Development and Implementation of a Transdiagnostic,Stepped-Care Approach to Treating Emotional Disorders in Children via Telehealth

Stepped-care interventions may increase the accessibility of evidence-based treatments but remain relatively underexplored in the child mental health literature. Further, while the feasibility and efficacy of stepped-care interventions have been examined for specific diagnoses or classes or disorders, transdiagnostic stepped-care interventions have not yet been developed. We discuss the development and initial implementation of a transdiagnostic approach to emotional disorders using the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C; Ehrenreich-May et al., 2018). A case series is presented to illustrate the delivery of UP-C stepped care (UPC-SC) via telehealth, using a collaborative decision-making process to inform step-up/step-down decisions. Lessons learned are discussed to guide refinements of UPC-SC and inform a larger trial.     

Effect of social organisation on interspecific differences in overmarking behaviour of foals in African equids

Animal Cognition - Overmarking remains an unstudied topic in juvenile mammals. We have previously documented a very high rate of overmarking by foals in four captive African equid species: mountain...     

Sexual equality,male superiority,and Korean women in politics: Changing gender relations in a “patriarchal democracy”

As a newly industrialized country Korean society may be characterized as a patriarchal democracy, where the Western democratic principle of sexual equality and the traditional Confucian ideology of male superiority contradict each other and complicate the behavioral rules for gender relations. This paper explores the processes of social change in gender relations by examining organizational patterns of social actions of individuals in male-female interactions in South Korea, with a focus on the experiences of women in politics. The analysis suggests the emerging pattern of gender relations in Korean society is a compartmentalized gender schema that is fluid and situationally defined by the individual's nunch'i (tact or savoir-faire).The research on which this paper is based was funded by grants from the National Science Foundation and the East-West Center. I am grateful to the two institutions. Special thanks are also due to Jerry Boucher, Jon McGee, and an anonymous reviewer for their helpful comments on early versions of this paper.     

Relativity of judgements about sound amplitude and the asymmetry of the same-different ROC

The problem of deciding whether two things are the same or different in magnitude can be solved by judging one magnitude relative to the other, or by making absolute judgements about the magnitude of each. The shape of the resulting receiver operating characteristic depends on which solution is adopted. In order to obtain empirical receiver operating characteristics, we therefore had subjects rate their confidence that two tone amplitudes were the same or different. Four subjects each made 500 ratings of three differences in amplitude. The asymmetry in the obtained characteristics indicated that subjects made relative rather than absolute judgements of the amplitudes, despite the fact that making absolute judgements would lead to better performance on the task.     

Exploring New and Renewed Eco‐Spiritualities

This essay discusses five recent books, written in French, that contribute to refection in environmental ethics. Francophone literature on the topic is marked by resonant and divergent concerns, and rooted in a geography, politics, and history different from North America and marked by distinctive lines of intellectual influence. Jean‐Claude Eslin proposes recovering ecological resources from the Christian tradition and also suggests imagining new images of God: notably, God as pilote rather than artisan. Dominique Bourg takes a multi‐disciplinary approach that emphasizes the spiritual conditions for relating to the world ecologically and economically; he argues for sobriété (austerity) as a spiritual disposition and an economic model. Baptiste Morizot develops diplomacy as an ethical, political, and spiritual model for cohabiting with wolves, whose return to the French countryside has been highly controversial. Nastassja Martin offers an anthropological study of the indigenous Gwich’in community of Fort Yukon, Alaska that accentuates the mix of Protestant missional influences and Gwich’in spiritual affirmations and practices at play in their relationship to the nonhuman world. Attending to this literature may helpfully decenter anglophone debates and enrich their conceptual vocabulary.     

Patient-Informed Treatment Development of Behavioral Smoking Cessation for People With Schizophrenia

The objective of this study was to use qualitative methodology to tailor and refine an existing smoking cessation intervention for the population of people who use cigarettes and are diagnosed with schizophrenia, schizoaffective, or psychotic disorder. Successive cohort design methodology was used to iteratively modify the treatment in response to qualitative participant, therapist, and consultant feedback on the intervention. Qualitative methodology for participant feedback included analysis of semistructured interviews with participants, visualization of app utilization data, and stakeholder feedback from study therapists and consultants. Using the successive cohort design, a tailored multicomponent mobile health smoking cessation intervention was developed. The intervention included mobile contingency management (i.e., financial compensation for confirmed abstinence from smoking), pharmacotherapy for smoking cessation, cognitive-behavioral counseling sessions, and the Stay Quit app for relapse prevention. Two cohorts (N = 13) were completed in the study; after each cohort, the treatment protocol was revised. The intervention is described, as well as the qualitative findings from each cohort and subsequent changes made to the intervention based upon patient and provider feedback. Metrics of patient engagement included treatment adherence (40% in Cohort 1 and 63% in Cohort 2). Both participants and therapists reported that the intervention was helpful. Over one third of participants self-reported abstinence at posttreatment. Since qualitative methodology is often underutilized in mental health treatment development, this study demonstrates the utility of the successive cohort design for treatment development of behavior change interventions for at-risk, vulnerable populations.