Cognitive-Based Compassion Training: A Promising Prevention Strategy for At-Risk Adolescents

Compared to the general population, youth in foster care experience multiple psychosocial difficulties due to exceptionally high rates of maltreatment. Many youth in care receive psychological and/or psychotropic treatment but not all require or are willing to accept that level of intervention. For many, a “mental health” approach feels pathologizing. Nevertheless, these youth have suffered maltreatment and interventions to improve their ability to cope with past trauma and their often uncertain present are clearly needed. Cognitively-Based Compassion Training (CBCT) provides an alternative perspective on suffering and can be framed as a wellness intervention that is appropriate for all humans. The present study examined whether a 6-week CBCT intervention would improve psychosocial functioning among adolescents in foster care. Seventy adolescents were randomized to CBCT (twice weekly) or a wait-list condition. Youth were assessed at baseline and after 6 weeks. Groups did not differ on measures of psychosocial functioning following training; however practice frequency was associated with increased hopefulness and a trend for a decrease in generalized anxiety. Qualitative results indicated that participants found CBCT useful for dealing with daily life stressors. Adolescents in care were willing to engage in CBCT. The majority reported CBCT was very helpful and almost all reported they would recommend CBCT to a friend. Participants reported specific instances of using CBCT strategies to regulate emotion, manage stress, or to respond more compassionately towards others. Standardized self-report measures were not sensitive to qualitative reports of improved functioning, suggesting the need for measures more sensitive to the positive changes noted or longer training periods to demonstrate effects. Practical issues surrounding implementation of such programs in high-risk youth populations are identified. Recommendations are provided for further development.     

ONE FALSE VIRTUE OF RULE CONSEQUENTIALISM,AND ONE NEW VICE

A common objection to Act Consequentialism (AC) is that it makes unreasonable demands on moral agents. Rule Consequentialism (RC) is often presented as a less demanding alternative. It is argued that this alleged virtue of RC is false, as RC will not be any less demanding in practice than AC. It is then demonstrated that RC has an additional (hitherto unnoticed) vice, as it relies upon the undefended simplifying assumption that the best possible consequences would arise in a society in which everyone followed the same rules. Once this “Homogeneity Assumption” is rejected, RC is unable to provide a workable alternative to AC.     

Athletes' inclination to play through pain: a coping perspective

Previous studies have shown how social networks lead athletes to accept pain as a "part of the game," which generates pressure on athletes to continue competing despite being in pain. Little is known, however, about the potential coping strategies that are related to pain behavior in sport. This study of 205 combat athletes examined whether pain coping strategies, including distraction from pain, praying, reinterpreting pain sensations, ignoring pain, and pain catastrophizing, are related to athletes' inclination to play through pain. Results revealed that pain catastrophizing led athletes to reduce their physical involvement in their sport activity. Of particular interest was the moderating effect of ignoring pain such that ignoring pain significantly attenuated the negative effect of pain intensity on athletes' inclination to play through pain. Few studies have tested and supported the contribution of pain coping to the prediction of behavior in real sport situations. By identifying which coping strategies athletes could use to maintain their physical involvement despite being in (sometimes intense) pain, the current study makes an important contribution for tailoring pain management programs for this at-risk population.     

Kappa opioid receptors mediate where fear is expressed following extinction training

Six experiments used a within-subjects renewal design to examine the involvement of kappa opioid receptors (KORs) in regulating the expression and recovery of extinguished fear. Rats were trained to fear a tone conditioned stimulus (CS) via pairings with foot shock in a distinctive context (A). This was followed by extinction training of the CS in a second context (B). Finally, all rats were tested for fear to the tone in the extinction context (ABB) and the training (ABA) or a novel (ABC) context. Intracerebroventricular (ICV) infusion of the KOR antagonist nor-binaltorphimine dihydrochloride (nor-BNI) dose-dependently prevented ABA renewal of fear, but had no effect on the expression of ABC renewal, the expression of extinction, or the expression of nonextinguished fear. Conversely, pretest infusion of the KOR agonist U50,488 hydrochloride (U50,488) selectively facilitated the expression of ABA renewal and had no effect on the expression of extinction. Pretest infusion of nor-BNI had no effect on the expression of context-specific latent inhibition. Collectively, these results suggest that KORs gate the expression of fear following extinction training and may comprise a critical neuropeptide component of the circuitry underlying context-dependent expression of fear.     

