development and actuation of intrinsic and contingent potentiality that eventually results in the development of a person capable of moral thoughts and deeds, implies continuously incremental moral significance. We propose that the moral justifiability of each instance of non-therapeutic pre-viable termination should be the product of an internal dialectic or “moral enquiry”. Arguments should be of increasing power in order to trump the sliding-scale increase in prenatal moral significance. We agree that sentience is morally significant, but argue that survivability is of predominant importance, since human beings who have the potentiality of separate, relatively independent lives, should, normally, be allowed to continue living. We argue for a moderate position on abortion.