A randomized clinical trial of a manual-guided risk reduction intervention for HIV-positive injection drug users.

This study randomized 90 HIV-seropositive, methadone-maintained injection drug users (IDUs) to an HIV Harm Reduction Program (HHRP+) or to an active control that included harm reduction components recommended by the National AIDS Demonstration Research Project. The treatment phase lasted 6 months, with follow-ups at 6 and 9 months after treatment entry. Patients in both treatments showed reductions in risk behaviors. However, patients assigned to HHRP+ were less likely to use illicit opiates and were more likely to adhere to antiretroviral medications during treatment; at follow-up, they had lower addiction severity scores and were less likely to have engaged in high risk behavior. Findings suggest that enhancing methadone maintenance with an intervention targeting HIV-seropositive IDUs increases both harm reduction and health promotion behaviors.     

The Reality Principle: Fanonian Undoing,Unlearning, and Decentering: A Discussion of “Fanon’s Vision of Embodied Racism for Psychoanalytic Theory and Practice”

This response argues that attention to the ideological misattunements in psychoanalytic work helps us move beyond the symbolic—and that which it hides—into the real, material implications for our patients. By discussing Waverley’s hyper-corporality especially in relation to Knoblauch, his White analyst, we can mark a real vs. symbolic recognition of the expansiveness of Whiteness and the ways in which it aims to recenter itself in our theory, practice, and training. More specifically, using Knoblauch’s (this issue) moving account of a moment of “misrecognition,” this response takes up the ways in which Whiteness materializes an ideological apparition that aims to invert the visible-invisible spectrum.     

Longitudinal Relationships Between Positive Affect,Loneliness, and Suicide Ideation: Age‐Specific Factors in a General Population

The aims of this study were to analyze whether positive and negative affect, social support, and loneliness are factors longitudinally related to suicide ideation in the general population in different age groups. A total of 2,392 individuals from a nationally representative sample of the Spanish general population were evaluated in 2011–2012 and in 2014–2015. After including relevant control variables in the analyses, lower positive affect was prospectively related to ideation in 18‐ to 59‐year‐old individuals, whereas feelings of loneliness were related to ideation in 60‐year‐and‐older individuals. Social support was not associated with suicide ideation in any age group. These results are in line with the need for age‐tailored suicide prevention programs. The present findings might also suggest that health care professionals should consider feelings of loneliness rather than social support to assess the presence of suicide ideation in older people.     

Kant's Ethics and Duties to Oneself

Abstract: This paper investigates the nature and foundation of duties to oneself in Kant's moral theory. Duties to oneself embody the requirement of the formula of humanity that agents respect rational nature in them-selves as well as in others. So understood, duties to oneself are not subject to the sorts of conceptual objections often raised against duties to oneself; nor do these duties support objections that Kant's moral theory is overly demanding or produces agents who are preoccupied with their own virtue. Duties to oneself emerge as an essential and compelling part of Kant's moral theory.