First-Line Treatment for Pediatric Obsessive–Compulsive Disorder

Pediatric obsessive–compulsive disorder (OCD) is a common psychiatric disorder that impairs children’s functioning in home, school, and community settings. Once thought to be an untreatable or treatment refractory disorder, evidence-based treatments now exist for pediatric OCD. Various psychological treatment approaches for pediatric OCD have been investigated and research supports the use of cognitive-behavioral therapy (CBT) with exposure and response prevention (E/RP) and combined CBT/E/RP with serotonin reuptake inhibitor pharmacotherapy. This paper reviews these approaches and highlights the prominent role of CBT/E/RP as a first-line treatment for pediatric OCD.     

Psychological entropy: a framework for understanding uncertainty-related anxiety

Entropy, a concept derived from thermodynamics and information theory, describes the amount of uncertainty and disorder within a system. Self-organizing systems engage in a continual dialogue with the environment and must adapt themselves to changing circumstances to keep internal entropy at a manageable level. We propose the entropy model of uncertainty (EMU), an integrative theoretical framework that applies the idea of entropy to the human information system to understand uncertainty-related anxiety. Four major tenets of EMU are proposed: (a) Uncertainty poses a critical adaptive challenge for any organism, so individuals are motivated to keep it at a manageable level; (b) uncertainty emerges as a function of the conflict between competing perceptual and behavioral affordances; (c) adopting clear goals and belief structures helps to constrain the experience of uncertainty by reducing the spread of competing affordances; and (d) uncertainty is experienced subjectively as anxiety and is associated with activity in the anterior cingulate cortex and with heightened noradrenaline release. By placing the discussion of uncertainty management, a fundamental biological necessity, within the framework of information theory and self-organizing systems, our model helps to situate key psychological processes within a broader physical, conceptual, and evolutionary context.     

New Directions in Capacity Building: Incorporating Cultural Competence into the Interactive Systems Framework

The UMBC Psychology Department's Center for Community Collaboration (CCC) provides training and support for capacity building to promote substance abuse and mental health treatment as well as adherence improvement in community agencies funded through the Ryan White Act serving persons living with HIV/AIDS. This article describes an approach to dissemination of Evidence Based Practices (EBPs) for these services that uses the Interactive Systems Framework (ISF) and incorporates a collaborative process involving trainer cultural competence, along with a comprehensive assessment of organizational needs, culture, and climate that culminates in tailored training and ongoing collaboration. This article provides: (1) an overview of the CCC's expanded ISF for the effective dissemination of two EBPs—motivational interviewing and the stages of change perspective; (2) an examination of the role of trainer cultural competence within the ISF framework, particularly attending to organizational culture and climate; and (3) case examples to demonstrate this approach for both general and innovation‐specific capacity building in two community based organizations. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

Early versus Late Disclosure of Evidence: Effects on Verbal Cues to Deception,Confessions, and Lie Catchers' Accuracy

The strategic use of evidence (SUE)—a method of using case information to elicit different verbal responses from guilty and innocent suspects—has been shown to increase cues to deception and lie detection accuracy. This study manipulated the timing of evidence presentation to determine its effect on cues to deception, lie detection accuracy, and confession rates. Liars were less consistent with the evidence, and SUE was associated with higher lie detection accuracy. Results showed no difference between early and late disclosure of evidence on suspects' confession rates, nor on the diagnosticity of the confessions. Copyright © 2011 John Wiley & Sons, Ltd.     

How Social Norms Promote Misleading Social Feedback and Inaccurate Self‐Assessment

Self‐assessments are often prone to error. Past research has identified cognitive and motivational biases that lead self‐assessments astray. In the present paper, we discuss how behavior shaped by social norms leaves the negative information that people require for accurate self‐assessments invisible. First, social norms lead people to suppress critical feedback in favor of more positive evaluations. Although people recognize that they prefer to provide positive feedback to others, they fail to consider that they might be the recipient of incomplete feedback. As a result, they are left with overconfident self‐impressions. Second, social norms lead people to hide their own negative emotional experiences from others. Again, people are aware that this positivity norm influences their own behavior but do not apply this knowledge to their understanding of others. As a result, people regard their own negative emotions as more socially aberrant than is actually the case.     

Exploratory Factor Analysis of the VB-MAPP: Support for the Interdependency of Elementary Verbal Operants

Journal of Behavioral Education - Competing viewpoints on the independency or interdependency of Skinner’s verbal operants have been discussed in the literature and with empirical support for...     

A dilemma for wolterstorff’s theistic grounding of human dignity and rights

In a number of recent works, Nicholas Wolterstorff defends the claim that human rights inhere in the dignity of every human. He further contends that the explanation of this dignity cannot be found in the intrinsic features of humans; rather, the only plausible explanation for human dignity is that it is bestowed upon humans by God’s love. In this paper, I argue that Wolterstorff’s theory concerning the ground of human dignity falls prey to something quite similar to the classic Euthyphro dilemma: either God must love every existing human in a dignity-bestowing manner or he need not, and either option is problematic. If the former, then whatever it is about humans that ensures God’s love can reasonably be thought to be the independent source of human dignity and/or rights, thereby leaving us without cause to appeal to God’s love for the explanation of this dignity. If the latter, the implication is that moral statements which appear to be necessarily true are only contingently so. Wolterstorff’s theory will thus require substantial modification, or else abandonment.     

Integrating Cognitive Process and Descriptive Models of Attitudes and Preferences

Discrete choice experiments—selecting the best and/or worst from a set of options—are increasingly used to provide more efficient and valid measurement of attitudes or preferences than conventional methods such as Likert scales. Discrete choice data have traditionally been analyzed with random utility models that have good measurement properties but provide limited insight into cognitive processes. We extend a well‐established cognitive model, which has successfully explained both choices and response times for simple decision tasks, to complex, multi‐attribute discrete choice data. The fits, and parameters, of the extended model for two sets of choice data (involving patient preferences for dermatology appointments, and consumer attitudes toward mobile phones) agree with those of standard choice models. The extended model also accounts for choice and response time data in a perceptual judgment task designed in a manner analogous to best–worst discrete choice experiments. We conclude that several research fields might benefit from discrete choice experiments, and that the particular accumulator‐based models of decision making used in response time research can also provide process‐level instantiations for random utility models.     

An ethnographic study of issues surrounding the provision of sport opportunities to young men from a western Canadian inner-city

ObjectivesThe purpose of this study was to examine issues surrounding the provision of sport opportunities to young men from inner-city areas of Edmonton, Alberta, Canada. More specifically, the research question was: What are the benefits, constraints, and opportunities associated with providing sport programs to young men from inner-city areas?DesignEthnography.MethodsData were collected via 15 months of participant observation and interviews with 12 youth workers who were responsible for the provision of various sport programs to young inner-city dwellers. Analysis was framed around personal, social, and structural issues.ResultsAt a personal level sport provided young men with an outlet for overcoming boredom and a temporary reprieve from the conditions of their daily lives. At a social level sport provided opportunities for relationship building between the youth workers and the young men. However, enduring structural constraints associated with economic and social inequality and the lack of a coordinated approach to the delivery of services restricted the influence that sport could have in the lives of the young men.ConclusionThis study provided some precise understandings of the benefits, constraints, and opportunities associated with providing sport programs to members of specific populations in certain inner-city circumstances. Findings, therefore, have the potential to inform public health policy concerning the use of sport-for-development programming in such contexts.     

Only one or two cultures?

One Culture: Essays in Science and Literature, edited by George Levine, Madison, WI: University of Wisconsin Press, 1987, 359 pages, hb $45, pb $12.95