Looming Threats and Animacy: Reduced Responsiveness in Youth with Disrupted Behavior Disorders

Theoretical models have implicated amygdala dysfunction in the development of Disruptive Behavior Disorders (DBDs; Conduct Disorder/Oppositional Defiant Disorder). Amygdala dysfunction impacts valence evaluation/response selection and emotion attention in youth with DBDs, particularly in those with elevated callous-unemotional (CU) traits. However, amygdala responsiveness during social cognition and the responsiveness of the acute threat circuitry (amygdala/periaqueductal gray) in youth with DBDs have been less well-examined, particularly with reference to CU traits. 31 youth with DBDs and 27 typically developing youth (IQ, age and gender-matched) completed a threat paradigm during fMRI where animate and inanimate, threatening and neutral stimuli appeared to loom towards or recede from participants. Reduced responsiveness to threat variables, including visual threats and encroaching stimuli, was observed within acute threat circuitry and temporal, lateral frontal and parietal cortices in youth with DBDs. This reduced responsiveness, at least with respect to the looming variable, was modulated by CU traits. Reduced responsiveness to animacy information was also observed within temporal, lateral frontal and parietal cortices, but not within amygdala. Reduced responsiveness to animacy information as a function of CU traits was observed in PCC, though not within the amygdala. Reduced threat responsiveness may contribute to risk taking and impulsivity in youth with DBDs, particularly those with high levels of CU traits. Future work will need to examine the degree to which this reduced response to animacy is independent of amygdala dysfunction in youth with DBDs and what role PCC might play in the dysfunctional social cognition observed in youth with high levels of CU traits.     

Negative emotional processing induced by spoken scenarios modulates corticospinal excitability

Emotion is assumed to facilitate the preparation of behavioral responses to environmental stimuli. In the present study, we examined whether emotional processing induced by spoken scenarios of positive and negative content, related to the self or to other people, modulates corticospinal excitability. Motor evoked potentials (MEPs) elicited by transcranial magnetic stimulation (TMS) in 20 volunteers indicated that processing of negative emotional content increased MEP amplitude, regardless of the perspective taken in the scenario. By contrast, positive emotional processing did not reliably alter MEP amplitude. These results provide the first TMS evidence that the auditory processing of emotionally negative information triggers action preparation.     

Another dragon in the kitchen: Psychological experiences of hepatitis C treatment among HIV‐hepatitis C co‐infected gay men

Background: Increasing numbers of HIV‐infected gay men acquire hepatitis C virus (HCV) co‐infection, which causes serious medical consequences. Treatment for HCV is associated with many severe side effects, in some cases psychological, and many patients subsequently fail to adhere, even when psychological services are utilised, to improve treatment adherence. Objective: This qualitative study aimed to explore the experiences of HIV‐infected gay men undergoing treatment for HCV in order to inform psychological services to better meet specific treatment needs of this population. Methods: Thirteen HIV‐infected gay men who had undergone HCV treatment were interviewed and a qualitative analysis was conducted. Participants described HCV and its treatments in the context of their relationships and lifestyles. Findings: Four domains emerged: HCV diagnosis and treatment; HCV treatment education; change in sense of self; and sexual risk‐taking. Adhering to treatment was a significant challenge for all participants and emerged across all domains. Discussion: Psychological services for this population of co‐infected gay men should assist this clinical population not only with adherence to hepatitis C treatment but should also be available at an earlier stage in the process to help patients make informed choices about whether or not to begin a course of treatment. Assessing factors such as coping strategies, treatment readiness and knowledge, self‐awareness, and level of risk‐taking, can guide clinicians in tailoring treatment and adherence planning for HIV/HCV‐co‐infected gay men.     

Reactions to a black professional: motivated inhibition and activation of conflicting stereotypes

The motivation to form a particular impression of an individual can prompt the inhibition of applicable stereotypes that contradict one's desired impression and the activation and application of stereotypes that support it. Participants, especially those high in prejudice, inhibited the Black stereotype when motivated to esteem a Black individual (because he had praised them). Participants motivated to esteem a Black doctor also activated the doctor stereotype. In contrast, participants motivated to disparage a Black doctor (because he had criticized them) inhibited the doctor stereotype. Participants motivated to disparage a Black individual also applied the Black stereotype to him, rating him as relatively incompetent. All these effects were driven by the self-protective motives of recipients of feedback from Black evaluators; detached observers showed no such effects.     

