Letting Go: Conceptualizing Intervention De‐implementation in Public Health and Social Service Settings

The discontinuation of interventions that should be stopped, or de‐implementation, has emerged as a novel line of inquiry within dissemination and implementation science. As this area grows in human services research, like public health and social work, theory is needed to help guide scientific endeavors. Given the infancy of de‐implementation, this conceptual narrative provides a definition and criteria for determining if an intervention should be de‐implemented. We identify three criteria for identifying interventions appropriate for de‐implementation: (a) interventions that are not effective or harmful, (b) interventions that are not the most effective or efficient to provide, and (c) interventions that are no longer necessary. Detailed, well‐documented examples illustrate each of the criteria. We describe de‐implementation frameworks, but also demonstrate how other existing implementation frameworks might be applied to de‐implementation research as a supplement. Finally, we conclude with a discussion of de‐implementation in the context of other stages of implementation, like sustainability and adoption; next steps for de‐implementation research, especially identifying interventions appropriate for de‐implementation in a systematic manner; and highlight special ethical considerations to advance the field of de‐implementation research.     

Choosing Your Words and Pictures Wisely: When Do Individuation Instructions Reduce the Cross‐Race Effect?

Recognition accuracy for faces of an individual's own race typically exceeds recognition accuracy for other‐race faces. The categorization–individuation model (Hugenberg, Young, Bernstein, & Sacco, 2010) attributes this cross‐race effect to motivation to encode distinctive features of own‐race faces but category defining features for other‐race faces. Two experiments using different stimuli tested hypotheses generated from this model with both Black and White participants. For White participants, instructions to individuate reduced the cross‐race effect in both studies but did not eliminate it in Study 1. Black participants did not exhibit the cross‐race effect in either study, but individuation instructions improved both their same‐race and other‐race sensitivity. The present quality of interracial contact moderated the relationship between instructions and other‐race sensitivity for both Black and White participants in Study 1 but not in Study 2. Overall, results provide mixed support for this social categorization model. Copyright © 2015 John Wiley & Sons, Ltd.     

Suicide in bipolar disorder: Risks and management

Bipolar disorders are prevalent, often severe, and disabling illnesses with elevated lethality largely due to suicide. Suicide rates average approximately 1% annually, or perhaps 60 times higher than the international population rate of 0.015% annually. Suicidal acts typically occur early in bipolar disorders and in association with severe depressive or mixed states. The high lethality of suicidal acts in bipolar disorders is suggested by a much lower ratio of attempts:suicide (approximately 3:1) than in the general population (approximately 30:1). Risk factors can help to identify patients at increased suicidal risk, but ongoing clinical assessment is essential to limit risk. Empirical short-term interventions to manage acute suicidal risk include close clinical supervision, rapid hospitalization, and electroconvulsive therapy. Remarkably, however, evidence of the long-term effectiveness of most treatments against suicidal behavior is rare. A notable exception is lithium prophylaxis, which is associated with consistent evidence of major (approximately 80%), sustained relative reductions of risk of suicides and attempts, and lower lethality (increased attempts:suicide ratio). Such benefits are unproved for other treatments commonly used to treat bipolar disorder patients, including anticonvulsants, antipsychotics, antidepressants, and psychosocial interventions. Applying available knowledge systematically, with close and sustained clinical supervision, can enhance management of suicidal risk in bipolar disorders patients.     

"In the storminess": multi-disciplinary approaches to scriptural images representing ethical challenges in the pastor-congregant relationship

In this qualitative study the authors examine the Scriptural images that 10 Lutheran pastors employed in describing the ethical challenges in the pastor-congregant relationship. The analysis of Scriptural images is part of a larger study on pastors' experiences of a mandatory workshop, "Crossing the Boundaries (CTB),"which is required of Evangelical Lutheran Church in Canada (ELCIC) seminarians. The pastors' images were analyzed from the four perspectives of depth psychology, theology, social ethics, and sociology. In commenting on tensions in the pastors' Scriptural images the authors note commonalities among the four theoretical perspectives and discuss implications for practice and future research.     

Temporal differences in trait self-ascription: when the self is seen as an other

Seven studies exploring people's tendency to make observer-like attributions about their past and future selves are presented. Studies 1 and 2 showed temporal differences in trait assessments that paralleled the classic actor-observer difference. Study 3 provided evidence against a motivational account of these differences. Studies 4-7 explored underlying mechanisms involving differences in the focus of attention of the sort linked to the classic actor-observer difference. In Study 4, people perceived past and future selves from a more observer-like perspective than present selves. In Studies 5 and 6, manipulating attention to internal states (vs. observable behavior) of past and future selves led people to ascribe fewer traits to those selves. Study 7 showed an inverse relationship for past and present selves between observer-like visual focus and salience of internal information.     

Sex differences in stress generation: an examination of sociotropy/autonomy, stress, and depressive symptoms

Hammen (1991) proposed that both individual characteristics and depressive symptomatology may explain the stress generation process, in which individuals contribute, in part, to a more stressful environment for themselves. Nonetheless, research has not teased apart the impact of vulnerability factors and depressive symptomatology on this process. Ninety-nine college students, selected to be variable on personality vulnerabilities of sociotropy and autonomy, were followed for 6 weeks. Weekly depressive symptoms and stressful life events that were likely caused in part by the individual (dependent stress) were assessed. Multilevel modeling results indicated that prior-week depressive symptoms significantly predicted current-week dependent interpersonal stress levels. A significant sex-by-sociotropy effect emerged such that being female and scoring high on sociotropy predicted higher levels of dependent interpersonal stress. This interpersonal stress generation effect for women partially mediated the relationship between sociotropy and depressive symptoms.     

Are correlated streams of information necessary for implicit sequence learning?

We investigated whether the existence of correlated streams of information is necessary for incidental sequence learning to occur. We ran three separate experiments with a total of 201 undergraduate students. Each experiment had at least one condition with two streams of sequenced information that were correlated. The correlations differed in terms of the kind of responses that were required, the kind of tasks and stimuli, the on-screen locations at which they occurred and how they were combined. Only in conditions with correlated sequences was implicit sequence learning found. Our results suggest that the presence of correlated streams of information may be the main pre-requisite for implicit sequence learning.     

Investigating the predictive roles of working memory and IQ in academic attainment

There is growing evidence for the relationship between working memory and academic attainment. The aim of the current study was to investigate whether working memory is simply a proxy for IQ or whether there is a unique contribution to learning outcomes. The findings indicate that children’s working memory skills at 5 years of age were the best predictor of literacy and numeracy 6 years later. IQ, in contrast, accounted for a smaller portion of unique variance to these learning outcomes. The results demonstrate that working memory is not a proxy for IQ but rather represents a dissociable cognitive skill with unique links to academic attainment. Critically, we find that working memory at the start of formal education is a more powerful predictor of subsequent academic success than IQ. This result has important implications for education, particularly with respect to intervention.     

How to have a radically minimal ontology

In this paper I further elucidate and defend a metaontological position that allows you to have a minimal ontology without embracing an error-theory of ordinary talk. On this view ‘there are Fs’ can be strictly and literally true without bringing an ontological commitment to Fs. Instead of a sentence S committing you to the things that must be amongst the values of the variables if it is true, I argue that S commits you to the things that must exist as truthmakers for S if it is true. I rebut some recent objections that have been levelled against this metaontological view.