Psychotherapy and (or) Medications for Depression in Youth? An Evidence-Based Review with Recommendations for Treatment

This article reviews existing research pertaining to antidepressant medications, psychotherapy, and their combined efficacy in the treatment of clinical depression in youth. Based on this review, we recommend that youth depression and its treatment can be readily understood from a social-psycho-bio model. We maintain that this model presents an alternative conceptualization to the dominant biopsychosocial model, which implies the primacy of biological contributors. Further, our review indicates that psychotherapy should be the frontline treatment for youth with depression and that little scientific evidence suggests that combined psychotherapy and medication treatment is more effective than psychotherapy alone. Due primarily to safety issues, selective serotonin reuptake inhibitors should be initiated only in conjunction with psychotherapy and/or supportive monitoring.     

Drug effects in squirrel monkeys trained on a multiple schedule with a punishment contingency

The behavior of four monkeys trained on a multiple schedule was differentially sensitive to selected pharmacological agents. The three components of the multiple schedule were: (1) a variable-interval schedule in which responses were reinforced on the average of once per minute; (2) a concurrent schedule in which every tenth response was reinforced and every fifteenth response, on the average, was shocked; and, (3) a neutral stimulus in the presence of which responses were neither reinforced nor shocked. Pentobarbital, chlordiazepoxide, and meprobamate increased responding during each of the components. Scopolamine and d-amphetamine decreased variable-interval performance, had minimal effects on performance during the concurrent-schedule component, and increased responding in the presence of the neutral stimulus. Chlorpromazine decreased variable-interval responding and had slight effects on the responding during the other two components.     

Constraints on classificatory skills in young children.

On three occasions over a one-year period 23 children aged 3-4 were asked to match target objects with other objects which were similar to the target in shape or in colour but not in both. A sequence of matches to each target was asked for. The structure of these sequences is examined for evidence of classifacatory abilities. Many subjects appear to be attempting (not always successfully) to follow a strategy of 'holding fast' to their original choice of matching criterion (colour or shape) on subsequent trials. The striking differences between performance after a first-trial colour-match and after a first-trial shape-match are described. It is argued that development during this period involves an increasing ability to ignore the more salient attribute (shape) when matching by colour. The general developmental significance is discussed.     

Psychometric Aspects of Verbal Pragmatic Ratings

This study examined the psychometric aspects of a verbal pragmatic rating scale. The scale contained six pragmatic features (i.e., Conciseness, Lexical Selection, Quantity, Relevancy, Specificity, and Topic Maintenance) based on Grice's cooperative principles. Fifteen right brain-damaged (RBD), 15 left brain-damaged (LBD), and 16 healthy normal control (NC) right-handed adult participants produced narratives while recollecting emotional and nonemotional experiences. Naive raters evaluated each pragmatic feature for appropriateness on a 5-point Likert scale. When reliability was examined, the overall internal consistency of the pragmatic scale was extremely high (alpha =.96). Factor analysis was conducted to examine the theoretical relations among the six pragmatic features. Three meaningful factors involving discourse content, conceptual unity, and parsimony were identified. Findings are discussed in light of Grice's model and the construct validity of the scale.     

Reply to Nagasawa on the Inconsistency Objection to the Knowledge Argument

Yujin Nagasawa has recently defended Frank Jackson’s knowledge argument from the “inconsistency objection.” The objection claims that the premises of the knowledge argument are inconsistent with qualia epiphenomenalism. Nagasawa defends Jackson by showing that the objection mistakenly assumes a causal theory of phenomenal knowledge. I argue that although this defense might succeed against two versions of the inconsistency objection, mine is unaffected by Nagasawa’s argument, in which case the inconsistency in the knowledge argument remains.     

Sex differences in impulsivity: a meta-analysis

Men are overrepresented in socially problematic behaviors, such as aggression and criminal behavior, which have been linked to impulsivity. Our review of impulsivity is organized around the tripartite theoretical distinction between reward hypersensitivity, punishment hyposensitivity, and inadequate effortful control. Drawing on evolutionary, criminological, developmental, and personality theories, we predicted that sex differences would be most pronounced in risky activities with men demonstrating greater sensation seeking, greater reward sensitivity, and lower punishment sensitivity. We predicted a small female advantage in effortful control. We analyzed 741 effect sizes from 277 studies, including psychometric and behavioral measures. Women were consistently more punishment sensitive (d = -0.33), but men did not show greater reward sensitivity (d = 0.01). Men showed significantly higher sensation seeking on questionnaire measures (d = 0.41) and on a behavioral risk-taking task (d = 0.36). Questionnaire measures of deficits in effortful control showed a very modest effect size in the male direction (d = 0.08). Sex differences were not found on delay discounting or executive function tasks. The results indicate a stronger sex difference in motivational rather than effortful or executive forms of behavior control. Specifically, they support evolutionary and biological theories of risk taking predicated on sex differences in punishment sensitivity. A clearer understanding of sex differences in impulsivity depends upon recognizing important distinctions between sensation seeking and impulsivity, between executive and effortful forms of control, and between impulsivity as a deficit and as a trait.     

Can an experience of conscious identification affect a counsellor's ability to sense and communicate unconditional positive regard? Theoretical and practice-based concerns

Within this paper we examine the nature and characteristics of the concept of unconditional positive regard (UPR) and discuss how an experience of conscious identification (CI) within a person-centred counsellor may affect its levels and manifestations. Initially, theoretical aspects of UPR are examined, with reference to potential threats or benefits to UPR when a counsellor experiences CI. Following on from this, we discuss how this may affect practice, drawing upon data generated from a 4-year research study, which defined and examined the process of CI.