Treatment of Comorbid Conduct Problems and Depression in Youth: A Pilot Study

The purpose of this study was to pilot a cognitive behavioral treatment protocol for adolescents with co-occurring conduct problems and depression. A non-concurrent multiple baseline design was used to assess the effectiveness of the intervention. A sample of five adolescents, aged 11 to 14 years, participated; all five families completed the protocol. Results indicated that symptoms of oppositionality were significantly reduced. Moreover, maternal ratings suggested significant improvements in emotion regulation in their children and cohesion in the family. However, symptoms of depression showed little improvement. Results of this study have implications for improving treatment outcomes for youth with these comorbid conditions and may lead to increased conceptual understanding of these comorbid problems.     

Affective and cognitive attitudes,uncertainty avoidance and intention to obtain genetic testing: An extension of the Theory of Planned Behaviour

To ensure successful implementation of genetic screening and counselling according to patients best interests, the attitudes and motives of the public are important to consider. The aim of this study was to apply a theoretical framework in order to investigate which individual and disease characteristics might facilitate the uptake of genetic testing. A questionnaire using an extended version of the Theory of Planned Behaviour was developed to assess the predictive value of affective and cognitive expected outcomes, subjective norms, perceived control and uncertainty avoidance on the intention to undergo genetic testing. In addition to these individual characteristics, the predictive power of two disease characteristics was investigated by systematically varying the diseases fatality and penetrance (i.e. the probability of getting ill in case one is a mutation carrier). This resulted in four versions of the questionnaire which was mailed to a random sample of 2400 Norwegians. Results showed genetic test interest to be quite high, and to vary depending on the characteristics of the disease, with participants preferring tests for highly penetrant diseases. The most important individual predictor was uncertainty avoidance.     

Rumination is characterized by valence-specific impairments in switching of attention

The ability to flexibly switch attention between emotional and non-emotional information in working memory is considered important in stress-resilience and is impaired in mood disorders. A recent theory claims that this component of attention is specifically related to ruminative thought. To further investigate this claim we report two new experiments using the internal shift task (IST). In Experiment 1 (N = 27) we examined the stability of switching ability measured using the IST through examination of internal consistency (stability within the task) and test–retest-reliability (stability over time) over two weeks. Results indicate relatively high stability of switching ability measured with the IST. In Experiment 2 the IST was administered to a pre-selected undergraduate sample of high (N = 20) and low ruminators (N = 20). The main findings were that rumination was related to attentional switching impairments, specifically in the context of emotional information. The switching impairments were most pronounced when negative information was held in working memory. The attentional switching impairments were most strongly related to the depressive brooding component of rumination. The results of this study lend further support to the proposed link between rumination and switching abilities.     

The influence of working memory on the anger superiority effect

The anger superiority effect shows that an angry face is detected more efficiently than a happy face. However, it is still controversial whether attentional allocation to angry faces is a bottom-up process or not. We investigated whether the anger superiority effect is influenced by top-down control, especially working memory (WM). Participants remembered a colour and then searched for differently coloured facial expressions. Just holding the colour information in WM did not modulate the anger superiority effect. However, when increasing the probabilities of trials in which the colour of a target face matched the colour held in WM, participants were inclined to direct attention to the target face regardless of the facial expression. Moreover, the knowledge of high probability of valid trials eliminated the anger superiority effect. These results suggest that the anger superiority effect is modulated by top-down effects of WM, the probability of events and expectancy about these probabilities.     

Historicizing the Role of Psychologists in the U.S. Military: Introduction to Issue on Coercive Interrogations and the Mental Health Profession

This special issue addresses the disturbing events that emerged in the aftermath of 9/11 in the United States with regard to the role of mental health professionals in coercive interrogations of detainees held in detention centers and military “black sites.” While other professional associations condemned such practices, the American Psychological Association maintained a position of collaboration, despite activist members' protests.

