Kantianism, Moral Worth and Human Welfare

Book reviewed in this article:
Thomas E. Hill, Jr., Human Welfare and Moral Worth: Kantian Perspectives     

Crossing the Picket Line: A Brief Faculty Memoir of the Historic University of Bridgeport Strike

This memoir provides the personal story of a tenured poet who initially walked the picket line during the 1990 University of Bridgeport faculty strike. During the strike's second week, he made the difficult decision to cross the picket line of a union he helped create seventeen years earlier. He continually relives his strike experience.     

BRIDGING THE DISCONNECTION BETWEEN APPLIED RESEARCH AND PRACTICE: A REVIEW OF TREATMENTS THAT WORK: EMPIRICALLY SUPPORTED STRATEGIES FOR MANAGING CHILD BEHAVIOR PROBLEMS BY ED CHRISTOPHERSEN AND SUSAN MORTWEET

In recent years, behavior analysts have lamented a disconnection between applied research and practice. In their book, Treatments That Work: Empirically Supported Strategies for Managing Child Behavior Problems, Christophersen and Mortweet (2001) have attempted to bridge this gap for medical and behavioral health providers alike by describing empirically supported treatments, derived from behavior therapy and its application, that are specifically designed for challenging problems commonly seen in typical children. The book is clearly intended for both primary care physicians and behavior therapists, and in this article, we review the extent to which the book meets the needs of each. Discussion centers on the extent to which the book can meet the need for both technical precision and conceptual breadth in training of behavior therapists. We conclude that, in making explicit the connections between research and practice, the authors have provided a useful clinical teaching tool and have also raised important questions about how best to establish collaborative relationships with physicians and promote the use of behavioral technology in primary care.     

The role of perceived control in overcoming defensive self-evaluation

Two experiments investigated how perceived control over one’s abilities and one’s perceived standing on these abilities affect feedback seeking. Two aspects of perceived control were studied: Experiment 1 focused on perceived control over the expression of one’s ability in performance, whereas Experiment 2 focused on perceived changeability of the ability itself. The results of the two experiments showed that to the extent that participants’ perceived ability was low, both aspects of perceived control increased interest in negative feedback—feedback that diagnoses weaknesses—and decreased interest in positive feedback—feedback that diagnoses strengths. Mediation analyses showed that the effects of perceived ability and perceived control on feedback seeking were mediated by the subjective informational value of the feedback as well as its esteem-related affective value. These results were interpreted as evidence for pragmatic feedback seeking—a process that flexibly integrates immediate emotional value and long-term usefulness of self-relevant information.     

An examination of the relationships among emotion management,interpersonal hassles,and depressive symptomatology

This study extended previous research by testing three models predicting depressive symptoms from emotion management (EM) and interpersonal hassles in a sample with a wide range of depression scores. Adults (n = 218) from sources including a depression internet site completed measures of interpersonal hassles, depression, and three aspects of EM (attention to, clarity of, and repair of emotions). Regression analyses supported a model in which lower clarity and repair scores and greater frequency of interpersonal hassles each contributed directly to depression scores. While lower attention to emotions was associated with fewer interpersonal hassles, it did not correlate significantly with depression scores. Moderation analyses did not support a model of EM components acting on depression by buffering effects of interpersonal hassles. A model of depression and hassles predicting EM difficulties was also considered; when both hassles and depression scores were entered to predict EM, only depressive symptoms uniquely predicted clarity and repair.     

