The effect of reinforcement or stimulus control to reduce sedentary behavior in the treatment of pediatric obesity.

Obese children were randomly assigned to a family-based behavioral treatment that included either stimulus control or reinforcement to reduce sedentary behaviors. Significant and equivalent decreases in sedentary behavior and high energy density foods, increases in physical activity and fruits and vegetables, and decreases in standardized body mass index (z-BMI) were observed. Children who substituted active for sedentary behaviors had significantly greater z-BMI changes at 6 (-1.21 vs. -0.76) and 12 (-1.05 vs. -0.51) months, respectively. Substitution of physically active for sedentary behaviors and changes in activity level predicted 6- and 12-month z-BMI changes. Results suggest stimulus control and reinforcing reduced sedentary behaviors are equivalent ways to decrease sedentary behaviors, and behavioral economic relationships in eating and activity may mediate the effects of treatment.     

Visuospatial attention in schizophrenia: deficits in broad monitoring

Although selective attention is thought to be impaired in people with schizophrenia (PSZ), prior research has found no deficit in the ability to select one location and withdraw attention from another. PSZ and healthy control subjects (HCS) performed a stimulus detection task in which one, two, or all four peripheral target locations were cued. When one or two locations were cued, both PSZ and HCS responded faster when the target appeared at a cued than uncued location. However, increases in the number of validly cued locations had much more deleterious effects on performance for PSZ than HCS, especially for targets of low contrast whose detection was more dependent on attention. PSZ also responded more slowly in trials with four cued locations relative to trials with one or two invalidly cued locations. Thus, visuospatial attention deficits in schizophrenia arise when broad monitoring is required rather than when attention must be focused narrowly.     

Breaking apart the typical mortality salience manipulation: Two questions,two outcomes

The typical mortality salience manipulation asks participants to reflect on two questions, one about the emotions associated with the thought of death and the other about what happens after one dies. In five experiments, we separated these two questions and gave participants either one or a control question. In Experiment 1, participants' responses to the afterlife question were coded as being informed more by cultural knowledge and values compared with responses to the emotion question. Experiments 2 and 3 demonstrated that participants responding to the afterlife question showed greater stereotype usage compared with those responding to the emotion or a control question. In Experiment 4, results illustrate that the afterlife and emotion question differ on various coding dimensions related to self‐focus, emotion, and culturally related death words, but not death‐related words. In addition, participants who responded to the afterlife question demonstrated greater cultural worldview defense by setting a higher bail for an alleged prostitute compared with those who answered the emotion or a control question. In Experiment 5, participants responding to the emotion question demonstrated a greater preference for personally endorsed values compared with those who responded to the emotion or a control question. These results suggest that the two questions used in the common mortality salience manipulation produce different results when separated. Copyright © 2012 John Wiley & Sons, Ltd.     

Rule Consequentialism and Scope

Rule consequentialism (RC) holds that the rightness and wrongness of actions is determined by an ideal moral code, i.e., the set of rules whose internalization would have the best consequences. But just how many moral codes are there supposed to be? Absolute RC holds that there is a single morally ideal code for everyone, while Relative RC holds that there are different codes for different groups or individuals. I argue that Relative RC better meets the test of reflective equilibrium than Absolute RC. In particular, I contend that Relative RC is superior because it accommodates our convictions about costless benefits. Some have charged that Relative RC threatens our convictions about the generality of moral codes and that it leads inevitably to what Brad Hooker calls “runaway relativism.” I argue that Relative RC has principled reasons for stopping this imagined slide down the slippery slope.     

It’s NOT FAIR! Or is it? The promise and the tyranny of evidence-based performance assessment

Evidence-based medicine (EBM), by its ability to decrease irrational variations in health care, was expected to improve healthcare quality and outcomes. The utility of EBM principles evolved from individual clinical decision-making to wider foundational clinical practice guideline applications, cost containment measures, and clinical quality performance measures. At this evolutionary juncture one can ask the following questions. Given the time-limited exigencies of daily clinical practice, is it tenable for clinicians to follow guidelines? Whose or what interests are served by applying performance assessments? Does such application improve medical care quality? What happens when the best interests of vested parties conflict? Mindful of the constellation of socially and clinically relevant variables influencing health outcomes, is it fair to apply evidence-based performance assessment tools to judge the merits of clinical decision-making? Finally, is it fair and just to incentivize clinicians in ways that might sway clinical judgment? To address these questions, we consider various clinical applications of performance assessment strategies, examining what performance measures purport to measure, how they are measured and whether such applications demonstrably improve quality. With attention to the merits and frailties associated with such applications, we devise and defend criteria that distinguish between justice-sustaining and justice-threatening performance-based clinical protocols.     

