IRB and Research Regulatory Delays Within the Military Health System: Do They Really Matter? And If So,Why and for Whom?

Institutional review board (IRB) delays may hinder the successful completion of federally funded research in the U.S. military. When this happens, time-sensitive, mission-relevant questions go unanswered. Research participants face unnecessary burdens and risks if delays squeeze recruitment timelines, resulting in inadequate sample sizes for definitive analyses. More broadly, military members are exposed to untested or undertested interventions, implemented by well-intentioned leaders who bypass the research process altogether. To illustrate, we offer two case examples. We posit that IRB delays often appear in the service of managing institutional risk, rather than protecting research participants. Regulators may see more risk associated with moving quickly than risk related to delay, choosing to err on the side of bureaucracy. The authors of this article, all of whom are military-funded researchers, government stakeholders, and/or human subject protection experts, offer feasible recommendations to improve the IRB system and, ultimately, research within military, veteran, and civilian populations.     

Not Just “Study Drugs” for the Rich: Stimulants as Moral Tools for Creating Opportunities for Socially Disadvantaged Students

An argument in the cognitive enhancement literature is that using stimulants in populations of healthy but socially disadvantaged individuals mistakenly attributes pathology to nonpathological individuals who experience social inequalities. As the argument goes, using stimulants as cognitive-enhancing drugs to solve the social problem of poorly educated students in inadequate schools misattributes the problem as an individual medical problem, when it is really a collective sociopolitical problem. I challenge this argument on the grounds that not all types of enhancement have to be explained in medical terms, but rather at least one conception of enhancement can be explained in social terms—opportunity maintenance. Therefore, I propose that as a moral requirement we ought to explore whether stimulants could be a means of remedying underprivileged children's experiences of social inequalities that are borne from inadequate schools for the sake of increasing their chances for opportunities and well-being.     

Exploring the Relationship Between Deaf Identity Verification Processes and Self-Esteem

Past research has found that self-esteem in deaf individuals is predicted by variables such as the age they become deaf, the type of school they attend, whether they use sign language or another mode of communication, their parents’ hearing status, and their family’s socioeconomic status. This study applies identity control theory and examines the relationship between Deaf identity verification processes and self-esteem. The results show that, when controlling for variables known to relate to self-esteem, deaf individuals’ education and the degree of difficulty they have in verifying self-meanings in social situations are the only significant predictors of variance in self-esteem. The article discusses the study findings and considers the implications for identity control theorists and Deaf studies scholars.     

A Broader Understanding of Moral Distress

On the traditional view, moral distress arises only in cases where an individual believes she knows the morally right thing to do but fails to perform that action due to various constraints. We seek to motivate a broader understanding of moral distress. We begin by presenting six types of distress that fall outside the bounds of the traditional definition and explaining why they should be recognized as forms of moral distress. We then propose and defend a new and more expansive definition of moral distress and examine how it can enable the development of a taxonomy of moral distress.     

Fetal Risks,Relative Risks,and Relatives' Risks

Several factors related to fetal risk render it more or less acceptable in justifying constraints on the behavior of pregnant women. Risk is an unavoidable part of pregnancy and childbirth, one that women must balance against other vital personal and family interests. Two particular issues relate to the fairness of claims that pregnant women are never entitled to put their fetuses at risk: relative risks and relatives' risks. The former have been used—often spuriously—to advance arguments against activities, such as home birth, that may incur risk; the latter implicate the nature of relationships in determining the acceptability of coercing or precluding activities. Motivated reasoning by clinicians and judges leads to inaccurate risk assessments, and judgments based on false claims to objectivity. Such judgments undermine the moral and legal standing of pregnant women and do not advance the interests of fetuses, pregnant women, families, or states.     

