<Emphasis Type="Italic">Doctor Anonymous</Emphasis>: Creating Contexts for Homosexuality as Mental Illness

In this essay, the author describes how he faced institutionalized homophobia during his psychiatric training, and how he later wrote a play inspired by the life of a gay psychiatrist. Despite Freud’s supportive stance, homosexuality aroused the antipathy of American organized psychiatry and psychoanalysis and came to be listed as an illness in the Diagnostic and Statistical Manual (DSM). Dr. John E. Fryer outed himself as “Dr. H Anonymous” at a 1972 meeting of the American Psychiatric Association, and the next year homosexuality was removed from the DSM. The 2014 play Doctor Anonymous offers a fictionalized account of this watershed moment in the history of the gay rights movement. The author discusses his own psychotherapeutic work with gay male patients, including those who had previously been treated with conversion therapy, and explores how the play mirrors his own life experience and the experience of his patients.     

Pattern of Neuropsychological Deficit at Age Five Years Following Neonatal Unilateral Brain Injury

The pattern of language deficit following left-hemisphere brain injury and visual/spatial deficit following right-hemisphere injury in an adult or older child is well recognized, but has been inconsistently reported following presumed neonatal brain injury. Our prospective study of 24 children at age 5 with documented neonatal unilateral brain injury lends support to the theory of hemisphere specialization at the time of birth. Twelve children who had unilateral left-hemisphere lesion were compared to 12 children with unilateral right-hemisphere lesion of similar timing and severity. Relative visual/spatial deficit following right-hemisphere lesion and receptive language deficit following left-hemisphere lesion were identified. Lateralized measures of grip strength, fine motor speed, and fine motor dexterity were not significantly different between the groups for either hand in this nonhemiparetic study sample. Only one child with a left-hemisphere lesion was left-handed, and only one child (right-lesion) had a hemiparesis.     

Brief report: Compliance in the classroom: Using the „thumbs up”︁ procedure to increase student compliance to teacher requests

This study assessed the effectiveness of a program designed to increase compliance with teacher commands in a regular 5th grade math class. A reversal design (A-B-B'-A-B') was employed. The teacher used a discriminative stimulus to signal the students as to the availability of an opportunity to earn a point towards a reinforcer. To receive the point the students were required to return the signal and initiate compliance. The entire class was involved in the program; however, data were recorded on two students, one identified by the teacher as noncompliant; the other served as a control. The results indicated that the program was effective in increasing initiation of compliance to teacher commands. However, serious questions were raised about the generalizability of such a program.     

Helping Callers to the National Suicide Prevention Lifeline Who Are at Imminent Risk of Suicide: Evaluation of Caller Risk Profiles and Interventions Implemented

Crisis lines are settings where identifying individuals at imminent risk of suicidal behavior and intervening to keep them safe are critical activities. We examined clinical characteristics of crisis callers assessed by telephone crisis helpers as being at imminent risk of suicide, and the interventions implemented with these callers. Data were derived from 491 call reports completed by 132 helpers at eight crisis centers in the National Suicide Prevention Lifeline network. Helpers actively engaged the callers in collaborating to keep themselves safe on 76.4% of calls and sent emergency services without the callers' collaboration on 24.6% of calls. Four different profiles of imminent risk calls emerged. Caller profiles and some helper characteristics were associated with intervention type. Our findings provide a first step toward an empirical formulation of imminent risk warning signs and recommended interventions.     

Inference to the best explanation: does it track truth?

In the form of inference known as inference to the best explanation there are various ways to characterise what is meant by the best explanation. This paper considers a number of such characterisations including several based on confirmation measures and several based on coherence measures. The goal is to find a measure which adequately captures what is meant by ‘best’ and which also yields the truth with a high degree of probability. Computer simulations are used to show that the overlap coherence measure achieves this goal, enabling the true explanation to be identified almost as often as an approach which simply selects the most probable explanation. Further advantages to this approach are also considered in the case where there is uncertainty in the prior probability distribution.     

Explaining and Explaining Away in Science and Religion

Abstract

There is no good reason to think that there is a necessary conflict between science and the existence of God, but is there still some way in which science might support atheism? The most plausible strategy for atheism is to argue that scientific explanations can remove the need for God in some cases via “explaining away.” This paper proposes a number of questions to help identify whether explaining away takes place in a given context, and explores several cases where explaining away might be thought to occur, with particular attention given to the most obvious case: the theory of evolution.     

Positive explorers: modeling dynamic control in normal aging

Situations in which there are multiple changes occurring all at once and which demand complex decisions to be made are common throughout life, but little is known about how normal aging influences performance on these types of scenarios. To determine performance differences associated with normal aging, we test older and younger adults in a dynamic control task. The task involves the control of a single output variable over time via multiple and uncertain input controls. The Single Limited Input, Dynamic Exploratory Responses (SLIDER) computational model, is implemented to determine the behavioral characteristics associated with normal aging in a dynamic control task. Model-based analysis demonstrates a unique performance signature profile associated with normal aging. Specifically, older adults exhibit a positivity effect in which they are more influenced by positively valenced feedback, congruent with previous research, as well as enhanced exploratory behavior.