Combined cognitive and parent training interventions for adolescents with ADHD and their mothers: A randomized controlled trial

This study examined the individual and combined effects of two nonpharmacological treatments for attention deficit/hyperactivity disorder (ADHD): Cogmed working memory training (CWMT) for adolescents and behavioral parent training (BPT) for mothers. Ninety-one adolescents (ages 11–15) and their mothers were randomized to one of four CWMT and BPT treatment and active control (placebo) group combinations of 5-week interventions. At pre- and posttest, mothers and teachers completed rating forms, and adolescents completed neuropsychological measures of working memory (WM). Individual intervention effects showed that treatment CWMT significantly improved WM spans, whereas there were no significant differences for treatment or control BPT on reports of parent-related outcomes. Combined treatment effects indicated an overall pattern of greatest improvements for the control CWMT/treatment BPT group, as compared to the other three groups, on adolescent WM deficit, behavioral regulation problems, and global executive deficit. Most significant effects for outcomes were main effects of improvements over time. A combination of CWMT and BPT did not result in increased treatment gains. However, potential effects of combined treatment may have been masked by greater perceived benefits arising from lack of struggle in the nonadaptive, CWMT active control condition. Future combined intervention research should focus on specific, theoretically driven WM deficits among individuals with ADHD, should include possible adaptations to the standard CWMT program, should examine effectiveness of cognitive treatments combined with contextual interventions and should utilize appropriate control groups to fully understand the unique and combined effects of interventions.     

The value of dignity in and for bioethics: rethinking the terms of the debate

The discussion of the nature and value of dignity in and for bioethics concerns not only the importance of the concept but also the aims of bioethics itself. Here, I challenge the claim that the concept of dignity is useless by challenging the implicit conception of usefulness involved. I argue that the conception of usefulness that both opponents and proponents of dignity in bioethics adopt is rooted in a narrow understanding of the role of normative theory in practical ethical thinking. I then offer an alternate understanding of the nature and value of dignity. I begin by recognizing that claims that one’s dignity has been violated point to an important difference between “respect for autonomy” and “respect for persons.” I then suggest three different conceptions of how dignity can be normatively guiding for bioethics, and conclude that, ultimately, understanding dignity as the cornerstone of a reflective perspective that frames moral reflection and deliberation is valuable for doing bioethics well.     

Attainment and behavioral disturbance at 9 years: The influence of early and late life stress events

This paper presents data from a small-scale longitudinal study that examines the importance of life-stress events in early and late childhood for later attainment and behavioral disturbance. The study sample consists of 59 children, all of whom when first contacted lived in families with low incomes, of low social status, and little education. Therefore, all of the children can be considered disadvantaged, and the influence of life stress events can be assessed uncontaminated by differences in socio-economic status. At age 9 years, 21 of these children were assessed as disturbed, whereas 38 were not. The results presented suggest that life stress events in early childhood: (1) are of little importance in explaining variations in the behavior of either group of children; and (2) help to explain variations in the attainment of the disturbed, but not the other children. However, life-stress events in late childhood are (1) of considerable importance in explaining variations in the behavior of both the disturbed and other children; but (2) of little importance in explaining variations in the attainments of either group of children. The findings are discussed with reference to child, parent, and other factors that may act to protect vulnerable children against life event stress.     

Are Moral Emotions Key to Informed Risk Decisions? A Commentary on Sabine Roeser,Risk, Technology,and Moral Emotions

Science and Engineering Ethics -     

Police perspectives on responding to mentally ill people in crisis: perceptions of program effectiveness

In this study, we sampled sworn police officers from three law enforcement agencies (n=452), each of which had different system responses to mentally ill people in crisis. One department relies on field assistance from a mobile mental health crisis team, a second has a team of officers specially trained in crisis intervention and management of mentally ill people in crisis, and a third has a team of in-house social workers to assist in responding to calls. Calls involving mentally ill people in crisis appear to be frequent and are perceived by most of the officers to pose a significant problem for the department; however, most officers reported feeling well prepared to handle these calls. Generally, officers from the jurisdiction with a specialized team of officers rated their program as being highly effective in meeting the needs of mentally ill people in crisis, keeping mentally ill people out of jail, minimizing the amount of time officers spend on these calls, and maintaining community safety. Officers from departments relying on a mobile crisis unit (MCU) and on police-based social workers both rated their programs as being moderately effective on each of these dimensions except for minimizing officer time on these calls where the MCU had significantly lower ratings. © 1998 John Wiley & Sons, Ltd.     