The Relationship between Religious Coping and Self-Care Behaviors in Iranian Medical Students

In recent years, researchers have identified that coping strategies are an important contributor to an individual’s life satisfaction and ability to manage stress. The positive relationship between religious copings, specifically, with physical and mental health has also been identified in some studies. Spirituality and religion have been discussed rigorously in research, but very few studies exist on religious coping. The aim of this study was to determine the relationship between religious coping methods (i.e., positive and negative religious coping) and self-care behaviors in Iranian medical students. This study used a cross-sectional design of 335 randomly selected students from Mazandaran University of Medical Sciences, Iran. A data collection tool comprised of the standard questionnaire of religious coping methods and questionnaire of self-care behaviors assessment was utilized. Data were analyzed using a two-sample t test assuming equal variances. Adjusted linear regression was used to evaluate the independent association of religious copings with self-care. Adjusted linear regression model indicated an independent significant association between positive (b = 4.616, 95% CI 4.234–4.999) and negative (b = ?3.726, 95% CI ?4.311 to ?3.141) religious coping with self-care behaviors. Findings showed a linear relationship between religious coping and self-care behaviors. Further research with larger sample sizes in diverse populations is recommended.     

Heightened ruminative disposition is associated with impaired attentional disengagement from negative relative to positive information: support for the “impaired disengagement” hypothesis

Information processing accounts of rumination propose that impaired attentional disengagement from negative information may underpin heightened disposition to experience ruminative brooding in response to negative mood. The present study examined the relationship between individual differences in ruminative disposition and selective attention, using a paradigm capable of distinguishing between biases in the engagement and disengagement of attention. Results showed that higher dispositional ruminative brooding, as measured by both the brooding subscale of the RRS and an in-vivo assessment of ruminative disposition, was associated with greater relative impairment disengaging attention from negative compared to positive stimuli. These findings thus provide support for the “impaired disengagement” account of ruminative brooding.     

The differences between medical trust and mistrust and their respective influences on medication beliefs and ART adherence among African-Americans living with HIV

Objective: The purpose of this study was to examine the relationships between medical mistrust and trust and to determine if these measures differentially predict antiretroviral therapy (ART) medication adherence for African-American adults living with HIV.

Design: A total of 458 HIV positive African-Americans completed a cross-sectional survey.

Main Outcome Measures: Self-reported ART adherence was collected using the visual-analog scale. The Beliefs About Medicines Questionnaire was used to assess medication necessity and concern beliefs.

Results: All measures of medical mistrust and trust were significantly negatively correlated, ranging from r = ?.339 to ?.504. Race-based medical mistrust significantly predicted medication necessity and concern beliefs, whereas general medical mistrust only significantly predicted medication concerns. Both measures of trust significantly predicted medication necessity beliefs and medication concerns. Higher levels of race-based medical mistrust predicted lower medication adherence, whereas, neither trust in own physician nor trust in health care provider significantly predicted medication adherence. However, trust in own physician significantly predicted medication necessity beliefs, which predicted medication adherence.

Conclusion: Trust and mistrust are not simply opposites of one another. These findings provide evidence for the complexity of understanding the relationship between health care trust, mistrust and patient-related health beliefs and behaviours.     

Executive functioning and health-related quality of life in pediatric sickle cell disease

Research consistently indicates that children with sickle cell disease (SCD) face multiple risk factors for neurocognitive impairment. Despite this, no empirical research to date has examined the impact of neurocognitive functioning on quality of life for this pediatric group. Thus, the current study aims to examine the relationship between executive functioning and quality of life in a sample of children with SCD and further explore psychosocial and family/caregiver resources as moderators of this relationship. A total of 45 children with SCD aged 8 to 16 years and their caregivers completed measures of quality of life, behavioral ratings of executive functioning, and psychosocial functioning. Hierarchical linear regression models were utilized to determine the impact of executive functioning on quality of life and further test the interaction effects of proposed moderating variables. Controlling for age, pain, and socioeconomic status (SES), executive functioning was found to significantly predict child- and parent-reported quality of life among youth with SCD. Psychosocial resources of the primary caregiver or family was not found to moderate the relationship between executive functioning and quality of life. These results provide the first empirical evidence that lower executive skills negatively predict quality of life for children with SCD, supporting clinical and research efforts which aim to establish efficacious interventions that target cognitive decrements within this pediatric population.