A Propensity Score Analysis of Homework Adherence-Outcome Relations in Cognitive Behavioral Therapy for Depression

Little is known about whether or not a consistently high level of homework adherence over the course of therapy benefits patients. This question was examined in two samples of patients who were receiving individual Cognitive Behavioral Therapy (CBT) for depression (Ns = 128 [Sequenced Treatment Alternatives to Relieve Depression: STAR-D] and 183 [Continuation Phase Cognitive Therapy Relapse Prevention: C-CT-RP]). Logistic and linear regression and propensity score models were used to identify whether or not clinician assessments of homework adherence differentiated symptom reduction and remission, as assessed by the Hamilton Depression Rating Scale-17 (HDRS-17), the Quick Inventory of Depressive Symptomatology–Self-Reported Scale (QIDS-SR), and the QIDS–Clinician Scale (QIDS-C). CBT-related response and remission were equally likely between both high and low homework adherers in both studies and in all models. But in propensity adjusted models that adjusted for session attendance, for both the STAR-D and C-CT-RP samples, greater homework adherence was significantly associated with greater response and remission from depression in the first and last 8 sessions of CBT. Our results suggest that homework adherence can account for response and remission early and late in treatment, with adequate session attendence.     

Negation on the Australian Plan

Journal of Philosophical Logic - We present and defend the Australian Plan semantics for negation. This is a comprehensive account, suitable for a variety of different logics. It is based on two...     

The Political Activity of Evangelical Clergy in the Election of 2000: A Case Study of Five Denominations

This article focuses on the political participation of ministers from five evangelical Protestant denominations that differ in theology, polity, and history. Despite such differences, these clergy respond to political influences in much the same fashion. We find that the standard theories of political participation have varying success in accounting for their political involvement. Sociodemographic explanations provide little help, but psychological engagement with politics has more explanatory power. Professional role orientations are the best predictors of actual participation. And the clergy who see moral reform issues as the most important confronting the country—and who hold conservative views on such issues—are most likely to become engaged. Finally, membership in Christian Right organizations serves to elicit more activity than might occur if ministers were left to internally motivated participation. Despite the emphasis on other contextual variables in some work on clerical politics, we find that communications exposures, congregational influences, and even the support of clerical colleagues have very limited independent effects on political involvement.     

Reasons Explanations and Pure Agency

We focus on the recent non-causal theory of reasons explanationsof free action proffered by a proponent of the agency theory, Timothy O'Connor. We argue that the conditions O'Connor offersare neither necessary nor sufficient for a person to act for a reason. Finally, we note that the role O'Connor assigns toreasons in the etiology of actions results in further conceptual difficulties for agent-causalism.     

Regularity effects in word naming: What are they?

In a word-naming experiment, word-body consistency was crossed with grapheme-to-phoneme regularity to test predictions of current models of word recognition. In the latency and error data, a clear effect of consistency was observed, with the influence of regularity somewhat weaker. In addition, simulation data from three contemporary models of word recognition were obtained for the stimuli used in the experiment in order to compare the models' latencies with those of humans. The simulations showed that the human latency data are most consistent with the parallel-distributed-processing model of Plaut, McClelland, Seidenberg, and Patterson (1996), less so with the dual-process model (Zorzi, Houghton, & Butterworth, 1998), and least so with the dual-route-cascaded model (Coltheart & Rastle, 1994).     

Online measures of basic language skills in children with early focal brain lesions

Twenty children with early focal lesions were compared with 150 age-matched control subjects on 11 online measures of the basic skills underlying language processing, a digit span task, and 6 standardized measures. Although most of the children with brain injury scored within the normal range on the majority of the tasks, they also had a disproportionately high number of outlier scores on the reaction time tests. This evidence for a moderate impairment of the basic skills underlying language processing contrasts with other evidence suggesting that these children acquire normal control of the functional use of language. Furthermore, these children scored within the normal range on a measure of general cognitive ability, suggesting that there is no particular sparing of linguistic functions at the expense of general cognitive functions. Using the MPD procedure (Valdés-Pérez & Pericliev, 1997), we found that the controls and the five clinical groups could be best distinguished with two measures of online processing (word repetition and visual number naming) and one standardized test subcomponent (the CELF Oral Directions subtest). The 12 children with left hemisphere lesions scored significantly lower than the 8 other children on the CELF-RS measure. Within the group of children with cerebral infarct, the nature of the processing disability could be linked fairly well to site of lesion. Otherwise, there was little relation between site or size of lesion and the pattern of deficit. These results support a model in which damage to the complex functional circuits subserving language leads to only minor deficits in process efficiency, because of the plasticity of developmental processes.     

Perception of animacy from the motion of a single object

We demonstrate that a single moving object can create the subjective impression that it is alive, based solely on its pattern of movement. Our displays differ from conventional biological motion displays (which normally involve multiple moving points, usually integrated to suggest a human form) in that they contain only a single rigid object moving across a uniform field. We focus on motion paths in which the speed and direction of the target object change simultaneously. Naive subjects' ratings of animacy were significantly influenced by (i) the magnitude of the speed change, (ii) the angular magnitude of the direction change, (iii) the shape of the object, and (iv) the alignment between the principal axis of the object and its direction of motion. These findings are consistent with the hypothesis that observers classify as animate only those objects whose motion trajectories are otherwise unlikely to occur in the observed setting.