Evaluation of The Practitioner Online Referral and Treatment Service (PORTS): the first 18 months of a state-wide digital service for adults with anxiety,depression, or substance use problems

ABSTRACT

The Practitioner Online Referral and Treatment Service (PORTS) is a new digital mental health service (DMHS) providing assessment, treatment, and consultation across Western Australia, for adults with anxiety, depression, or substance use problems, and experiencing financial hardship or geographical disadvantage. From July 2017 to December 2018, a total of 2,527 individuals were referred to PORTS. Of these, 150 (6%) did not give consent for their results to be analysed. Of the remaining 2,377 patients, 615 (26%) could not be contacted to confirm the referral, 596 (25%) received assessment or information from PORTS, 427 (18%) were referred to another service, and 739 (31%) commenced treatment at PORTS. Almost half (47%) of patients were from areas with significant socio-economic disadvantage. Those referred by another mental health service were more likely to engage in treatment than those referred by a General Practitioner (GP). Overall outcomes were excellent, with large effect sizes (Cohen’s d: 1.1–1.4), from assessment to post-treatment and 3-month follow-up, reliable deterioration was low, and GP and patient satisfaction was high. These results indicate that the PORTS DMHS model is a promising method for engaging primary care patients with anxiety and depression, including those experiencing financial and geographical disadvantage.     

Harm inflation: Making sense of concept creep

ABSTRACT

“Concept creep” is the gradual semantic expansion of harm-related concepts such as bullying, mental disorder, prejudice, and trauma. This review presents a synopsis of relevant theoretical advances and empirical research findings on the phenomenon. It addresses three fundamental questions. First, it clarifies the characterisation of concept creep by refining its theoretical and historical dimensions and presenting studies investigating the change in harm-related concepts using computational linguistics. Second, it examines factors that have caused concept creep, including cultural shifts in sensitivity to harm, societal changes in the prevalence of harm, and intentional meaning changes engineered for political ends. Third, the paper develops an account of the consequences of concept creep, including social conflict, political polarisation, speech restrictions, victim identities, and progressive social change. This extended analysis of concept creep helps to understand its mixed implications and sets a multi-pronged agenda for future research on the topic.     

Sex Role Orientation and Female Sexual Functioning

This study investigates the differences among women in four sex-role categories–Feminine, Masculine, Androgynous, and Undifferentiated–with regard to sexual behavior and attitudes. The sample consists of 300 undergraduate and graduate women enrolled in 27 classes during the spring of 1978. Four criterion instruments are used: (1) the Bern Sex Role Inventory , (2) the Sexual Arousability Inventory , (3) the Sexual Behavior Inventory, and (4) the Sexual Data Form. Eight null hypotheses are tested. A multivariate analysis of variance revealed significant differences (p ≦.05) on three of the eight comparisons. A post hoc analysis revealed the source of significance to be between Undifferentiated women and women in the other three sex-role categories on satisfaction with sexual responsivity and frequency of an orgasm with partner.     

Dion, Theon, and Daup

Abstract: Peter van Inwagen's puzzle of Descartes's foot, and Chrysippus’ similar puzzle of Dion and Theon, do not have as much bearing on the Doctrine of Arbitrary Undetached Parts (or DAUP) as is usually supposed. Van Inwagen's argument against DAUP works via his rejection of the “Remainder Principle”, which, I argue, is in fact independent of DAUP itself.     

Humour is serious: Minority group members’ use of humour in their encounters with majority group members

This article adds to the social psychological literature on how minority group members seek to manage their interactions with majority group members. Specifically, it focuses on minority group members’ use of humour in interactions where they anticipate or actually experience prejudice. The data on which our analysis is based originate from interviews conducted with Roma in Hungary (N = 30). Asked about their interactions with majority group members, interviewees reported using humour as a means to (a) manage embarrassment; (b) gather information about the other's intergroup attitudes; and (c) subvert taken-for-granted understandings of social relations. The humour involved was diverse. Sometimes it entailed the telling of (Roma-related) jokes. Sometimes it involved the exaggerated performance of roles and identities that ironised majority–minority social relations. The significance of humour as a tool for minority group members to exert some control over their interactions with majority group members is discussed.