Comparing OECD PISA Reading in English to Other Languages: Identifying Potential Sources of Non-Invariance

The use of the Programme for International Student Assessment (PISA) across nations, cultures, and languages has been criticized. The key criticisms point to the linguistic and cultural biases potentially underlying the design of reading comprehension tests, raising doubts about the legitimacy of comparisons across economies. Our research focused on the type and magnitude of invariance or non-invariance in the PISA Reading Comprehension test by language, culture, and economic development relative to performance of the Australian English-speaking reference group used to develop the tests. Multi-Group Confirmatory Factor Analysis based on means and covariance structure (MACS) modeling was used to establish a d_MACS effect size index for each economy for the degree of non-invariance. Only three wealthy, English-speaking countries had scalar invariance with Australia. Moderate or large effects were observed in just 31% of the comparisons. PISA index of economic, social and cultural status had a moderate inverse correlation with dMACS suggesting that socioeconomic resourcing of education played a significant role in measurement invariance, while educational practice and language factors seemed to play a further small role in non-invariance. Alternative approaches to reporting PISA results consistent with non-invariance are suggested.     

来访者动机:心理咨询与治疗理论与实践的整合

来访者动机是影响行为改变和治疗结果的重要因素,是贯穿心理咨询与治疗过程的关键问题。自我决定理论(SDT)是关于动机行为的一种宽泛理论,将动机看成一个随自主水平变化的连续体,认为来访者自主水平越高,治疗效果越好,并强调治疗师的自主支持对来访者参与和坚持改变的重要性;动机访谈(MI)则是在成瘾行为治疗中发展起来的一种临床技术和策略,遵循来访者中心的原则激发和增强来访者动机。在健康行为领域两种治疗模型有不同的起点、焦点和发展路径,研究者却发现两者可以系统而有机地整合,促进了有实证支持的实践发展。     

结构需求:概念、测量及与相关变量的关系

结构需求是个体对简单结构、清晰有条理的事物与环境的偏爱和需要,其本质是一种动机,个体通常会以结构严密、有条理或简化复杂信息的认知加工方式将其表现出来。结构需求存在着个体差异性。高结构需求水平的个体能够简化复杂的信息和环境,以清晰和简单的表征与描述去理解、建构他们的世界,从而减少认知资源的支出和消耗,提高认知操作的效率,维持认知与行为倾向的内在稳定。研究者梳理了结构需求的概念内涵、理论基础,介绍了两种主要的结构需求测量工具(PNS-12量表,PNS-11量表),以及结构需求的相关研究,分别从结构需求的前因变量、结果变量的角度对其相关研究进行了阐述。未来研究应深入探究结构需求的概念与结构,拓展其研究方法,研发更加有效的测评工具,深入探讨其影响机制,开展结构需求的中国化研究。     

Epistemic perceptualism and neo-sentimentalist objections

Epistemic Perceptualists claim that emotions are sources of immediate defeasible justification for evaluative propositions that can (and do) sometimes ground undefeated immediately justified evaluative beliefs. For example, fear can constitute the justificatory ground for a belief that some object or event is dangerous. Despite its attractiveness, the view is apparently vulnerable to several objections. In this paper, I provide a limited defence of Epistemic Perceptualism by responding to a family of objections which all take as a premise a popular and attractive view in value theory – Neo-Sentimentalism – according to which values are analysed in terms of fitting emotions.     

领导对建言反应的动机感知作用机制:基于归因理论的阐释

基于归因理论,从领导对建言行为动机的认知视角,解释领导对建言差异反应的原因。当领导认为员工建言基于组织关心动机、亲社会动机时,会给予表扬/认可、奖赏、执行等积极反应;当领导认为员工建言是基于挑战动机、疏离动机、印象管理动机或自我保护动机时,会给予批评/惩罚、忽视、报复等消极反应。此外,权力距离能够调节领导对建言动机的感知,即低权力距离领导,对建言行为更为接纳、支持,会增强专业性、建言氛围与积极动机感知的关系,减弱挑战性建言与消极动机感知的关系;而高权力距离领导,倾向于绝对优势的权力和对下属的控制,会减弱专业性、可信性及建言氛围与积极动机感知的关系,增强挑战性建言与消极动机感知的关系。最后,建议未来的研究关注以下几个方面:(1)将建言作为一个过程来探讨,研究领导对建言的反应如何影响员工后续的态度和行为;(2)研究建言氛围形成的原因及其作用;(3)关注情绪在建言行为中的功能机制等。