The effect of alterations in consciousness on quality of life (QoL) in epilepsy: searching for evidence

The impact of epilepsy on quality of life (QoL) is well-documented. The ability of epileptic seizures to alter the conscious states of patients is also well established. Although there is much research on the QoL of people with epilepsy, few researchers have looked specifically at the effect of sudden, unanticipated alterations of consciousness on QoL. This lack of systematic studies of consciousness alterations and QoL in epilepsy limits our ability to shed light on this interrelation. In this article, with these limitations in mind, we focus on studies of newer AEDs. We review the evidence as to whether a significant reduction (typically more than 50%) in seizures that induce alterations of consciousness, as a result of switching to one of the newer AEDs, leads to improvements in QoL. We draw on this literature to speculate on the relationship between ictal consciousness alterations and poor QoL in epilepsy, to identify contributory and confounding factors and to highlight implications for future research. We suggest that an understanding of how factors associated with consciousness impairment affect QoL could help the treatment and management of these patients.     

The effects of risk-glorifying media exposure on risk-positive cognitions, emotions, and behaviors: a meta-analytic review

In recent years, there has been a surge in the quantity of media content that glorifies risk-taking behavior, such as risky driving, extreme sports, or binge drinking. The authors conducted a meta-analysis involving more than 80,000 participants and 105 independent effect sizes to examine whether exposure to such media depictions increased their recipients' risk-taking inclinations. A positive connection was found for overall, combined risk taking (g=.41); as well as its underlying dimensions: risk-taking behaviors (g=.41), risk-positive cognitions and attitudes (g=.35), and risk-positive emotions (g=.56). This effect was observed across varying research methods (experimental, correlational, longitudinal); types of media (video games, movies, advertising, TV, music); and differing risk-related outcome measures (e.g., smoking, drinking, risky driving, sexual behavior). Multiple moderator analyses revealed 2 theoretically new boundary conditions for sociocognitive models. First, the effect was stronger for active (i.e., video games) than for passive (e.g., film, music) exposure to risk-glorifying media content. Second, the effect was stronger when there was a high degree of contextual fit between the media content and type of risk-taking measure. The theoretical, practical, and societal implications of the present research synthesis are discussed.     

Source reliability and the conjunction fallacy

Information generally comes from less than fully reliable sources. Rationality, it seems, requires that one take source reliability into account when reasoning on the basis of such information. Recently, Bovens and Hartmann (2003) proposed an account of the conjunction fallacy based on this idea. They show that, when statements in conjunction fallacy scenarios are perceived as coming from such sources, probability theory prescribes that the "fallacy" be committed in certain situations. Here, the empirical validity of their model was assessed. The model predicts that statements added to standard conjunction problems will change the incidence of the fallacy. It also predicts that statements from reliable sources should yield an increase in fallacy rates (relative to unreliable sources). Neither the former (Experiment 1) nor the latter prediction (Experiment 3) was confirmed, although Experiment 2 showed that people can derive source reliability estimates from the likelihood of statements in a manner consistent with the tested model. In line with the experimental results, model fits and sensitivity analyses also provided very little evidence in favor of the model. This suggests that Bovens and Hartmann's present model fails to explain fully people's judgements in standard conjunction fallacy tasks.     

Preventing prejudice and improving intergroup attitudes: A meta-analysis of child and adolescent training programs

This article reports the results of a meta-analysis of 81 research reports containing 122 intervention–control comparisons of structured programs to reduce prejudice or promote positive intergroup attitudes in children and adolescents. Overall, the analysis revealed a mean effect size of d = 0.30, indicating low to moderate intervention effects. From the great variety of different approaches, interventions based on direct contact experiences along with social-cognitive training programs designed to promote empathy and perspective taking showed the strongest effect sizes. In addition, effects varied according to the program participant's social status (higher effects for majority groups), the target out-group (lower effect sizes for ethnic vs. disabled and aged out-groups), and the type of outcome assessment (higher effects for cognitive vs. affective and behavioral measures of intergroup attitudes). The discussion considers several limitations including the lack of implementation and follow-up research as well as future direction of research on promoting intergroup relations.     

Leader Advancement Motive,Political Skill,Leader Behavior,and Effectiveness: A Moderated Mediation Extension of Socioanalytic Theory

We examine socioanalytic theory from a leadership perspective and extend this research to examine the mediating mechanisms through which leader getting ahead motive and social competence influence leader effectiveness outcomes. A first-stage moderated mediation model was tested and supported, positioning the Leader Motive to Get Ahead × Political Skill interaction as influencing perceived institutional effectiveness and follower satisfaction with one’s leader through leader initiating structure behavior. This research both supports the relevance of socioanalytic theory for predicting leadership outcomes and extends socioanalytic theory to examine a mediating mechanism through which the interaction of the leader getting ahead motive and social competencies affects relevant performance outcomes. Contributions, strengths and limitations, directions for future research, and practical implications are discussed.     

The participation of children and adolescents in family counselling: The German experience

This paper reflects the experiences of young people in child guidance and family counselling. For this purpose, first the institutional background of these counselling services in Germany is outlined. The fact that the adolescents concerned feel partly excluded and insufficiently integrated into the counselling process is illustrated through qualitative analysis of the experiences 17 young people had during their counselling process. These empirical findings are critically discussed in terms of the institutional conditions and methodical approaches which counteract the involvement of the actual addressees of the counselling service. The paper concludes that professionals need to attend more to facilitating the participation of young people.     

Deductive Reasoning in the Structuralist Approach

The distinction between the syntactic and the semantic approach to scientific theories emerged in formal philosophy of science. The semantic approach is commonly considered more advanced and more successful than the syntactic one, but the transition from the one approach to the other was not brought about without any loss. In essence, it is the formal analysis of atomic propositions and the analysis of deductive reasoning that dropped out of consideration in at least some of the elaborated versions of the semantic approach. In structuralist theory of science, as founded by Sneed and Stegmüller, the focus is on global propositions concerning the question of whether or not certain empirical systems satisfy a set-theoretic predicate that encodes the axioms of a scientific theory. Hence, an analysis of deductive reasoning from atomic premisses with the help of a given theory is missing. The objective of the present paper is to develop a deductive system on the basis of the structuralist framework. This system comes with a novel formulation of empirical propositions in structuralism.     

Soziales Trauma

Social traumatization is targeted at entire victim groups and occurs in a societal context. The classification of posttraumatic stress disorders in DSM-5, which intentionally fails to differentiate between different types of traumatic events, ignores the social factors of traumatogenic pathologies. Whereas clinical practice unanimously embraces the thorough exploration of patients’ individual life experiences and history of suffering, taking the relevant social and environmental factors into account, in the classification systems (DSM-5 and ICD-10) it has been decided to address posttraumatic disorders as individual pathologies and not as social phenomena. Even equating social trauma with a disease may foster this partial exclusion, which in turn can contribute to perpetuation of the posttraumatic condition.     

Information Centrism and the Nature of Contexts

Information Centrism is the view that contexts consist of information that can be characterized in terms of the propositional attitudes of the conversational participants. Furthermore, it claims that this notion of context is the only one needed for linguistic theorizing about context-sensitive languages. We argue that Information Centrism is false, since it cannot account correctly for facts about truth and reference in certain cases involving indexicals and demonstratives. Consequently, contexts cannot be construed simply as collections of shared information.