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.     

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.     

Visual backward masking as measured by voice reaction time

Instead of using percent correct identifications or detections as the dependent variable, latency in voicing the target stimulus was measured in a backward masking paradigm. Reaction time (RT) to target letters was reliably increased when they were simultaneously encircled by a black ring mask of a size found to produce masking using an identification or detection criterion. The masking function in terms of RT was typical in shape, a decreasing function of stimulus onset asynchrony (SOA) over an interval of 150 msec. Since the target remained “on” when the mask appeared, the results are incompatible with an erasure interpretation of masking effects. Analyses of the variances of the RTs supported an interpretation of a progressive decrease in masking effects as SOA increased.     

Response latency,confidence, and ROCs in auditory signal detection

Response latencies were obtained from 10 Ss in auditory signal-detection experiments. The response latencies were inversely related to certainty that a signal was (or was not) presented. The S’s decision criterion was found to have an influence on response latency, which was consistent with the hypothesis that stimuli close to the current criterion elicit longer response latencies than stimuli more distant from the criterion. Comparisons among receiver operating characteristics derived from binary decisions, from the latencies of binary decisions, and from confidence ratings show that response latencies and binary decisions together yield more information about the stimulus than does the binary decision alone. However, the increment in information gained from the measurement of response latencies is in general (though not for every S) smaller than that gained by shifting from yes-no responses to a confidence-rating procedure.     

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.     

A circuit to permit an electronic drinkometer to operate during footshock

A circuit to permit an electronic drinkometer to operate during footshock is described. The circuit employs a diode matrix that allows all grid bars to be connected at one point to form one electrode of the drinkometer; it is isolated at another point so as not to shortcircuit the impressed footshock.     

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.