The effect of tangible reinforcement on the learning and retention of programmed material in academically retarded children

The effect of three reinforcement conditions was determined with respect to the learning and retention of a commercially available program purporting to teach simple nouns. The addition of candy reward to a novel method of presenting knowledge of results produced no change in performance when given on a continuous schedule, but reduced rate of responding when given on a partial schedule, i.e., only terninal frames.     

The indirect effects of emotion regulation on the association between attachment style,depression, and meaning made among undergraduates who experienced stressful events

Undergraduates frequently report exposure to stressful life events which may negatively impact mental health. The current study examined associations among attachment style, depression, and meaning made, and tested both direct effects and indirect effects through emotion regulation difficulties. Undergraduates (N?=?336) who reported having experienced stressful and/or potentially traumatic events completed measures through an online survey. More than half of participants (64%) were female, with a mean age of 19.26 years. In both models, higher attachment anxiety and higher attachment avoidance were significantly associated with greater difficulties with accessing emotion regulation strategies, which in turn were related to higher depression symptom severity and lower meaning made. Lack of emotional awareness also partially explained the associations between attachment avoidance and outcomes in both models. Difficulties in engaging in goal-directed behavior partially explained the associations between attachment anxiety and meaning made, but not depression symptom severity. Our results suggest certain emotion regulation strategies may be key mechanisms through which individuals with high attachment anxiety or avoidance may reduce the potential negative mental health impact that stressful life events may have.     

Practical knowledge and the subjectivity of truth in Kant and Kierkegaard: The cover of skepticism

Kant developed a distinctive method of philosophical argumentation, the method of transcendental argumentation, which continues to have contemporary philosophical promise. Yet there is considerable disagreement among Kant's interpreters concerning the aim of transcendental arguments. On ambitious interpretations, transcendental arguments aim to establish certain necessary features of the world from the conditions of our thinking about or experiencing the world; they are world‐directed. On modest interpretations, transcendental arguments aim to show that certain beliefs have a special status that renders them invulnerable to skeptical doubts; they are belief‐directed. This paper brings Kierkegaard's thesis of the “subjectivity of truth” to bear on these questions concerning the aim of transcendental arguments. I focus on Kant's argument for the postulate of God's existence in his Critique of Practical Reason and show that Kierkegaard's thesis of the subjectivity of truth can help us construe the argument as both belief and world directed. Yet I also argue that Kierkegaard's thesis of the subjectivity of truth can help us understand the source of our dissatisfaction with Kant's transcendental arguments: It can help us understand that dissatisfaction as an expression of what Stanley Cavell calls the “cover of skepticism,” the conversion of metaphysical finitude into intellectual lack.     

Training Methods for Delivering Difficult News in Genetic Counseling and Genetics Residency Training Programs

Genetic counselors and clinical geneticists are often in the position of delivering difficult news (DDN) to patients and families. Many studies show that healthcare providers require major improvement in the skills needed in DDN in a manner that is satisfactory to their patients. The purpose of this study was to assess the amount and methodology of DDN training received by genetic counselors and medical genetics residents in their training programs, such as observations of DDN or attending didactic lectures. To our knowledge, there is no previous assessment or study of DDN training in genetic counselor and medical genetics residency programs; therefore, we aim to both assess and compare the training in DDN received by genetic counselors and by genetics residents and determine whether there is a desire for recommendations on DDN training. We invited genetic counseling (GC) and genetics residency program directors to participate in an online survey designed to assess coursework, clinical experiences, and directors’ attitudes toward teaching DDN. Response rate was 85% (28/33) for GC program directors and 26% (14/53) for genetics residency program directors. One hundred percent of GC and genetics residency directors who responded to the survey agreed that it is important for genetic counselors and medical geneticists to be able to deliver difficult news effectively and that training programs should formally teach students how to deliver difficult news. Six of the eight common teaching methods are used by at least 75% of GC programs while two of eight are used by at least 75% of genetics residency programs. Seventy-nine percent of GC and 93% of genetics residency program directors agree that there should be recommendations on how to teach students to deliver this news. Our results show that techniques for DDN are integrated more fully into GC program curricula than genetics residency curricula. Directors of both types of programs desire recommendations and more standardized education for training students to deliver difficult news.