Utah youth suicide study: barriers to mental health treatment for adolescents

Forty-nine suicide cases were drawn from an original sample of 151 consecutive youth suicide deaths. We used information from 270 interviews with parents and other survivors to evaluate mental health treatment sought for and by the decedent and barriers to mental health treatment. Participants reported the same primary barriers for the decedent: belief that nothing could help, seeking help is a sign of weakness or failure, reluctance to admit to having mental health problems, denial of problems, and too embarrassed to seek help. It is suggested that the stigma of mental illness is a considerable barrier to mental health treatment.     

The Internal and External Validity of Sluggish Cognitive Tempo and its Relation with DSM–IV ADHD

Studies of subtypes of DSM-IV attention-deficit/hyperactivity disorder (ADHD) have provided inconsistent support for the discriminant validity of the combined type (ADHD-C) and predominantly inattentive type (ADHD-I). A large sample of children and adolescents with ADHD (N?=?410) and a comparison group without ADHD (N?=?311) were used to test the internal and external validity of sluggish cognitive tempo (SCT), a dimension characterized by low energy and sleepy and sluggish behavior. SCT scores were then incorporated in analyses of ADHD subtypes to test whether the discriminant validity of ADHD-C and ADHD-I could be improved by including SCT symptoms as part of the criteria for ADHD-I. Factor analyses of parent and teacher ratings indicated that six SCT items loaded on a factor separate from symptoms of ADHD and other psychopathology, providing important support for the internal validity of SCT. The external validity of SCT was supported by significant associations between SCT and measures of functional impairment and neuropsychological functioning when symptoms of ADHD and other psychopathology were controlled. However, contrary to initial predictions, high levels of SCT did not identify a subgroup of ADHD-I that was clearly distinct from ADHD-C. Instead, the current results suggest that DSM-IV inattention and SCT are separate but correlated symptom dimensions that are each independently associated with important aspects of functional impairment and neuropsychological functioning.     

Whose idea is it anyway? The importance of reputation in acknowledgement

Six‐year‐old children negatively evaluate plagiarizers just as adults do (Olson & Shaw, 2011), but why do they dislike plagiarizers? Children may think plagiarism is wrong because plagiarizing negatively impacts other people's reputations. We investigated this possibility by having 6‐ to 9‐year‐old children evaluate people who shared their own or other people's ideas (stories). In Experiment 1, we found that children consider it acceptable to retell someone else's story if the source is given credit for their story (improving the source's reputation), but not if the reteller claims credit for the story (steals credit away from someone else). Experiments 2 and 3 showed that children do not consider it bad to lie by giving someone else credit for one's own good story (improving someone else's reputation), but do consider it bad to give someone else credit for one's own bad story (improving one's own reputation at the expense of someone else's). Experiment 4 demonstrated that children think it is equally bad to take credit for someone else's idea for oneself as it is to take someone else's idea and give credit to someone else, suggesting that children dislike when others take credit away from someone else, regardless of whether or not it improves the plagiarizer's reputation. Our results suggest that children dislike plagiarism because it negatively affects others' reputations by taking credit away from them.     

Does a Nation's Religious Composition Affect Generalized Trust? The Role of Religious Heterogeneity and the Percent Religious

Is religion more of an integrative or a divisive force in contemporary societies? We use multilevel analyses of World Values Survey data from 77,409 individuals in 69 countries to examine how both the percent of the population that is religious and the religious heterogeneity of a country are related to generalized social trust, the willingness of individuals to trust “most people.” When we first examine the main effects of the percent religious and religious heterogeneity we find no evidence that either variable is related to trust in the ways predicted by major theories. However, the combination of these two variables has a huge negative relationship with trust. Countries that are both highly religious and religiously heterogeneous (diverse) have, on average, levels of trust that are only half the average levels of countries with other combinations of these two variables. The results have important implications for understanding the role of religion in modern societies.     

Psychological Predictors of Neurobehavioral Symptoms in a Polytrauma Veteran Sample

Given the high prevalence of comorbid conditions found in polytrauma settings, effective screening measures are needed. Several screening tools are commonly used in polytrauma clinics within the Department of Veterans Affairs (VA). This study examined the use of three screening measures—the Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), and PTSD Checklist–Civilian Version (PCL-C)—to predict scores on the Neurobehavioral Symptom Inventory (NSI). Research suggests that the presence of mental health conditions, such as PTSD, shares a significant amount of variance with postconcussive symptoms. The investigators hypothesized that the PCL-C would be the best predictor of scores on the NSI. All subjects were administered the screening measures as part of an evaluation in an outpatient Level III polytrauma clinic. Regression analysis was used to determine which instrument might serve as the best predictor of NSI total scores. Regression analysis revealed that BAI, BDI-II, and PCL-C total scores were good predictors of NSI total scores, with the BAI accounting for the majority of the variance. Mental health conditions can account for higher scores on the NSI, and screening of other mental health conditions should be taken into account when reviewing the NSI for individuals in polytrauma settings.     

Putting knowledge in its place: virtue, value, and the internalism/externalism debate

Traditionally, the debate between epistemological internalists and externalists has centered on the value of knowledge and its justification. A ??value pluralist,?? virtue-theoretic approach to epistemology allows us to accept what I shall call the ??insight of externalism?? while still acknowledging the importance of internalists?? insistence on the value of reflection. Intellectual virtue can function as the unifying consideration in a study of a host of epistemic values, including understanding, wisdom, and what I call ??articulate reflection.?? Each of these epistemic values is a good internal to inquiry. Thus, an inquiry-based conception of virtue is particularly well suited to help us account for a wide variety of epistemic goods, without reducing the value of those many goods to their contribution to the value of knowledge. Moreover, an inquiry-based conception of virtue can function as the unifying consideration in a general study of value, the scope of which is not restricted to epistemic value.