Parallel process in supervision

This paper addresses the concept of parallel process and its application in clinical supervision. Parallels between therapy and supervision are examined as well as some of the key issues surrounding the use of parallel process as a supervisory intervention. Although there is a need for more investigation to explain and support this concept further, the authors would argue that parallel process interventions in supervision can enhance the supervisory process and the task of teaching and learning for both the supervisee and supervisor. A case example is provided to demonstrate the parallel process in supervision and its potential as a facilitative intervention.     

Multiplying Obstetrics: Techniques of Surveillance and Forms of Coordination

The article argues against the common notion ofdisciplinary medical traditions, i.e. Obstetrics, asmacro-structures that quite unilinearily structure thepractices associated with the discipline. It shows that the various existences of Obstetrics, their relations with practices and vice versa, the entities these obstetrical practices render present and related, and the ways they are connected to experiences, are more complex than the unilinear model suggests. What allows participants to go from one topos to another – from Obstetrics to practice, from practice to politics, from politics to experience – is not self-evidently induced by Obstetrics, but needs to be studied as a surprising range of passages that connect (or don't). Techniques and devices to supervise the delivery, to render present the fetus during pregnancy, and to monitoring birth, are described in order to show that such techniques acquire different roles in connecting and creating Obstetrics as a system andobstetrical practices.     

Instructional effects in the use of the mnemonic keyword method for learning German nouns and their grammatical gender

The use of the mnemonic keyword method involves (a) the formation of an orthographic link between the form of a foreign word and that of a physically similar word in one's mother tongue (i.e. the keyword), and (b) the formation of a semantic link between the referent of the foreign word and that of the keyword. In a variation of this study method, English-speaking learners were asked to study the grammatical gender of German nouns by substituting the concepts of a woman, a man, and an inanimate object for the feminine, masculine, and neuter genders, respectively. This more concrete representation of gender was then to be incorporated to an interactive image along with the referent of the keyword and that of the German noun. The three experiments reported in this paper yielded four main results: (a) instructing learners to recode the gender tag and to include its representation into an interactive mental image along with the referent of the German noun facilitated the recall of genders: (b) the facilitating effect of imagery instructions on the recall of genders was obtained only if the English translation was recalled; (c) the probability of correctly reporting the gender given that the English translation was not recalled was higher than the baseline for guessing if the learners were instructed to encode the gender before the translation, otherwise it was consistently near the baseline: and (d) in contrast with prior studies with French-speaking subjects, the modified keyword method did not always enhance the recall of the familiar translation equivalents. The discussion bears mainly on the factors that might account for the difficulty of detecting a consistent keyword advantage in the recall of the familiar translation.     

The Syzygy,Reformulation and New Perspectives: Dreams,Anima-Animus and Gender1

The main objective of this qualitative and quantitative research paper is to explore the occurrences and relations of the anima, animus and androgynous in dreams, with particular emphasis on the consideration of the androgynous in the human psyche. The sample consists of 9 series of dreams (141 dreams in total), from 9 dreamers, 7 women (female sex/gender) and 2 men (male sex/gender), aged 25–57, heterosexual, undergoing Jungian psychotherapy, and presenting couple-related themes. Statistical results and qualitative analysis offer new input for the re-vision of the classical anima-animus model, and the addition of in-depth explorations into the androgynous, paving the way for a new model of psychopathology and psychotherapeutic clinical work, in transition.