Maternal Depression and Parent Management Training Outcomes

This study examines the impact of maternal depression on reductions in children’s behavior problems severity following implementation of the Brief Behavioral Intervention—a brief, manualized parent management training treatment. The parents of 87 children aged 2–6 years of age received parent management training at a metropolitan hospital. Parents of participants completed measures of externalizing behavior and maternal depression. The association between pre-post treatment change in externalizing behavior and maternal depression was examined using an autoregressive cross-lagged model. Results showed that self-reported maternal depressive symptoms at pre-treatment negatively influenced the overall magnitude of reduction of reported externalizing behaviors in children following treatment. Results indicate that aspects of family functioning not specifically targeted by parent management training, such as maternal depression, significantly affect treatment outcomes. Clinicians providing parent management training may benefit from assessing for maternal depression and modifying treatment as indicated.     

A Public Religion and Biomedical Ethics

This article describes the exclusion of public expressions of religion from the history of bioethics during recent decades. It offers a proposal to include public religion for the purpose of gaining donations of vital organs for transplantation, more appreciation for the gift of aging, and more concern for universal access to health care. I also include a brief discussion of theological support and practical suggestions for such a program.     

Minima sensibilia: Against the dynamic snapshot model of temporal experience

In our wakeful conscious lives, the experience of time and dynamic temporal phenomena—such as continuous motion and change—appears to be ubiquitous. How is it that temporality is woven into our conscious experience? Is it through perceptual experience presenting a series of instantaneous states of the world, which combine together—in a sense which would need to be specified—to give us experience of dynamic temporal phenomena? In this paper, I argue that this is not the case. Several authors have recently proposed dynamic snapshot models of temporal experience—such as Prosser and Arstila, building upon Le Poidevin—according to which, perceptual experience has no temporal content of a non‐zero extent. I argue that there is an absence of motivation for such a view; I develop and defend the claim that perceptual experience minimally presents something of some non‐zero temporal extent as such.     

Applying a longitudinal tracer methodology to evaluate complex interventions in complex settings

Long-running multi-faceted intervention studies are particularly problematic in large complex organizations where traditional methods prove too resource intensive and can yield inaccurate and incomplete findings. This paper describes the first use of, longitudinal tracer methodology (LTM), a realist approach to evaluation, to examine the links between multiple complex intervention activities (processes) and their outcomes on a construction megaproject. LTM is especially useful when the researcher has little control over intervention delivery but has evidence drawn from multiple sources to evaluate the intervention activities effects over time. This methodology has rarely been deployed in complex organizational settings and not on a construction megaproject. This paper presents a case study of its use over a period of three years, on 24 construction sites forming London’s Thames Tideway Tunnel (Tideway) megaproject. The study examines the “transformational” power of occupational safety and health (OSH) interventions across the multiple organizations and supply chains in the megaproject. The study shows how the method can be adapted in-flight to accommodate shifting lines of inquiry as the intervention activities progress and change. This feature along with its resource-efficient operation, make it an attractive option where interventions are likely to have differential effects across multiple sites of enactment.