Risk and Protective Factors for Comorbid Posttraumatic Stress Disorder among Homeless Individuals in Treatment for Substance-Related Problems

Homeless individuals undergoing treatment for substance use disorders (SUD) can pose clinical challenges. Posttraumatic stress disorder (PTSD) symptoms have been observed in the most difficult clients. The study sample consisted of 51 homeless individuals, 9 women and 42 men, undergoing consultation for SUD in Montreal. The mean age was 46 years (SD = 7.19). Of the sample, 49% had a potential PTSD diagnosis. Most participants had the following characteristics: an alcoholic parent, a history of an early trauma, and little social support. The participants with a potential PTSD diagnosis were significantly more likely to have had an alcoholic parent, to have experienced an early trauma, and to use more maladaptive coping strategies. The study results and limits are discussed.     

Film Review

Tell Me Who Is Haunting You and I'll Tell You Who You Are. A Reading of the film Sixth Sense dir. M. Night Shyamalan (1999)     

Perceived risk: an experimental investigation of consumer behavior when buying wine

The purpose of this paper is to investigate differences in expressed attitude as a function of the manner in which information on perceived risk is communicated. The experiments are conducted through a choice‐based questionnaire to reflect the consumer‐oriented decision of the purchase of a bottle of wine based on posted prices. The experiments reported in this paper are based on questionnaires distributed to 323 participants in multiple samples and examine the behavior of people when faced with different information on the probability of loss. The present study demonstrates that changes in the manner in which information is presented, without any underlying change in problem structure, affects observed preferences when buying wine. The impact of perceived risk and character on the willingness to buy and to pay for a bottle is analyzed and show that price habits and perceived risk are the main factors affecting the willingness to pay for a bottle of wine. Copyright © 2016 John Wiley & Sons, Ltd.     

Comparison of the Effects of Telephone Suicide Prevention Help by Volunteers and Professional Paid Staff: Results from Studies in the USA and Quebec,Canada

Research since the 1960s has consistently found that lay volunteers are better at helping suicidal callers than professionals. Yet, professional degrees are increasingly becoming requirements for helpline workers. In our first study, we conducted post hoc comparisons of U.S. helplines with all professional paid staff, all lay volunteers, and a mix of both, using silent monitoring and standardized assessments of 1,431 calls. The volunteer centers more often conducted risk assessments, had more empathy, were more respectful of callers, and had significantly better call outcome ratings. A second study of five Quebec suicide prevention centers used silent monitoring to compare telephone help in 1,206 calls answered by 90 volunteers and 39 paid staff. Results indicate no significant differences between the volunteers and paid employees on outcome variables. However, volunteers and paid staff with over 140 hours of call experience had significantly better outcomes. Unlike the United States, Quebec paid employees were not required to have advanced professional degrees. We conclude from these results and previous research that there is no justification for requiring that suicide prevention helpline workers be mental health professionals. In fact, the evidence to date indicates that professionals may be less effective in providing telephone help to suicidal individuals when compared to trained lay volunteers.     

Tool use in left brain damage and Alzheimer's disease: What about function and manipulation knowledge?

Tool use disorders are usually associated with difficulties in retrieving function and manipulation knowledge. Here, we investigate tool use (Real Tool Use, RTU), function (Functional Association, FA) and manipulation knowledge (Gesture Recognition, GR) in 17 left‐brain‐damaged (LBD) patients and 14 AD patients (Alzheimer disease). LBD group exhibited predicted deficit on RTU but not on FA and GR while AD patients showed deficits on GR and FA with preserved tool use skills. These findings question the role played by function and manipulation knowledge in actual tool use.     

Local pragmatics: reply to Mandy Simons

In response to Mandy Simons’ defence of a classical Gricean approach to pragmatic enrichment in terms of conversational implicature, I emphasize the following contrast. Conversational implicatures are generated by a global inference which uses as a premise the fact that the speaker has said that p, but only the triggering inference is global in cases of pragmatic enrichment. What generates the correct interpretation is a process of reconstrual, which locally maps the literal meaning of a constituent to a modulated meaning and composes that meaning with that of the other constituents. That process is constrained by Gricean considerations (in the broad sense) but that is true of all pragmatic aspects of interpretation, whether pre-propositional or post-propositional. Just as indexical resolution, though pragmatic and constrained by Gricean considerations, does not fit the two-stage model through which Grice accounts for conversational implicatures, so pragmatic modulation can’t be accounted for in terms of that model despite the fact that, like conversational implicatures and unlike indexical resolution, modulation is pragmatically rather than semantically triggered.