Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board

American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention.     

Replies to Wallace,Queloz, and Kirwin

In this article, I reply to the comments offered by R. Jay Wallace, Matthieu Queloz, and Claire Kirwin on my book, The Will to Nothingness. An Essay on Nietzsche's Genealogy of Morality (OUP, 2021). These comments and my replies cover central features of the book, including my analysis of ressentiment as an expression of the will to power; the concept of self-undermining functionality I introduce to make sense of Nietzsche's critique of the ascetic ideal; and my reasons for omitting to examine the “unconditional will to truth,” which he presents as the latest embodiment of this ideal.     

Bar holding during escape conditioning

To analyze bar-holding behavior during escape conditioning three rats were trained to escape from shock by pressing a bar, and three were trained to escape by releasing a bar. Bar holding behavior was stronger and more stable under the release condition. These effects were related to the relative shock duration of onbar versus offbar shocks.     

Menarche: A crossroads that previews developmental change

In recent years the developmental implications of menarche have garnered particular attention. Investigators have determined that this developmental event tends to affect three significant domains of the adolescent girl's function: psychological status, relationships with peers, and role in the family. This paper explores these issues and introduces a new technique, referred to as previewing, that may help the teenage girl acclimate to the status of sexual maturity. Derived from the early life interactions of caregiver and infant, previewing promotes representational skills and enhances self-esteem as the adolescent confronts developmental challenges.     

Heading and path information from retinal flow in naturalistic environments

In four experiments, we explored the heading and path information available to observers as we simulated their locomotion through a cluttered environment while they fixated an object off to the side. Previously, we presented a theory about the information available and used in such situations. For such a theory to be valid, one must be sure of eye position, but we had been unable to monitor gaze systematically; in Experiment 1, we monitored eye position and found performance best when observers fixated the designated object at the center of the display. In Experiment 2, when we masked portions of the display, we found that performance generally matched the amount of display visible when scaled to retinal sensitivity. In Experiments 3 and 4, we then explored the metric of information about heading (nominal vs. absolute) available and found good nominal information but increasingly poor and biased absolute information as observers looked farther from the aimpoint. Part of the cause for this appears to be that some observers perceive that they have traversed a curved path even when taking a linear one. In all cases, we compared our results with those in the literature.     

“Make things as simple as possible, but no simpler.” A rejoinder to Scruggs and Mastropieri

Scruggs and Mastropieri (Behaviour Research and Therapy, 32, 879–883, 1994) take issue with criticisms of their PND (Percent of Nonoverlapping Data) statistic that we offered in our recent article (Allison & German, Behaviour Research and Therapy, 31, 621–631, 1993), which advocated a regressionbased method for obtaining effect sizes in single-subject studies. They contend that their PND approach has several advantages over our approach because: (1) they believe that, unlike ours, it can take advantage of the small number of observations that are typically available in single-case studies; (2) it is simple to compute; (3) it frees researchers from traditional regression assumptions of normality, homogeneity of variance, and independence of observations and residuals; and (4) it correlates with visual judgements made by experts. As we shall argue, these claims are built upon very questionable assumptions and they are very difficult to substantiate. In addition, we show that the expected value of the PND is so strongly related to sample size as to be rendered meaningless.     

REFLECTIONS ON AFFIRMATIVE ACTION GOALS IN PSYCHOLOGY ADMISSIONS

Four goals of affirmative action in higher education are described as they relate to psychology admissions. Broadly conceived, these goals are compensating for past injustice, correcting present inequity, promoting intellectual diversity, and enhancing the presence of role models. It is argued that the four goats differ in their underlying assumptions about the purposes of affirmative action and that these differences can result in disparate admission decisions. Data from three experiments on decision making in graduate psychology admissions are presented to illustrate the analysis. In these studies, academic psychologists rated the admissibility of hypothetical graduate student applicants who varied on a number of characteristics (e g., ethnicity, social class, interest in minority research) pertinent to affirmative action. A consistent pattern of ethnic group differences in admissibility ratings was documented, illustrating that compensation for past injustice can be interpreted as a salient affirmative action goal in graduate admissions decisions. Implications of the analysis for clarifying admissions decisions guided by affirmative action goals are discussed.