Social anxiety and the shame of psychosis: a study in first episode psychosis

Social anxiety disorder (SaD) or social phobia is a co-morbid affective disorder in schizophrenia, present in up to one in three individuals. We employ 'social rank' theory to predict that one pathway to social anxiety in schizophrenia is triggered by the anticipation of a catastrophic loss of social status that the stigma of schizophrenia can entail. A group of 79 people with a first episode of psychosis were assessed for social anxiety: hypotheses were tested comparing 23 socially anxious and 56 non-anxious patients on measures of cognitive appraisals of shame/stigma of psychosis and perceived social status, controlling for depression, psychotic symptoms and general psychopathology. Participants with social anxiety experienced greater shame attached to their diagnosis and felt that the diagnosis placed them apart from others, i.e., socially marginalised them and incurred low social status. We propose a stigma model of social anxiety that makes testable predictions about how the shame beliefs may contaminate social interaction and thereby exacerbate and maintain social phobia.     

The ontology of intentionality I: the dependence ontological account of order: mediate and immediate moments and pieces of dependent and independent objects

This is the first of three essays which use Edmund Husserl's dependence ontology to formulate a non-Diodorean and non-Kantian temporal semantics for two-valued, first-order predicate modal languages suitable for expressing ontologies of experience (like physics and cognitive science). This essay's primary desideratum is to formulate an adequate dependence-ontological account of order. To do so it uses primitive (proper) part and (weak) foundation relations to formulate seven axioms and 28 definitions as a basis for Husserl's dependence ontological theory of relating moments. The essay distinguishes between dependence v. independence, pieces v. moments, mediate v. immediate pieces and moments, maximal v. non-maximal pieces, founded v. unfounded qualities, integrative v. disintegrative dependence, and defines the concepts of the completion of an object, the adumbrational equivalence relation of objects, moments of unity which unify objects, and relating moments which relate objects. The eight theorems [CUT90]-[CUT97] show that relating moments of unity provide an adequate account of order in terms of primitive (proper) part and (weak) foundation relations.     

Is There a Moral Obligation to Develop Brain Implants Involving NanoBionic Technologies? Ethical Issues for Clinical Trials

In their article published in Nanoethics, “Ethical, Legal and Social Aspects of Brain-Implants Using Nano-Scale Materials and Techniques”, Berger et al. suggest that there may be a prima facie moral obligation to improve neuro implants with nanotechnology given their possible therapeutic advantages for patients [Nanoethics, 2:241–249]. Although we agree with Berger et al. that developments in nanomedicine hold the potential to render brain implant technologies less invasive and to better target neural stimulation to respond to brain impairments in the near future, we argue against presenting the development of nanobionic clinical devices in terms of a moral obligation to conduct this research. In the first part of the paper, we consider what a duty to pursue new technologies might mean, and in the second we explore some of the negative consequences of defending such development as a moral obligation based on potential benefit. We argue that promoting the advances available to brain implants through developments in nanotechnology and bionics could contribute to medical rhetoric that indirectly increases the risk of exposing patients to harm when participating in clinical trials. We argue that rather than there being a moral obligation to improve nanobionics implants because of their potential benefit, the pursuit of improved neuro implants must be balanced against the prima facie obligations to protect patients against harm and to promote and protect patient autonomy.     

Innovative Assessment of Childhood Trauma and Its Link to HIV and Substance Abuse in Post-Incarcerated Women

Women who are incarcerated often report unresolved early life traumas, which research has linked to subsequent HIV and substance abuse risks. This article presents an arts-based counseling technique used with women re-entering society after incarceration. Women were assessed for childhood trauma (i.e. sexual, emotional, and/or physical abuse) in relation to age of onset and frequency of events using an interactive pictorial assessment technique, Healing Me Timeline activity. The technique allowed women to use color-coded graphs in identifying points along a timeline during which traumatic events occurred and to process insights to foster healthy coping strategies. The timeline activity was an innovative and gender-appropriate method for uncovering the nature and extent of women’s trauma and counseling needs. Facilitators used the counseling tool to assist women in processing personal insights and to make referrals to mental health counseling, medical services, and substance use programs.     

A meta‐analysis of the effects of speakers' accents on interpersonal evaluations

This paper reports a meta‐analysis of the empirical literature on the effects of speakers' accents on interpersonal evaluations. Our review of the published literature uncovered 20 studies that have compared the effects of standard accents (i.e., the accepted accent of the majority population) versus non‐standard accents (i.e., accents that are considered foreign or spoken by minorities) on evaluations about the speakers. These 20 studies yielded 116 independent effect sizes on an array of characteristics that were selected by the original researchers. We classified each of the characteristics as belonging to one of three domains that have been traditionally discussed in this area, namely status (e.g., intelligence, social class), solidarity (trustworthiness, in‐group–out‐group member), and dynamism (level of activity and liveliness). The effect was particularly strong when American Network accented speakers were compared with non–standard‐accented speakers. These results underscore prior research showing that speakers' accents have powerful effects on how others perceive them. These and other results are discussed in the context of the literature along with implications for future research in this area. Copyright © 2011 John Wiley & Sons, Ltd.     

Thematic moment analysis: A didactic application of a procedure for phenomenological analysis of narrative data

Abstract

Following in the theoretical and methodological roots of the ‘Duquesne school,’ this work presents a procedure for the phenomenological analysis of narrative data. After describing its ‘approach,’ this work lays out the procedure for ‘thematic moment analysis’ using the work of Giorgi as a point of reference. Idiographic results of single datum of being afraid are presented along with the steps through which this ‘idiographic thematic narrative’ was developed. Procedures for arriving at ‘comparative analysis’ of more than one piece of data are presented and distinguished from claims of generality sought by works drawing on larger data pools. Finally, this work discusses issues of internal and external validity both specifically in regards to the ‘thematic moments’ procedure and in terms of phenomenological research in general.