Epistemic Disadvantage

Philosophia - Recent philosophical literature on epistemic harms has paid little attention to the difference between deliberate and non-deliberate harms. In this paper, I analyze the “Curare...     

Context-specific prospective-memory processing: Evidence for flexible attention allocation adjustments after intention encoding

Prospective memory (PM) is remembering to fulfill intentions in the future. Interference of unfulfilled intentions with ongoing activities reflects the allocation of attention to the PM task. Prior research has shown that, when people know in which specific context PM cues will occur, attention allocation is adaptive, with slower responses in the PM-relevant context. We examined whether people flexibly adjust their attention allocation when the PM–context association is unknown at intention encoding and must be learned on-task. Different stimulus shapes represented contexts in an ongoing task, with PM cues only occurring in trials with one specific shape. Participants informed about the PM-relevant shape responded more slowly on trials with this shape. Participants instructed that only one, unspecified shape was PM-relevant learned the PM–context association and also allocated attention flexibly, depending on context relevance. However, participants with no context-related information at intention encoding failed to learn the PM–context association, resulting in inflexible attention allocation and poorer PM performance. The present study provides evidence that people can flexibly update their attention-allocation policy, and thereby optimize their PM performance after initial intention encoding, but self-guided learning of intention–context associations appears to be limited.     

Genetic Counseling Practice in Next Generation Sequencing Research: Implications for the Ethical Oversight of the Informed Consent Process

The potential for next generation sequencing research (NGS) to generate individual genetic results could have implications for the informed consent process and the provision of genetic counseling. We undertook a content analysis of informed consent templates and guidelines produced by Canadian institutional review boards, purposively sampling documents used by researchers to obtain consent from participants in genetics studies. Our goal was to examine the extent to which the informed consent documents addressed genetic counseling and the return of individual genetic results. Our analysis reveals that the majority of informed consent documents did not mention genetic counseling while several did not mention the return of results. We found differences in the ways in which documents addressed availability of counseling, eligibility criteria for referral to a genetic counselor, genetic counselor involvement, provision of services to family members of participants and incidental findings. From an ethical standpoint, consent documents should provide appropriate information so that participants may make an informed decision about their participation in research. The need to ensure adequate counseling for study populations in an NGS research context will necessarily involve adapting values that underlie care in genetic counseling practice. If the interests of research participants are to be truly promoted, the drafting and review of informed consent documents should give proper due to genetic counseling.     

Heal the Hurt Child by Hertha Riese

Abstract

The mental health needs of the long–term nursing home resident receive little attention. It is especially difficult for the more cognitively intact resident to obtain psychological help. An integrated group psychotherapy model that incorporates developmental, cognitive–behavioral, and psychodynamic approaches is described, based on the author’s clinical experience in developing and co–leading four groups in three long–term care facilities over a period of ten years. The technical and countertransference challenges of working with this unique population and in this format are described, along with clinical material to illustrate common themes. The success of the groups in improving the morale, sense of community, and quality of life for group members is demonstrated.     

Hope and social support utilisation among different age groups of women with breast cancer and their spouses

Objective: Social support and hope are considered positive, important contributors to psychological well-being for women with breast cancer and their spouses. Few studies examine the role of age in relation to these variables. The current study compares the relationship between social support, hope and depression among different age groups of women with advanced breast cancer and their healthy spouses.

Design: Cross-sectional sample of 150 women with advanced breast cancer and their spouses.

Main outcome measures: Social support, hope, depression and socio-demographic data. Analysis included comparison of these variables between groups of older and younger patients and their spouses. Structural equation modelling (SEM) was used to examine hope as a mediator of the relationship between social support and depression within each group (older and younger patients and spouses).

Results: Older patients and spouses reported lower levels of depression than younger ones. SEM showed that social support related directly to depression among younger women and older spouses, while hope was directly related to depression among older women and younger spouses and acted as a mediator between social support and depression.

Conclusions: Theoretical, empirical and clinical implications regarding the understanding of the role of age in coping with cancer are discussed.     

Normalization in the courtroom: Does the formation of a group norm affect how judges adjust prosecutors' demands?

Legal archives concerning a new type of offence first introduced onto the French statute books in 2005 reveal a normalization effect over the following 2 years in judges' sentence decisions but not in prosecutors' sentence demands. We examine the hypothesis that the formation of a normally accepted range of sentences will influence how judges respond to the extremity of the prosecutor's initial sentence demand. In line with a normalization perspective, results reveal that judges were less influenced by extreme (out‐of‐range) sentence demands but more influenced by moderate (in‐range) sentences in 2007 than in 2005. Over time, it seems that a shared standard of reference is established, which appears to lead judges to adjust moderate prosecutor demands less and extreme prosecutor demands more. Copyright © 2013 John Wiley & Sons, Ltd.     

Enhancing mental health and well-being outcomes for psychotherapy and counselling through idiographic analysis: A four-quadrant approach

Mental health and well-being outcomes in psychotherapy and counselling have largely been studied through the use of standardised nomothetic measurement. A key limitation is that nomothetic measurement and current statistical analyses do not necessarily capture the outcomes of the complicated and individual psychotherapy processes. There is an increased interest in the use of idiographic patient-reported outcome measures (I-PROMs), which are uniquely useful because they may explore areas of importance that are unexplored by nomothetic outcome measures. We argue that to optimise the value of I-PROMs, it is necessary to consider their contribution alongside standardised nomothetic measures. However, there are important considerations with respect to whether or not I-PROMs from different clients, or indeed from the same client, can be meaningfully explored at a team/service level, and alongside standardised nomothetic outcomes. We provide worked examples on real client data to show that delineating four quadrants of analysis is important to explore the breadth of information: (a) individual progress on single items, (b) individual progress by aggregated scores, (c) team/service-level progress by goal item/theme and (d) team/service-level progress by aggregated scores.