Two minds rationality

I argue that views of human rationality are strongly affected by the adoption of a two minds theory in which humans have an old mind which evolved early and shares many features of animal cognition, as well as new mind which evolved later and is distinctively developed in humans. Both minds have a form of instrumental rationality—striving for the attainment of goals—but by very different mechanisms. The old mind relies on a combination of evolution and experiential learning, and is therefore driven entirely by repeating behaviours which succeeded in the past. The new mind, however, permits the solution of novel problems by reasoning about the future, enabling consequential decision making. I suggest that the concept of epistemic rationality—striving for true knowledge—can only usefully be applied to the new mind with its access to explicit knowledge and beliefs. I also suggest that we commonly interpret behaviour as irrational when the old mind conflicts with the new and frustrates the goals of the conscious person.     

The Development of a Brief Distress Reduction Intervention for Individuals Recently Diagnosed With HIV in China

In China, where there are few mental health resources, the majority of HIV-related efforts have focused on medical treatment and transmission prevention rather than psychosocial support. Yet people living with HIV/AIDS (PLWHA) report high levels of psychological distress, especially upon first receiving their HIV diagnosis. We conducted mixed methods research of a qualitative study with (N = 31) individual interviews and 3 focus groups (n = 6 in each group) of HIV-affected participants, and a quantitative survey (N = 200) with individuals living with HIV in Shanghai and Beijing, China. Our qualitative data revealed themes of forms of distress experienced and types of psychosocial support that our participants wished they could have accessed upon diagnosis as well as suggestions for intervention structure that would be most feasible and acceptable. Our quantitative surveys provided further evidence of the high degree of psychosocial distress among recently diagnosed PLWHA. Our findings informed the development of the Psychology Toolbox intervention, a brief CBT skills-based intervention comprising cognitive restructuring, behavioral activation, and paced breathing, designed to be integrated into primary care for recently diagnosed PLWHA. This study describes the intervention development process and contents of each session. Future research should evaluate the intervention for efficacy as well as examine best strategies for eventual implementation and dissemination.