A multimethod investigation of the behavioral activation system in bipolar disorder

Dysregulation in behavioral activation system (BAS) activity has been implicated in the pathogenesis of bipolar disorder (BPD). To characterize BAS activity and related facets in this disorder, the authors compared 59 participants with BPD to 44 controls on multiple measures of BAS activity, including a standardized behavioral task, self-reports, and electroencephalographic indexes of regional cortical activity. Levels of putative BAS activity differed depending on assessment strategy. When a behavioral task indexing reward sensitivity was used, euthymic BPD patients showed evidence of higher BAS activity than either control participants or patients who were in a mood episode. Following a mood induction procedure designed to elicit BAS activity, currently episodic patients showed relatively greater left anterior cortical activity than either euthymic or control participants. Implications of the findings for future research on BPD vulnerability are described.     

The Acceptability and the Tolerability of Societal Risks: A Capabilities-based Approach

In this paper, we present a Capabilities-based Approach to the acceptability and the tolerability of risks posed by natural and man-made hazards. We argue that judgments about the acceptability and/or tolerability of such risks should be based on an evaluation of the likely societal impact of potential hazards, defined in terms of the expected changes in the capabilities of individuals. Capabilities refer to the functionings, or valuable doings and beings, individuals are able to achieve given available personal, material, and social resources. The likely impact of a hazard on individuals' capabilities should, we argue, be compared against two separate thresholds. The first threshold specifies the minimum level of capabilities attainment that is acceptable in principle for individuals to have in the aftermath of a hazard over any period of time. This threshold captures the level that individuals' capabilities ideally should not fall below. A risk is acceptable if the probability that the attained capabilities will be less than the acceptable level is sufficiently small. In practice, it can be tolerable for some individuals to temporarily fall below the acceptable threshold, provided this situation of lower capabilities attainment is temporary, reversible, and the probability that capabilities will fall below a tolerability threshold is sufficiently small. This second, tolerable threshold delimits an absolute minimum level of capabilities attainment below which no individual in a society should ever fall, regardless of whether that level of capabilities attainment is temporary or reversible. In this paper, we describe and justify this Capabilities-based Approach to the acceptability and tolerability of risks. We argue that the proposed theoretical framework avoids the limitations in current approaches to acceptable risk. The proposed approach focuses the attention of risk analysts directly on what should be our primary concern when judging the acceptability and the tolerability of risks, namely, how risks impact the well-being of individuals in a society. Also, our Capabilities-based Approach offers a transparent, easily communicable way for determining the acceptability and the tolerability of risks.     

Second-order beliefs about intention and children's attributions of sociomoral judgment

Predicting how another person will evaluate the intention underlying an action involves consideration of second-order mental states. Children (ages 5-10 years) and college students (N=105) predicted an observer's belief about an actor's intention and evaluated the actor from both their own perspectives and the perspective of the observer. Younger children were more likely than older children and adults to attribute a belief to the observer that mismatched the actor's prior intention. Attributed beliefs about intention were more likely to match negative prior intentions than to match positive prior intentions and were also more likely to match prior intentions when the observer knew the actor's prior intention than when the observer did not know the actor's prior intention. The judgments attributed to the observer were based on the beliefs about intention attributed to the observer, showing use of second-order mental states to infer another's sociomoral judgments.     

Using Adult Learning Theory Concepts to Address Barriers to Cancer Genetic Risk Assessment in the African American Community

Utilization of cancer genetic risk assessment can be profoundly influenced by an individuals’ knowledge of risk assessment, attitudes regarding illness and healthcare, and affective reactions derived from social norms. Race and ethnicity play a powerful role in the development of an individual's attitudes and should be considered when attempting to understand a person's openness to cancer genetic risk assessment (Lannin et al., 1998). Until recently, however, cancer screening and prevention programs have been primarily based on data from studies conducted with the Caucasian population, yielding data that are not fully applicable to the African American community. In the last several years, research findings regarding African American's knowledge, attitudes, and feelings about genetic counseling and testing have grown (Matthews et al., 2000; Singer et al., 2004; Thompson et al., 2003). However, to the authors’ knowledge, these data have yet to be presented in a manner that both summarizes the barriers that African Americans have reported regarding cancer genetic risk assessment, while at the same time suggesting methods individual genetic counselors can utilize during community presentations to help address these barriers. This article will first summarize previous empirical findings regarding African Americans’ knowledge, attitudes, and feelings about cancer genetic risk assessment. The article will then apply adult learning theory to those findings to provide genetic counselors with practical, theory based techniques to apply toward community based educational programs with African American groups.     

Inadvertent plagiarism in young and older adults: The role of working memory capacity in reducing memory errors

Two experiments examined inadvertent plagiarism in young and older adults. Young and older adults took turns generating category exemplars in small groups, and after a short retention interval recall was tested and subjects were asked to generate new exemplars (i.e., exemplars not initially generated). When asked to generate new exemplars, older adults were more likely to repeat exemplars that had been generated earlier by others (i.e., generate-new plagiarism). When asked to recall the exemplars they had generated earlier, older adults were more likely to claim that they had generated exemplars that had been generated by others (i.e., recall-own plagiarism), and were also more likely to falsely recall exemplars that had not been generated at all. There were no age differences in confidence for items that were plagiarized on the generate-new task. Hierarchical regression analyses indicated that age differences in generate-new plagiarism and false recall were entirely mediated by measures of episodic recall and working memory capacity. We conclude that inadvertent plagiarism errors result from the failure of systematic decision processes, and that controlled attention is important for avoiding memory errors.     

Awareness of Death Among Children: Does a Life-Threatening Illness Alter the Process of Discovery?

The authors review studies on death awareness among children who are healthy, chronically ill, and terminally ill. The review suggests that children with life-threatening diseases demonstrate increased understanding of death compared with children who are either healthy or chronically ill. In particular, children with terminal illness, especially during the end stage of their disease, show an advanced understanding of the death concepts of irreversibility and finality. In contrast, healthy and chronically ill children appear to require certain age, cognitive developmental level, or intelligence thresholds to understand these concepts. Possible explanations for the findings in this literature are discussed. The implications of death awareness research for counselors are used as a base for suggesting counseling strategies.     

Perspective-Taking Judgments of Medication Acceptance: Inferences from Relative Importance about the Impact and Combination of Information

Perspective-taking judgments of medication acceptance were studied for hypothetical mental health treatment scenarios. Three types of information were manipulated in all possible subsets: level of trust in the medication prescriber, severity of the hypothetical mental health condition being experienced, and the potential side effects of the medication. Subjects made judgments from four perspectives: self perspective and that of three other hypothetical people who were each said to place the most importance on one of the three cues. The results showed individual differences in self-reports of the relative importance of the cues which, in turn, predicted differences in judgment patterns. Subjects modified their cue use when making judgments from the perspectives of hypothetical others. The interaction patterns and rank orders of the perspective-taking judgments resembled the individual differences in judgments made from subjects’ own perspectives, but the perspective-taking judgments showed extreme effects of the most important cue. There was also some influence of subjects’ own perspectives on their perspective-taking judgments. When only a subset of the three cues was given, the judgment pattern depended on the importance of the cue that was omitted. The relative weight averaging model accounted for the judgments of only a minority of the subjects. Models which propose that subjects infer the value of missing information were also unsuccessful in explaining the data of the majority. Modifications of those models are proposed.