Data-Informed Advances and Technology Augmentation

The augmentation of technology to the delivery of CBT has enormously increased in recent years. This commemoration of Dr. Aaron T. Beck’s contribution to the field focuses on examples such as CBT internet treatments, video treatments, but especially on data-informed CBT, precision mental health and digitally based treatment navigation systems. It ends with an outlook on continuous outcome measurement as the basis for a broader understanding of clinical concepts and data-driven clinical practice in the future.     

Use of Level 1 and 2 driving automation on horizontal curves on interstates and freeways

Little is known about how the actual use of Level 1 and 2 driving automation systems may be affected by geometric road characteristics in naturalistic driving environments. This study examined the use of these systems on horizontal curves on interstates and freeways. It used travel data collected in a field operational test conducted with two 2016 Land Rover Range Rover Evoque vehicles equipped with adaptive cruise control (ACC) and two 2017 Volvo S90 vehicles equipped with ACC and Pilot Assist (PA). Logistic regression models estimated changes in the likelihood of ACC use associated with horizontal curvature in the Evoque vehicles, and of PA and ACC use in the S90 vehicles, while accounting for traffic conditions. Drivers were less likely to drive with ACC or PA on as horizontal curves became sharper. In the Evoque vehicles, the likelihood of using ACC was 71.6% lower on the sharpest category of horizontal curves (those with a degree of curvature>2.5 degrees per 100 feet of arc or a radius smaller than 2,292 feet), compared with straight road segments or the flattest horizontal curve category (those with a degree of curvature <= 1.5 degrees per 100 feet of arc or a radius no <3,820 feet). In the S90 vehicles, the likelihood of using PA and ACC declined 74.6 and 66.3%, respectively, on the sharpest curves. Many driving automation systems face challenges on horizontal curves, even within their operational design domain. Future implementations that improve functionality may enhance driver experience and boost drivers’ confidence in these systems, which should increase their use and maximize the safety benefits these systems might offer.     

Making conscious the unconscious in order to modify unconscious processing: Some mechanisms of therapeutic change1

This paper examines some of the mechanisms through which interpretation aimed primarily at increasing conscious awareness can nonetheless produce unconscious changes, the latter being deemed the basic aim of psychoanalysis. The concept of valency or motivational weight of the interpretation is proposed to assess which forces of the various motivational systems the interpretation mobilizes (hetero/self‐preservation, sensual/sexual, attachment, narcissistic, psychobiological regulation etc.), on which of the above‐mentioned systems interpretation relies, and which would oppose therapeutic intervention and why. Certain conditions are also analyzed that could explain the so‐called ‘change through the analytic relationship’, pointing out that, despite the major differences between this form of change and change through interpretation, both of them would share certain mechanisms. This conclusion leads to the need to qualify the idea that interpretation would be exclusively aimed at declarative memory, with no effects upon procedural memory. The paper examines the potential consequences for therapeutic techniques derived from recent fi ndings in neuroscience on so‐called labile state memory, and proposes the coupling of experiences as one of the analytical instruments used for therapeutic change. A clinical vignette is included to illustrate some of the theoretical and technical aspects considered.     

Building Opportunity: Developing City Systems to Expand and Improve After School Programs

A growing body of research is examining the strengths and weaknesses of specific after school programs and their effect on youth outcomes. Few reviews, however, have sought to examine the components of citywide system-building—to understand intentional efforts to develop, support and sustain high quality after school programming across a community. Beginning in the mid-1990s and continuing through the present, private funders, public officials and program practitioners in cities across America have joined together to build systems to support the expansion and improvement of after school programs at the city-level. This paper presents the community context and underlying principles that drove the development of Baltimore’s After-School Strategy; articulates a set of system components derived from this experience and the available literature; and lays out future work to expand high quality after-school opportunities for youth in Baltimore and in other distressed urban environments.     

Through neural stimulation to behavior manipulation: a novel method for analyzing dynamical cognitive models

The dynamical systems' approach to cognition (Dynamicism) promises computational models that effectively embed cognitive processing within its more natural behavioral context. Dynamical cognitive models also pose difficult, analytical challenges, which motivate the development of new analytical methodology. We start by illustrating the challenge by applying two conventional analytical methods to a well-known Dynamicist model of categorical perception. We then introduce our own analysis, which works by analogy with neural stimulation methods, and which yields some novel insights into the way the model works. We then extend and apply the method to a second Dynamicist model, which captures the key psychophysical trends that emerge when humans and animals compare two numbers. The results of the analysis-which reveals units with tuning functions that are monotonically related to the magnitudes of the numbers that the agents must compare-offer a clear contribution to the contentious debate concerning the way number information is encoded in the brain.     

GOD AS A COMMUNICATIVE SYSTEM SUI GENERIS: BEYOND THE PSYCHIC, SOCIAL, PROCESS MODELS OF THE TRINITY

With an aim to develop a public theology for an age of information media (or media theology), this article proposes a new God-concept: God is a communicative system sui generis that autopoietically processes meaning/information in the supratemporal realm via perfect divine media ad intra (Word/Spirit). For this task, Niklas Luhmann's systems theory is critically appropriated in dialogue with theology. First, my working postmetaphysical/epistemological stance is articulated as realistic operational constructivism and functionalism. Second, a series of arguments are advanced to substantiate the thesis: (1) God is an observing system sui generis ; (2) self-referential communication is divine operation; (3) unsurpassable complexity is divine mystery; (4) supratemporal autopoiesis of meaning is divine processing; (5) agape is the symbolic medium of divine communication. Third, this communicative model of God is developed into a trinitarian theology, with a claim that this model offers a viable alternative beyond the standard (psychic, social, process) models. Finally, some implications of this model are explored for constructive theology (conceiving creation as divine mediatization) and for science-and-religion in terms of derivative models: (1) God as a living system sui generis and (2) God as a meaning system sui generis .     

JOHN HAUGHT—FINDING CONSONANCE BETWEEN RELIGION AND SCIENCE

John Haught has awarded the debates between religion (Christianity in particular) and science a central place in his ongoing corpus of work. Seeking to encourage and enhance the conversation, Haught both critiques current positions and offers his own perspective as a potential ground for continuing the discussion in a fruitful manner. This essay considers Haught's primary criticisms of the voices on both sides of the debate which his work connotes as polarizing or conflating the debate. It also extrudes from Haught's work themes that provide alternative visions. The essay concludes with two questions for further consideration.     

浅析整合型医疗卫生服务系统

整合型医疗卫生服务系统是由医疗卫生服务机构通过自建、并购或签订合约等方式实现水平和垂直式整合后,所形成的为患者提供整合型卫生服务的系统。它遵循"以患者需求为中心"的理念,对于促进卫生资源的合理配置和利用,提高我国卫生服务的公平、效率和可及性具有十分重要的现实意义。     

On the Subjectivity of the Experience of Victory: Who Are the Election Winners?

Elections represent key moments in democratic countries, and an established finding from the existing literature is that winners of elections display higher levels of satisfaction with democracy. Yet we know almost nothing about the times when voters feel like winners of an election. Using panel data in four countries, this article finds that while the objective performance of the supported party—measured using vote share and changes in vote share from the previous election—has a very important effect on feeling like an election winner, prior expectations regarding the election’s outcome as well as preferences for the supported party significantly moderate the effect of party performance on voter feelings. It seems also that the identification of the winners and losers of elections are clearer in majoritarian‐style democracies than in proportional systems with coalition governments. Ultimately, the findings indicate that measuring who are the winners of an election using exclusively objective measures of party performance may provide a distorted view of public opinion following the elections.