Will to live in older people's medical decisions: immediate and delayed effects of aging stereotypes

This research explores the duration of age stereotype priming effects on individuals' will to live when faced with a medical terminal illness decision. Study 1 established the content of the stereotype of the older age group in Portugal. Study 2 tested the effects of priming positive or negative age stereotypes on older and younger individuals' will to live, immediately after priming or after a delay. Results showed significant effects of stereotype valence on older people's will to live. As expected, immediate and delayed will‐to‐live scores were both lower in the negative than in the positive condition. In contrast, among younger people there were no significant effects of stereotype valence. These findings demonstrate the robustness of these types of unconscious influences on older people's fundamental decisions.     

Linking Peer Victimization to the Development of Depressive Self-Schemas in Children and Adolescents

Previous theory and research suggest that childhood experiences are more likely to generate depressive self-schemas when they focus attention on negative information about oneself, generate strong negative affect, and are repetitive or chronic. Persistent peer victimization meets these criteria. In the current study, 214 youths (112 females) with empirically-validated histories of high or low peer victimization completed self-report measures of negative and positive self-cognitions as well as incidental recall and recognition tests following a self-referent encoding task. Results supported the hypothesis that depressive self-schemas are associated with peer victimization. Specifically, peer victimization was associated with stronger negative self-cognitions, weaker positive self-cognitions, and an elimination of the normative memorial bias for recall of positive self-referential words. Effects were stronger for relational and verbal victimization compared to physical victimization. Support accrues to a model about the social-developmental origins of cognitive diatheses for depression.     

Stakeholders’ Perspectives on Community-Based Participatory Research to Enhance Mental Health Services

Historically, consumers of mental health services have not been given meaningful roles in research and change efforts related to the services they use. This is quickly changing as scholars and a growing number of funding bodies now call for greater consumer involvement in mental health services research and improvement. Amidst these calls, community‐based participatory research (CBPR) has emerged as an approach which holds unique promise for capitalizing on consumer involvement in mental health services research and change. Yet, there have been few discussions of the value added by this approach above and beyond that of traditional means of inquiry and enhancement in adult mental health services. The purpose of this paper is to add to this discussion an understanding of potential multilevel and multifaceted benefits associated with consumer‐involved CBPR. This is accomplished through presenting the first‐person accounts of four stakeholder groups who were part of a consumer‐involved CBPR project purposed to improve the services of a local community mental health center. We present these accounts with the hope that by illustrating the unique outcomes associated with CBPR, there will be invigorated interest in CBPR as a vehicle for consumer involvement in adult mental health services research and enhancement.     

Coping with asymmetry: How infants and adults walk with one elongated leg

The stability of a system affects how it will handle a perturbation: The system may compensate for the perturbation or not. This study examined how 14-month-old infants—notoriously unstable walkers—and adults cope with a perturbation to walking. We attached a platform to one of participants’ shoes, forcing them to walk with one elongated leg. At first, the platform shoe caused both age groups to slow down and limp, and caused infants to misstep and fall. But after a few trials, infants altered their gait to compensate for the platform shoe whereas adults did not; infants recovered symmetrical gait whereas adults continued to limp. Apparently, adult walking was stable enough to cope with the perturbation, but infants risked falling if they did not compensate. Compensation depends on the interplay of multiple factors: The availability of a compensatory response, the cost of compensation, and the stability of the system being perturbed.     

Creating a Safety Net: Transferring to a New Therapist in a Training Setting

Transferring clients to new therapists is a common necessity in training settings, agencies, and private practices. However, there is a paucity of empirical studies that examine the process of client transfer and its impact on the client. This qualitative study explored the experience of clients who had successfully transferred from graduating practicum students to incoming practicum students in a COAMFTE accredited MFT master program in the southeastern region of the US. The resultant grounded theory consisted of a central category (Creating a Safety Net), a paradigm (Professionalism), and two main categories (Structure and Trust). Clients described an overall process of initial disclosure of the pending transfer, their affective response, the therapist’s response, a period of co-therapy with incoming and outgoing therapists, and continuation of therapy with the new therapist.     

