Brief Cognitive-Behavioral Therapy for Suicidal Inpatients

Suicide risk is elevated in psychiatric patients following discharge from inpatient care. Despite this vulnerability, there has been limited research investigating suicide prevention protocols that take into account the unique system characteristics of this setting (e.g., short lengths of stay, crisis stabilization treatment model, multidisciplinary team coordination). Cognitive-behavioral therapy (CBT) has demonstrated efficacy for improving suicide risk in outpatients, but has not been validated with inpatients. The current study was a treatment development and pilot feasibility open trial that modified brief cognitive-behavioral therapy (BCBT) for an inpatient setting (BCBT-I). Key treatment modifications included administering up to 10 sessions (depending on patient length of stay), daily, and in a standardized order, with core crisis management skills introduced during the first three sessions. In addition, coordination with the inpatient treatment team was included in BCBT-I implementation. Six adult inpatients with a recent suicide attempt enrolled and completed an average of 4.67 BCBT-I sessions (SD = 1.36). The treatment was highly acceptable (Client Satisfaction Questionnaire total score M = 3.49, SD = 0.73). Pre- to posttreatment effect sizes demonstrated improvements in suicidal ideation (d = 0.97), depression (d = 1.33), and suicidal implicit associations (d = 1.28). All but one of the participants (83%) completed follow-up assessments 1-, 2-, and 3-months postdischarge. Over follow-up, two participants reported suicidal ideation (both without intent), and none reported suicide attempts, preparatory acts or behaviors, or nonsuicidal self-injury. This study provided preliminary evidence supporting the feasibility of CBT to treat suicidal inpatients. Future research is needed to validate BCBT-I in a larger, randomized controlled trial to determine whether BCBT-I reduces suicide risk beyond that afforded by inpatient treatment alone.     

Mathias Risse and Gabriel Wollner: On Trade Justice: A Philosophical Plea for a New Global Deal

Ethical Theory and Moral Practice -     

Does the Long‐Contested Question of Orthodox Ecumenism Remain Open after Crete?

The article explores whether the Orthodox Council of Crete (2016) resolved longstanding tensions within Orthodoxy over ecumenism. The article first attempts to pinpoint the substance of the disagreement. The anti‐ecumenist position, the article claims, rests on a dogmatic belief that a communion formally separated from the Orthodox Church can only continue to lose grace and the ecclesial gifts of the Spirit, while ecumenists hold that another communion might recover or increase in such gifts even prior to formal reunification with Orthodoxy. The article then explores the much‐disputed use of the word ‘church’ for other Christian communions in the document ‘Relations of the Orthodox Church with the Rest of the Christian World’. If it is true, as many on both sides of the controversy have suggested, that the Council formally affirmed the pro‐ecumenist position, does this make anti‐ecumenism a no longer viable Orthodox stance? This depends on the Council’s status, a further contested matter on which the article concludes with some tentative reflections.     

The Natural Selection of Prediction Heuristics: Anchoring and Adjustment versus Representativeness

There are several heuristics which people use in making numerical predictions and these heuristics compete for the determination of prediction output. Some of them (e.g. representativeness) lead to excessively extreme predictions while others (e.g. anchoring and adjustment) lead to regressive (and even over-regressive) predictions. In this paper we study the competition between these two heuristics by varying the representation of predictor and outcome. The results indicate that factors which facilitate reliance on representativeness (e.g. compatibility between predictor and outcome) indeed lead to an increase in extremity, while factors that facilitate reliance on anchoring and adjustment (e.g. increased salience of a potential anchor) lead to a decrease in extremity.     

Evaluation of a trial-based interview-informed synthesized contingency analysis

We evaluated the viability of an interview-informed synthesized-contingency analysis (IISCA) conducted in a trial-based format with 3 children with autism spectrum disorders who engaged in problem behavior. We compared results to those from typical trial-based and traditional functional analyses and found high degrees of correspondence. The trial-based IISCA format took the least amount of time to conduct and was associated with the lowest frequencies of problem behavior. Results are discussed in terms of merits of each of the 3 types of functional analysis arrangements and directions for future research.     

The generalized approach,attainMent, maintenance,and avoidance (GAMMA) motivation scale: development,validation, and theoretical contribution

Motivation and Emotion - In this investigation, the Generalized Approach, attainMent, Maintenance, and Avoidance (GAMMA) Motivation Scale was developed and validated. This scale measures approach...     

Effects of socially appropriate singing on the vocal stereotypy of children with autism spectrum disorder

This study evaluated the effects of children with autism spectrum disorder engaging in socially acceptable singing on their vocal stereotypy. A multiple‐baseline across four participants with embedded multielement designs was used to assess the effects of the singing intervention upon later occurrence of vocal stereotypy for each participant. Results showed that fewer instances of vocal stereotypy occurred during and after singing intervention sessions. Additionally, two children began to emit appropriate singing after intervention, which suggests that the topography of their vocal stereotypy (e.g., monosyllabic or screeching sounds) was altered to some extent. Overall, results suggest positive implications for teaching appropriate vocal behaviors as functional replacements for vocal stereotypy.     

Towards Including End-Users in the Design of Prosthetic Hands: Ethical Analysis of a Survey of Australians with Upper-Limb Difference

Science and Engineering Ethics - Advances in prosthetic design should benefit people with limb difference. But empirical evidence demonstrates a lack of uptake of prosthetics among those with limb...     

Stroop interference is a composite phenomenon: Evidence from distinct developmental trajectories of its components

Only one previous developmental study of Stroop task performance (Schiller, 1966) has controlled for differences in processing speed that exist both within and between age groups. Therefore, the question of whether the early developmental change in the magnitude of Stroop interference actually persists after controlling for processing speed needs further investigation; work that is further motivated by the possibility that any remaining differences would be caused by process(es) other than processing speed. Analysis of data from two experiments revealed that, even after controlling for processing speed using z‐transformed reaction times, early developmental change persists such that the magnitude of overall Stroop interference is larger in 3rd‐ and 5th graders as compared to 1st graders. This pattern indicates that the magnitude of overall Stroop interference peaks after 2 or 3 years of reading practice (Schadler & Thissen, 1981). Furthermore, this peak is shown to be due to distinct components of Stroop interference (resulting from specific conflicts) progressively falling into place. Experiment 2 revealed that the change in the magnitude of Stroop interference specifically results from joint contributions of task, semantic and response conflicts in 3rd‐ and 5th graders as compared to a sole contribution of task conflict in 1st graders. The specific developmental trajectories of different conflicts presented in the present work provide unique evidence for multiple loci of Stroop interference in the processing stream (respectively task, semantic and response conflict) as opposed to a single (i.e. response) locus predicted by historically – favored response competition accounts.