Depression at 3 Months Poststroke in the Elderly: Predictors and Indicators of Prevalence

The prevalence and determinants of depression in 79 elderly patients were assessed at 3 months poststroke. Predictor variables included gender, age, history of previous stroke, and hemispheric location of stroke. Indicator variables included two measures of physical functioning and seven aspects of cognitive functioning. Results indicated that 56% of patients had impairment in activities of daily living, and 39% reported clinically significant levels of depression. Prevalence of cognitive impairment ranged from 31% on a measure of basic cognitive functioning, through to 89% on a measure of complex attention. The results from a hierarchical multiple regression analysis showed that the combination of predictor and indicator variables explained 53% of the variance in depression scores. The three individual variables of history of previous stroke, physical functioning, and simple attention all made significant unique contributions to the variance in depression scores. The contribution of these findings to the ongoing debate concerning lesion location and poststroke depression is discussed.     

Kantian Themes in Contemporary Philosophy: Michael Friedman

This paper considers the extent to which Kant's vision of a distinctively 'transcendental' task for philosophy is essentially tied to his views on the foundations of the mathematical and physical sciences. Contemporary philosophers with broadly Kantian sympathies have attempted to reinterpret his project so as to isolate a more general philosophical core not so closely tied to the details of now outmoded mathematical-physical theories (Euclidean geometry and Newtonian physics). I consider two such attempts, those of Strawson and McDowell, and argue that they fundamentally distort the original Kantian impulse. I then consider Buchdahl's attempt to preserve the link between Kantian philosophy and the sciences while simultaneously generalizing Kant's doctrines in light of later scientific developments. I argue that Buchdahl's view, while not adequate as in interpretation of Kant in his own eighteenth century context, is nonetheless suggestive of an historicized and relativized revision of Kantianism that can do justice to both Kant's original philosophical impulse and the radical changes in the sciences that have occurred since Kant's day.     

Training Mental Health Professionals to Assess and Manage Suicidal Behavior: Can Provider Confidence and Practice Behaviors be Altered?

Remarkably little systematic research has studied the effects of clinical suicidology training on changing practitioner attitudes and behaviors. In the current study we investigated whether training in an empirically‐based assessment and treatment approach to suicidal patients administered through a continuing education workshop could meaningfully impact professional practices, clinic policy, clinician confidence, and beliefs posttraining and 6 months later. At the 6 month follow‐up we found that 44% of practitioners reported increased confidence in assessing suicide risk, 54% reported increased confidence in managing suicidal patients, 83% reported changing suicide care practices, and 66% reported changing clinic policy. These results suggest that a brief and carefully developed workshop training experience can potentially change provider perceptions and behaviors with a possible impact on clinical care therein.