Investigation into Complementary and Integrative Health Approaches for Turkish Patients with Gastrointestinal Cancer

Journal of Religion and Health - The study was conducted to determine the levels of usage of complementary and integrative health (CIH) approaches and the symptoms experienced by Turkish patients...     

Response–reinforcer dependency and resistance to change

The effects of the response–reinforcer dependency on resistance to change were studied in three experiments with rats. In Experiment 1, lever pressing produced reinforcers at similar rates after variable interreinforcer intervals in each component of a two‐component multiple schedule. Across conditions, in the fixed component, all reinforcers were response‐dependent; in the alternative component, the percentage of response‐dependent reinforcers was 100, 50 (i.e., 50% response‐dependent and 50% response‐independent) or 10% (i.e., 10% response‐dependent and 90% response‐independent). Resistance to extinction was greater in the alternative than in the fixed component when the dependency in the former was 10%, but was similar between components when this dependency was 100 or 50%. In Experiment 2, a three‐component multiple schedule was used. The dependency was 100% in one component and 10% in the other two. The 10% components differed on how reinforcers were programmed. In one component, as in Experiment 1, a reinforcer had to be collected before the scheduling of other response‐dependent or independent reinforcers. In the other component, response‐dependent and ‐independent reinforcers were programmed by superimposing a variable‐time schedule on an independent variable‐interval schedule. Regardless of the procedure used to program the dependency, resistance to extinction was greater in the 10% components than in the 100% component. These results were replicated in Experiment 3 in which, instead of extinction, VT schedules replaced the baseline schedules in each multiple‐schedule component during the test. We argue that the relative change in dependency from Baseline to Test, which is greater when baseline dependencies are high rather than low, could account for the differential resistance to change in the present experiments. The inconsistencies in results across the present and previous experiments suggest that the effects of dependency on resistance to change are not well understood. Additional systematic analyses are important to further understand the effects of the response–reinforcer relation on resistance to change and to the development of a more comprehensive theory of behavioral persistence.     

Religion and mental health among Nepal earthquake survivors in temporary tent villages

The aim of this study was to explore the relationship between mental health and the perceived importance of religion and the frequency of prayer among 200 children ages 10–18 years who lived in temporary camps for earthquake survivors in Nepal. The participants were examined using the Child Behavior Checklist (CBCL) 6–18 and were asked about the importance of religion in their lives. In contrast to expectation that high perceived importance of religion and prayer frequency have positive impacts on mental health after earthquakes, the results indicated significantly higher levels of withdrawal/depression. The group that prayed less frequently after the earthquakes had significantly higher scores for somatic symptoms, withdrawal/depression, anxiety/depression, social immaturity, internalising problems, and total CBCL scores. However, the clinical risk group (T score of 65 or higher in the CBCL total score), no significant difference according to the importance of religion showed and frequency of daily prayer.     

Construct and concurrent validity of the Cambridge neuropsychological automated tests in Portuguese older adults without neuropsychiatric diagnoses and with Alzheimer’s disease dementia

We aimed to analyze the construct and concurrent validity of the Rapid Visual Information Processing (RVP), Paired Associates Learning (PAL), Reaction Time (RTI), and Spatial Working Memory (SWM) tests from the Cambridge Neuropsychological Test Automated Battery (CANTAB®). Inclusion criteria were checked in a first session. The CANTAB and additional pencil-and-paper tests were administered within 1 week. The participants (aged 69–96 years) were 137 Portuguese adults without neuropsychiatric diagnoses and 37 adults with mild-to-moderate Alzheimer’s disease dementia. Comparisons were made between the CANTAB tests and between these tests and the Rey Complex Figure Test (RCFT), Verbal Fluency (VF) test, and some Wechsler Memory Scale-III and Wechsler Adult Intelligence Scale-III subtests. Most intra-test correlations were stronger than the CANTAB inter-test correlations. The RVP correlated more with VF animals (.44), the PAL with RCFT immediate recall (–.52), the RTI with RVP mean latency (.42), and the SWM with Spatial Span backward (–.39).     

The Trait Anxiety Scale for Children: A validation study for European Portuguese children and adolescents

The State-Trait Anxiety Inventory for Children is a self-report instrument inspired on the State-Trait theory extended by Spielberger that measures a momentary state of anxiety (state) and a stable tendency to experience anxiety (trait). This study presents an exploratory adaptation of the Trait Scale and provides its psychometric properties for European Portuguese children and adolescents. The influence of sex and age were also explored. Our sample, composed of 402 participants aged 8–14 years, revealed a mean anxiety value of 28.37 (SD = 5.99). As expected, females revealed higher levels of anxiety than boys. Higher anxiety was obtained in our youngest group as compared to the oldest group. The exploratory factor analysis led to retaining only 16-items that presented acceptable adjustment to a one-factorial solution. Good indexes were obtained in the confirmatory analysis. The results also revealed good internal consistency and good test-retest reliability. Our results provide initial evidence that this scale is adequate to measure trait-anxiety in European Portuguese young people.     

