ELI: An Interactive Elicitation Technique for Subjective Probability Distributions

Uncertain knowledge about continuous quantities is usually formalized through subjective probability distributions (SPD′s). However, results from past experimental research have often pointed to the rather poor quality of SPD′s. Moreover, previous attempts to improve SPD quality frequently appeared to be only partly successful; overconfidence especially proved to be an exceptionally persistent phenomenon. In the present study, method-induced biases in particular are considered to be responsible for the poor quality of SPD′s, and an alternative means for eliciting uncertain knowledge was designed to meet fundamental quality criteria to a more satisfactory degree. The direct realization of a proper scoring rule in a graphically oriented interactive computer program is one of the central features of this new elicitation technique, ELI. An experiment with 48 subjects was carried out to evaluate ELI performance and to compare it with the performance of (a) an existing elicitation technique and (b) a simple technique that only asks for a best guess and a lower and upper bound. The three techniques were evaluated and compared with respect to their contribution to reliable and valid SPD′s and with respect to their practical usefulness. The results indicated that for ELI the fundamental requirements were realized to a great extent. Furthermore, compared with the two other techniques, ELI performance appeared to be superior. In particular, only with the support of ELI did overconfidence appear to be almost absent.     

Conditional Control of Fluid Consumption in an Occasion Setting Paradigm Is Independent of Pavlovian Associations

Drug states, flavors, and contextual cues were each trained as conditional discriminative stimuli to control a saccharin-LiCl association. In transfer tests, drug states transferred control over consumption to other flavored solutions and to food. Contexts and flavors transferred control only to other flavored solutions. Pavlovian control groups given direct pairings of context-LiCl or flavor-LiCl did not show reliable transfer. However, these control groups did show greater or the same aversion to the specific context or flavor predicting LiCl compared to the context or flavor discrimination groups. The dissociation of the discrimination and Pavlovian groups on transfer versus preference tests suggests that performance on the occasion setting task cannot be due to simple excitation or learning about a unique compound cue. Data from extinction procedures provide further support for the dissociation between simple excitation and occasion setting.     

Loving the World We Are: Anthropology and Relationality in Laudato si’

There is a tension between Laudato si's consistent emphasis on relationships and interconnectedness and its acceptance of anthropocentrism. While Laudato si’ does reject certain problematic forms of anthropocentrism, the encyclical does not assert an alternative to this traditional framework. This article contends that “relatiocentrism” provides the best avenue for developing the convictions expressed within Laudato si’ while moving beyond the limitations of the encyclical itself. In so doing, this essay explores the use of narrative as a means of shaping identity by mapping significant relationships and points of meaning. It examines the central anthropological claims of the encyclical and the tensions these create with anthropocentric narratives. And it examines relatiocentrism in light of the biblical creation accounts, the eschatological perspective of Laudato si’, and virtue ethics. The essay concludes by suggesting further theological and moral implications of this shift in perspective.     

Patient-Informed Treatment Development of Behavioral Smoking Cessation for People With Schizophrenia

The objective of this study was to use qualitative methodology to tailor and refine an existing smoking cessation intervention for the population of people who use cigarettes and are diagnosed with schizophrenia, schizoaffective, or psychotic disorder. Successive cohort design methodology was used to iteratively modify the treatment in response to qualitative participant, therapist, and consultant feedback on the intervention. Qualitative methodology for participant feedback included analysis of semistructured interviews with participants, visualization of app utilization data, and stakeholder feedback from study therapists and consultants. Using the successive cohort design, a tailored multicomponent mobile health smoking cessation intervention was developed. The intervention included mobile contingency management (i.e., financial compensation for confirmed abstinence from smoking), pharmacotherapy for smoking cessation, cognitive-behavioral counseling sessions, and the Stay Quit app for relapse prevention. Two cohorts (N = 13) were completed in the study; after each cohort, the treatment protocol was revised. The intervention is described, as well as the qualitative findings from each cohort and subsequent changes made to the intervention based upon patient and provider feedback. Metrics of patient engagement included treatment adherence (40% in Cohort 1 and 63% in Cohort 2). Both participants and therapists reported that the intervention was helpful. Over one third of participants self-reported abstinence at posttreatment. Since qualitative methodology is often underutilized in mental health treatment development, this study demonstrates the utility of the successive cohort design for treatment development of behavior change interventions for at-risk, vulnerable populations.     

Correction to: Stephen Scher and Kasia Kozlowska: Rethinking health care ethics

Theoretical Medicine and Bioethics - The originally published review of this book did not include the information that an electronic version is available.     

The “Emerging Church” Conversation

As the contemporary discussion on the “Emerging Church” (ECC) conversation shows, there is a shift in the understanding of Christian religion. (In its historical context, this is strongly related to Evangelism.) On closer examination, the ECC actually boils down to a transformation of Christian religion – a version of an experienced‐based, postmodern religiosity. The engine of this transformation is the clarification of the religious identity. The ECC can be described as a movement that serves as a transition for the protagonists in order to shape their individual processes of resistance as well as the processes of disentanglement in regards to their own religious orientation. Therefore, the discussion represents an “alternative space,” which is best seen in five motifs: the change of religious alignment; the significance of community; specific theological themes and strategies; dealing with different “contexts” in the conversation; and the emphasis of values, attitudes, and practices. On the one hand, the conversation can be described as a “biotope of innovation.” On the other hand, protagonists handle intellectual doubt, their lack of religious experience, the lack of moral authority of their previous religious community, and theological uncertainties with courage and a certain nonchalance, which must be addressed critically.