The interaction of distress tolerance and intolerance of uncertainty in the prediction of symptom reduction across CBT for social anxiety disorder

Distress tolerance (DT) and intolerance of uncertainty (IU) have been identified as transdiagnostic processes that predict symptom severity across a range of distinct anxiety disorders. However, the joint effect of these two variables on therapeutic outcome has not yet been examined. It is possible that DT and IU may both impact on treatment response to cognitive-behavioural therapy (CBT) in clients with anxiety, as clients with weak DT and strong IU may be less likely to engage in exposure and cognitive restructuring tasks across treatment due to their associated distress. The purpose of this study was to examine the interaction of DT and IU as predictors of post-treatment symptom severity and treatment response to group CBT in participants with primary DSM-IV-TR diagnosed social anxiety disorder (SAD). Participants (N = 95) with SAD completed 12 weeks of manualized group CBT. Results of multilevel longitudinal analysis demonstrated an interaction effect, such that lower DT and higher IU predicted higher SAD symptom severity across the course of therapy. The findings are discussed in terms of clinical implications for the disorder-specific and transdiagnostic treatment of anxiety disorders.     

The Structure of Domination Today: A Lacanian View

Two topics determine today's liberal tolerant attitude towards Others: the respect of Otherness and the obsessive fear of harassment: the Other is OK insofar as its presence is not intrusive, insofar as the Other is not really Other. The central human right in late-capitalist society, namely the right to be free from all harassment by the Other including the violent imposition of ethical norms, contrasts sharply with the violent imposition of divine Mosaic law – the Decalogue – from which the idea of human rights ultimately derives. The underlying discursive shift can be analyzed with the help of Lacan: the discourse of the Master had been replaced by university discourse. While the Master's decision is per se violent, university discourse is enunciated from the position of neutral Knowledge. The truth of the university discourse is power: the constitutive lie of the university discourse is that it disavows its performative dimension, presenting what effectively amounts to a political decision based on power as a simple insight into the factual state of things.     

Generic Versus Catholic Hospital Chaplaincy: The Diversity of Spirits as a Problem of Inter-Faith Cooperation

Hospital chaplaincy, in its exposure to clients, colleagues,and care-takers from different faith backgrounds, can be understoodin either generic or catholic terms. The first understanding,often merely implicit in denominationalist approaches, assumesthat some "Absolute" can be prayerfully invoked through themedium of diverse rituals, confessions, and symbols. This positioncombines the advantage of unprejudiced acceptance of other creedsand traditions with the disadvantage of lacking resources fordiscriminating among the spiritualities that may be operativewithin those other creeds and traditions. Catholicism, in linkingtrue spirituality with the one true church as the mystical bodyof the Tri-une God, secures such a criterion but fails to satisfythe tolerance-of-acknowledgement in the secular sense, whichis canonical in contemporary ecumenism. The Orthodox understandingof Catholicism is portrayed as imposing a non-judgemental humilityand repentance which provides a solution to that spiritual-humandilemma of inter-faith cooperation in the hospital.     

Masked ball: Ethics,laws and financial contradictions in hungarian health care

Corruption is a major problem in the societies of the post-communist Central European countries. Corruption in health care has some unique characteristics undermining the efficacy of and respect for Hungarian health care. One of the forms of corruption is tipping. This highly contested phenomenon is present in most of the patient/health professional’s interactions in a sophisticated manner, raising serious ethical and legal dilemmas. The present paper analyzes tipping and other corruption-related factors, such as financial conflict of interest between industry and health care and argues that since ethical and legal considerations are often ignored in the country, patient care and clinical research are affected by these controversial issues to a great extent.     

Reflections on Bion's 'elements of psychoanalysis' Experience, thought and growth

This paper aims to follow, in Bion's conception of analytic work, an axis of refl ection organized around three preoccupations: favoring emergence of emotional experience, symbolic elaboration of that experience and resuming growth through symbolic thought. The overarching issue and condition of all three is the capacity to contain the largest possible range of transferential and countertransferential facts in analytic sessions. This range is likely to be reduced if the analyst listens to the experience of a session with too great a number of theoretical elements in mind. Hence the dictum 'To listen without memory and desire', which will be commented upon here in parallel with the process of abstraction, a process serving in Bion's writings the purpose of dealing both with the epistemological problem of communication among analysts and with the clinical problem of receptiveness to the unknown.     

抗SARS中若干价值观的一项调查

运用情境性故事投射法．以抗SARS为背景编撰关于公正、关爱、公众、敬业、宽容诸价值观念为主题的五个情境故事为刺激材料,以427名大学生和职业青年为对象进行了问卷调查,对他们在与抗SARS有关的上述五个价值观念上的反应倾向及其积极性反应倾向在个体、社会、原则三水平理由上的特点作了探究。     

Some future directions for global justice

The fields of global ethics and global justice have expanded considerably over the last two decades and they now cover a wide variety of topics. Given this huge range there are many areas that are ripe for important developments. In this commentary I identify some useful directions for promising exploration in the field of global justice. I argue that expanded dialogue networks would considerably enhance work in philosophy and be beneficial to other disciplines as well. I indicate also how we could develop work on allocating responsibilities for reducing global injustices in useful ways, by considering a wider range of considerations that give rise to responsibilities and expanding the scope of, and audience for, these discussions. I catalog some under-theorized topics that should get more philosophical attention (including the notions of complicity, exploitation, and corruption). In addition, I draw attention to the ways in which a journal such as this one could facilitate a number of important dialogue networks.     

不确定性容忍度、损益概率及延迟风险对延迟选择的影响

研究通过两个实验考查了不确定性容忍度及相关变量对延迟选择的影响,其中实验1采用2（不确定性容忍度：高/低）×2（概率水平：高/中）被试间实验设计;研究2将实验任务设定在有延迟风险情景下中等概率水平,采用单因素（不确定性容忍度：高/低）被试间实验设计.实验1结果表明：不确定性容忍度与概率水平存在交互作用：中等概率时,低容忍度个体比高容忍度个体更偏好延迟选择,高概率时,两者的延迟选择无显著差异,都偏好于选择决策.实验2结果表明：在有延迟风险中等概率时,高、低容忍度个体的决策偏好无显著差异,都偏好选择决策.结论：不确定性容忍度对延迟选择存在影响且受概率水平和延迟风险的调节.     

What are the values of young people and how are these different from the values of older generations in Georgia?

This article examines the basic values of young people (aged 18 to 25) and analyses how, if at all, these are different from the values of older generations in Georgia. Based on Shalom H. Schwartz’s Theory of Basic Values (2012), the study uses quantitative (secondary analysis of the World Values Survey [WVS]) and qualitative (40 in-depth interviews) research methods to explore basic values, perceptions and attitudes, as well as tolerance towards different minority groups in Georgia. The research findings reveal that Schwartz’s higher-ordered values ‘conservation’ (including ‘conformity’ and ‘tradition’) and ‘self-transcendence’ (including ‘benevolence’ and ‘universalism’) are very important for all age groups in Georgia. In contrast, the values of ‘openness to change’ and ‘self-enhancement’ are assessed quite dissimilarly by young and older generations. In addition, the youth turned out to be more tolerant towards different minority groups, such as people of a different religion and race, immigrants and sexual minorities.