Davidson's Second Person

According to Donald Davidson, language is social in that only a person who has interacted linguistically with another could have a language. This paper is a discussion of Davidson's argument in defence of that claim. I argue that he has not succeeded in establishing it, but that he has provided many of the materials out of which a successful argument could be built. Chief among these are the claims that some version of externalism about meaning is true, that possession of a language requires possession of the concept of objectivity, and hence that the issue here concerns the identity of the external event that makes possible possession of the concept of objectivity. I end by presenting some reasons for thinking that only interpersonal linguistic interaction could play this role.     

Individual needs and charismatic promises

Using psychoanalytic theory, the author explains how a woman came to devote herself to a man's group that conceived of itself as the New Kingdom of God. He refers to notes from counseling sessions with the woman, Jane, and to excerpts from the book,T, which is an autobiography of the group's leader, Thomas. The author compares their ego profiles as measured on ego assessment scales and argues that this allows us to see how Thomas gained his charismatic status.     

Behavioral contrast in chained schedules

In each of two experiments, the rate of key pecking maintained by a variable-interval food reinforcement schedule was measured, first when that schedule was studied in isolation, and then when it was correlated with the second component of a two-component chained schedule. In the first experiment, the first component of the chained schedule was correlated with a fixed-interval schedule; in the second experiment it was correlated with a variable-interval schedule. In both experiments, behavioral contrast was demonstrated in the second component of the chained schedule. Compared to the rate of responding on the food-reinforcement schedule when it had operated in isolation, the rate of responding on the food-reinforcement schedule when it was correlated with the second component was higher, while the rate on the schedule of the first component was lower. The results are discussed with reference to the determinants of contrast.     

Providers’ Perceptions and Practices Regarding <Emphasis Type="BoldItalic">BRCA1/2</Emphasis> Genetic Counseling and Testing in African American Women

We examined healthcare providers’ perceptions of genetic counseling and testing in African American women at moderate to high-risk of carrying a BRCA1/2 mutation. We conducted 20 in-depth interviews with genetic counselors (n = 5), medical oncologists (n = 8), obstetrician/gynecologists (n = 2) and surgeons (n = 5). Interviews were audiotaped, transcribed and independently coded by two individuals using a content analysis approach. Seven themes emerged relevant to providers’ perceptions of African American women’s use of BRCA1/2 genetic services: access factors, cultural beliefs and preferences, effects of testing, patient motivators for genetic counseling and testing, patient-provider communication, reasons for provider referral, and reasons for patient refusal. Providers identified individual- and system-level barriers to African American women’s use of genetic services, including lack of follow-up after referrals to genetic specialists and challenges to obtaining financial coverage for under- and uninsured high-risk women. Results have implications for physician and patient education regarding appropriate referrals to and uptake of genetic services in at-risk African American women.     

HIV infection associated post-traumatic stress disorder and post-traumatic growth--a systematic review

The phenomenon of post-traumatic stress has been well documented in the literature as a lasting mental health condition associated with exposure to traumatic life events. The diagnosis and experience of human immunodeficiency virus (HIV) disease may be such a trauma. On the other hand, the phenomenon of post-traumatic growth (PTG) has been described, whereby people show positive mental health growth in the face of such trauma. This systematic review was set out to explore post-traumatic stress disorder (PTSD) and PTG in people with HIV to monitor prevalence, measurement and efficacy of interventions to reduce stress and/or promote growth. Standardised review techniques were used to track reports on both PTSD and PTG. A total of 206 papers were retrieved from the PTSD and HIV searches, and 13 from the PTG and HIV searches. After reviewing the papers for inclusion according to adequacy and relevance criteria and to remove duplicates, 33 PTSD papers and three PTG were available for full coding. Prevalence of PTSD in HIV ranged from 5% to 74%, which were much greater than the 7-10% in the general population. Seven studies showed a relation between trauma and PTSD, while six showed a link between PTSD diagnosis and reduced antiretroviral treatment adherence. Women were more likely to be diagnosed with PTSD. Only three intervention reports were identified that fitted our inclusion criteria. All of these reported on psychological interventions for HIV+?individuals with trauma. The interventions utilised HIV education, training in coping techniques and support groups. Only coping interventions were shown to be effective. PTG was under researched but showed a promising avenue of study. There needs to be harmonised measurement and the evidence base would need strengthening in order to build on the understanding of the impact of PTSD and PTG over the course of HIV disease. There is good evidence to associate HIV diagnosis and experiences during the course of illness as traumatic. PTSD has been shown to be prevalent and there seems to be good evidence to incorporate standardised measures to track the course of the disorder. There is extremely limited evidence that interventions may affect the course of symptom experience. The evidence and insight into PTG show promise but is currently inadequate.     

