Gender,sect and shrine: discursive contestations at Bibi Pak Daman,Lahore

The syncretic traditions and practices at a shrine can defy the prevalence of rationalistic bureaucratisation and authorised tradition along a number of vectors. One can find such activities at one of the most thriving shrines of Lahore, Pakistan, that of Bibi Pak Daman. Not only is this site unusual because of the veneration of women spiritual figures, additionally the contesting claims and practices found at this site map onto sectarian (Sunni-Shia) boundaries and challenge the very origin, found in modern historiographical narratives, of the shrine. Cleavages around gender and sect increase with the administrative taking over of the shrine by the postcolonial state of Pakistan, which is ideologically determined to wipe out pluralistic practices in the name of modernisation. Interestingly, this study shows that, contrary to disenchantment arising from bureaucratic modernisation, rationalising claims perversely add a few more localised practices giving depth to the shrines sacred geography and make no difference to devotee numbers.     

Antidepressant Medication: Is It a Viable and Valuable Adjunct to Cognitive-Behavioral Therapy for School Refusal?

Cognitive-behavioral therapy (CBT) is an evidence-based treatment for school refusal. However, some youth do not respond to CBT. The serious risks associated with school nonattendance call for novel approaches to help those who do not respond to CBT. Because school refusal is commonly associated with anxiety disorders, and the combination of CBT and antidepressant medication enhances outcomes in the treatment of anxiety disorders, combined treatment may be effective for school refusal. This narrative review evaluates the current evidence base for adding antidepressant treatment to CBT for school refusal. Six randomized controlled trials (RCTs), two open trials, six case studies/series, and one observational study were identified and reviewed. There is support for combined CBT and imipramine, but this medication is not typically used due to the risk of concerning side effects. Two recent RCTs failed to provide evidence for the superiority of combined CBT and fluoxetine. Further research in this area is required because the extant studies have a number of methodological limitations. Recommendations are provided for clinicians who consider prescribing antidepressant medication or referring for adjunctive antidepressant treatment for school refusal.     

Patient-Informed Treatment Development of Behavioral Smoking Cessation for People With Schizophrenia

The objective of this study was to use qualitative methodology to tailor and refine an existing smoking cessation intervention for the population of people who use cigarettes and are diagnosed with schizophrenia, schizoaffective, or psychotic disorder. Successive cohort design methodology was used to iteratively modify the treatment in response to qualitative participant, therapist, and consultant feedback on the intervention. Qualitative methodology for participant feedback included analysis of semistructured interviews with participants, visualization of app utilization data, and stakeholder feedback from study therapists and consultants. Using the successive cohort design, a tailored multicomponent mobile health smoking cessation intervention was developed. The intervention included mobile contingency management (i.e., financial compensation for confirmed abstinence from smoking), pharmacotherapy for smoking cessation, cognitive-behavioral counseling sessions, and the Stay Quit app for relapse prevention. Two cohorts (N = 13) were completed in the study; after each cohort, the treatment protocol was revised. The intervention is described, as well as the qualitative findings from each cohort and subsequent changes made to the intervention based upon patient and provider feedback. Metrics of patient engagement included treatment adherence (40% in Cohort 1 and 63% in Cohort 2). Both participants and therapists reported that the intervention was helpful. Over one third of participants self-reported abstinence at posttreatment. Since qualitative methodology is often underutilized in mental health treatment development, this study demonstrates the utility of the successive cohort design for treatment development of behavior change interventions for at-risk, vulnerable populations.     

Different Disgust Domains Specifically Relate to Mental and Contact Contamination Fear in Obsessive-Compulsive Disorder: Evidence From a Path Analytic Model in an Italian Clinical Sample

Both contact contamination (CC) and mental contamination (MC) fears—which combined represent the most common manifestation of obsessive-compulsive disorder (OCD)—have been widely associated with disgust propensity. However, extant research explored this relationship using measures assessing only pathogen-related disgust, not taking into account the potential role played by sexual and moral disgust, despite literature about MC suggesting that this might be particularly relevant. In Study 1, the psychometric properties of the Italian version of the Three Domains of Disgust Scale (TDDS) were assessed in a large Italian community sample. Exploratory and confirmatory factor analyses confirmed the three-factor structure of the TDDS. The scale also showed good internal consistency and construct validity. In Study 2, the differential patterns of relationships between CC and MC and the three disgust domains were explored in an Italian clinical OCD sample using a path analytic approach. The TDDS-Pathogen subscale was a unique predictor of CC while the TDDS-Sexual subscale was a unique predictor of MC, after controlling for anxiety and depression. Surprisingly, the TDDS-Moral subscale was not a predictor of either domain of contamination fear. Limitations and clinical implications are discussed.     

Jeux de hasard et d’argent en ligne : quelles spécificités en matière de réduction des risques ?

Initially conceived as an alternative to abstinence-based approaches, the initial goal of harm-reduction was to reduce the health consequences of drug use. Applied to all addictive behaviors (with or without use), it aims to reduce the individual and social problems generated by addiction without condemning the behavior. Harm-minimisation remained very poor in the gambling field. However, the legalization of online gambling in France and their specific characteristics, update the need to develop this field, which is still a new and relatively uncommon part of harm-reduction. The aim of this article is to draw up an inventory of existing knowledge, whether it has been tested empirically or not, in an ecological environment or in a laboratory situation, as regards tools allowing the player to remain in control of his gambling behavior. A reflection on future research and other possible tools is envisaged.     

A Web of Sorrow: Mistrust,Jealousy, Lovelessness,Shamelessness, Regret,and Hopelessness,by Salman Akhtar,Routledge, Abingdon and New York, 2018, 180pp.

The American Journal of Psychoanalysis -     

A postdictive bias associated with déjà vu

Psychonomic Bulletin & Review - Recent research links reports of déjà vu – the feeling of having experienced something before despite knowing otherwise – with an illusory...     

Revisiting Indian Mode of Philosophizing

Indian philosophy has ancient origin, but contemporary in significance. It is wide and varied, but holistic and integral in its approach. In terms of contemporary needs and aspirations, it has to be revisited and reinterpreted. It is imperative on the part of contemporary thinkers and scholars to properly understand from the original sources and put forth its true spirit without any bias and prejudices. Then only its real message can be disseminated to the world, and an attempt is made here to provide a blueprint to undertake this exercise.