Nine Months of Multicomponent Behavioral Treatment for ADHD and Effectiveness of MTA Fading Procedures

We examined 9-month data from the 14-month NIMH Multimodal Treatment Study of Children with ADHD (the MTA) as a further check on the relative effect of medication (MedMgt) and behavioral treatment (Beh) for attention-deficit/hyperactivity disorder (ADHD) while Beh was still being delivered at greater intensity than at 14-month endpoint, and conversely as a check on the efficacy of the MTA behavioral generalization/maintenance procedures. Intention-to-treat analysis at 9 months showed essentially the same results as at 14 months, after Beh had been completely faded; MedMgt and the combination (Comb) of medication and Beh were significantly superior to Beh and community care (CC) for ADHD and oppositional-defiant (ODD) symptoms, with mixed results for social skills and internalizing symptoms. All treatment-group differences examined as changes in slopes from 9 to 14 months were nonsignificant (we found general improvement for all groups). Slopes from baseline to 9 months correlated highly (r > .74, p < .0001) with slopes from baseline to 14 months for all groups. The time function from baseline to 14 months showed a significant linear, but not quadratic, trend for the main outcome measure (a composite of parent- and teacher-rated ADHD and ODD symptoms) for all groups. Findings suggest that in contrast to the hypothesized deterioration in the relative benefit of Beh between 9 and 14 months (after completion of fading), the MTA Beh generalization and maintenance procedures implemented through 9 months apparently yielded continuing improvement through 14 months, with preservation of the relative position of Beh compared to other treatment strategies.     

Policing and the Focal Concerns Framework: Exploring How its Core Components Apply to the Discretionary Enforcement Decisions of Police Officers

This study used a qualitative design to investigate police officer decision-making processes within the context of the focal concerns framework. A sample of 25 metropolitan police officers were interviewed to explore how the constructs of blameworthiness, protecting the community, and practical considerations manifest themselves in a policing context and how those considerations affect officers’ enforcement decisions. The results indicate that police officers share the same broad focal concerns as judges, but the way these concerns manifest themselves is sometimes different in a policing context as compared to a judicial sentencing context. The results, theoretical implications, and directions for future research are presented.     

Something and Nothing,Aliveness and Deadness: Discussion of “Three Dimensional Field Theory”

In this discussion of Philip Ringstrom’s provocative paper (this issue), I attempt to elaborate on several concepts: the role of “something” and “nothing” in psychoanalytic treatment, the problematic nature of the search for truth, the dialectic of aliveness and deadness, and the inevitability of improvisation in the pursuit of aliveness in the crucible of treatment. I also enumerate several transference–countertransference vulnerabilities inherent in improvisation.     

Thinking About What Might Have Happened: Counterfactual Thinking and Post‐traumatic Stress in Individuals Directly and Indirectly Exposed to the 2011 Oslo Bombing

Counterfactual thinking (CFT), that is thinking about what might have happened, is linked to post‐traumatic stress. We studied the relationship between type and frequency of CFT and post‐traumatic stress in a sample of directly (n = 50) and indirectly exposed (n = 50) ministerial employees 4 years after the 2011 Oslo bombing. The results showed that frequency of CFT was associated with levels of post‐traumatic stress, among both directly and indirectly exposed participants. In the directly exposed group, self‐reported frequencies of downward counterfactuals were associated with post‐traumatic stress. A similar trend was found for upward counterfactuals. In the indirectly exposed group, self‐reported frequencies of both upward and downward counterfactuals were associated with higher levels of post‐traumatic stress. These results point to the intriguing possibility that people may not only develop post‐traumatic stress disorder as a result of actual experiences, but also via mental simulations of traumatic events that could have happened. Copyright © 2016 John Wiley & Sons, Ltd.     

Who stops the sweatshops? Our neglect of the injustice of maldistribution

Researchers have attempted to hold fashion, beauty, and toy industries' promotion of narrow beauty ideals responsible for the injustice of body dissatisfaction. We advocate for reform by calling upon the industries to represent plus‐sized and older models (e.g., on catwalks) as antidotes to narrow beauty ideals, citing evidence that the use of such models are no less profitable. This attempts to address what Fraser ( 1995 ) calls the injustice of misrecognition. This advocacy however not only masks another injustice these industries perpetuate: maldistribution (Fraser, 1995 ), but it can actively worsen it. This is most poignantly exemplified by the 250 million sweatshop workers in the Global South working in these industries. Those of us advocating against these industries' injustices are encouraged to join People and Planet in their campaign to use universities' vast purchasing power for sweatshop reform. This is one small way to advocate against maldistribution, redressing the imbalance.     

Remembering is in the details: effects of test-list context on memory for an event

We examined how recognition judgements for a set of event details are influenced by the relative difficulty of the other details included on the test. Participants viewed a crime event and then assigned remember/know judgements to details on a recognition test. In Experiment 1, details of medium difficulty were more likely to be classified as remembered when mixed with hard details rather than easy details. Similarly, in Experiment 2, medium details presented in blocked format were more likely to be classified as remembered when preceded by a block of hard details rather than a block of easy details.The test-list context thus appears to influence how participants define remembering. In Experiment 3, informing participants of the relative difficulty of the upcoming block of details eliminated the blocking effect. Implications for accounts of remember/know judgements and for conducting memory interviews are discussed.     

Trunk posture affects upper extremity function of adults

This study examined the effects of various seated trunk postures on upper extremity function. 59 adults were tested using the Jebsen Taylor Hand Function Test while in three different trunk postures. Significant mean differences between the neutral versus the flexed and laterally flexed trunk postures were noted during selected tasks. Specifically, dominant hand performance during the tasks of feeding and lifting heavy cans was significantly slower while the trunk was flexed and laterally flexed than when performed in the neutral trunk position. Performance of the nondomi nant hand during the tasks of picking up small objects, page turning, as well as the total score was slower while the trunk was flexed compared to performance in the neutral trunk position. These findings support the assumption that neutral trunk posture improves upper extremity performance during daily activities although the effect is not consistent across tasks. Findings are discussed along with limitations and recommendations for research.     

Ambitions

Ambition is a curiously neglected topic in ethics. It isn’t that philosophers have not discussed it. Plato, Aristotle, Seneca, Aquinas, Machiavelli, Harrington, Locke, Rousseau, Smith, Santayana and a number of others have discussed ambition. But it has seldom received more than a few paragraphs worth of analysis, in spite of the fact that ambition plays a central role in Western politics (one cannot be elected without it), and in spite of the fact that Machiavelli, Harrington, Locke and Rousseau each considered it to be among the greatest threats to political security. The aim of this paper is to provide a long overdue analysis of ambition. The first part of the paper explores what ambition is. The second seeks to answer the question, “Is ambition a virtue or a vice?”     

Serving God and Country? Religious Involvement and Military Service Among Young Adult Men

Despite important connections between religion and military action throughout world history, scholars have seldom explored the association between religiosity and military enlistment. Using data from the National Longitudinal Study of Adolescent Health (Add Health), we used a person‐oriented analysis to categorize young men according to patterns of adolescent religious involvement. Youth indentified as “highly religious evangelical” are more likely to enlist in the military compared to their “highly religious nonevangelical” and “nonreligious” counterparts; however, these findings hold only for those young men without college experience. These findings are discussed along with study limitations and promising directions for future research.