Medical Education for What?: Neoliberal Fascism Versus Social Justice

Journal of Medical Humanities - In her 2018 book, What the Eyes Don’t See, Dr. Mona Hanna-Attisha wrote that it is the duty of doctors to speak out against injustice. In fact, no other...     

Splitting the affective atom: Divergence of valence and approach-avoidance motivation during a dynamic emotional experience

Current Psychology - Valence and approach-avoidance motivation are two distinct but closely related components of affect. However, little is known about how these two processes evolve and covary in...     

Expanding Treatment Options for Children With Selective Mutism: Rationale,Principles, and Procedures for an Intensive Group Behavioral Treatment

Children with selective mutism (SM) experience significant challenges in a variety of social situations, leading to difficulties with academics, peers, and family functioning. Despite the extensive evidence base for cognitive-behavioral interventions for youth anxiety, the literature has seen relatively limited advancement in specialized treatment methods for SM. In addition, geographic disparities in SM treatment expertise and the roughly 6-month duration of some of the supported SM treatment protocols can further restrict the accessibility and acceptability of quality SM care. Intensive group behavioral treatment (IGBT) for SM was developed to expand the portfolio of evidence-based SM treatment options by offering brief, but high-dose, expert SM intervention in a group format for youth ages 3–10 years that can be completed in 1 week. In this article, we outline IGBT for SM program, which has already received initial support in a waitlist-controlled trial. Our presentation is organized around the five main components of the treatment model: (1) individual “lead-in” sessions, (2) camp (i.e., all-day group sessions for children held in a simulated classroom setting, with an emphasis on graduated exposures and structured reinforcement), (3) parent training, (4) school outreach, and (5) booster treatment, as needed. We conclude with a discussion of clinical considerations and future directions for further IGBT refinement and evaluation.     

Expectation of outgroup behaviour: can you trust the outgroup?

Outgroups are usually viewed with suspicion and expected to discriminate against the ingroup. The present study demonstrated that ingroup members attributed past discriminatory behaviour committed by individuals of unknown group membership more to outgroup members than to either ingroup members or members of a neutral group. In contrast, past egalitarian behaviour was attributed less to outgroup members than to members of a neutral group. Ingroup members also expected more discrimination from a future outgroup allocator than from a future neutral group allocator. Finally, the study showed that ingroup members' own behaviour in allocating money became more biased in favour of ingroup members vis-á-vis outgroup members when the future allocator was from an outgroup rather than from a neutral group and when they had witnessed the discriminatory behaviour of an allocator in the past.     

Blind justice: Fairness to groups and the do-no-harm principle

People are reluctant to harm some people in order to help others, even when the harm is less than the forgone help (the harm resulting from not acting). The present studies use hypothetical scenarios to argue that these judgments go against what the subjects themselves would take to be the best overall outcome. When the outcomes in question are income gains and losses for two groups of farmers, subjects judge the harm they would not impose through their action to be smaller than the harm they would impose through inaction. Some subjects refuse to reduce cure rates for one group of AIDS patients in order to increase cure rates more for another group, even when group membership was unknowable to anyone, so that, from each patient's point of view, the change would increase the probability of cure. Likewise, they resisted a vaccine that reduced overall mortality in one group but increased deaths from side effects in another group, even when, again, group membership was unknowable. Some people apply a do-no-harm principle to groups without apparent understanding of how such a principle might be justified in terms of its consequences. The capacity for such judgments makes them vulnerable to learning principles that have no justification at all.     

