Mature adults' attitudes to mental health service utilisation

This qualitative study examined mature adults' attitudes to mental health services, in order to improve service utilisation among members of this group. Twenty individual and 12 focus group interviews were conducted with 111 West Australians aged ≥40 years living in urban and regional areas. The findings indicate that mature individuals may be receptive to information that assists them in differentiating the symptoms of ageing and mental illness and empowers them to make appropriate help‐seeking decisions. Perceived stigma and an aversion to medication were identified as barriers preventing individuals from acknowledging and addressing mental illness. A model of mature adults' intentions to utilise mental health services is proposed.     

Is There a Korean Contribution to U.S. Pastoral Theology?

South Korea is a unique convergence of eastern and western religious traditions: 30% of South Koreans call themselves Christian, 30% Buddhist, and everyone is strongly influenced by the active traditions of Confucianism and Shamanism. Based on 8 months of research in South Korea, this paper explores three perspectives on the relationship of Christianity to traditional Asian religions: 1) Is Christianity saving Korean spirituality from the failures of Confucianism, Buddhism and Shamanism? 2) Is Christianity destroying Korean spirituality because of its connections with modernism and its rejection of historic Korean religions? 3) Is a deeper Korean spirituality transforming both Christianity and Asian religions into something that will help the world heal from the contradictions of modernism?     

Modification of performance on the Span of Apprehension Task in a group of young people with early onset psychosis

The aim of the study was to examine the effect of contingent monetary reinforcement and enhanced instructions on Span of Apprehension (SPAN) performance in a group of young people with early onset psychosis. Twenty-five participants (mean age 16.7) received a 3- and 12-letter version of the SPAN task six times: baseline, three x intervention, post-test, and 10-day follow-up. No significant effects of time were found in the 3-letter condition, indicating a ceiling effect for accuracy. In the 12-letter condition detection rates improved significantly reaching a maximum at the third intervention (p < 0.001). Performance showed a temporary decline at post-test, but performance returned to the maximum level at the 10-day follow-up. The study suggests that SPAN performance can be improved in young people with early onset psychosis using relatively simple interventions and that performance gains are relatively durable.     

Preventing Family Violence: An Educational Model

This article gives an example of cross-cultural teaching between the United States and Korea using Bible study, lecture, and psychodrama by Korean students on the topic of domestic violence. In the process, basic education on domestic violence is presented in a culturally sensitive way.

"Silent" metaplasticity of the late phase of long-term potentiation requires protein phosphatases

The late phase of long-term potentiation (L-LTP) is correlated with some types of long-term memory, but the mechanisms by which L-LTP is modulated by prior synaptic activity are undefined. Activation of protein phosphatases by low-frequency stimulation (LFS) given before induction of L-LTP may significantly modify L-LTP. Using cellular electrophysiological recording methods in mouse hippocampal slices, we show that LFS given before induction of L-LTP inhibited L-LTP in an activity-dependent manner without affecting either basal synaptic strength or the early phase of LTP (E-LTP). This anterograde inhibitory effect of LFS was persistent, required N-methyl-D-aspartate (NMDA) receptor activation, and was blocked by inhibitors of protein phosphatase 1 (PP1) and protein phosphatase 2A (PP2A). These data indicate that certain patterns of LFS can activate PP1 and/or PP2A, and that long-lasting activation of these phosphatases by prior LFS can suppress the subsequent expression of L-LTP without affecting E-LTP. Because this inhibition of L-LTP is caused by prior synaptic activity that, alone, produced no net effect on synaptic efficacy, we suggest that this is a “silent” form of metaplasticity that may influence long-term information storage by modulating the capacity of synapses to express L-LTP after repeated bouts of activity.     

The turn to the local: the possibility of returning health care to the community

It is not too early to suggest that the attempts to place medical cae in private hands (through group insurance arrangements) has not fulfilled its promise--or better, the promises that were made for it. Yet history has not been kind to plans to make government the single payer, and the laudable progress in medical technology has placed high-technology medical care beyond the reach of most private budgets. In this paper I suggest that the major problem of the U.S. health care system as presently conceived is a failure of legitimacy, and I put forward a proposal that purports to solve that problem. The proposal is to localize health care, on the model of a public school system, on the argument that such localization will answer most of the questions of legitimacy at the core of the private insurance imbroglio, provide a brake for medical costs, while preserving our ability to take advantage of the most advanced medical interventions. I present some initial arguments for the proposal, but await its proof in the dialogue emerging as the present insurance system collapses.     

The Logic of Pragmatic Truth

The mathematical concept of pragmatic truth, first introduced in Mikenberg, da Costa and Chuaqui (1986), has received in the last few years several applications in logic and the philosophy of science. In this paper, we study the logic of pragmatic truth, and show that there are important connections between this logic, modal logic and, in particular, Jaskowski's discussive logic. In order to do so, two systems are put forward so that the notions of pragmatic validity and pragmatic truth can be accommodated. One of the main results of this paper is that the logic of pragmatic truth is paraconsistent. The philosophical import of this result, which justifies the application of pragmatic truth to inconsistent settings, is also discussed.     

Rorschach responses in healthy, community dwelling older adults

Five predicted relationships between age and intellectual level and 16 Rorschach variables were examined through a cross-sectional analysis of 47 healthy, community-dwelling elderly men and women. Subjects were compared by age and intellectual level using gender, level of medication, and scores on the Geriatric Depression Scale (GDS) and the Geriatric Social Readjustment Questionnaire (GSRQ) as covariates. Screening tests for psychiatric and physical illness, recent life events, and hearing and vision loss were administered. In contrast to prior research suggesting changes in Rorschach scores with differences in age and intellectual level, only one significant difference was found for these variables. The data suggest that age and intellectual level may contribute less to Rorschach responses than was previously thought.     

Think before you speak: pauses, memory search, and trace redintegration processes in verbal memory span

Immediate memory span and speed of memory search were assessed for words and nonwords of short and long spoken duration. Memory span was substantially greater for words than for nonwords and for short than for long items, though speed of memory search was unaffected by either length or lexicality. An analysis of the temporal pattern of responses in the memory span task indicated that inter-item pauses were longer between nonwords than words but that these pause durations were unaffected by item length. A model of verbal short-term memory span is described in which trace selection from a short-term store and the redintegration (restoration) of degraded phonological traces both occur in the pauses between saying successive items. Both trace selection and trace redintegration appear to play important roles in accounting for individual differences in memory span.