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.     

Mathematical Practice,Fictionalism and Social Ontology

From the perspective of mathematical practice, I examine positions claiming that mathematical objects are introduced by human agents. I consider in particular mathematical fictionalism and a recent position on social ontology formulated by Cole (2013, 2015). These positions are able to solve some of the challenges that non-realist positions face. I argue, however, that mathematical entities have features other than fictional characters and social institutions. I emphasise that the way mathematical objects are introduced is different and point to the multifaceted role that relations and interconnections play in this context. Finally, I argue that mathematical entities can be considered to be pragmatically real.

     

INTERMITTENT REGRESSIONS IN A SERIAL AFTERIMAGE EXPERIMENT AS SIGNS OF SCHIZOPHRENIA

S mith G. J. W., R uuth E., F ranzén G. & S jöholm L. Intermittent regressions in a serial afterimage experiment as signs of schizophrenia. Scand. J. Psychol ., 1972 , 13 , 27 33.—A group of 35 young patients suspected of schizophrenia were tested in a serial afterimage (AI) experiment and were also rated on the Rockland-Pollin scale. Subjects with high psychotic scores showed one or more regressions to immature (size-constant, positive, physiognomic) images in their Al serials, images typical of children who cannot clearly distinguish their Ails as subjective phenomena distinct from the outside world. The Al test thus indicates schizophrenics to be characterized by intermittent withdrawal into a world of experiencing the self and non-self as not clearly distinguished. Regressions were rare in two control groups.     

Two temporal parameters of food postponement

Rats were trained to press a lever under schedules of food postponement. In the absence of lever presses, food was delivered periodically (food-food interval). Responses initiated a second interval (response-food interval) that was reset by each additional response. Performance was first studied at different response-food intervals with the food-food interval fixed at 30 or 60 sec, or 10 min. Response-food intervals were examined in ascending order and then recovery was studied at shorter intervals. Finally, the food-food interval was manipulated with response-food interval fixed at 30 sec. At food-food intervals of 30 and 60 sec, responding first increased and then decreased as the response-food interval increased. At the 10-min food-food interval, responding decreased with increasing response-food interval. In general, very low rates of responding occurred when the response-food interval was 60 sec or more and when it equalled or exceeded the food-food interval. However, responding was maintained in one animal when the food-food interval was decreased from 120 to 15 sec with the response-food interval at 30 sec. Results, in terms of several dependent variables, are compared with data on shock avoidance. Effects of response-independent and response-produced food and shock are discussed.     

Free-operant avoidance in the pigeon using a treadle response

A free-operant avoidance schedule was used to establish and maintain foot-treadle responding by two Homing, one White King, and two Carneaux pigeons. In the absence of responding, the interval between shocks equaled 10 sec. Each time a treadle response occurred the shock was postponed for 32 sec. Pigeons appear to learn the treadle response more quickly and use it to avoid shock more successfully than do rats bar pressing on similar schedules. The treadle response becomes highly stereotyped and interresponse time distributions obtained from terminal behavior appear very similar to data obtained from rats. It is concluded that the difficulty in training pigeons to avoid electric shock is not in establishing avoidance behavior but in attempting to evaluate such behavior with the key-peck response.     

Projected afterimages after manipulation of cognitive schemes in children.

Telling one group of subjects that afterimages are a physical reality largely independent of the observer and another group that afterimages are projected by the subject himself, it was predicted that the afterimages in these groups would differ. In all 10 pairs of nine-year-old children, matched with respect to cognitive maturity, the subject getting the former instruction reported more size-constant and/or positive afterimages than the subject getting the latter instruction.