Cognitive Behavioral Treatment of Panic Disorder and Agoraphobia in a Multiethnic Urban Outpatient Clinic: Initial Presentation and Treatment Outcome

Few studies examine the effectiveness of panic control treatment across diverse ethnic groups. In this paper we present data on 40 patients (African American, n = 24; Caucasian, n = 16) with panic disorder and comorbid agoraphobia who presented at an anxiety disorder clinic in an inner-city area. On initial assessment both groups were similar on psychometric measures, and both groups moderately improved with treatment though significant residual symptoms remained. We illustrate, through case examples, a variety of clinical issues that need to be addressed when providing treatment to multiethnic African American clients with panic disorder and agoraphobia.     

Work Values and Their Effect on Work Behavior and Work Outcomes in Female and Male Managers

A longitudinal sample of over 800 MBA graduates surveyed across a 16-year period was recruited to investigate the relationship of work values to work effort, salary levels, and other work outcomes. As predicted, certain work values were related to higher salary levels and to the number of hours worked. Changing companies more often and receiving more promotions were also significantly related to work values. Work values did not differ for women and men in the sample, except that women were higher in the value of wanting to do an excellent job. Controlling for work values did not explain significantly higher salaries for men as compared to women. Implications of these data are discussed.     

Choosing the shortest way to Mum: auditory guided rotation in 6- to 9-month-old infants

The purpose of this study was to investigate the use of auditory information for rotation of the shortest way in twelve 6- to 9-month-old sighted infants. Behavior was manipulated by means of an auditory stimulus presented in four different directional angles (90°, 112.5°, 135°, and 157.5°) to the right and to the left behind the infants, and in one non-directional angle (180°). Infants lay in a prone position and had magnetic trackers fastened to the head and body which measured their rotation direction and angular velocity. The results showed that infants not only consistently chose the shortest over the longest way, but also rotated with a higher peak angular velocity as the angle to be covered between themselves and the goal increased. The results did not show significant preferences for one particular rotation direction. The study can contribute to the understanding of the auditory system as a functional listening system where auditory information is used as a perceptual source for prospectively guiding behavior in the environment.     

Executive functioning and memory as potential mediators of the episodic feeling-of-knowing accuracy

The study focused on the cognitive determinants of the accuracy of feeling-of-knowing (FOK) judgments made on episodic memory information. An individual differences approach was used on a sample of healthy older adults assessed on an episodic FOK task and on several neuropsychological measures. At a global level of analysis of FOK accuracy, the contributions of four general cognitive processes--episodic memory, executive functioning, fluid intelligence and processing speed--were examined concurrently. Stepwise regression analyses showed that executive functioning accounted for the major part of variance on FOK accuracy, followed by a significant contribution of episodic memory. After controlling for executive and memory involvement, fluid intelligence and processing speed no longer accounted for significant variance. At a more detailed level of analysis of FOK accuracy, the contributions of three specific executive processes--shifting, updating and inhibition--were assessed. The results revealed shifting function as the primary executive process engaged in the production of accurate FOK judgments in episodic memory. Some hypotheses are put forward to better understand the central role of executive functioning in the production of accurate FOK judgments.     

Barr Donald A: <Emphasis Type="Italic">Introduction to U.S. Health Policy: The Organization,Financing and Delivery of Health Care in America</Emphasis> 2nd edition. Baltimore,MD, The Johns Hopkins University Press; 2007. xiv + 303 pages,ISBN – 13:978-0-8018-8574-7 (hardcover) and 13:978-0-8018-8574-4 (pbk)

Donald A. Barr's Introduction to U.S. Health Policy: The Organization, Financing, and Delivery of Health Care in America (second edition, 2007) offers a lucid and informative overview of the U.S. health system and the dilemmas policy makers currently face. Barr has provided a balanced introduction to the way health care is organized, financed, and delivered in the United States. The thirteen chapters of the book are quite comprehensive in the topics they cover. Even those knowledgeable about the U.S. health care system are likely to find much to stimulate their thinking in the text. The book can also appropriately serve as a basic text for a health policy course or in the medical or nursing school curriculum.     

"Enhanced" interrogation of detainees: do psychologists and psychiatrists participate?

