Belief in Absolute Necessity

We outline a theory of the cognitive role of belief in absolute necessity that is normative and intended to be metaphysically neutral. We take this theory to be unique in scope since it addresses simultaneously the questions of how such belief is (properly) acquired and of how it is (properly) manifest. The acquisition and manifestation conditions for belief in absolute necessity are given univocally, in terms of complex higher‐order attitudes involving two distinct kinds of supposition (A‐supposing and C‐supposing). It is subsequently argued that the proposed acquisition and manifestation conditions are rationally interdependent, and that such harmony affords explanations of connections between different facets of belief in necessity that otherwise remain mysterious.     

Tests of Measurement Invariance Without Subgroups: A Generalization of Classical Methods

The issue of measurement invariance commonly arises in factor-analytic contexts, with methods for assessment including likelihood ratio tests, Lagrange multiplier tests, and Wald tests. These tests all require advance definition of the number of groups, group membership, and offending model parameters. In this paper, we study tests of measurement invariance based on stochastic processes of casewise derivatives of the likelihood function. These tests can be viewed as generalizations of the Lagrange multiplier test, and they are especially useful for: (i) identifying subgroups of individuals that violate measurement invariance along a continuous auxiliary variable without prespecified thresholds, and (ii) identifying specific parameters impacted by measurement invariance violations. The tests are presented and illustrated in detail, including an application to a study of stereotype threat and simulations examining the tests’ abilities in controlled conditions.     

A Model for Communication Skills Group Using Structured Exercises and Audiovisual Equipment

Long-term psychiatric patients who are transitioning out of the hospital often lack the social skills necessary to adapt to work and leisure situations. The behaviors that are appropriate in a hospital environment are radically different from behaviors expected in the community. This paper describes a short-term, 12-session, audio-visual group developed for an inpatient psychiatric population. The group's purpose is to provide a laboratory for members to look at their interactional styles and to develop improved social skills. Focused feedback and videotaped exercises allow group members to do this within a supportive atmosphere. The tasks introduced are designed to coincide with the developmental states of the short-term group. As the sessions proceeded, we utilized sequential exercises that would help members to feel safe, to problem solve as a group, and to practice communication skills.     

Frontal-Striatal Circuits in Cognitive Aging: Evidence for Caudate Involvement

Changes in cognition with aging have been claimed to be due in large part to a decline in frontal lobe function. However, at our present state of knowledge, the emphasis on the frontal lobes to the exclusion of the rest of the frontal-striatal circuits of which they are a part is unwarranted. To argue this point, I consider another anatomical candidate within these circuits, the caudate. Evidence is presented that the caudate decreases in size with age as much as the frontal lobes and that damage to either the frontal lobes or the caudate is accompanied by declines in inhibitory processes, executive control, and cognitive speed similar to those seen in normal aging. Separating the unique contributions of the frontal lobes and the caudate to these circuits is difficult but should be the focus of future studies of the biological basis of cognitive aging.     

The distribution of early childhood memories

The quantitative distribution of autobiographical memories for the first decade of life is described. The distribution, based on over 11,000 autobiographical memories from age 10 and younger from published studies, is nearly identical for males and females, for participants of different ages, and for different methods of collecting data, including using words to cue memories from anywhere in the lifespan or from just the childhood years, exhaustive listing of all early memories, and interviews.     

Hindsight bias in political elections

Two studies on political hindsight bias were conducted on the occasions of the German parliament election in 1998 and the Nordrhein-Westfalen state parliament election in 2000. In both studies, participants predicted the percentage of votes for several political parties and recalled these predictions after the election. The observed hindsight effects were stronger than those found in any prior study on political elections (using percentage of votes as the dependent variable). We argue that the length of the retention interval between original judgement and recollection is mainly responsible for this difference. In our second study, we investigated possible artifacts in political hindsight biases using a control-group design where half of the participants recalled their predictions shortly before or after the election. Hindsight bias was preserved, reinforcing the results of earlier studies with non-control-group designs. Finally, we discuss the possibility that the hindsight experience (in political judgement and in general) actually consists of three different, partly independent components.     

Measuring health status and quality of life in HIV and AIDS

Abstract

HIV can diminish quality of life profoundly, and it is important to understand and measure such effects of HIV and its treatments Although the term quality of life is commonly used, “health status” more accurately describes dimensions that are directly health related and that may be affected by traditional interventions. There is a substantial literature on general health status measurement, and several of the most established measures have been applied or adapted for use in HIV infected populations These measures include the Medical Outcomes Study health ratings, the Quality of Well-Being scale, and the Sickness Impact Profile. Cancer-specific measures such as the EORTC Quality of Life Core Questionnaire and the CARES have also been adapted. In the last three years, health status measures for HIV have been completed by several thousand patients, and have generally proved to be reliable and valid indicators of relevant clinical differences such as disease stage, numbers of symptoms, and other psychometic measures of disability and distress. Health status measures were included in a few completed clinical trials, and are being incorporated in a growing number of antiretroviral and antimicrobial studies. Health status measures provide the best way to evaluate psychosocial interventions directly aimed at improving patients' quality of life. Although challenges remain in further developing health status measures for HIV disease and in applying them, measurement of these concepts has proved to be both technically and operationally feasible. Measures of health status and quality of life can play an important role in the evaluation of clinical treatments in research studies, directing clinical treatment, assessing changes in health care delivery, and planning health care services.     

‘Use what God has given me’: Difference and disparity in breast reconstruction

African-American women are significantly less likely to undergo postmastectomy breast reconstruction compared to white women in the USA. These observed differences have been interpreted as evidence of a healthcare disparity. The current study examines breast reconstruction decision-making among African-American women, locating reconstruction decisions in a context of culture, racial inequality and biomedicalisation. Semi-structured interviews were conducted with 27 African-American women who underwent mastectomy for breast cancer to add patient-centred perspectives to existing conceptualisations of racial/ethnic differences in reconstruction. Participants were socio-demographically diverse, and resided in the New York metropolitan area. Data analysis was informed by grounded theory. Spiritually and culturally informed body ethics often guided surgery decisions. Participants expressed reservations about breast implants, preferring autologous procedures that use ‘what God has given’. For some, breast reconstruction restored a sense of normalcy after cancer; others challenged an imperative to reconstruct. Several participants redirected our focus on access to reconstruction toward access to alternatives, noting the low reimbursement for prostheses, or their unavailability in patients’ skin tones. We suggest that a framework of ‘stratified biomedicalization’ better addresses the complexities of race, class and gender that inform preference, access and recommendations for breast reconstruction, and focuses attention on access to high and low-tech interventions.     

Now you see it,now you don't: Explaining inconsistent evidence on gender stereotyping of newborns

Parental gender‐stereotyped perceptions of newborns—particularly their physical characteristics—have been discussed as important determinants of sex role socialization from birth on. However, corresponding empirical evidence is inconclusive. We propose that inconsistent findings on gender‐correlated perceptions are due to whether or not actual physical differences between newborn girls and boys are properly (statistically or experimentally) taken into account. In our study, 55 mother–father pairs rated both their own and two unknown newborns, labeled either female or male. Although we successfully replicated the typical gender‐correlated perceptions of own newborns' physical characteristics, all effects were explainable by actual physical sex differences in length and weight at birth. Similarly, no gender‐specific rating differences emerged as a function of labeled gender of unknown children matched in actual physical characteristics. Altogether, the findings demonstrate the vital importance of considering existing sex differences between newborn girls and boys for drawing valid conclusions on gender stereotyping of newborns.