Responses to the AAR‐Teagle White Paper: “The Religious Studies Major in a Post‐9/11 World”

In October 2008 The American Academy of Religion published the findings of an eighteen month study (conducted with funding from the Teagle Foundation) on “The Religious Studies Major in a Post–9/11World: New Challenges, New Opportunities.” Re‐published here, this AAR‐Teagle White Paper provides the opportunity for four respondents to raise issues and questions about the teaching of religion in their own institutional contexts. First, Jane Webster describes how the White Paper's “five characteristics of the religion major” find expression in her biblical literature course. Then James Buckley suggests some of the general level teaching issues provoked by the study and analyzes how well the White Paper aligns with how the teaching of religion is conceived in his Catholic university context. Tim Jensen draws comparisons between the White Paper and the higher education structures and goals from his university context in Denmark, raising questions about what motivates students to major in religious studies, the “utility” of a religious studies major, and whether students' religious and spiritual concerns ought to enter the classroom. And finally Stacey Floyd‐Thomas finds surprising similarities between the state of the religion major and the various crises facing contemporary North American theological education.     

The impact of self and peer perceptual differences on student social behaviour

Background. The development of socially appropriate behaviour is increasingly seen as an important part of a student's education. Aim. To examine whether changes in a student's behaviour, as part of an ongoing social empathy intervention, can in part be explained by the difference between the student's self‐perception of their behaviour and their peers‐perception of their behaviour. Method. A school population (383 students from year levels 4 to 6) was assessed for a range of prosocial and antisocial behaviours. Assessments were made by the students themselves, and by peer nominations of their classmates. A perceptual difference index was calculated to determine the difference between the student's self‐assessment and their peers' assessment of their behaviour. Results. Hierarchical regression found that students' prosocial behaviour increased more over the course of the school year when self‐perception of their prosocial behaviour more closely matched the perceptions of their class‐peers. Similarly, students' antisocial behaviour decreased more over the school year when their self and peer perceptions of their antisocial behaviour were more closely aligned. Very few personal demographics were associated with either type of behaviour, and overall there was found to be a great deal of stability in behaviour. Conclusion. This study highlights the importance of taking into account students' personal characteristics when developing interventions to encourage socially appropriate behaviour. Furthermore, it suggests that in order to achieve positive change, any intervention must engage student's self‐beliefs regarding their behaviour.     

Disentangling the prospective relations between maladaptive cognitions and depressive symptoms

In a four-wave, cohort-longitudinal design with a community sample of 515 children and adolescents (grades 2 through 9), this study examined the longitudinal structure of and prospective interrelations between maladaptive cognitions and depressive symptoms. Multigroup structural equation modeling generated four major findings. First, the longitudinal structures of maladaptive cognitions and depressive symptoms consist of a single time-invariant factor and a series of time-varying factors. Second, evidence supported a model in which depressive symptoms predicted negative cognitions but not the reverse. Third, the time-invariant components of cognition and depression were highly correlated. Fourth, the strength of the depression-to-cognition relation increased with age. Implications regarding the mechanisms underlying clinical interventions with depressed children are discussed.     

Moorean responses to skepticism: a defense

Few philosophers believe that G. E. Moore’s notorious proof of an external world can give us justification to believe that skepticism about perceptual beliefs is false. The most prominent explanation of what is wrong with Moore’s proof—as well as some structurally similar anti-skeptical arguments—centers on conservatism: roughly, the view that someone can acquire a justified belief that p on the basis of E only if he has p-independent justification to believe that all of the skeptical hypotheses that undermine the support lent by E to p are false. In this paper I argue that conservatism does not make trouble for Moore’s proof. I do this by setting up a dilemma concerning the notion of “justification to believe” that figures in conservatism. On one understanding of justification to believe, conservatism is subject to obvious counterexamples. On another understanding of justification to believe, conservatism is consistent with Moore’s “proof” conferring justification upon its conclusion. Since these two understandings exhaust the logical space, the conservative indictment of Mooreanism fails.     

The Health Professional Ethics Rubric: Practical Assessment in Ethics Education for Health Professional Schools

A barrier to the development and refinement of ethics education in and across health professional schools is that there is not an agreed upon instrument or method for assessment in ethics education. The most widely used ethics education assessment instrument is the Defining Issues Test (DIT) I & II. This instrument is not specific to the health professions. But it has been modified for use in, and influenced the development of other instruments in, the health professions. The DIT contains certain philosophical assumptions (??Kohlbergian?? or ??neo-Kohlbergian??) that have been criticized in recent years. It is also expensive for large institutions to use. The purpose of this article is to offer a rubric??which the authors have named the Health Professional Ethics Rubric??for the assessment of several learning outcomes related to ethics education in health science centers. This rubric is not open to the same philosophical critiques as the DIT and other such instruments. This rubric is also practical to use. This article includes the rubric being advocated, which was developed by faculty and administrators at a large academic health science center as a part of a campus-wide ethics education initiative. The process of developing the rubric is described, as well as certain limitations and plans for revision.