A systematic review of interventions for anxiety in people with HIV

People with human immunodeficiency virus (HIV) show elevated anxiety levels compared to the general population. Anxiety can predate HIV infection or be triggered by HIV diagnosis and the many stresses that emerge during the course of HIV disease. Many psychological and pharmacological therapies have been shown to treat anxiety in the general population but a systematic understanding of which interventions have been tested in and are effective with HIV-seropositive individuals is needed. This review examines all published intervention studies on anxiety and HIV from 1980 to 2009 covered by the databases MedLine (1980-2009) and PsycINFO (1980-2009) for a definitive account of effectiveness of interventions and an indication of prevalence of HIV-related anxiety and measurement within studies. Standard systematic research methods were used to gather quality published papers on HIV and anxiety, searching published data bases according to quality inclusion criteria. From the search, 492 papers were generated and hand searched resulting in 39 studies meeting adequacy inclusion criteria for analysis. Of these, 30 (76.9%) were implemented in North America (the USA and Canada), with little representation from developing countries. Thirty-three (84.6%) studies recruited only men or mostly men. A total of 50 interventions were investigated by the 39 studies; 13 targeted HIV, symptoms or associated outcomes/conditions, 20 directly targeted anxiety and another 17 indirectly targeted anxiety. Twenty-four (48%) interventions were effective in reducing anxiety (including 11 indirect interventions), 16 (32%) were ineffective and 10 (20%) had an unknown effect on anxiety. Sixty-five percent of interventions directly targeting anxiety were effective. Psychological interventions (especially cognitive behavioural stress management interventions and cognitive behavioural therapy) were generally more effective than pharmacological interventions. Only three studies provided prevalence rates - these ranged from 13% to 80%. Anxiety was measured using 16 different instruments. Our detailed data suggest that interventions are both effective and available, although further research into enhancing efficacy would be valuable. Also, the vast majority of studies were Western-based, no studies looked at children or adolescents and few looked specifically at women. An international effort to harmonise measurement of anxiety is also missing. There is a need to routinely log anxiety in those with HIV infection during the course of their disease, to provide specific data on women, young people and those in diverse geographic areas and incorporate management into care protocols.     

Does the pot melt,boil, or brew? Black children and white assessment procedures

The experiences Black youths bring to school with them constitute a distinctive, viable culture. Their subsequent performance in educational and psychological testing situations cannot be assessed adequately without consideration of their particular attitudes, perceptions, and behavioral patterns, for all of these are determined by a kind of cultural conditioning which differs, in some fundamental ways, from mainstream Americans. Several of the social and psychological characteristics of Black culture are discussed. Included are Blacks' attitudes toward whites, systems of time allocations, expressions of identity, attitudes toward learning, dissemination of information among Blacks, Black learning styles and maturation processes. Each is discussed further in terms of its manifestation in a testing or assessment situation; how it conflicts with the assessor's orientations and expectations; and how distorted, unreliable evaluations result from the failure of assessors to consider implications of cultural relativism in interpreting Black behavior.