An innovative cognitive strategy to assist problem gamblers

The clinical and research literature suggests that cognitive and behavioural therapies are particularly helpful in assisting clients overcome problem gambling behaviour. Several articles have described the efficacy of a range of cognitive interventions, especially provision of information regarding rates of return and the odds of games and the exploration of irrational beliefs and myths and misconceptions regarding gambling activity. This paper describes in detail an innovative cognitive strategy which focuses on problem gambling clients' financial status. The strategy incorporates the use of illustrations, generally using a whiteboard, to highlight how problem gambling behaviour negatively impacts on financial wealth over time. Step by step instructions are provided, together with illustrations, to allow clinicians to incorporate the strategy in treatment with their own clients.     

Violence risk assessment and women: predictive accuracy of the HCR-20 in a civil psychiatric sample

Research to date has not adequately demonstrated whether the HCR-20 Violence Risk Assessment Scheme (HCR-20; Webster, Douglas, Eaves, & Hart, 1997), a structured violence risk assessment measure with a robust literature supporting its validity in male samples, is a valid indicator of violence risk in women. This study utilized data from the MacArthur Study of Mental Disorder and Violence to retrospectively score an abbreviated version of HCR-20 in 827 civil psychiatric patients. HCR-20 scores and predictive accuracy of community violence were compared for men and women. Results suggested that the HCR-20 is slightly, but not significantly, better for evaluating future risk for violence in men than in women, although the magnitude of the gender differences was small and was largely limited to historical factors. The results do not indicate that the HCR-20 needs to be tailored for use in women or that it should not be used in women, but they do highlight that the HCR-20 should be used cautiously and with full awareness of its potential limitations in women.     

The Relationship Quality Interview: evidence of reliability, convergent and divergent validity, and incremental utility

Relationship satisfaction and adjustment have been the target outcome variables for almost all couple research and therapies. In contrast, far less attention has been paid to the assessment of relationship quality. The present study introduces the Relationship Quality Interview (RQI), a semistructured, behaviorally anchored individual interview. The RQI was designed to provide a more objective assessment of relationship quality as a dynamic, dyadic construct across 5 dimensions: (a) quality of emotional intimacy in the relationship, (b) quality of the couple's sexual relationship, (c) quality of support transactions in the relationship, (d) quality of the couple's ability to share power in the relationship, and (e) quality of conflict/problem-solving interactions in the relationship. Psychometric properties of RQI ratings were examined through scores obtained from self-report questionnaires and behavioral observation data collected cross-sectionally from a sample of 91 dating participants and longitudinally from a sample of 101 married couples. RQI ratings demonstrated strong reliability (internal consistency, interrater agreement, interpartner agreement, and correlations among scales), convergent validity (correlations between RQI scale ratings and questionnaire scores assessing similar domains of relationship quality), and divergent validity (correlations between RQI scale ratings and (a) behavioral observation codes assessing related constructs, (b) global relationship satisfaction scores, and (c) scores on individual difference measures of related constructs). Clinical implications of the RQI for improving couple assessment and interventions are discussed.     

Assessing the forms and functions of aggression using self-report: factor structure and invariance of the Peer Conflict Scale in youths

This study examined the structure of a self-report measure of the forms and functions of aggression in 855 adolescents (582 boys, 266 girls) aged 12 to 19 years recruited from high school, detained, and residential settings. The Peer Conflict Scale (PCS) is a 40-item measure that was developed to improve upon existing measures and provide an efficient, reliable, and valid assessment of four dimensions of aggression (i.e., reactive overt, reactive relational, proactive overt, and proactive relational) in youths. Confirmatory factor analyses showed that a 4-factor model represented a satisfactory solution for the data. The factor structure fit well for both boys and girls and across high school, detained, and residential samples. Internal consistency estimates were good for the 4 factors, and they showed expected associations with externalizing variables (i.e., arrest history, callous-unemotional traits, and delinquency). Reactive and proactive subtypes showed unique associations consistent with previous literature. Implications for the use of the PCS to assess aggression and inform intervention decisions in diverse samples of youths are discussed.     

The Use of Psychoeducation for a Patient with Hepatitis C and Psychiatric Illness in Preparation for Antiviral Therapy: A Case Report and Discussion

The standard of care treatment for chronic hepatitis C viral infection (HCV) is a combination of pegylated interferon alfa and ribavirin for 24-48?weeks according to the virus genotype. This therapy is known to have multiple neuropsychiatric side effects. A major concern when evaluating a patient for HCV treatment with a known history of a psychiatric disorder is the risk that the patient's psychiatric disorder will flare or become unmanageable. The possibility of precipitating depression, confusion, mania, psychosis, hallucinations, or suicidal ideation or attempt is frequently an obstacle to treatment. We present the case of a 50?year-old man with HCV and an extensive psychiatric history involving alcoholism, depression, and suicidality who participated in a psychoeducation group to help prepare him for treatment with pegylated interferon alfa/ribavirin therapy. Though the patient derived much benefit from the psychoeducation group, by the time of evaluation for HCV treatment two months after the group ended he had relapsed back into a depressive episode with suicidal thoughts. His acute psychiatric status made him unacceptable for pegylated interferon alfa/ribavirin therapy. Psychoeducation groups show promise for helping patients with chronic medical illness to be ready for and endure intensive medical treatment that has substantial psychiatric side effects. The challenge is to help patients overcome barriers to treatment, particularly psychosocial problems, because available treatments are increasingly effective.     

