Sudden gains as a long-term predictor of treatment improvement among children in community mental health organizations

ObjectiveSudden gains have been described as rapid, sizeable changes observed between treatment sessions and have been associated with improved treatment outcome in adults. The current study examined weekly sudden gains among children seeking treatment in the community mental health setting.MethodParticipants were 161 children (age M = 10.58, SD = 1.73; 69.6% male; 47.8% Caucasian) and their parents who were randomized to one of three treatment modalities and were administered weekly and quarterly assessments throughout treatment.ResultsWhen idiographic (youth- and parent-identified “top problems”) and nomothetic measures (standardized checklists) were used to calculate sudden gains (i.e., gain must be large: in absolute terms, relative to prior session, and relative to changes in prior and subsequent sessions), 20–42% of participants experienced at least one sudden gain during treatment. Most sudden gains occurred early in treatment, and session content of relaxation was associated with sudden gain presence. Using a modified Bonferonni correction, sudden gains predicted overall symptom levels at final assessment (i.e., last assessment obtained following post-treatment) even after controlling for pre-treatment symptom levels and magnitude of the overall gain from pre- to post-treatment.ConclusionsSuddenness of gains may have a direct effect on long-term treatment outcome among children in the community.     

Determining the Temporal Limits of a Visual Sample for Visual Regulation

The author examined the minimum amount of time needed for vision to increase aiming accuracy and decrease movement duration. Participants selected when they would receive a visual sample during aiming movements by pressing a switch held with the left hand. The sample was one of the following durations: 40 ms, 30 ms, 20 ms, 10 ms, or 0 ms (no vision). Decreased accuracy in the no-vision condition compared to the vision conditions was observed when the duration of the impending sample was unknown (Experiment 1). Samples 40 ms in duration were sufficient to decrease endpoint variability when the duration of the sample was known before the movement (Experiment 2). These results indicate that short visual samples can be used to decrease movement time and increase accuracy and that knowledge of the impending visual context can impact the individual's subsequent behavior.     

Conservation,Foresight, and the Future Generations Problem

The practice of conservation assumes that current persons have some obligations to future generations, but these obligations are complicated by a number of philosophical problems, chief among which is what Derek Parfit calls the Non‐Identity Problem. Because our actions now will affect the identities of persons to be born in the distant future, we cannot say that those actions either benefit or harm those persons. Thus, a causal link between our acts and their consequences for particular persons is severed, and the justification for conservation duties toward future generations undermined. I argue for an alternative justification for conservation in the capacity of foresight, which requires us to act not only upon duties that we have now, but also upon those that we will predictably have in the future. In this way, the future generations problem, at least as applied to conservation issues, is overcome.     

Hope and Internal Working Models of the Self and Others: A Correlational Study on Filipino Adolescents

The study seeks to contribute to research on understanding the antecedents of hope cognitions by exploring how internal models of self and others are related to hope. Correlational analysis of Filipino adolescent students’ responses to the hope scale and life positions scale indicated that internal model of the self is positively associated with hope cognitions, but internal model of others is not. The results are discussed in relation to importance of cognitive representations of the self that emerge from person’s early attachment relationships.     

Deviant interdisciplinarity as philosophical practice: prolegomena to deep intellectual history

Philosophy may relate to interdisciplinarity in two distinct ways On the one hand, philosophy may play an auxiliary role in the process of interdisciplinarity, typically through conceptual analysis, in the understanding that the disciplines themselves are the main epistemic players. This version of the relationship I characterise as ‘normal’ because it captures the more common pattern of the relationship, which in turn reflects an acceptance of the division of organized inquiry into disciplines. On the other hand, philosophy may be itself the site for the production of interdisciplinary knowledge, understood as a kind of second-order understanding of reality that transcends the sort of knowledge that the disciplines provide, left to their own devices. This is my own position, which I dub ‘deviant’ and to which most of this article is devoted. I begin by relating the two types of interdisciplinarity to the organization of inquiry, especially their respective attitudes to the history of science. Underlying the two types are contrasting notions of what constitutes the ‘efficient’ pursuit of knowledge. This difference is further explored in terms of the organization of the university. The normal/deviant distinction was already marked in the institution’s medieval origins in terms of the difference between Doctors and Masters, respectively, an artefact of which remains in the postgraduate/undergraduate degree distinction. In the context of the history of the university, the prospects for deviant interdisciplinarity were greatest from the early sixteenth to the early nineteenth century—the period called ‘early modern’ in the philosophy curriculum. Towards the end of that period, due to Kant and the generation of idealists who followed him, philosophy was briefly the privileged site for deviant interdisciplinarity. After Hegel’s death, the mantle of deviant interdisciplinarity increasingly passed to some version of ‘biology’. I explore the ‘Natur-’ and ‘Geisteswissenschaft’ versions of that post-philosophical vision, which continue to co-exist within today’s biological science. I then briefly examine the chequered reputation of Jean-Baptiste Lamarck, someone who exemplified the promise and perils of deviant interdisciplinarity over the past 200 years. I conclude with an Epilogue that considers contemporary efforts to engage philosophy in interdisciplinary work, invoking William James as an exemplar.     

Completeness and Categoricity,Part II: Twentieth-Century Metalogic to Twenty-first-Century Semantics

This paper is the second in a two-part series in which we discuss several notions of completeness for systems of mathematical axioms, with special focus on their interrelations and historical origins in the development of the axiomatic method. We argue that, both from historical and logical points of view, higher-order logic is an appropriate framework for considering such notions, and we consider some open questions in higher-order axiomatics. In addition, we indicate how one can fruitfully extend the usual set-theoretic semantics so as to shed new light on the relevant strengths and limits of higher-order logic.     

The acceptability and feasibility of an anxiety reduction intervention for emergency department patients with non-cardiac chest pain

Despite good physical prognosis, patients who receive a diagnosis of non-cardiac chest pain (NCCP) may experience persistent pain and distress. While cognitive-behavioural interventions have been found to be effective for this group, they are difficult to deliver in busy emergency department (ED) settings. Addressing the acceptability and relevance of self-help interventions is an important initial step in addressing this need. This study sought to examine the acceptability and relevance of an evidence-based self-help intervention for ED patients with persistent NCCP and anxiety. Patient (interviews: N = 11) and specialist chest pain nurse (focus group: N = 4) views on acceptability and feasibility were examined. Data were analysed using thematic analysis. Patients and nurses reported that there was a need for the intervention, as stress and anxiety are common among patients with NCCP, and provision of psychosocial support is currently lacking. Both patients and nurses reported that the intervention was relevant, acceptable, and potentially useful. Some changes to the intervention were suggested. Nurses reported that the intervention could be used within the existing staff resources available in an ED setting. This study represents an important first step towards developing a brief self-help intervention for ED patients with NCCP and anxiety. Further research should seek to determine the efficacy of the intervention in a pilot trial.