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.     

Eco-restrictive experiences forming extraordinary consumer experiences

This article contributes to different research traditions when proposes to reflect on theoretical fields, such as consumer culture and contemporary marketing. The study in a tourist and ecological conservation project revealed eco-restricted extraordinary experiences. We found a group of volunteers that build meanings and practices connected with new actions and habits that offer, not only ecological and sustainable benefits, but new value consumption relations. In contextualizing our findings, we highlight experiences and curiosities that are glossed over in academic and practical accounts that celebrate the extraordinary experience. It was observed, by analyzing data from various qualitative techniques, that the findings cross borders of mundane ingrained practices and bring an emerging domain, where both, consumption and anti-consumption experiences, offer insights into to a diversity of areas of knowledge.     

REPEATED MEMORY OF ORAL PROSE IN GHANA AND NEW YORK1

On a lu en anglais un court passage de prose à difféients groupes d'étudiants ghanéens et new yorkais. Ensuite, et par trois fois, on leur demande de dire ce qu'ils ont retenu. Le premier rappel a lieu après 30–45 minutes, le second et le troisiàme après plusieurs semaines. On a utilisé trois histoires différentes, mais chaque groupe de sujets n'en entendait qu'une seule. Les résultats montrent que, conformément à L'idée que la tradition orale est plus forte en Afrique Occidentale qu'à New York, les étudiants ghanéens retenaient mieux que les américains. Pour deux des histoires, on a enregistré peu de perte de rétention des thèmes entre le 1^er et le 3^e rappel; pour la troisiéme, entre le 2^e et le 3^e rappel. Mais la capacité à reteñir les thèmes de L'histoire ne s'explique pas uniquement par puré routine de mémoire. On peut penser que L'ordonnancement de L'histoire, loin de constituer un obstacle comme c'est souvent le cas quand on doit retenir dans L'ordre des faits sans liaison entre eux, favorisait ici la rétention des thèmes.     

Gallbladder distention and the effects of several drugs on heart rate,respiratory movements and cortical potentials in cats with hypothalamic lesions

The effects of chronic hypothalamic lesions and various drugs on the viscero-visceral reflexes of cats have been investigated, utilizing measurement of the bioelectrical activity of the cerebral cortex. After coagulation of the posterolateral hypothalamus the heart rate decreased by 40–60 beats per minute, but eventually it regained its initial value. The viscero-visceral reflexes from the gallbladder to the heart were preserved after the operative procedure. Chlorpromazine and atropine blocked both arousal and the cardiorespiratory response to stimulation of the gallbladder. Similar effects were produced by novocaine and pantocaine.     

Murder in the family: An analysis of two Poe short stories

Learning to be possessed has been described elsewhere by the writer as a form of pathogenic relating begun when children are taught by adults that they will receive a lesser penalty for misbehavior if they can show they were not responsible, such as if it were caused by an evil agent or the Devil. It was suggested that learning to be possessed can be an underlying cause of psychopathology, the delusion of persecution in particular. Two short stories by the distinguished American writer Edgar Allan Poe are examined to develop the formulation of learning to be possessed, especially when it has passed to a delusion of persecution. Two propositions are offered: (1) Where it appears that a family member is murdered by a delusional assailant by accident, it is not an accident; and (2) the delusion of persecution entails a memory loss so that the murderer not only can claim lack of personal responsibility for the act, but also spares himself the guilt of having broken a fundamental taboo. Further comparison is made between learning to be possessed as a cause of delusion, and the psychoanalytic theory in which the defense mechanism of projection is central. In the latter theory, interpretation of the delusion is critical; whereas in the former, interpretation is counterproductive because it merely reinforces the delusion.Probably a note of appreciation is due the writer's daughter Cary, who at age 14 is an expert at badgering her father for help with homework assignments. For several weeks the writer was alternatively pestered and cajoled to help Cary with her Poe Project for high school English which required an essay analyzing the work of a great American writer denigrated by the author as weird by his recollection formed decades earlier. Cary's persistence required the author to consider Poe anew, to recognize his unwarranted earlier prejudice, and to recognize that Poe offered him a gift of understanding regarding a topic about which the author had been thinking for several years, namely that form of pathogenic relating named learning to be possessed.     

Improvisational therapy: Evolving one's own clinical style

This article offers an invitation to develop one's own unique clinical style, relying less on institutionalized schools of therapy and more on the therapist's own natural resources. An emphasis is placed upon understanding therapy as art, trusting one's imagination, and maintaining a healthy irreverence for professional politics.