Developing coordination of services between a mental health center and a public school system

A child-and-family oriented community mental health center of necessity is concerned with the manner in which the school system in its community is providing for the psychological, social, and emotional development of children. Fortunately, over the last decade, the number of school systems that are aware of their responsibility in this regard has greatly increased, and many affluent and enlightened school systems have moved to develop extensive pupil personnel services, functioning in many ways as in-house mental health programs. Where there are mental health providers both within the community and within the school system, however, problems may develop such as professional competition, overlapping functions, and differences with regard to how mental health problems are best dealt with. This paper will examine the relationship of a town-supported mental health program and the town's public school system. Highlighted will be the variety of problems which develop, including those mentioned above, and strategies adopted to resolve the problems.     

GPS: A Randomized Controlled Trial of Sexual Health Counseling for Gay and Bisexual Men Living With HIV

Gay, bisexual, and other men who have sex with men (GBM) continue to have high rates of HIV and sexually transmitted infections, including syphilis. GBM have therefore been identified by public health agencies as a high-priority population to reach with prevention initiatives. Despite the importance of mental health in preventing HIV and related infections, there is a shortage of credentialed mental health professionals to deliver behavioral Counseling interventions. The current study evaluated the efficacy of GPS, a community-based and peer-delivered sexual health promotion motivational interviewing–based intervention for HIV-positive GBM who engaged in condomless anal sex (CAS) in the past 2 months. GPS prevention counseling demonstrated a 43% relative reduction at 3-month follow-up in CAS with serodiscordant partners and significant reductions in sexual compulsivity. The study demonstrated that community-based counselors can administer an efficacious motivational interviewing program, and suggests a continued benefit of counseling methods to promote the sexual health of higher risk populations.     

College student risk-taking from three perspectives

This study addressed college student risk-taking from three perspectives: dispositional trait, decision-making, and environmental. One hundred ninety-six college students provided information on sensation-seeking, locus of control, perceived risks, perceived benefits, risk involvement, peer influence, perceived peer participation, and social desirability, and responded to risky behavior scenarios. Results showed that sensation-seeking, perceived peer participation, and perceived benefits were associated with risk involvement. In the risk-taking decision-making process, the certainty of the decision was related to participation. In addition, the likelihood of consequences occurring influenced students' responses regarding participation in unprotected sex. Further, students most frequently considered consequences that affect them personally when considering risk-taking.     

Cost-Benefit Analysis Mediation of the Relationship Between Sensation Seeking and Risk Behavior

Risk behavior during adolescence results in substantial morbidity and mortality. Sensation seeking consistently relates to engagement in risk behavior, but the psychological mediators of this relationship remain unclear. The current study demonstrates that adolescents’ judgments of the costs versus benefits of risk behavior were a significant mediator of this relationship. Participants were 406 racially and ethnically diverse adolescents ages 12-17 (M = 14.5, SD = 1.7; 48.3% female) who participated in a larger multi-site investigation of personality and neurocognitive predictors of risk behavior. Data were collected via self-report in a single laboratory session. Mediation of the relationship of sensation seeking to risk behavior was tested using structural equation modeling. Results indicated that higher levels of sensation seeking predicted weighing the benefits of risk behavior higher than its costs, which in turn predicted higher levels of risk behavior. Implications of these findings for understanding mechanisms underlying adolescents’ risk behavior and directions for future research are discussed.     

Coping with COVID-19: Longitudinal Impact of the Pandemic on Adjustment and Links with Coping for Adolescents with and without ADHD

Research on Child and Adolescent Psychopathology - Understanding factors that foster resilience and buffer against the negative psychological impact of COVID-19 is critical to inform efforts to...     

Around the world,adolescence is a time of heightened sensation seeking and immature self‐regulation

The dual systems model of adolescent risk‐taking portrays the period as one characterized by a combination of heightened sensation seeking and still‐maturing self‐regulation, but most tests of this model have been conducted in the United States or Western Europe. In the present study, these propositions are tested in an international sample of more than 5000 individuals between ages 10 and 30 years from 11 countries in Africa, Asia, Europe and the Americas, using a multi‐method test battery that includes both self‐report and performance‐based measures of both constructs. Consistent with the dual systems model, sensation seeking increased between preadolescence and late adolescence, peaked at age 19, and declined thereafter, whereas self‐regulation increased steadily from preadolescence into young adulthood, reaching a plateau between ages 23 and 26. Although there were some variations in the magnitude of the observed age trends, the developmental patterns were largely similar across countries.     

Two Puzzles Concerning Spinoza's Conception of Belief

Spinoza's account of belief entails that if A has two ideas, p and q, with incompatible content, A believes that p (and not that q) if the idea of p is stronger than the idea of q. This seems to leave little space for dominant non‐beliefs, or cases in which there is discord between one's beliefs and one's affective‐behavioral responses. And yet Spinoza does allow for two classes of dominant non‐beliefs: efficacious fictions [fictiones] and ideas that conduce to akrasia. I show how Spinoza can account for dominant non‐beliefs within his model of cognition by distinguishing between the doxastic and the affective powers of ideas and by suggesting that doxastic power is best understood diachronically. While other scholars have stressed the elegance of Spinoza's account of ideas, this paper highlights the sophistication and flexibility of his account.     

Pleonastic possible worlds

The role of possible worlds in philosophy is hard to overestimate. Nevertheless, their nature and existence is very controversial. This is particularly serious, since their standard applications depend on there being sufficiently many of them. The paper develops an account of possible worlds on which it is particularly easy to believe in their existence: an account of possible worlds as pleonastic entities. Pleonastic entities are entities whose existence can be validly inferred from statements that neither refer to nor quantify over them as a matter of conceptual necessity. Definitions are proposed that ensure that this is the case for possible worlds.