Counsellor-delivered HIV risk reduction intervention addresses safer sex barriers of people living with HIV in KwaZulu-Natal, South Africa

This study developed an HIV risk reduction intervention for people living with HIV (PLWH) obtaining care at primary healthcare clinics in KwaZulu-Natal, South Africa by (1) conducting elicitation research to understand the dynamics of risk behaviour among PLWH, (2) modifying an existing HIV risk reduction intervention based on research findings and (3) conducting a pilot study to evaluate feasibility, acceptability and fidelity of the modified intervention implemented by trained lay counsellors at a rural clinic in KwaZulu-Natal. A total of 61 healthcare providers and 77 HIV+ patients from four primary healthcare clinics participated in 14 focus groups and 20 individual interviews to identify informational, motivational and behavioural skills (IMB) factors contributing to PLWH's sexual risk behaviour. Elicitation research findings were incorporated into a revised version of Options for Health, an evidence-based risk reduction intervention for PLWH in clinical care. In a 5-day training, lay counsellors learned strategies to address IMB barriers to safer sex identified in elicitation research. The revised intervention, which was implemented by six counsellors with 39 patients, was feasible to implement, acceptable to patients and counsellors, and implemented with good fidelity. This study makes an important contribution towards development of a theory-based HIV risk reduction intervention for PLWH linking prevention with treatment in South Africa.     

The role of error‐correction procedures in the reinforcement of errors

In Study 1 three different error‐correction procedures and a trial‐and‐error procedure were implemented in a Japanese word/phrase receptive identification task. Training procedures differed in the specific type of error that evoked error‐correction feedback. Outcomes indicated that when the error‐correction consequence was contingent on incorrect responses, incorrect responses predominated initially. When this feedback consequence followed no response, non‐responding initially prevailed. Task mastery was achieved in fewer trials with error‐correction procedures than with the no prompt/trial‐and‐error. However, post‐mastery probes 1 week after mastery indicated retention was greater for participants in the trial‐and‐error training condition. These patterns indicated that the feedback prompt itself could be functioning as a positive reinforcer. Demonstration of this effect would have been more definitive had individual participants been exposed to each experimental condition, and the limited number of participants in the trial‐and‐error group weakened conclusions from Study 1. These outcomes necessitated procedural replication. The initial question remained unanswered: if feedback were delivered contingent on trainee request and not contingent on errors, how would this affect errors and retention? Study 2, with a prompt‐request (‘Show me’) answered this question. Copyright © 2006 John Wiley & Sons, Ltd.     

An Empiricist Conception of the Relation Between Metaphysics and Science

It is widely acknowledged that metaphysical assumptions, commitments and presuppositions play an important role in science. Yet according to the empiricist there is no place for metaphysics as traditionally understood in the scientific enterprise. In this paper I aim to take a first step towards reconciling these seemingly irreconcilable claims. In the first part of the paper I outline a conception of metaphysics and its relation to science that should be congenial to empiricists, motivated by van Fraassen’s work on ‘stances’. There has been a considerable about of recent work devoted to van Fraassen’s ‘stance’ view, but it has not on the whole been noticed that the view has the potential to motivate a general empiricist conception of the relation between science and metaphysics. In the second and third sections I discuss two examples from biology to illustrate this conception: metaphysical punctuationism, and its relation to and influence on the thesis of punctuated equilibrium; and dialectical biology as defended by Levins and Lewontin.

     

Motivations for emotional expression and emotion regulation strategies in Chinese school-aged children

Motivation and Emotion - This mixed-methods study investigated cognitive appraisal, emotional experience, motivations for showing and hiding emotions, and strategies for emotional regulation in...     

Recognition of posed and genuine facial expressions of emotion in paranoid and nonparanoid schizophrenia

Most previous research reporting emotion-recognition deficits in schizophrenia has used posed facial expressions of emotion and chronic-schizophrenia patients. In contrast, the present research examined the ability of patients with acute paranoid and nonparanoid (disorganized) schizophrenia to recognize genuine as well as posed facial expressions of emotion. Evidence of an emotion-recognition deficit in schizophrenia was replicated, but only when posed facial expressions were used. For genuine expressions of emotion, the paranoid-schizophrenia group was more accurate than controls, nonparanoid-schizophrenia patients, and depressed patients. Future research clearly needs to consider the posed versus genuine nature of the emotional stimuli used and the type of schizophrenia patients examined.     

Compound fracture: the role of semantic transparency and morphological headedness

This paper explores the role of semantic transparency in the representation and processing of English compounds. We focus on the question of whether semantic transparency is best viewed as a property of the entire multimorphemic string or as a property of constituent morphemes. Accordingly, we investigated the processing of English compound nouns that were categorized in terms of the semantic transparency of each of their constituents. Fully transparent such as bedroom are those in which the meanings of each of the constituents are transparently represented in the meaning of the compound as a whole. These compounds were contrasted with compounds such as strawberry, in which only the second constituent is semantically transparent, jailbird, in which only the first constituent is transparent, and hogwash, in which neither constituent is semantically transparent. We propose that significant insights can be achieved through such analysis of the transparency of individual morphemes. The two experiments that we report present evidence that both semantically transparent compounds and semantically opaque compounds show morphological constituency. The semantic transparency of the morphological head (the second constituent in a morphologically right-headed language such as English) was found to play a significant role in overall lexical decision latencies, in patterns of decomposition, and in the effects of stimulus repetition within the experiment.     

Contrasting role morality and professional morality: implications for practice

Abstract The notion of role morality suggests individuals may adopt a different morality depending on the roles they undertake. Investigating role morality is important, since the mentality of role morality may allow agents to believe they can abdicate moral responsibility when acting in a role. This is particularly significant in the literature dealing with professional morality where professionals, because of their special status, may find themselves at odds with their best moral judgments. Here I tell four stories and draw out some distinctions. I conclude that role morality is a genuine and useful distinction. However, I suggest that the purported distinction between role morality and professional morality is over-determined. Therefore, alleged conflicts between the demands of role and profession (such as the different pressures on Pinto designers as employees and as engineers) are not conflicts between different kinds of demands, but rather conflicts arising from divergent roles that most workers will encounter regularly. Another analytical perspective is to look at moral choices at work in terms of power and the ability to bring about change. Finally, I draw the implication that we should stress moral awareness at a fairly abstract level for all employees and reinforce the moral primacy of individual choice.     

Priming guesses on a forced-recall test

The forced-recall paradigm requires participants to fill all spaces on the memory test even if they cannot remember all the list words. In the present study, the authors used that paradigm to examine the influence of implicit memory on guessing--when participants fill remaining spaces after they cannot remember list items. They measured explicit memory as the percentage of targets that participants designated as remembered from the list and implicit memory as the percentage of targets they wrote but did not designate as remembered (beyond chance level). The authors examined implicit memory on guessing with forced recall (Experiment 1), forced cued recall with younger and older adults (Experiment 2), and forced free and cued recall under a depth-of-processing manipulation (Experiment 3). They conclude that implicit memory influences guesses of targets in the forced-recall paradigm.