Potential dropouts in a longitudinal study: Prevalence,stability, and associated characteristics

This study quantifies the prevalence and associated characteristics of subjects in a longitudinal study who are difficult to schedule and thus may become potential study dropouts. Although subject attrition over three years remained extremely low, many families were difficult to schedule for their assessments and this remained rather constant over time. Intercorrelations between the measures of scheduling difficulty were high, indicating good internal validity of the constructs. Stability of these measures from year to year was low, making it difficult to predict which families required more staff effort or were at risk for dropping out of the study in any one year. Race appeared to be associated with several measures of scheduling difficulty, while psychiatric characteristics of the sample were less so.     

From Brouwerian Counter Examples to the Creating Subject

The original Brouwerian counter examples were algorithmic in nature; after the introduction of choice sequences, Brouwer devised a version which did not depend on algorithms. This is the origin of the creating subject technique. The method allowed stronger refutations of classical principles. Here it is used to show that negative dense subsets of the continuum are indecomposable.     

English teaching and the weight of theory

The division between theory and pedagogy is an example of the more traditional division between theory and practice. The paper deals with the artificiality inherent in the institutional separation of those scholars who study within a subject area and those who study the pedagogy of the subject. The paper discusses various theoretical accounts of the nature of English to make the case that theory is imbued with pedagogy. That is, theory is not neutral about teaching. How we teach is driven by our theoretical commitments to our subject.     

Ethical and methodological aspects of medical computer data bases and knowledge bases

Ethical problems are related to computer data bases, containing data on individuals and groups of persons, as well as to computer knowledge bases, containing general rules and elements of expert systems.In the present essay the following conclusions are made regarding computer data bases: privacy, security, and confidentiality of medical computer data bases should be ensured. This duty should rest with physicians in hospitals. The principle of informed consent should be applied to gathering information which is to be stored and processed by computers. Information stored in computer data bases should not be used for purposes for which the subjects (patients as well as personnel) have not given their consent. In order to decrease the possibility of misuses of medical data bases containing information on individuals, these registers should not be linked to other central data bases.     

Client Versus Clinicians’ Standards of Clinically Meaningful Change and the Effects of Treatment Expectations on Therapeutic Outcomes in Individuals With Posttraumatic Stress Disorder

There is limited research on the concordance between client perceptions and clinician standards of the degree of symptom change required to achieve meaningful therapeutic improvement. This was investigated in an adult sample (N = 147) who received trauma-focused cognitive-behavioral therapies for posttraumatic stress disorder (PTSD). We examined whether clients’ benchmarks of change were related to actual outcomes and the relationship between client expectations and their treatment outcomes. Clients completed measures indexing the level of symptom reduction required (in their view) to reflect a benefit or recovery from treatment and treatment expectations. Actual PTSD severity was indexed pre- and posttreatment via self-report and clinician-administered interview. Results demonstrated that the amount of change clients said they required to experience a benefit or recovery was significantly larger than typical clinical research standards. Nonetheless, the majority of client benchmarks of change (79.7–81.8%) were consistent with clinical research standards of what constitutes benefit or recovery. Client benchmarks were generally positively correlated with their actual outcomes. Clients’ belief that treatment would be successful was associated with greater reductions in PTSD symptoms. These findings provide preliminary evidence that the standards used to determine clinically significant change are somewhat consistent with clients’ own perceptions of required symptom change.     

Nonlinear Bayesian analysis for single case designs

Several authors have suggested the use of multilevel models for the analysis of data from single case designs. Multilevel models are a logical approach to analyzing such data, and deal well with the possible different time points and treatment phases for different subjects. However, they are limited in several ways that are addressed by Bayesian methods. For small samples Bayesian methods fully take into account uncertainty in random effects when estimating fixed effects; the computational methods now in use can fit complex models that represent accurately the behavior being modeled; groups of parameters can be more accurately estimated with shrinkage methods; prior information can be included; and interpretation is more straightforward. The computer programs for Bayesian analysis allow many (nonstandard) nonlinear models to be fit; an example using floor and ceiling effects is discussed here.     

A postulate-based analysis of comparative preference statements

There has been a growing interest in the study of preferences for their utility in solving problems related to decision making. Most of the preference representation languages developed in the literature are based on comparative preference statements since they offer a simple and intuitive way for expressing preferences. They can be further interpreted following different semantics, imparting a greater flexibility on how outcomes can be compared. So far the main objective has been to rank-order the set of outcomes given a set of comparative preference statements and one or several semantics. Tackling this problem from a different angle, we look into the behavioural aspects of the preference semantics and statements by attempting to formalise the intuition behind them using postulates studied in preference logics and non-monotonic reasoning. We select the postulates w.r.t. three criteria: coherence, syntax independence and inference. Thus, our analysis provides a means to determine those properties that are satisfied for a given preference semantics.     

AGNOSTIC MEDITATIONS ON BUDDHIST MEDITATION

I first attempt a taxonomy of meditation in traditional Indian Buddhism. Based on the main psychological or somatic function at which the meditative effort is directed, the following classes can be distinguished: (1) emotion‐centered meditation (coinciding with the traditional samatha approach); (2) consciousness‐centered meditation (with two subclasses: consciousness reduction/elimination and ideation obliteration); (3) reflection‐centered meditation (with two subtypes: morality‐directed reflection and reality‐directed observation, the latter corresponding to the vipassanā method); (4) visualization‐centered meditation; and (5) physiology‐centered meditation. In the second part of the essay I tackle the problem of the epistemic validity and happiness‐engendering value of Buddhist meditation. In my highly conjectural view, the claim that meditation represents an infallible tool for realizing the (Supreme) Truth as well as a universally valid method for attaining the highest forms of happiness is largely based on the crēdō effect, that is, a placebolike process. I do not deny that meditation may have some positive effects on mental and physical health or that its practice may bring changes to the mind. Meditation may be a valuable alternative approach in life and clinical treatment, but it is far from being a must or a panacea.     

《周易》本经卦辞“小”义新论

《周易》本经卦辞中的"小"字当独立断读,并且在《旅》、《巽》、《遯》、《既济》、《贲》五卦卦辞中起到语义逻辑的枢纽作用,具有丰富的思想内涵。卦辞"小"义及相关卦爻辞的深入考释活动,体现了理解《周易》本经文本所需要的一种较为全面系统的解释方法。     

《易经》“用”字试解

《易经》卦爻辞中"用"字句有两种句法格式,一是"用+名词或名词性词组",二是"用+动词或动词性词组"。从"用"字词义与词性的发展来看,有一个从具体义向抽象义,从实词向虚词转变的过程,而《易经》文本正是此一过程的过渡阶段。通过对《易经》"用"字含义和用法的分析,我们可以纠正对某些含"用"字卦爻辞的误解与误读。