Risk of sexual revictimization: A theoretical model

Survivors of child sexual abuse suffer serious short- and long-term psychological consequences. Sexual revictimization as an adult is one of the consequences that has been reported. At present, there is no theoretical model identifying the risk factors that result in child sexual abuse survivors being at greater risk of experiencing an adult sexual assault. The proposed model is designed to integrate existing research, stimulate further empirical work, and eventually aid in the development of a program to prevent revictimization. The variables hypothesized to play a mediating role in the pathway to revictimization include: severe psychological symptoms as a consequence of the child sexual abuse, poor coping styles, an insecure attachment style, hyperfemininity, delinquent behavior, drug use, and high risk sexual behavior.     

Inching Toward Inclusiveness: Diversity Climate,Interpersonal Conflict and Well-Being in Women Nurses

Interpersonal conflict is a type of mistreatment acknowledged to be a serious problem in the United States workplace, particularly for women. This interpersonal conflict is related to negative outcomes in women, as well as the exclusion of women in the workplace, which highlights the importance of investigating ways to reduce this conflict. There is reason to believe that features of the social work environment may impact the prevalence of interpersonal conflict targeted at women. In particular, the extent to which a workplace includes social norms prohibiting mistreatment based on differences—a diversity climate—should be associated with lower levels of interpersonal conflict for women. As such, the goal of the current study was to examine the impact of diversity climate on the experience of interpersonal conflict in women. Additionally, well-being outcomes—burnout and engagement—were assessed as part of a model of diversity climate, interpersonal conflict, and outcomes. In a sample of 172 White women nurses from the northwestern U.S., three sources of conflict (physicians, manager and coworker) were found to relate negatively with diversity climate perceptions. Diversity climate perceptions were also associated with higher work engagement, and indirectly related to both engagement and burnout through conflict. The findings indicate that cultivating a diversity climate might be an important strategy to reduce interpersonal conflict experienced by women in the workplace.     

On the Connection between Normative Reasons and the Possibility of Acting for those Reasons

According to Bernard Williams, if it is true that A has a normative reason to Φ then it must be possible that A should Φ for that reason. This claim is important both because it restricts the range of reasons which agents can have and because it has been used as a premise in an argument for so-called ‘internalist’ theories of reasons. In this paper I rebut an apparent counterexamples to Williams’ claim: Schroeder’s (2007) example of Nate. I argue that this counterexample fails since it underestimates the range of cases where agents can act for their normative reasons. Moreover, I argue that a key motivation behind Williams’ claim is compatible with this ‘expansive’ account of what it is to act for a normative reason.     

Cookson,R., Griffin,S., Norheim,O. F., & Culyer,A. J. (Eds.). (2020). Distributional Cost-Effectiveness Analysis: Quantifying Health Equity Impacts and Trade-Offs. Oxford: Oxford University Press, 2020. Paperback (ISBN-13: 9780198838197). £ 28.03. 365 pp

Ethical Theory and Moral Practice -     

Habit and time in nineteenth-century French philosophy: Albert Lemoine between Bergson and Ravaisson

This paper shows how reflection on habit leads in nineteenth-century French philosophy to Henri Bergson’s idea of duration in 1888 as a non-quantifiable dimension irreducible to time as measured by clocks. Historically, I show how Albert Lemoine’s 1875 L’habitude et l’instinct was crucial, since he holds – in a way that is both Ravaissonian and Bergsonian avant la lettre – that for the being capable of habit, the three elements of time are fused together. For that habituated being, Lemoine claims, it is not true to say that the past is no longer, nor even that the future is not yet. This historical link between Ravaisson and Bergson, however, only sharpens the philosophical question of how a dynamic conception of habit involves and requires a conception of real duration, of a temporality more original than clock-time, and, conversely, of how reflection on duration prior to clock-time involves a notion of habit. With reference to the work of Gilles Deleuze, the paper concludes by showing that there is an internal connection between these two grand philosophical themes of nineteenth- and then twentieth-century French thought: habit and time.     

Conceptual Role Semantics and the Reference of Moral Concepts

This paper examines the prospects for a conceptual or functional role theory of moral concepts. It is argued that such an account is well‐placed to explain both the irreducibility and practicality of moral concepts. Several versions of conceptual role semantics for moral concepts are distinguished, depending on whether the concept‐constitutive conceptual roles are (i) wide or narrow (ii) normative or non‐normative and (iii) purely doxastic or conative. It is argued that the most plausible version of conceptual role semantics for moral concepts involves only ‘narrow’ conceptual roles, where these include connections to motivational, desire‐like, states. In the penultimate section it is argued, contrary to what Wedgwood, Enoch and others have claimed, that such an account of moral concepts cannot plausibly be combined with the claim that moral concepts refer to robust properties.