Aggressive behavioral characteristics,hormones, and sexual orientation in men and women

Aggressive behavioral characteristics were assessed in groups of men and women by a self-report instrument, the Aggression Inventory, in which adult males reported more physical and verbal aggression than did females. Furthermore, males had higher scores on measures of impulsiveness and lack of frustration tolerance than did females, while women were more likely to avoid confrontation. In a second study, groups of male and female homosexuals and heterosexuals completed this Aggression Inventory after having blood samples taken to assay resting levels of testosterone (T) and estradiol (E). Groups of subjects within each gender were closely matched in terms of age, education, and vocational interests. Women were matched for the same time in their menstrual cycle (early follicular phase). Among men, homosexuals were indistinguishable from heterosexuals on all measures of aggression. Lesbians did not differ from heterosexual women on any aggression subscale except physical aggression, in which the homosexual women had lower scores. T and E were positively correlated with several indices of aggressive behavioral characteristics in men but were negatively correlated with those same measures in women.     

Parental Involvement and Adolescents’ Academic Achievement: Latent Profiles of Mother and Father Warmth as a Moderating Influence

Parental involvement in their adolescents’ education plays an important role in promoting their children's academic outcomes. Yet, more research is needed to examine the relationship between parenting practices and parental warmth as well as to consider the potential joint contribution of warmth from both fathers and mothers. Thus, the primary purpose of the current study is to examine the extent to which patterns of parental warmth across fathers and mothers moderate the association between parental involvement and adolescents’ grade point average (GPA) and school engagement behaviors. Latent profile analysis was conducted to identify disparate profiles of fathers’ and mothers’ warmth within a nationally representative sample of 2,306 youths (51% male; mean age = 15.31 years, SD = 1.50; 77% non-Hispanic White) residing in opposite-sex, two-parent families from Wave I and II of the National Longitudinal Study of Adolescent to Adult Health. Latent-class enumeration processes support a five-profile solution characterized by differences in levels of parental warmth and congruency across parents: (a) Congruent High Warmth, (b) Congruent Moderate Warmth, (c) Congruent Low Warmth, (d) Incongruent High Mother/Low Father Warmth, and (e) Incongruent Low Father/Lower Mother Warmth. Subsequent multiple linear regression analyses reveal a moderating effect for Congruent Low Warmth on the relationship between parental involvement and adolescents’ GPA. Ultimately, the results show that variation in parental warmth exists across fathers and mothers with differing impact on adolescents’ outcomes. Excluding one parent without considering the joint effects of both parents will not produce an accurate and precise understanding of parenting in research or practice.     

Regression II. Development through regression

As shown in our previous paper (‘Regression I. Experimental approaches to regression’, JAP, 65, 2, 345-65), the common mechanism of regression can be described as reversible dedifferentiation, which is understood as a relative increase of the proportion of low-differentiated (older) systems in actualized experience. Experimental data show that regression following disease (chronic tension headache) is followed by adaptation and an increase in system differentiation in that experience domain which contains systems responsible for that adaptation. The results of mathematical modelling support the idea that reversible dedifferentiation can be one of the mechanisms for increasing the effectiveness of adaptation through learning. Reversible dedifferentiation, which is phenomenologically described as regression, is a general mechanism for restructuring the organism-environment interactions in situations where behaviours that were effective in the past become ineffective. Reversible dedifferentiation has evolved as a component of adaptation when new behaviours are formed and large-scale modifications in the existing behaviours are required in the face of changes in the external and/or internal environment. Thus, the authors believe that this article provides evidence for Jung’s view that regression is not only a ‘return’ to past forms of thinking, affects and behaviour, but that regressive processes provide a significant impetus for psychological growth and development.     

Evaluating preference for and reinforcing efficacy of fruits and vegetables compared with salty and sweet foods

Children diagnosed with autism spectrum disorder are often more selective in their food preferences than their typically developing peers. Additionally, many preferred food selections have minimal nutritional value. We evaluated the preference for, and reinforcing efficacy of, fruits and vegetables compared with salty and sweet foods, which are often used as edible reinforcers. Multiple-stimulus preference assessments were conducted to identify preferred foods, and reinforcer assessments were conducted to determine the reinforcing efficacy of more preferred foods. Fruits and vegetables were sometimes preferred over salty or sweet foods and often functioned as reinforcers. Future research should incorporate fruits and vegetables into preference assessments when identifying putative reinforcers.