GPS: A Randomized Controlled Trial of Sexual Health Counseling for Gay and Bisexual Men Living With HIV

Gay, bisexual, and other men who have sex with men (GBM) continue to have high rates of HIV and sexually transmitted infections, including syphilis. GBM have therefore been identified by public health agencies as a high-priority population to reach with prevention initiatives. Despite the importance of mental health in preventing HIV and related infections, there is a shortage of credentialed mental health professionals to deliver behavioral Counseling interventions. The current study evaluated the efficacy of GPS, a community-based and peer-delivered sexual health promotion motivational interviewing–based intervention for HIV-positive GBM who engaged in condomless anal sex (CAS) in the past 2 months. GPS prevention counseling demonstrated a 43% relative reduction at 3-month follow-up in CAS with serodiscordant partners and significant reductions in sexual compulsivity. The study demonstrated that community-based counselors can administer an efficacious motivational interviewing program, and suggests a continued benefit of counseling methods to promote the sexual health of higher risk populations.     

Development and initial validation of a brief mental health outcome measure

Using a combination of classical test theory and Rasch item analysis, we developed a short scale designed to measure the effectiveness of mental health treatment across a wide range of mental health services and populations. Item development for the scale was guided by literature review and interviews with senior clinicians and with patients. Using 3 different samples consisting of inpatients, outpatients, and nonpatients, we reduced our initial item pool from 81 to 10 items. The 10-item scale had an alpha of .96 and showed strong correlations with commonly used measures of psychological well-being and distress. Our results suggest that the scale appears to measure a broad domain of psychological health. The scale appeared to lack ceiling and floor effects, and it discriminated between inpatients, outpatients, and nonpatients, suggesting the scale has excellent potential to be broadly responsive to a variety of treatment effects. In addition, the new scale proved to be sensitive to treatment changes in a sample of 20 psychiatric inpatients. Overall, the initial data suggest that we have developed a brief, sensitive outcome measure designed to have wide application across psychiatric and psychological treatments and populations.     

Children's questions about interparent conflict and violence: what's a mother to say?

This research examined the relation between mothers' responses to children's questions about interparent conflict and children's adjustment. Participants were 134 mothers and their children (70 boys, 64 girls), aged 7 to 10. In each family, an act of intimate-partner violence (IPV) had recently occurred. Mothers' responses to children's questions about interparent conflict were assessed via a semistructured interview coded to reflect the extent to which the mothers' responses addressed the content of the children's questions. Mothers and children reported on physical IPV. Mothers also reported on interparent conflict, parent-child aggression, and maternal warmth. Children's adjustment was assessed via mothers' and children's reports at two time points 6 months apart. The extent to which mothers' responses addressed the content of the children's questions about interparent conflict was negatively associated with children's adjustment problems, after accounting for the frequency of physical IPV, frequency of interparent conflict, parent-child aggression, and maternal warmth. These associations emerged cross-sectionally and prospectively. However, in those prospective analyses that accounted for children's baseline levels of adjustment, maternal responsiveness was not associated with later children's adjustment problems.     

The European Clinical Specialization on Fluency Disorders (ECSF)

The European Clinical Specialization on Fluency Disorders (ECSF) project consists of one-year post-qualification fluency specialization training and a harmonized graduate fluency program. It was developed by eight European universities/colleges to provide the means whereby graduates would meet comparable standards of competence to practice in the field of fluency disorders. In this paper we describe criteria that guided the consortium in their decision making process to create an optimal learning environment for participants. A review of the first completed course cycle, with 23 international participants, is discussed.Educational objectives: After reading this article, the reader will be able to: (1) articulate the rationale for development of the ECSF-course; (2) summarize the content of both the harmonized undergraduate fluency course and the postgraduate fluency specialization course; (3) summarize the benefits of the suggested model for fluency specialization.     

Counterfactual antecedent falsity and the epistemic sensitivity of counterfactuals

Why do utterances of counterfactual conditionals typically, but not universally, convey the message that their antecedents are false? I demonstrate that two common theoretical commitments–commitment to the existence of scalar implicature and of informative presupposition—can be supplemented with an independently motivated theory of the presuppositions of competing conditional alternatives to jointly predict this information when and only when it appears. The view works best if indicative and counterfactual conditionals have a closely related semantics, so I conclude by undermining two familiar arguments for a nonunified semantics of indicative and counterfactual conditionals.     

Can Teleosemantics Deflect the EAAN?

Alvin Plantinga’s Evolutionary Argument Against Naturalism aims to show that the conjunction of contemporary evolutionary theory (E) with the claim that there is no God (N) cannot be rationally accepted. Where R is the claim that our cognitive faculties are reliable, the argument is:

1. The probability of R given N and E is low or inscrutable.
2. Anyone who sees (1) and accepts (N&E) has a defeater for R, and this defeater cannot be defeated or deflected.
3. Anyone who has an undefeated, undeflected defeater for R has an undefeated, undeflected defeater for everything she believes.
4. Therefore she has an undefeated, undeflected defeater for (N&E).

Plantinga (2011) defends the second premise. It examines and rejects several candidate defeater defeaters and defeater deflectors. One candidate is Millikan’s teleosemantics. I show that Plantinga’s motives for rejecting teleosemantics as a defeater deflector are inadequate. I then show that teleosemantics is not on its own an adequate defeater deflector. Then I offer an additional premise that constitutes a defeater deflector in conjunction with teleosemantics.     

On Presuppositional Implicatures

Scalar implicatures arise when a speaker uses a logically weak alternative in a context where a logically stronger alternative was available. Presuppositional implicatures, as I call them, arise when a speaker uses a presuppositionally weak alternative when a presuppositionally stronger alternative was available. My goal is to give a detailed, working theory of presuppositional implicatures, and show that they are a special case of scalar implicatures. In doing so, I carefully contrast presuppositional implicatures with antipresuppositions. These two phenomena have been treated as closely related in the literature, but some differences have not been adequately appreciated. Antipresuppositions are observed when a presuppositionally weak alternative is infelicitously used in a context that satisfies the presupposition of a presuppositionally stronger alternative. Presuppositional implicatures arise when a presuppositionally weak alternative is felicitously used in a context that does not satisfy the presupposition of a presuppositionally stronger alternative, but where that stronger presupposition would have been accommodated. Attention to this difference reveals a shortcoming in Schlenker’s (Nat Lang Semant 20:391–429, 2012) theory of presuppositional implicature. This paper both identifies and remedies that shortcoming.     

The Spiritual and Theological Challenges of Stillbirth for Bereaved Parents

Journal of Religion and Health - Stillbirth is recognized as one of the most challenging experiences of bereavement raising significant spiritual and theological questions. Semi-structured...     

The ‘tyranny of time’: getting to the heart of the impact of educational cuts on the provision of guidance counselling in Ireland

The Irish Education Act (Government of Ireland 1998) stipulates that each young person in secondary school in Ireland is entitled to access ‘appropriate’ guidance. It has been argued that this very right has been eroded since Budget 2012, where resource re-allocations in guidance counselling are obstructing the requirement for schools to implement this section of the Act. This qualitative study explored the effects of ‘educational cutbacks’ from the perspective of guidance counsellors. Findings from interviews with guidance counsellors, suggest that the effects of such cutbacks in guidance counselling are far-reaching and ultimately students are the one’s losing out. The paper proposes that there is a need to reinstate guidance counselling hours to allow guidance counsellors provide a comprehensive service to young people – which they are entitled to.