The intersubjective responsibility of durational trauma: Contributions of Bergson and Levinas to the philosophy of trauma

Continental Philosophy Review - In public discourse trauma is predominantly framed as an overwhelming event undergone by the individual. In this article I first provide a brief genealogy to trace...     

Kappa opioid receptors mediate where fear is expressed following extinction training

Six experiments used a within-subjects renewal design to examine the involvement of kappa opioid receptors (KORs) in regulating the expression and recovery of extinguished fear. Rats were trained to fear a tone conditioned stimulus (CS) via pairings with foot shock in a distinctive context (A). This was followed by extinction training of the CS in a second context (B). Finally, all rats were tested for fear to the tone in the extinction context (ABB) and the training (ABA) or a novel (ABC) context. Intracerebroventricular (ICV) infusion of the KOR antagonist nor-binaltorphimine dihydrochloride (nor-BNI) dose-dependently prevented ABA renewal of fear, but had no effect on the expression of ABC renewal, the expression of extinction, or the expression of nonextinguished fear. Conversely, pretest infusion of the KOR agonist U50,488 hydrochloride (U50,488) selectively facilitated the expression of ABA renewal and had no effect on the expression of extinction. Pretest infusion of nor-BNI had no effect on the expression of context-specific latent inhibition. Collectively, these results suggest that KORs gate the expression of fear following extinction training and may comprise a critical neuropeptide component of the circuitry underlying context-dependent expression of fear.     

Nonaddictive instrumental drug use: Theoretical strengths and weaknesses

The potential to instrumentalize drug use based upon the detection of very many different drug states undoubtedly exists, and such states may play a role in psychiatric and many other drug uses. Nevertheless, nonaddictive drug use is potentially more parsimoniously explained in terms of sensation seeking/impulsivity and drug expectations. Cultural factors also play a major role in nonaddictive drug use.     

The Health Professional Ethics Rubric: Practical Assessment in Ethics Education for Health Professional Schools

A barrier to the development and refinement of ethics education in and across health professional schools is that there is not an agreed upon instrument or method for assessment in ethics education. The most widely used ethics education assessment instrument is the Defining Issues Test (DIT) I & II. This instrument is not specific to the health professions. But it has been modified for use in, and influenced the development of other instruments in, the health professions. The DIT contains certain philosophical assumptions (??Kohlbergian?? or ??neo-Kohlbergian??) that have been criticized in recent years. It is also expensive for large institutions to use. The purpose of this article is to offer a rubric??which the authors have named the Health Professional Ethics Rubric??for the assessment of several learning outcomes related to ethics education in health science centers. This rubric is not open to the same philosophical critiques as the DIT and other such instruments. This rubric is also practical to use. This article includes the rubric being advocated, which was developed by faculty and administrators at a large academic health science center as a part of a campus-wide ethics education initiative. The process of developing the rubric is described, as well as certain limitations and plans for revision.     

The impact of self and peer perceptual differences on student social behaviour

Background. The development of socially appropriate behaviour is increasingly seen as an important part of a student's education. Aim. To examine whether changes in a student's behaviour, as part of an ongoing social empathy intervention, can in part be explained by the difference between the student's self‐perception of their behaviour and their peers‐perception of their behaviour. Method. A school population (383 students from year levels 4 to 6) was assessed for a range of prosocial and antisocial behaviours. Assessments were made by the students themselves, and by peer nominations of their classmates. A perceptual difference index was calculated to determine the difference between the student's self‐assessment and their peers' assessment of their behaviour. Results. Hierarchical regression found that students' prosocial behaviour increased more over the course of the school year when self‐perception of their prosocial behaviour more closely matched the perceptions of their class‐peers. Similarly, students' antisocial behaviour decreased more over the school year when their self and peer perceptions of their antisocial behaviour were more closely aligned. Very few personal demographics were associated with either type of behaviour, and overall there was found to be a great deal of stability in behaviour. Conclusion. This study highlights the importance of taking into account students' personal characteristics when developing interventions to encourage socially appropriate behaviour. Furthermore, it suggests that in order to achieve positive change, any intervention must engage student's self‐beliefs regarding their behaviour.