Saving Strawson: Evil and Strawsonian Accounts of Moral Responsibility

Almost everyone allows that conditions can obtain that exempt agents from moral responsibility—that someone is not a morally responsible agent if certain conditions obtain. In his seminal “Freedom and Resentment,” Peter Strawson denies that the truth of determinism globally exempts agents from moral responsibility. As has been noted elsewhere, Strawson appears committed to the surprising thesis that being an evil person is an exempting condition. Less often noted is the fact that various Strawsonians—philosophers sympathetic with Strawson’s account of moral responsibility—at least appear to have difficulty incorporating evil persons into their accounts of moral responsibility. In what follows, I argue that Strawson is not committed to supposing that being evil is an exempting condition—at least, that he can allow that evil persons are morally responsible agents.     

Daily patterns of communication and contact between Italian early adolescents and their friends

The goal of the present study was to explore patterns of communication between adolescents and their friends across both "online" and "in-person" contexts. The participants were adolescents (n?=?727) aged 11-16 years attending middle schools in urban and rural areas of Italy. Participants completed daily logs of their in-person and online contacts with friends for 20 consecutive school days. Girls reported more total contacts with their friends than did boys as well as friendships that were closer and more intimate. However, boys indicated more contact than girls via electronic communication and online. Contacts with peers in general were less frequent among the older participants, perhaps because of increasing academic demands. Participants who complemented in-person contact with friends with electronic contact were less lonely than their counterparts who were less versatile in accessing different modalities of making contact with friends.     

Communication,Influence, and Informational Asymmetries among Voters

The costs of political information vary dramatically across individuals, and these costs help explain why some individuals become politically expert while others demonstrate low levels of political knowledge and awareness. An attractive alternative, particularly for those with high information costs, is to rely on information and advice taken from others who are politically expert. This paper focuses on the complications that arise when the informant and the recipient do not share preferences. A series of small group experiments show that subjects tend to weight expertise more heavily than shared preferences in selecting informants, thereby exposing themselves to diverse views and biased information. Experimental subjects employ several heuristic devices in evaluating the reliability of this information, but depending on their own levels of information, these heuristics often lead subjects either to dismiss advice that conflicts with their own prior judgments or to dismiss advice that comes from an informant with divergent preferences. Hence these heuristics produce important consequences for patterns of political influence, as well as reducing the potential for political change.     

Perceptual load modulates the processing of distractors presented at task-irrelevant locations during the attentional blink

The distribution of attention in both space and time is critical for processing our dynamic environment. Studies of spatial attention suggest that the distribution of attention is decreased when the perceptual load of a task increases, resulting in decreased processing of task-irrelevant distractors. Studies of the attentional blink (AB) suggest that the temporal distribution of attention also influences distractor processing, such that distractor processing increases during the AB relative to outside the AB (Jiang & Chun, 2001). Two experiments are reported in which the extent to which the difficulty of the first target task (T1) modulates the processing of task-irrelevant distractors during the AB was tested. To investigate this issue, both the first and second target tasks (T1 and T2) required identifying a central stimulus that was flanked by low-load or high-load distractors. Consistent with previous studies of the AB, there was evidence of more distractor processing during the AB than outside the AB. Critically, however, the interference caused by distractors presented simultaneously with T2 during the AB was reduced when T1 perceptual load was high relative to when it was low. These results suggest that increasing T1 perceptual load decreases distractor processing during the AB and that perceptual processes influence both the temporal and spatial distribution of attention.     

Harmonising natural deduction

Prawitz proved a theorem, formalising ‘harmony’ in Natural Deduction systems, which showed that, corresponding to any deduction there is one to the same effect but in which no formula occurrence is both the consequence of an application of an introduction rule and major premise of an application of the related elimination rule. As Gentzen ordered the rules, certain rules in Classical Logic had to be excepted, but if we see the appropriate rules instead as rules for Contradiction, then we can extend the theorem to the classical case. Properly arranged there is a thoroughgoing ‘harmony’, in the classical rules. Indeed, as we shall see, they are, all together, far more ‘harmonious’ in the general sense than has been commonly observed. As this paper will show, the appearance of disharmony has only arisen because of the illogical way in which natural deduction rules for Classical Logic have been presented.