These events will be examined in an effort to reconstitute our history as a profession through the actions of what Freud called “nachtraeglichkeit’, (deferred action) in which the unassimilated experiences of the past relationship between psychology and the military will be used to transform our perceptions and future directions. This introduction also summarizes the papers in this issue. These include a history of the interrogation practices and the controversy within the APA; a history of the long-standing relationship between the profession of psychology and government, military, and intelligence organizations; analyses of the psychology of torture and evidence of how this psychology is manifested in the consulting room; a comparison of psychological structures within the population and mental health professions in the United States today and Argentina during recent totalitarian regimes; and an interview with Robert Lifton, eminent psychohistorian, psychiatrist and political activist.     

Zoos’ and Aquariums’ Impact and Influence on Connecting Families to Nature: An Evaluation of the Nature Play Begins at Your Zoo & Aquarium Program

Abstract

Zoos and aquariums can be an instrumental avenue for connecting children to nature, thereby contributing to the development of conservation values and environmental stewardship. Survey data from 210 participants from nature play programs at 21 zoo and aquarium sites suggest visitors were more likely to spend time in nature in the future and felt better able to overcome barriers to spending time in nature as a result of their participation. Results suggest perceptions of effectiveness, strength of barriers, and effective strategies varied based on prior participation in nature, with participants not yet engaged in nature-based recreation perceiving the barriers as stronger and participants already nature-engaged perceiving the programs as more effective. For families who are not yet spending time in nature, results suggest the importance of helping families overcome barriers, as well as the importance of programs taking place in natural, less-maintained outdoor settings. Strengthening beliefs regarding the importance of time in nature seems to be an important strategy when working with families who already are spending some time in nature.     

A diptych reading of Christ’s transfiguration: trans and intersex aesthetics reveal baptismal identity

ABSTRACT

The synoptic Gospels describe Jesus Christ’s transfiguration not as a mode of ontological change, but rather as a means of revelation – that he is the second person of the Trinity. Through a diptych reading of Christ’s transfiguration and crucifixion, I argue that those who experience hate crimes share in Christ’s misrecognition in the midst of revealing truth, which can result in violence and death. Additionally, I offer a constructive, biblical theology of trans and intersex aesthetics that runs counter to neoliberal identity politics by illuminating how the bodily presentation of trans and intersex persons of faith reveal a baptismal truth – that through Christ humanity is adopted as co-heirs with him.     

Agent-causation and agential control

According to what I call the reductive standard-causal theory of agency, the exercise of an agent's power to act can be reduced to the causal efficacy of agent-involving mental states and events. According to a non-reductive agent-causal theory, an agent's power to act is irreducible and primitive. Agent-causal theories have been dismissed on the ground that they presuppose a very contentious notion of causation, namely substance-causation. In this paper I will assume, with the proponents of the agent-causal approach, that substance-causation is possible, as I will argue against that theory on the ground that it fails as a theory of agency. I will argue that the non-reductive agent-causal theory fails to account for agency, because it fails to account for agential control: it cannot explain why the stipulated irreducible relation between the agent and an action constitutes the agent's exercise of control over the action. This objection, I will argue, applies to the agent-causal theory in particular, and to the non-reductive approach in general.     

Efficacy of an early intervention based on acceptance and commitment therapy for adults with depressive symptomatology: Evaluation in a randomized controlled trial

Objective

The current study examined the efficacy of an early intervention based on acceptance and commitment therapy (ACT) for depressive symptomatology. The ACT intervention is aimed at increasing the acceptance of negative thoughts and emotions and living a mindful and value-based life.

Method

Adults with mild to moderate depressive symptomatology were randomly assigned to the ACT intervention (n = 49) or to a waiting list (n = 44). The mean age of the participants was 49 years. The majority of the participants was female and of Dutch origin. All the participants completed measures before and after the intervention, as well as three months later at follow-up to assess depression (CES-D), anxiety (HADS-A), fatigue (CIS), alcohol use and acceptance (AAQ-II).

Results

The ACT intervention led to statistically significant reduction in depressive symptomatology (Cohen’s d = .60). These reductions were maintained at the three-month follow-up. Also significant reductions in anxiety and fatigue were observed. Moreover, mediational analysis showed that the improvement of acceptance during the intervention mediated the effects of the intervention on depressive symptomatology at follow-up.

Conclusion

These findings suggest that an early intervention based on ACT, aimed at increasing acceptance, is effective in reducing depressive symptomatology.