The experience machine and the expertise defense

Recent evidence suggests that participants without extensive training in philosophy (so-called lay people) have difficulties responding consistently when confronted with Robert Nozick’s Experience Machine thought experiment. For example, some of the participants who reject the experience machine for themselves would still advise a stranger to enter the machine permanently. This and similar findings have been interpreted as evidence for implicit biases that prevent lay people from making rational decisions about whether the experience machine is preferable to real life, which might have consequences for one of the strongest objections to philosophical hedonism (the view that pleasure is the only intrinsic value). Against this consequence, it has been argued that expert philosophers are immune to such biases (the so-called expertise defense). In this paper, I report empirical evidence against this expertise defense.     

What Is a Nonresponder? A Qualitative Analysis of Nonresponse to a Behavioral Intervention

This study used qualitative methods to understand reasons for treatment nonresponse following a behavioral intervention for family caregivers of people with dementia. Caregivers and interventionists completed semistructured interviews about their experience of the treatment after completing a course of Resources for Enhancing Alzheimer’s Caregiver Health in VA (REACH VA). Treatment response from the 22 caregivers who completed the 12-session treatment was assessed using pre- to posttreatment change scores on measures of depression and caregiver burden. Interviews from the 14 nonresponder caregiver/interventionist dyads (28 total) were analyzed qualitatively to identify caregiver factors that negatively impacted improvement in depression and caregiver burden, such as emotional processing difficulties, wanting more support than structure, and limited support/difficulty asking for help. Ways nonresponders benefited from REACH VA beyond improvement on self-report symptom measures were also identified and included learning to problem solve more effectively, feeling understood and supported by another, and taking a different perspective on caregiving. The benefits of using qualitative methods to assess the experience of treatment nonresponders and identify individuals who may benefit from additional treatment or a different approach are discussed.     

Therapeutic progress and symptom elevation in treating dismissive attachment: A case study

A dismissive or avoidant attachment style can present clinical challenges in psychotherapy as the attachment style may interfere with the development of a constructive therapeutic alliance and impact the level of disclosure, expressions of distress, and risks for premature drop-out. This paper reports a naturalistic case study and offers an in-depth examination of a treatment with a client with dismissive attachment, including a detailed examination of relational interventions and countertransference struggles. Furthermore, this paper considers the notable differences between quantitative scores on a well-validated, practice-based clinical symptom inventory and the qualitative outcomes for this client to offer clinical and research implications in treatment with dismissive attachment.     

Predictors of improvement in an open-trial multisite evaluation of emotion regulation group therapy

Emotion regulation group therapy (ERGT) is a novel treatment specifically targeting deliberate non-suicidal self-harm (DSH) in individuals with borderline personality disorder (BPD). Identifying robust predictors of positive response to ERGT could aid clinicians in treatment selection; however, to date, only one such study has been conducted. Thus, we aimed to replicate previously identified predictors of treatment response to ERGT by investigating demographic, clinical, and diagnostic predictors in 95 women with BPD or subclinical BPD who had participated in an open-trial evaluation of ERGT. Outcomes evaluated were frequency of DSH and emotion dysregulation. Assessments were conducted at pretreatment, post-treatment, and 6-month follow-up. Multilevel mixed linear models and multilevel negative binomial generalized estimated equations were used to identify significant interactions between the predictors and outcomes.

We found that greater pretreatment DSH frequency was associated with greater improvements in DSH during treatment (b = 0.998, SE = 0.00, p = 0.03) and follow-up (b = 0.997, SE = 0.00, p < 0.01) and that greater BPD severity was associated with greater improvements in DSH during treatment (b = 0.84, SE = 0.06, p = 0.02) and in emotion dysregulation at follow-up (b = ?3.05, SE = 1.47, p = 0.04). Co-occurring disorders were associated with poorer treatment response during follow-up. Results were generally consistent with a previous study of the predictors of response to ERGT. The findings provide further support for the utility of this treatment across a range of BPD patients, including patients with severe DSH and BPD.     

Self‐ and cross‐citations in the Journal of Applied Behavior Analysis and the Journal of the Experimental Analysis of Behavior: 2004‐2018

We examined self‐ and cross‐citations in the Journal of Applied Behavior Analysis (JABA) and the Journal of the Experimental Analysis of Behavior (JEAB) from 2004 through 2018. Mean annual levels of self‐citations for JABA and JEAB were 40.1% and 28.7%, respectively. Overall, 5.1% of JABA citations were JEAB articles, and 2.3% of JEAB citations were JABA articles. Although overall cross‐citation levels were relatively low, 28.7% of the JABA articles reviewed had at least one JEAB citation, and 27.5% of the JEAB articles reviewed had at least one JABA citation. Authors in both journals cited articles addressing the topics of matching and motivating operations. The extent to which the basic and applied sectors of behavior analysis interact depends on how the interaction is measured. Nonetheless, the degree of interaction is growing, which is a good thing for the discipline.     

Questions for a Millennium: Religion and Science from the Perspective of a Scientist

This essay addresses a series of eight questions about what religion can do for science. It explores the secular role of religion in contemporary science and the need for greater synthesis between science and religion. It concludes that, for survival in the twenty-first century, religion cannot exist without acknowledging and using the enormous information pool of science, and science can no longer shun or ignore religion. Humankind will always need the large, synthetic explanations that religion provides of why we are here and what we ought to do and believe. The world needs to mark this new millennium with a sense of respect, cooperation, and even synthesis between science and religion.     

Laboratory Ritual: Experimentation and the Advancement of Science

Technical achievement in laboratories requires millennia–old ritual formulations; the methodological expectations and presuppositions of scientists stem not only from investigations of the last three centuries but also from the ritual knowledge making that has governed human religion. Laboratory research is a form of human ritual open to interpretation in the manner of religious ritual. The experiments of the laboratory are fact–gathering ventures, but the integration of that knowledge into our general understanding of a universe of information networks is the process of knowledge making, and it is the highest achievement of all rituals, be they religious or scientific. Ritual theory offers insight into the nature of scientific experimentation.     

现代医学存在自身缺陷的依据、原因、现象及其后果

目的 探讨现代医学理论体系存在的自身缺陷、根本原因和现象以及由此而产生的后果。方法 明确指出现代医学的理论主体就是实验医学,指出现代医学理论体系所存在的自身缺陷是由于过于依赖实验医学的研究方法而造成的,通过对世界医学发展史上医学与哲学之间关系上的变化进行深入分析,全面阐述了现代医学在对人体研究上的片面性和不完整性,指出现代医学理论之所以存在自身缺陷的根本原因就是没有科学地认识实验医学和经验医学各自的优点并加以合理地利用,列举了现代医学理论存在自身缺陷在基础与临床方面的具体现象及其后果。结论 现代医学理论体系存在着难以自我完善的自身缺陷,并使其发展举步维艰。