LOGIC AND GRAMMAR

I have written a number of articles recently that have a rather remarkable character. They all point out trivial grammatical facts that, at great cost, have not been respected in twentieth century Logic. A major continuous strand in my previous work, with this same character, I will first summarise, to locate the kind of fact that is involved. But then I shall present an overview of the more recent and more varied points I have made, which demonstrate the far larger extent of basic grammar that has been overlooked or suppressed. I end with some remarks about how this phenomenon can have arisen – principally through logicians not being attentive enough to their own language, and occupying themselves, instead, with often quite imaginary languages.     

Anxiety and depression and their links with delusions and hallucinations in people with a dual diagnosis of psychosis and substance misuse: a study using data from a randomised controlled trial

Rates of depression and anxiety have been linked to severity and distress associated with positive symptoms in psychosis. There is also tentative evidence to suggest that these concurrent symptoms might be related to delusional and hallucinatory content. Our aim was to assess the cross-sectional associations between anxiety and depression, and hallucination and delusion severity and distress in a sample of 327 people dually diagnosed with psychosis and substance misuse problems. In addition, the relationships between specific symptom content and levels of anxiety and depression were examined. Anxiety was associated with delusion distress and depression with hallucination distress, although neither was related to symptom severity. Auditory commands to harm or kill the self were associated with higher levels of depression. Delusions with themes pertaining to the paranormal, and those with references to celebrities were associated with lower levels of depression. No specific delusion or hallucination content was associated with level of anxiety, when other variables were controlled for. The results demonstrate that anxiety and depression are linked to distinct aspects of psychotic experience, highlighting the need to acknowledge the role of these concurrent symptoms in the context of psychosis. In addition, findings relating to specific types of delusions and hallucinations highlight avenues for further research.     

Prejudice Against Muslim Australians: The Role of Values,Gender and Consensus

Data from an Australian community survey (n = 189) examining the predictors of prejudice against Muslim Australians were analysed. Using thematic analysis, we investigated the specific values our participants reported regarding their perceptions of Muslim Australians and Islam. We then investigated the relationship between prejudice against Muslim Australians, the most important value priorities given by our participants, and other prejudice‐related variables. After entry into a regression analysis, the participants high in prejudice were found to be significantly more likely to have lower educational levels and more right‐wing views. They were also significantly more likely to report high levels of national attitudes (i.e. stronger identification with Australian identity), concern about gender equality within the Muslim community, less concern about equality generally and report that Muslims were not conforming to Australian values. High prejudiced participants also scored higher in the reporting of negative media‐related beliefs, were more likely to perceive higher support in the community for their views than was the case and were more negative towards Muslim men than Muslim women. The implications for anti‐prejudice interventions are discussed. Copyright © 2011 John Wiley & Sons, Ltd.     

Dating Violence Victimization and Unprotected Sex Acts Among Adolescents in Mental Health Treatment

The objective of this study was to explore the relationship between dating violence victimization and unprotected sex acts among youth in mental health treatment. Sexually-active adolescents (n?=?261; ages 13–18) enrolled in mental health treatment completed an audio-assisted computerized self-interview (ACASI) to assess recent dating violence victimization, unprotected sex acts, depression symptoms, and recent alcohol use. Path analysis revealed that dating violence victimization was related to unprotected sex acts both directly and indirectly via its association with depression and condom use self-efficacy. These findings suggest that in order to reduce HIV-related risk behaviors among dating violence victims, treatment providers should consider depressive symptomatology and associated affect around sexual situations.     

Working With the Suicidal Client Who Also Abuses Substances

Substance use disorders and suicidal thoughts and behaviors commonly co-occur in adolescent and adult psychiatric populations and are often functionally interrelated. Although the evidence base for treatment of this population is sparse, integrated cognitive behavioral treatment (CBT) protocols, or those that rely heavily on CBT techniques, hold promise. In this paper, we provide an overview of the evidence-based literature for interventions that target suicidal behavior and substance use disorders with adults and adolescents. We then discuss the manner in which these behaviors may be functionally interrelated and offer a conceptual framework (S-O-R-C) to guide case conceptualization and treatment planning for clients with co-occurring suicidality and substance use disorders. Next, we provide a case example of a client with suicidal behavior and an alcohol use disorder and demonstrate how to apply an integrated CBT treatment protocol to this case. This case example is followed by a more general discussion about the potential advantages of integrated CBT protocols for suicidality and substance use disorders, guidelines for prioritizing treatment targets and skill selection for each individual client, and other important treatment considerations. We conclude with recommendations for future research in this area.