Alcohol-Induced Amnesia and Personalized Drinking Feedback: Blackouts Predict Intervention Response

Alcohol-induced amnesia (“blackout”) is a reliable predictor of alcohol-related harm. Given its association with other negative consequences, experience of alcohol-induced amnesia may serve as a teachable moment, after which individuals are more likely to respond to intervention. To test this hypothesis, alcohol-induced amnesia was evaluated as a moderator of brief intervention effect on (a) alcohol-related consequences and (b) the proposed intervention mediators, protective behavioral strategies and peak blood alcohol concentration (BAC). Baseline alcohol risk measured using the Alcohol Use Disorders Identification Test (AUDIT) was also evaluated as a moderator to rule out the possibility that amnesia is simply an indicator of more general alcohol risk. College students (N = 198) reporting alcohol use in a typical week completed assessments at baseline and 1-month follow-up as part of a larger intervention trial. Participants were randomized to assessment only (AO; n = 58) or personalized feedback intervention (PFI; n = 140). Hierarchical regression was used to examine direct and indirect intervention effects. A significant group-by-amnesia interaction revealed that only PFI participants who had experienced alcohol-induced amnesia in the past month reported decreases in alcohol consequences at 1-month follow-up. The PFI reduced alcohol-related consequences indirectly through changes in peak BAC, but only among those who had experienced amnesia at baseline. In contrast, baseline alcohol risk (AUDIT) did not moderate intervention effects, and use of protective behavioral strategies did not statistically mediate intervention effects. Findings suggest that loss of memory for drinking events is a unique determinant of young adult response to brief alcohol intervention. Normative feedback interventions may be particularly effective for individuals who have experienced alcohol-induced amnesia in the past 30 days.     

Trait self-control and beliefs about the utility of emotions for initiatory and inhibitory self-control

How do people with high trait self-control achieve their success? This research aimed to investigate beliefs about emotion utility as a potential mechanism. Specifically, because beliefs about the utility of emotions predict emotion regulation and successful performance, we investigate the hypothesis that trait self-control influences beliefs about the utility of emotions for self-control. Two preregistered studies examined whether beliefs about the utility of emotions in everyday self-control situations varied depending on the person (trait self-control) and the situation (initiatory or inhibitory self-control). Our key finding was that people considered positive emotions more useful for self-control than negative emotions. This effect was also moderated by situational and individual factors, such that positive emotions were considered especially useful by participants with high trait self-control and in situations requiring initiatory self-control (with the opposite effect for negative emotions). This research suggests a potential role for instrumental emotion regulation in self-control success.     

A Qualitative Assessment of the Sex Education Needs of Married Iranian Women

Despite a comprehensive reproductive health program there is little sex education available in Iran. In this article we present results of a study conducted to identify content area for a proposed sex education program for married Iranian women. Twenty-one married female clients (23–45 years) and 18 reproductive health providers, recruited from urban health clinics in Tehran using non-probability sampling, participated in four focus group discussions. Sexual health information needs related to reproductive tract and sexually transmitted infections, “acceptability” of certain sexual practices such as oral and anal intercourse, and the sexual response cycles and physiology of men and women. Women’s sexual concerns related to communication, incompatibility of sexual interests and desire, and their ability to maintain a strong marriage. Two themes cut across women’s responses to all questions: modesty and maintaining a strong marriage. Results contributed to the design of a sex education program that addressed the specific information needs and concerns of Iranian women.     

Investigating the time course of tactile reflexive attention using a non-spatial discrimination task

Peripheral cues are thought to facilitate responses to stimuli presented at the same location because they lead to exogenous attention shifts. Facilitation has been observed in numerous studies of visual and auditory attention, but there have been only four demonstrations of tactile facilitation, all in studies with potential confounds. Three studies used a spatial (finger versus thumb) discrimination task, where the cue could have provided a spatial framework that might have assisted the discrimination of subsequent targets presented on the same side as the cue. The final study circumvented this problem by using a non-spatial discrimination; however, the cues were informative and interspersed with visual cues which may have affected the attentional effects observed. In the current study, therefore, we used a non-spatial tactile frequency discrimination task following a non-informative tactile white noise cue. When the target was presented 150 ms after the cue, we observed faster discrimination responses to targets presented on the same side compared to the opposite side as the cue; by 1000 ms, responses were significantly faster to targets presented on the opposite side to the cue. Thus, we demonstrated that tactile attentional facilitation can be observed in a non-spatial discrimination task, under unimodal conditions and with entirely non-predictive cues. Furthermore, we provide the first demonstration of significant tactile facilitation and tactile inhibition of return within a single experiment.     

Application of a family systems approach to working with people affected by HIV disease – two case studies

HIV infection, with its particular modes of transmission, affects relationships, interrupts the normal life-cycle and brings different challenges to patients and their contacts as they pass through the asymptomatic and symptomatic phases to the terminal stages of illness. This paper describes a family systems approach to therapy with people affected by HIV disease, illustrated by two case examples.     

Development of the appearance-reality distinction

Young children can express conceptual difficulties with the appearance-reality distinction in two different ways: (1) by incorrectly reporting appearance when asked to report reality (“phenomenism”); (2) by incorrectly reporting reality when asked to report appearance (“intellectual realism”). Although both phenomenism errors and intellectual realism errors have been observed in previous studies of young children's cognition, the two have not been seen as conceptually related and only the former errors have been taken as a symptom of difficulties with the appearance-reality distinction. Three experiments investigated 3- to 5-year-old children's ability to distinguish between and correctly identify real versus apparent object properties (color, size, and shape), object identities, object presence-absence, and action identities. Even the 3-year-olds appeared to have some ability to make correct appearance-reality discriminations and this ability increased with age. Errors were frequent, however, and almost all children who erred made both kinds. Phenomenism errors predominated on tasks where the appearance versus reality of the three object properties were in question; intellectual realism errors predominated on the other three types of tasks. Possible reasons for this curious error pattern were advanced. It was also suggested that young children's problems with the appearance-reality distinction may be partly due to a specific metacognitive limitation, namely, a difficulty in analyzing the nature and source of their own mental representations.