Casa de Alba: Therapeutic community for severe mental health problems

The Romão de Sousa Foundation has worked for three years to establish Casa de Alba which aims to help individuals and families affected by mental health problems. Working within a relational-integrative framework, Casa de Alba has a multidisciplinary team which makes use of therapeutic community theory and a range of psychological therapies and psychosocial interventions including individual and group psychotherapy, occupational therapy, arts, yoga, psychiatric consultation and pharmacotherapy, as well as the encouragement of self-management in everyday activities within the house. The use of over 20 acres of outdoor space will form part of the day to day therapeutic programme with activities such as horticultural therapy, ridding, walking and sports. Supervision will be used to help the staff team integrate different modalities and approaches as well as to improve the service.     

Meaning and relational well-being: a reflection on the state of the art and a way forward

This paper provides a brief overview of facets of meaning and relational well-being highlighting the foci of current research on meaning, relationships as sources of meaning, contextual relevance and meta-theoretical assumptions. Lacunae in knowledge are indicated and a model proposed as framework for further research on meaning and relational well-being which was the focused topic of this special issue.     

Capturing and testing perceptual-cognitive expertise: A comparison of stationary and movement response methods

Numerous methods have been used to study expertise and performance. In the present article, we compare the cognitive thought processes of skilled soccer players when responding to film-based simulations of defensive situations involving two different experimental conditions. Participants either remained stationary in a seated position (n = 10) or were allowed to move (n = 10) in response to life-size film sequences of 11 versus 11 open-play soccer situations viewed from a player’s perspective. Response accuracy and retrospective verbal reports of thinking were collected across the two task conditions. In the movement-based response group, participants generated a greater number of verbal report statements, including a higher proportion of evaluation, prediction, and action planning statements, than did participants in the stationary group. Findings suggest that the processing strategies employed during performance differ depending on the nature of the response required of participants. Implications for behavioral methods and experimental design are discussed.     

Partial Likelihood Estimation of IRT Models with Censored Lifetime Data: An Application to Mental Disorders in the ESEMeD Surveys

Developmental studies of mental disorders based on epidemiological data are often based on cross-sectional retrospective surveys. Under such designs, observations are right-censored, causing underestimation of lifetime prevalences and correlations, and inducing bias in latent trait models on the observations. In this paper we propose a Partial Likelihood (PL) method to estimate unbiased IRT models of lifetime predisposition to develop a certain outcome. A two-step estimation procedure corrects the IRT likelihood of outcome appearance with a function depending on (a) projected outcome frequencies at the end of the risk period, and (b) outcome censoring status at the time of the observation. Simulation results showed that the PL method yielded good recovery of true frequencies and intercepts. Slopes were best estimated when events were sufficiently correlated. When PL is applied to lifetime mental health disorders (assessed in the ESEMeD project surveys), estimated univariate prevalences were, on average, 1.4 times above raw estimates, and 2.06 higher in the case of bivariate prevalences.     

Identification of risk factors for suffering fear of hypoglycemia in type 1 Diabetes Mellitus patients

Hypoglycemia is one of the main burdens for type I Diabetes Mellitus (DM I) patients. The consequences of hypoglycemia can be quite unpleasant due to the variety of disagreeable physical and psychological symptoms it triggers. The patient's previous experience with hypoglycemia episodes will condition his psychological reaction to future episodes, promoting behavioral modifications that associate with poor glycemic control and worse prognosis, and even with developing psychological disorders, leading to fear of hypoglycemia (FH). To be able to provide tailored prevention and treatment of patients with FH it is necessary to identify the risk factors in DM I patients. We developed and validated the FH‐15 scale, a novel instrument to assess FH, which showed good concurrent and predictive validity in DM I patients. In this work we aim to identify the risk factors for suffering FH by detecting DM I patients with FH using the FH‐15 scale and then analyzing the association of clinical and sociodemographic variables. We found that age, needing help to resolve an episode of hypoglycemia, and a perceived lack of social support are risk factors for suffering FH.     

Knowability as potential knowledge

The thesis that every truth is knowable is usually glossed by decomposing knowability into possibility and knowledge. Under elementary assumptions about possibility and knowledge, considered as modal operators, the thesis collapses the distinction between truth and knowledge (as shown by the so-called Fitch-argument). We show that there is a more plausible interpretation of knowability—one that does not decompose the notion in the usual way—to which the Fitch-argument does not apply. We call this the potential knowledge-interpretation of knowability. We compare our interpretation with the rephrasal of knowability proposed by Edgington and Rabinowicz and Segerberg, inserting an actuality-operator. This proposal shares some key features with ours but suffers from requiring specific transworld-knowledge. We observe that potential knowledge involves no transworld-knowledge. We describe the logic of potential knowledge by providing models for interpreting the new operator. Finally we show that the knowability thesis can be added to elementary conditions on potential knowledge without collapsing modal distinctions.