A Cognitive Psychophysiological Model to Predict Functional Decline in Chronically Stressed Older Adults

The current study evaluated whether psychological distress (composite of depression, anxiety, vital exhaustion), inflammation (C-reactive protein, CRP) and cognitive function (Digit Symbol Test, DST) and their changes mediated the relationship between caregiver status and functional decline. Caregivers for spouses with Alzheimer’s disease were compared to demographically-similar non-caregiver spouses at study entry (T1), T2 (1 year later), and T3 (2 years after T1). Caregivers had greater functional impairment, higher distress scores, and poorer DST scores at all points of measurement and also showed functional decline. Non-caregivers did not demonstrate functional decline. Caregivers declined 85% faster than did non-caregivers. Regressions showed that after controlling for functional impairment at T1, illness, medication, and health behavior covariates, psychological distress at T1 and increases in CRP from T1 to T3 mediated the difference in functional decline. Moreover, after DST decline from T1 to T2 was entered in the model, caregiver status, psychological distress and increases in inflammation all showed reductions in their predictive importance. These findings suggest psychological distress and increases in inflammation may help explain why caregivers show greater functional decline than non-caregivers. However, the influences of these psychophysiological variables may be driven in part by cognitive decline prior to functional decline. This article is based upon an invited address, “Potential Hazards of Caring for a Loved One with Alzheimer’s Disease” given by the first author in recognition of the author’s receipt of the Association of Psychologists in Academic Health Centers 2005 Award for Distinguished Achievement in Research. The address was presented at the Annual meeting of the American Psychological Association, New Orleans, LA., August, 2006.     

Clinical Effectiveness of the LE<Superscript>3</Superscript>AN Program: A Military Healthy Lifestyle Program

For several decades, obesity has been a major health concern within the general population of the United States as well as within the unique military population. Unlike the civilian sector, military service requires individuals to meet weight and body fat standards. In order to assist overweight military personnel return to standards, Tripler Army Medical Center initiated the LE³AN Program. LE³AN is a one-week, day-treatment, cognitive-behavioral weight management program coupled with 12 months of weekly follow-up. Baseline data was collected on 387 consecutive participants. Despite physical fitness training and required standards in each military service, the average BMIs for men and women were in the obese range, with male participants’ BMIs significantly higher than women’s (34.3 vs 31.9, p<.005). One year outcome data was collected from 167 participants, i.e. 43.2% of treatment initiators. Among participants who completed treatment, men maintained a 6.56% loss of their initial weight while women maintained a 7.35% loss. Over a quarter, 26.6%, of those who started the program (but did not complete it) maintained at least a 5% weight loss at one year, while 61.6% of treatment completers maintained 5% weight losses. The opinions expressed in this article reflect the views of the authors and not those of the Department of Defense or the U.S. Army.     

Questioning nuclear waste substitution: a case study

This article looks at the ethical quandaries, and their social and political context, which emerge as a result of international nuclear waste substitution. In particular it addresses the dilemmas inherent within the proposed return of nuclear waste owned by Japanese nuclear companies and currently stored in the United Kingdom. The UK company responsible for this waste, British Nuclear Fuels Limited (BNFL), wish to substitute this high volume intermediate-level Japanese-owned radioactive waste for a much lower volume of much more highly radioactive waste. Special focus is given to ethical problems that they, and the UK government, have not wished to address as they move forward with waste substitution. The conclusion is that waste substitution can only be considered an ethical practice if a set of moderating conditions are observed by all parties. These conditions are listed and, as of yet, they are not being observed.     

Dimensionality of individualism–collectivism and measurement equivalence of Triandis and Gelfand’s scale

Despite researchers’ strong interest in individualism and collectivism (I–C), the conceptualization and measurement of I–C constructs remain controversial. Through a cross-cultural study, the present research examines the dimensionality of I–C and tests equivalence of a measurement scale recently developed by Triandis and Gelfand. Through confirmatory factor analyses, the authors find that conceiving I–C as separate constructs with multiple dimensions is superior and better fits the data. The measurement scale developed based on such a conceptualization is found warrantable although refinements can be made. The results suggest a need for future research on further testing the dimensionality and measurement of the individualism and collectivism scale.     

Are Newcomb problems really decisions?

Richard Jeffrey long held that decision theory should be formulated without recourse to explicitly causal notions. Newcomb problems stand out as putative counterexamples to this ‘evidential’ decision theory. Jeffrey initially sought to defuse Newcomb problems via recourse to the doctrine of ratificationism, but later came to see this as problematic. We will see that Jeffrey’s worries about ratificationism were not compelling, but that valid ratificationist arguments implicitly presuppose causal decision theory. In later work, Jeffrey argued that Newcomb problems are not decisions at all because agents who face them possess so much evidence about correlations between their actions and states of the world that they are unable to regard their deliberate choices as causes of outcomes, and so cannot see themselves as making free choices. Jeffrey’s reasoning goes wrong because it fails to recognize that an agent’s beliefs about her immediately available acts are so closely tied to the immediate causes of these actions that she can create evidence that outweighs any antecedent correlations between acts and states. Once we recognize that deliberating agents are free to believe what they want about their own actions, it will be clear that Newcomb problems are indeed counterexamples to evidential decision theory.     

Biblical criticism and cultural Zionism prior to the first world war*

This essay examines the initial stages of the relationship between Jewish nationalism and modern biblical criticism. Its point of departure is Ahad Ha’am, the founder of cultural Zionism, who kept his distance from biblical criticism, and proceeds with Joseph Klausner, Ahad Ha’am’s successor as the editor of Ha-shiloah, who moved in the opposite direction by incorporating biblical criticism into his own writing and teaching. After examining the opposition to Klausner, the essay turns to the work of Ben-Zion Mossinson, who introduced the results of biblical criticism into the teaching of the Bible in the modern schools of the Yishuv. This initiative generated controversy and broad opposition, especially in the European Hebrew press. Shortly before World War I, and in this controversy’s immediate aftermath, Joseph Klausner, then in Palestine, published a small pamphlet in Hebrew making the case for biblical criticism. At about the same time, in Russia, Max Soloveitchik made a similar argument in a book of his own. Neither of these two works had resounding significance, but each testifies to the growing self-confidence of the exponents of cultural Zionist in promoting modern biblical criticism in the Jewish school. *Research for this easy was completed with generous support from a 2003 Harry Starr Fellowship in Jewish Studies at Harvard University.     

Another Paradox In Naive Set-Theory

Reasonning in naive set theory (with unlimited comprehension), we derive a paradox (a formal contradiction) which can be seen as a variant of the Burali-Forti paradox. Presented by Robert Goldblatt     

Evaluating and Comparing Interventions Designed to Enhance Math Fact Accuracy and Fluency: Cover,Copy, and Compare Versus Taped Problems

An adapted alternating treatments design was used to evaluate and compare the effects of two procedures designed to enhance math fact accuracy and fluency in an elementary student with low cognitive functioning. Results showed that although the cover, copy, compare (CCC) and the taped problems (TP) procedures both increased the student's math fact accuracy and fluency, TP was more effective as it took less time to implement. Discussion focuses on the need to develop strategies and procedures that allow students to acquire basic computation skills in a manner that will facilitate, as opposed to hinder, subsequent levels of skill and concept development.