Moving Beyond Us and Them? Marginality,Rhizomes, and Immanent Forgiveness

Here, I offer a candid response to bell hooks's call for a testimony to the “movement beyond a mere ‘us and them’ discussion” that purportedly informs contemporary radical and feminist thought on difference. In alignment with a tradition that includes bell hooks, Audre Lorde, Gloria Anzaldúa, and Aurora Levins Morales, I offer a personal testimony to the ways in which I—a middle‐class, French, immigrant, continental‐philosophy‐bred incest survivor—envision both that movement and its limits. To establish these alliances means forming necessary (if only momentary and unlikely) communities. I call on the philosophy of Deleuze and Guattari to propose an account of the production of such communities that does not depend only on shared lived experience, but also on shared marginal spatiality (rhizomes), temporality (trauma), and “medicinal history” (nomadology). I suggest that on the one hand, Deleuze's philosophy of immanence may indeed find apt expression in the politics of integrity that hooks, Lorde, and Morales call for. On the other hand, a genuine politics of integrity may benefit from drawing on the philosophy of immanence, which alone offers alternatives to the traditional, oppositional models of difference informed by transcendence. Finally, I propose the concept of “immanent forgiveness” to capture the movement at issue.     

Alcohol expectancies, alcohol use, and hostility as longitudinal predictors of alcohol-related aggression

The direct and interactive effects of alcohol expectancies for aggression, dispositional hostility, and heavy alcohol consumption on alcohol-related physical aggression were examined across the first four years of marriage in a sample of 634 newlywed couples. For husbands, alcohol aggression expectancies predicted increases in alcohol-related aggression; across husbands and wives, however, aggression expectancies were not found to interact with hostility or alcohol consumption to predict physical aggression. Consistent with previous research, hostility and alcohol consumption interacted with each other to predict alcohol-related aggression. Specifically, for both husbands and wives high in dispositional hostility, heavy alcohol consumption was positively associated with the occurrence of alcohol-related aggression; for those low in dispositional hostility, however, there was no association between alcohol consumption and alcohol-related aggression. Findings are contrasted with previous longitudinal research on alcohol aggression expectancies and physical aggression in married couples. The article discusses the extent to which findings may vary depending on whether expectancies are assessed in relation to alcohol's effect on one's own behavior versus alcohol's effect on others' behavior.     

The interstate delivery of psychological services: opportunities and obstacles

An analysis of the psychology licensing laws of the 50 states and the District of Columbia reveals that these laws pose serious obstacles to practicing outside of the state in which one is licensed. Eleven states do not allow any interstate practice. Twenty-three states allow an out-of-state psychologist to practice in that state but require some type of prior permission of the board. Only 17 states allow some interstate practice without prior approval, but several of these impose a variety of limitations. All 41 states that do allow an out-of-state psychologist to practice limit the number of days that such practice is allowed. These laws seem to be aimed more at protecting the psychologists who are licensed in that state than in protecting the potential consumers of psychological service. The need for reform of these laws is discussed, and a potential model-the interstate Mutual Recognition Compact-developed for nursing is a promising solution.     

A Review of “Mind to Mind: Infant Research,Neuroscience, and Psychoanalysis”

Abstract

This article examines current research pertaining to the relationship between a mother and her children, and how this relationship may affect sibling interactions. Issues such as temperament, gender, and the age gap between children are also explored to ascertain their impact on the sibling relationship.

The displacement of the first-born child and the ensuing sense of loss and anger he may experience as a result of this is explored. The mother's second pregnancy is also discussed in regard to the impact of unresolved issues relating to her own sibling relations. The mother's interactions with each child, her role as a model for identification, and marital relations are discussed in light of their impact on sibling relations.

The evolution of a positive attachment between siblings is explored. Rivalrous behavior between siblings is also discussed, particularly in association to the mother's treatment of her own children and the manner in which the mother deals with her own aggression.