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.     

Special Considerations in the Adaptation of Cognitive Behavioral Therapy for Insomnia With Active-Duty U.S. Army Personnel

Insomnia is highly prevalent among active-duty military service members. Cognitive Behavioral Therapy for Insomnia (CBT-I) is a well-established and effective treatment; however, research and treatment recommendations have primarily focused on civilian or veteran populations. A multitude of military-specific factors directly impact service members’ sleep and the subsequent treatment recommendations. This article provides treatment considerations for the use of CBT-I with active-duty U.S. Army personnel. First, an overview of the theoretical model of insomnia, including military-specific predisposing, precipitating, and perpetuating factors, is presented, followed by a review of common comorbid conditions among service members with insomnia. Finally, discussion focuses on considerations and strategies for implementing components of CBT-I with service members, managing sleep during deployments, and adjusting sleep to accommodate overnight duties. Additional training resources and supplemental video examples (with actors) are provided.     

Adolescent Perception of Peer Success: A Gendered Perspective over Time

Adolescent males and females (grades 6–12) (n = 552) were presented with nine brief vignettes from the Teen Apperception Scale, describing high-achieving hypothetical female (or male) peers, across nine domains: leadership, academics, athleticism (two), musicianship, art, popularity, humor, and multitalentedness. Teens rated likability, popularity, and attractiveness of vignette subjects in each domain. The sample was roughly evenly divided by gender (47% male and 53% female); students ranged in age from 11 to 18 years. The sample was ethnically diverse, and the socioeconomic status of the students' families ranged from lower middle to upper middle class. MANOVA analyses showed female vignette subjects to be rated significantly higher than male subjects by both genders and all grade groupings, at p < .0001 overall, and at values ranging from p < .05 to p < .0001 for six of nine subscales. Results are contrasted with those from highly similar studies 30 years ago, and used to reflect a possible shift in attitudes toward high achievement in women.     

Conscientiousness and reactions to psychological contract breach: a longitudinal field study

The authors examined the role of employee conscientiousness as a moderator of the relationships between psychological contract breach and employee behavioral and attitudinal reactions to the breach. They collected data from 106 newly hired employees within the 1st month of employment (Time 1), 3 months later (Time 2), and 8 months after Time 1 (Time 3) to observe the progression through contract development, breach, and reaction. Results suggest that conscientiousness is a significant moderator for 4 of the 5 contract breach-employee reaction relationships examined (turnover intentions, organizational loyalty, job satisfaction, and 1 of 2 facets of job performance). Specifically, employees who were lower in conscientiousness had more negative reactions to perceived breach with respect to turnover intentions, organizational loyalty, and job satisfaction. In contrast, employees who were higher in conscientiousness reduced their job performance to a greater degree in response to contract breach. Future research directions are discussed.     

Attentional bias to threat in clinical anxiety states

Abstract

Attentional responses to threat stimuli were assessed in anxious patients, normal controls, and subjects who had recovered from a clinical anxiety state. The main aims of the study were: (1) to replicate MacLeod, Mathews, and Tata's (1986) finding of an attentional bias to threat in currently anxious patients compared with normal control subjects; (2) to assess whether the bias is related to the predominant worries of anxious patients; and (3) to investigate whether the bias is present in recovered anxious patients. The original finding of an anxiety-related attentional bias was replicated. The results indicated that the extent to which anxious patients selectively attended to social threat words was associated with the seventy of their social worries. The attentional responses of the recovered anxious group were not significantly differentiated from those of the currently anxious or normal control groups.     

Individual and contextual factors: An interactionist approach to understanding employee self-development

While prior research has identified several individual characteristics and contextual factors influential on an employee’s quantity of self-development participation, no research has examined multiplicative effects among these factors. This study investigated person-situation interactions among five individual characteristics (e.g., openness to experience) and the contextual factor of workplace support for self-development. This study also sought to investigate the link between proactive personality and self-development participation, a promising individual characteristic that has received little attention in the self-development literature. Data collected from 136 employees demonstrates significant interactions between workplace support with learning goal orientation, openness to experience, and conscientiousness. As hypothesized, workplace support is more strongly, positively linked to quantity of self-development participation for employees lower in these traits. In contrast, the provision of external support is rather inconsequential for those high in these traits, as these employees demonstrate an internal propensity to engage in voluntary development regardless of the support available. Regarding proactive personality, a significant positive relationship was observed with self-development quantity. Further, although the expected interaction between proactive personality and workplace support did not reach statistical significance (p = .056), it was in the hypothesized direction.