A randomized controlled trial of Internet-based self-help training for recurrent headache in childhood and adolescence

Two different self-help training programs (multimodal cognitive-behavioral training (CBT) and applied relaxation (AR)) presented via the Internet were compared with an educational intervention (EDU) in an RCT. Sixty-five children and adolescents (mean age: 12.7 years) with recurrent headache (at least 2 attacks per month) were each assigned to one of the three treatment conditions. The main outcome variables related to changes in headache frequency, intensity and duration as well as the responder rate (50% reduction of headache frequency) and NNTs. Secondary outcome variables were pain catastrophizing and general well-being (depression, psychopathological symptoms and health-related quality of life). All groups showed significant reduction in headache frequency, duration and pain catastrophizing, but not in headache intensity, depression, psychopathological symptoms or health-related quality of life at post-assessment. NNTs were 2.0 for the comparison CBT and EDU; 5.2 for the comparison of AR and EDU at post-treatment. The highest responder rates at post were from CBT (63%), significantly different compared to AR (32%) and EDU (19%), whereas at follow-up no significant differences were found (CBT: 63%, AR: 56%, EDU: 55%) reflecting in the NNTs.The effects remain stable in headache frequency, pain catastrophizing and psychopathological symptoms across all groups at follow-up assessment. CBT showed the highest within-effect size in headache frequency, duration and pain catastrophizing. The results support the use of Internet programs for pediatric recurrent headache, especially given their accessibility and suitability for children and adolescents. Further studies are needed to improve their quality and efficacy.     

An investigation into assessment centre validity,fairness, and selection drivers

This study examined the construct‐related validity of an assessment centre (AC) developed by a national distribution company for the selection and development of lower‐grade managers. In five locations throughout Britain, 487 individuals were observed on nine dimensions, each of which was measured through six distinct exercises. Multitrait‐multimethod analyses conducted to investigate the convergent and discriminant validity of the AC revealed strong exercise (“method”) effects. This finding was corroborated by an exploratory factor analysis showing that AC ratings clustered into factors according to exercises, rather than according to performance dimensions. A series of MANOVAs and chi‐squared tests demonstrated that neither the exercise ratings nor the selection decision were biased by sex, ethnicity, or training location, and a logistic regression determined which exercises had most impact on the final decision.     

The life instinct

In psychoanalytic writing an oversimplified interpretation of Freud's concept of the life and death instincts sometimes colours the presentation. Roughly, there is an implication that the life instinct is 'good' and the death instinct 'bad'. Freud however is clear that: "Neither of these instincts is any less essential than the other; the phenomena of life arise from the concurrent or mutually opposing action of both"(1933b, p. 209). In this paper I look in detail at the characteristics of the life instinct as conceptualized by Freud, and draw on Bion's work 'on linking' to elaborate Freud's view that binding is the life instinct's key characteristic. I suggest that there are pathological forms of both the life and death instinct if defused (separated off) from the other, and I explore a pathological variation of the life instinct in which binding is without the negation, rest, limit or end provided by the 'opposing action' of the death instinct. I consider an instance of the kind that any analyst might meet clinically, in which an inhibited patient experiences severe anxiety that life-giving connections threaten to proliferate indiscriminately and to an overwhelming intensity and size.     

时距加工“长度效应”研究述评

所谓长度效应指随着加工长度的变化, 时距加工机制在认知或神经层面会表现出不一致。近20年来, 关于时距加工是否会出现长度效应存在共同机制假设和差异机制假设两种观点。共同机制假设主张不同长度的时距加工认知或神经机制相同, 且该机制可被标量计时模型解释; 而差异机制假设主张不同长度时距加工的认知或神经机制存在差异, 2~3s、1s、1/2s及1/3s等是区别不同机制的分界位置。文章还指出四个值得思考的问题, 即已获证据的可靠性问题、判定标准的多元化问题、分界位置的确定性问题及理论模型的适用性问题。     

CHRISTIANITY AND POSSIBILITY: ON KEARNEY'S THE GOD WHO MAY BE

Abstract: This essay interprets and responds to Richard Kearney's metaphysics of possibility and hermeneutics of religion against the background of Nietzsche's proclamation of the death of God and the theodicy problem. Kearney's work is thus read as an interesting but ultimately problematic attempt to preserve or perhaps reinstate religious thought after the modern critique of idols. In addition, his positions are compared and contrasted with some of authors with whom he seems to be in limited agreement (for example, Plotinus, Hillesum) as well as some with whom he clearly breaks (for example, Girard, Sölle).     

机构伦理视野中的KWG——被纳粹的罪扭曲了的科研机构

通过KWG两个研究所在第二次世界大战期间的境遇,揭示了纳粹统治时期德国科研机构存在的伦理问题,并从机构伦理学的视角重新审视了研究机构从事人体试验等反人类活动的行径,分析了其中的社会历史根源。     

The practice research network: Research into practice,practice into research

The purpose of the broader project on which this report is based was to utilize a Practice Research Network, an alternative to traditional clinical studies to 1) identify demographically one practice group, namely professional counselors in the United States, 2) describe their practice patterns, and 3) identify their client population and the efficacy of their clinical work through client outcomes based on actual client reports. This article describes the development of one such nation‐wide Practice Research Network (PRN) and provides some preliminary findings for each phase of the project. Use of the PRN model can help overcome the traditional “research to practice” gap and provide research results into community practice thus integrating outcomes measures into the daily practice of mental health professionals. During the early phases of this project, a software program was developed upon which the participating practitioners could identify the data elements within the parameters of the focus on their agreed‐upon research interests, enter data following client visits over time, and by comparing their own composite profiles and effectiveness with those of other participating practitioners who had clients presenting with similar diagnoses, could alter their own service delivery patterns, therapeutic interventions, or approaches while working with the clients and thereby improve the efficacy of their service. By participating, the practitioners benefited by access to downloadable and printable reports on profiles of 1) their specific clients, 2) their service delivery patterns, and 3) the outcomes or efficacy by their clients’ direct feedback. They were also able to compare these results with the composite data from other practitioners.     

内-外群体偏爱的内隐效应实验研究

本研究以地域刻板印象和地域内一外群体偏爱的两种IAT为实验材料和测量工具,通过它们之间的相关研究进行实验。研究表明：刻板印象和内群体偏爱的内隐效应明显地存在;上海人的内隐效应大于外地人,外地人仍具有一定的内隐效应但也显示具有一定的内隐偏爱;上海人与外地人存在着内群体偏爱,值得注意的是外地人还有一定的对弱势的认同,具有外群体偏爱;实验证明我们设计的IAT纸笔测验版本是可行的,优点是高效、经济、方便和实用。     

从动物权利的讨论看道德的交互性本质

道德的交互性是人类道德生活的基本特征之一。有关动物权利的讨论能为我们清楚地揭示出这一点。它主要指向收益和负担之间的某种程度的均衡,对人类的道德实践提出了真正的挑战。     

“Put Your Money Where Your Love Is”: Parental Aid to Adult Children

Qualitative data are used to examine parents’ support to their adult children, and their motivations and feelings about it. The sample is 40 adult children and parents from four racial/ethnic groups: African-Americans, Asian-Americans, non-Latino Whites, and Latinos. Ideals of adult independence versus interdependence emerge as determinants of feelings about aiding adult children. The ambivalence concept provides the means to elucidate the tensions between these ideologies and children’s structurally shaped circumstances. Parental assistance to adult children was seen as acceptable for education, home ownership, and on behalf of young children, especially if the child was “working hard.” Parents still provided aid, however, even if these conditions were not met. In these situations, more intrafamilial tension characterized the aid transfer.