Influences on Call Outcomes among Veteran Callers to the National Veterans Crisis Line

The association of caller and call characteristics with proximal outcomes of Veterans Crisis Line calls were examined. From October 1–7, 2010, 665 veterans with recent suicidal ideation or a history of attempted suicide called the Veterans Crisis Line; 646 had complete data and were included in the analyses. A multivariable multinomial logistic regression was conducted to identify correlates of a favorable outcome (a resolution or a referral) when compared to an unfavorable outcome (no resolution or referral). A multivariable logistic regression was used to identify correlates of responder‐rated caller risk in a subset of calls. Approximately 84% of calls ended with a favorable outcome, 25% with a resolution, and 59% with a referral to a local health care provider. Calls from high‐risk callers had greater odds of ending with a referral than without a resolution or referral, as did weekday calls (6:00 am to 5:59 pm EST, Monday through Friday). Responders used caller intent to die and the absence of future plans to determine caller risk. Findings suggest that the Veterans Crisis Line is a useful mechanism for generating referrals for high‐risk veteran callers. Responders appeared to use known risk and protective factors to determine caller risk.     

Knowledge Grounded on Pure Reasoning

In this paper, I deal with epistemological issues that stem from the hypothesis that reasoning is not only a means of transmitting knowledge from premise‐beliefs to conclusion‐beliefs but also a primary source of knowledge in its own right. The idea is that one can gain new knowledge on the basis of suppositional reasoning. After making some preliminary distinctions, I argue that there are no good reasons to think that purported examples of knowledge grounded on pure reasoning are just examples of premise‐based inferences in disguise. Next, I establish what kinds of true propositions can to a first approximation be known on the basis of pure reasoning. Finally, I argue that beliefs that are competently formed on the basis of suppositional reasoning satisfy both externalist and internalist criteria of justification.     

Investigating socio-emotional cognition in late preterm children: A case-control study

ABSTRACT

This study aimed to investigate socio-emotional cognitive competence in late preterm and term born children. Late preterm children (n = 53; 5–10 years) and full-term control children (n = 53; 5–10 years) were evaluated on the four socio-emotional cognitive tests of the Intelligence and Development Scales (IDS): emotion recognition, emotion regulation, social understanding, and social behavioural competence. Compared to full-term children, late preterm children (LPT) performed significantly worse on the emotion recognition and social behavioural competence tasks, but otherwise, no significant differences were found in emotion regulation and social understanding tasks. These findings support the conclusion that late-preterm birth may be associated with negative, but selective, socio-emotional cognitive difficulties. Targeted interventions aimed to limit the incidence of these dysfunctions during childhood could be quite important for LPT children.     

“I’m Not the Same,but I’m Not Sorry”: Exploring Dialogical Positioning in the Self-Transformation of a Former Politically Violent Militant

This article traces the personal and cultural voices expressed in the life-story interview of a former politically violent militant regarding her engagement with and disengagement from the armed struggle. Rather than looking at the macro and meso aspects related to politically motivated violence, we examine micro-narratives which express individual arguments, sociocultural discourses, and negotiations within and between them, These are voiced in the dynamics that take place within the self-system at times of key identity transitions (e.g., from being a committed militant to becoming a former militant). In this vein, we highlight how the embodied emotional chords of personal positions, the development of meta-positions, and the positioning and repositioning movements within the dialogical self, facilitate the emergence of new and more adaptive meanings in the personal meaning system of former militants.     

The Rhetoric Side of Fake News: A New Weapon for Anti-Politics?

Abstract

As an “insidious form of post-truth rhetoric”, fake news find a fertile ground in the complex scenario of new media and fruitful fertilizers in several psychological foundations and social phenomena. As a consequence, social scientists and psychologists are more and more interested to deepen these dynamics. Nonetheless, the study of the discursive and rhetoric facets of fake news has been rather neglected. The aim of this work is to investigate their discursive construction in one of the preferred domains of this misleading process of construction of reality, the political world. Through the discourse analysis applied to several fake news involving a very popular female Italian politician, we emphasize the risk of empowering the (already widespread) anti-political feeling.     

Telehealth Monitoring of Patients with Schizophrenia and Suicidal Ideation

A telehealth system was developed to monitor risk following hospitalization for suicidal ideation. We hypothesized that 3 months of telehealth monitoring will result in a greater reduction in suicidal ideation. Veterans with schizophrenia admitted with recent suicidal ideation and/or a suicidal attempt were recruited into a discharge program of VA Usual Care with daily Health Buddy© monitoring (HB) or Usual Care (UC) alone. Fifteen of 25 were randomized to HB and 10 received UC. Daily adherence in the use of the HB system during months 1–3 was, respectively, 86.9%, 86.3%, and 84.1%. There were significant improvements in Beck Scale for Suicide Ideation scores in HB participants. There were no changes in depressive symptoms. Telehealth monitoring for this population of patients appears to be feasible.     

Do delusions have and give meaning?

Phenomenology and the Cognitive Sciences - Delusions are often portrayed as paradigmatic instances of incomprehensibility and meaninglessness. Here we investigate the relationship between delusions...