Biotechnologies that empower transgender persons to self-actualize as individuals,partners, spouses,and parents are defining new ways to conceive a child: psychological considerations and ethical issues

Today, thanks to biomedical technologies advances, some persons with fertility issues can conceive. Transgender persons benefit also from these advances and can not only actualize their self-identified sexual identities but also experience parenthood. Based on clinical multidisciplinary seminars that gathered child psychiatrists and psychoanalysts interested in the fields of assisted reproduction technology (ART) and gender dysphoria, philosophers interested in bioethics, biologists interested in ART, and endocrinologists interested in pubertal suppression, we explore how new biotechnical advances, whether in gender transition or procreation, could create new ways to conceive a child possible. After reviewing the various medical/surgical techniques for physical gender transition and the current ART options, we discuss how these new ways for persons to self-actualize and to experience parenthood can not only improve the condition of transgender persons (and the human condition as a whole through greater equity) but also introduce some elements of change in the habitual patterns of thinking especially in France. Finally, we discuss the ethical issues that accompany the arrival of these children and provide creative solutions to help society handle, accept, and support the advances made in this area.     

Domain-specific conflict adaptation without feature repetitions

An influential account of how cognitive control deals with conflicting sources of information holds that conflict is monitored by a module that automatically recruits attention to resolve the conflict. This leads to reduced effects of conflict on the subsequent trial, a phenomenon termed conflict adaptation. A prominent question is whether control processes are domain specific—that is, recruited only by the particular type of conflict they resolve. Previous studies that have examined this question used two-choice tasks in which feature repetition effects could be responsible for domain-specific adaptation effects. We report two experiments using four-choice (Experiment 1) and five-choice (Experiment 2) tasks that contain two types of irrelevant sources of potentially conflicting information: stimulus location (Simon conflict) and distractors (flanker conflict). In both experiments, we found within-type conflict adaptation for both types of conflict after eliminating trials on which stimulus features were repeated from one trial to the next. Across-type conflict adaptation, however, was not significant. Thus, conflict adaptation was due to domain-specific recruitment of cognitive control. Our results add converging evidence to the idea that multiple independent control processes are involved in reactive cognitive control, although whether control is always local remains to be determined.     

Hostility in the real world and online: the effect of internet addiction, depression, and online activity

Hostility online has not been evaluated by an empirical investigation. This study aims to evaluate (a) the difference between hostility in the real world and that online and (b) whether the difference is associated with Internet addiction, depression, or online activities. A total of 2,348 college students (1,124 males and 1,224 females) were recruited and completed the Chen Internet Addiction Scale, the Center for Epidemiological Studies' Depression Scale, and the questionnaire for online activity. Further, the Buss-Durkee Hostility Inventory-Chinese version-short form was utilized to evaluate hostility in both real and virtual worlds. The results demonstrated that the levels of all four dimensions of hostility were lower when getting online than those in the real world. Subjects with Internet addiction had higher hostility both in the real world and online as do subjects with depression. Further, college students with Internet addiction had increased expressive hostility behavior and those with depression had decreased hostility cognition, hostility affection, and suppressive hostility behavior when getting online. Lastly, the buffering effect of the Internet on hostility was attenuated among subjects paying the most online time in chatting, and those using the Internet mainly for online gaming had higher expressive hostility behavior not only in the real world but also online. These results suggest that attention should be paid to interventions concerning aggressive behavior among subjects with Internet addiction or online gaming and chatting. On the other hand, depressed college students would be less hostile after entering the Internet. It is suggested that the Internet would be one possible interactive media to provide intervention for depression.     

Maintenance and Transformation of Problematic Self-Narratives: A Semiotic-Dialogical Approach

This study focuses on how the emergence of innovative moments (IMs), which are exceptions to a person’s dominant self-narrative (i.e., his or her usual way of understanding and experiencing), progresses to the construction of a new self-narrative. IMs challenge a person’s current framework of understanding and experiencing, generating uncertainty. When uncertainty is excessively threatening, a semiotic strategy to deal with it often emerges: attenuation of novelty’s meanings and implications by a quick return to the dominant self-narrative. From a dialogical perspective, a dominant voice (which organizes one’s current self-narrative) and a non-dominant or innovative voice (expressed during IMs) establish a cyclical relation, mutual in-feeding, blocking self-development. In this article, we analyze a successful psychotherapeutic case focusing on how the relation between dominant and non-dominant voices evolves from mutual in-feeding to other forms of dialogical relation. We have identified two processes: (1) escalation of the innovative voice(s) thereby inhibiting the dominant voice and (2) dominant and innovative voices negotiating and engaging in joint action.