The goal structure of situations

An empirical method for analysing the goal structure within and between persons in different social situations is described. The method involves establishing the main goals of occupants of situational roles and then finding out how the different goals inter-relate in terms of degree and type/direction of conflict and compatibility. Principal components analyses were carried out on ratings of importance of goals of those in different situational roles. Criteria of high factor loadings combined with high mean importance ratings were used to produce the main higher order goals for each of the roles. The goals for the six roles studied were, in each case except one: social acceptance/developing relationships, own well being and achieving a specific situational task goal. However, the precise nature of these goals is rather different in the different situations. Inter-relationship of goals was studied using ratings of conflict or compatibility between pairs of goals within and across roles of each situation. The results were used to describe the goal structures of the different situations. The situation with the most conflict between goals was, as expected, the complaint. Ways were suggested in which knowledge of the goal structure, particularly the points of conflict, could help with skilful handling of potentially difficult social situations.     

Melancholic epistemology

Too little attention has been paid by philosophers to the cognitive and epistemic dimensions of emotional disturbances such as depression, grief, and anxiety and to the possibility of justification or warrant for such conditions. The chief aim of the present paper is to help to remedy that deficiency with respect to depression. Taxonomy of depression reveals two distinct forms: depression (1) with intentionality and (2) without intentionality. Depression with intentionality can be justified or unjustified, warranted or unwarranted. I argue that the effort of Aaron Beck to show that depressive reasoning is necessarily illogical and distorted is flawed. I identify an essential characteristic of that depression which is a mental illness. Finally, I describe the potential of depression to provide credal contact with important truths.Many persons helped in writing this paper. Special thanks are owed to my wife, Patricia Sedgeman Graham, as well as to Richard Garrett and Hugh LaFollette.     

Desire for euthanasia or physician-assisted suicide in palliative cancer care.

OBJECTIVE: To investigate the attitudes of terminally ill individuals toward the legalization of euthanasia or physician-assisted suicide (PAS) and to identify those who would personally desire such a death. DESIGN: In the Canadian National Palliative Care Survey, semistructured interviews were administered to 379 patients who were receiving palliative care for cancer. Patients who expressed a desire for physician-hastened death were followed prospectively. MAIN OUTCOME MEASURES: Attitudes toward the legalization of euthanasia or PAS were determined, as was the personal interest in receiving a hastened death. Demographic and clinical characteristics were also recorded, including a 22-item structured interview of symptoms and concerns. RESULTS: There were 238 participants (62.8%) who believed that euthanasia and/or PAS should be legalized, and 151 (39.8%) who would consider making a future request for a physician-hastened death. However, only 22 (5.8%) reported that, if legally permissible, they would initiate such a request right away, in their current situations. This desire for hastened death was associated with lower religiosity (p=.010), reduced functional status (p=.024), a diagnosis of major depression (p<.001), and greater distress on 12 of 22 individual symptoms and concerns (p<.025). In follow-up interviews with 17 participants, 2 (11.8%) showed instability in their expressed desire. CONCLUSION: Among patients receiving palliative care for cancer, the desire to receive euthanasia or PAS is associated with religious beliefs; functional status; and physical, social, and psychological symptoms and concerns. Although this desire is sometimes transitory, once firmly established, it can be enduring.     

Chunk and permeate III: the Dirac delta function

Dirac’s treatment of his well known Delta function was apparently inconsistent. We show how to reconstruct his reasoning using the inconsistency-tolerant technique of Chunk and Permeate. In passing we take note of limitations and developments of that technique.     

Use of an analogue method to examine children’s appraisals of threat and emotion in response to stressful events

An analogue methodology was used to present a set of realistic, salient stressors to children in grades 3, 5, and 7. Children (N = 146) viewed eight videotaped vignettes depicting interpersonal and non-interpersonal stressors; these were expected to differentially threaten psychological needs for relatedness, competence and autonomy and provoke different emotional reactions. Analyses showed that scenarios portrayed stressors that were commonly experienced by children and evoked a differentiated profile of appraisals and emotions. When tenets of the motivational theory of stress and coping were tested, scenarios more threatening to needs were more distressing, sadness was linked to relatedness and competence threat appraisals, and fear was a more common reaction to parent stressors that involved dyadic conflict. After accounting for threat appraisals and previous experience of stressors, younger children and girls appraised events as more distressing than older children and boys. Future research could use the analogue procedure to focus on children’s development of regulation and coping with stress.     

Law enforcement preferences for PTSD treatment and crisis management alternatives

Evidence-based treatments (EBT) for posttraumatic stress disorder (PTSD) remain underutilized. Analog research, however, indicates that patients may be more amenable to receiving EBT for PTSD than utilization rates suggest. This study sought to extend previous studies by investigating PTSD treatment preferences among law enforcement individuals (i.e., active duty officers, cadets, criminal justice students). We asked 379 participants, with varying trauma histories, to read a police traumatic event and imagine they had developed PTSD. Participants rated the credibility of six treatment options which they might encounter in a treatment setting, and chose their most and least preferred treatments. Next, they evaluated a widely used debriefing intervention aimed at preventing PTSD. Almost 90% of participants chose exposure or Cognitive Processing Therapy as their first or second most preferred treatment, and they rated these interventions as significantly more credible than the other four treatment options. The sample showed ambivalence regarding the perceived efficacy of debriefing but found the rationale credible. This study supports previous analog research indicating that patients may be more interested in EBT than indicated by utilization rates, and suggests that law enforcement departments should consider offering EBT to officers who develop PTSD.     

Development,Acceptability, and Effectiveness of an Acceptance-Based Behavioral Stress/Anxiety Management Workshop for University Students

College is a critical time in which individuals experience transition and stress, and may experience subthreshold or clinical symptoms of anxiety and depression. In addition, educational contexts offer a unique opportunity to serve the needs of a diverse group of students who may experience additional stressors related to experiences with discrimination; acculturative stress; financial strain; and balancing family, work, and school demands. Therefore, college appears to be an ideal time for students to learn about evidence-based skills to use in response to anxiety and depression.However, there are multiple barriers that may make it less likely that evidence-based skills and services are available to or utilized by students, including lack of funding and services available on campus, as well as concerns about mental health stigma. This study examines the preliminary acceptability and effectiveness of an acceptance-based behavioral stress/anxiety management workshop for university students on a diverse urban campus. Results indicate that participants found the workshop to be acceptable and helpful. Mixed-effect regression models examining symptom and impairment measures at preworkshop, 1-week follow-up, and 4-week follow-up showed a significant effect for time on anxious arousal, general anxiety symptoms, and social anxiety, but no significant effect for time on impairment. Implications and future directions for mindfulness and acceptance-based approaches in educational contexts are discussed.     

Illusions of familiarity caused by cohort activation

Subjects took part in an auditory lexical decision task followed by an auditory test of recognition memory for words presented in this task. Subjects categorized their recognition judgments as based on either recollection (“remember” responses) or familiarity (“know” responses). Distractor items in the recognition test included the base words from which the nonwords used in the lexical decision task were derived. Consistent with the findings of Wallace, Stewart, Sherman, and Mellor (1995), more false alarms were made to “late” base words (where the corresponding nonwords were created by changing a phoneme near the end of the word) than to “early” base words (corresponding nonwords were created by changing a phoneme at the beginning of the word). However, this effect was found in “know” responses but not in “remember” responses. The findings are attributed to enhanced fluency with which the base words are processed following their implicit activation at encoding.