After revelations of participation by psychiatrists and psychologists in interrogation of prisoners at Guantánamo Bay and Central Intelligence Agency secret detention centers, the American Psychiatric Association and the American Psychological Association adopted Position Statements absolutely prohibiting their members from participating in torture under any and all circumstances, and, to a limited degree, forbidding involvement in interrogations. Some interrogations utilize very aggressive techniques determined to be torture by many nations and organizations throughout the world. This paper explains why psychiatrists and psychologists involved in coercive interrogations violate the Geneva Conventions and the laws of the United States. Whether done with ignorance of professional ethical obligations or not, these psychiatrists and psychologists have crossed an ethical barrier that may best be averted from re-occurring by teaching medical students and residents in all medical specialties about the ethics principles stemming from the 1946–1947 Nuremberg trials and the Geneva Conventions, together with the Ethics Codes of the World Medical Association and the American Medical Association; and, with regard to psychiatric residents and psychological trainees, by the teaching about The Principles of Medical Ethics With Annotations Especially Applicable to Psychiatry and the Ethical Principles of Psychologists and Code of Conduct, respectively. In this way, all physicians and psychologists will clearly understand that they have an absolute moral obligation to "First, do no harm" to the human beings they professionally encounter.     

Sexual Side Effects of Antidepressant Medications: An Informed Consent Accountability Gap

Sexual side effects of antidepressant medications are far more common than initially reported, and their scope, quality, and duration remain poorly captured in the literature. Antidepressant treatment emergent sexual dysfunctions may decrease clients’ quality of life, complicate psychotherapy, and damage the treatment alliance. Potential damage to the treatment alliance is greatest when clients have not been adequately informed of risks related to sexual side effects. It had previously been assumed that sexual side effects always resolve shortly after medications are discontinued. Emerging evidence, however, suggests that in some individuals, sexual dysfunction side effects may persist indefinitely. The authors argue that all psychologists should be well-informed about sexual side effects risks of antidepressant medications, should routinely conduct a pre-medication baseline assessment of sexual functioning, and take an active role in the informed consent process.

Predicativity and Structuralism in Dedekind’s Construction of the Reals

It is a commonly held view that Dedekind’s construction of the real numbers is impredicative. This naturally raises the question of whether this impredicativity is justified by some kind of Platonism about sets. But when we look more closely at Dedekind’s philosophical views, his ontology does not look Platonist at all. So how is his construction justified? There are two aspects of the solution: one is to look more closely at his methodological views, and in particular, the places in which predicativity restrictions ought to be applied; another is to take seriously his remarks about the reals as things created by the cuts, instead of considering them to be the cuts themselves. This can lead us to make finer-grained distinctions about the extent to which impredicative definitions are problematic, since we find that Dedekind’s use of impredicative definitions in analysis can be justified by his (non-Platonist) philosophical views.

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It is Better to Receive than to Give: Advice Network Effects on Job and Work-Unit Attachment

Purpose  The purpose of this paper was to investigate the relationship between advice-giving, advice-receiving, and employee work attitudes. We argue that (1) both advice-receiving and advice-giving will be positively related to job involvement; (2) advice-receiving will be more strongly associated with work-unit commitment than advice-giving; and (3) job involvement will mediate the relationship between advice-receiving and work-unit commitment. Design/methodology/approach  We conducted an empirical study of admissions department employees at a large university in southwest Pennsylvania in the United States. Respondents completed surveys which included questions related to demographics, social network ties, and attitudes. Findings  We found that while advice-giving and advice-receiving were positively related to job involvement, only advice-receiving was positively related to work-unit commitment. Job involvement fully mediated the relationship between advice-receiving and work-unit commitment. Implications  Our study (1) shows that advice-giving and advice-receiving are related to important work-related attitudes in organizations; (2) highlights the importance of the directionality of advice flow, as employees who received as opposed to provided advice tended to have higher levels of work-unit commitment; and (3) demonstrates that social network ties were related to work-unit attachment through job involvement. Originality/value   We examine job involvement and work-unit commitment using a social network analysis thus providing new insights about the relationships between advice-giving, advice-receiving and these important variables. An earlier version of this paper won the Best Paper Award at the 2005 Southwest Academy of Management Conference. The authors would like to dedicate this paper to Margie Jonnet.     

Home-based early intervention: Emerging purposes,intervention approaches,and evaluation strategies

Infant and toddler home visiting programs constitute an important subgroup within the rapidly growing field of early intervention. Scores of such programs have been implemented by health, educational, and mental health agencies during the past decade. Recent reviews have reported on home-based early intervention for specific populations, such as biologically impaired infants or infants from economically disadvantaged families. Other reviews have focused on the effects of home-based early intervention in particular outcome domains, such as I.Q., or infant health. In this review the author draws together the information emerging from partial reviews and specific program reports in order to describe the full range of purposes and strategies encompassed by home-based early intervention and to draw inferences about its potential to enhance infant health and development and broader family functioning.