Affective interactions of depressed and nondepressed mothers and their children

The expressed affect of clinically depressed and nondepressed mothers as measured by the Schedule for Affective Disorders and Schizophrenia: Lifetime Version (SADSL) and their children (1 1/2 to 3 1/2 years) was observed in seminatural situations. The objectives were to investigate how maternal depression enters into affective interactions between mother and child and how the affect patterns of mother and child are related. Fortynine unipolar and 24 bipolar depressed mothers and 45 nondepressed mothers were observed on 2 days, 2 weeks apart, for a total of 5 h. Each minute was coded for the predominant affect of mother and child. Affects relevant to depression (anxioussad, irritableangry, downcast, pleasant, tenderaffectionate) were coded. Depressed mothers expressed significantly more negative affect than did control mothers. Mothers' expressed affect and their selfreports of affect on days of observation were unrelated. Mother's and child's affects, measured on different days, were significantly correlated. Unipolar mothers and mothers severely depressed spent significantly more time in prolonged bouts of negative affect. There was significant synchrony between their bouts and the negative bouts of their daughters. Gender of child was related to mother's and child's affect, and to relations between mother's and child's affect.     

One test,five scoring procedures: different ways of approaching the cognitive reflection test

Although the cognitive reflection test (CRT) represents a frequently used instrument within the field of judgement and decision-making, its scope and detailed characteristics are still not well understood. Therefore, the present article discusses 5 different ways of scoring the CRT that include the regular CRT scoring procedure (CRT-Regular), adding up the intuitive answers (CRT-Intuitive), calculating the proportion of intuitive in total incorrect answers (CRT-Proportion Intuitive), scoring only non-intuitive answers irrespective of their correctness (CRT-Reflection) and calculating the proportion of correct in total non-intuitive answers (CRT-Calculation). We conducted 2 studies aimed at investigating the associations among these scoring techniques and their relationships with thinking dispositions, specifically the need for cognition, faith in intuition, superstitious thinking, maximising and post-choice regret. The results indicate that thinking dispositions play a modest role in explaining the performance on the CRT. The specific associations among the investigated dispositions and different CRT scoring techniques are discussed.     

The Role of Decision Making Styles in Explaining Happiness

In pursuit of happiness, individuals often choose activities which may be influenced by their general decision making styles that reflect habitual ways of choosing and making decisions. The present study investigated the associations of such tendencies, namely individuals’ temporal perspectives that included present and future focus, and maximizing, with persons’ orientations to happiness and their relevance for subjective well-being. The obtained results confirmed previous reports indicating the relevance of orientations to happiness for subjective well-being. With respect to the decision making styles, they revealed positive correlations with regard to future focus with orientations to meaning and engagement that were also negatively associated with present focus. In addition, present focus was positively correlated with orientation to pleasure. With respect to maximizing, this decision making style was positively associated with all three orientations. While assessing the relevance of decision making styles for subjective well-being, the regression analyses indicated that higher levels of maximizing directly predicted higher levels of negative affect and lower life satisfaction. Next, mediation and network methodologies revealed significant mediating effects of orientations to meaning and engagement with respect to the relationships between future focus with life satisfaction and positive affect, orientation to meaning with respect to the associations between present focus with life satisfaction and positive affect, and orientation to engagement with respect to the relationships between maximizing with life satisfaction and positive affect. These results extend previous knowledge, indicating the relevance of individuals’ decision making styles for their conceptualizations of happiness, as well as subjective well-being.     

The use of the placebo effect in clinical medicine — ethical blunder or ethical imperative?

The current debate in medical ethics on placebos focuses mainly on their use in health research. Whereas this is certainly an important topic the discussion tends to overlook another longstanding but nevertheless highly relevant question, namely if and how the placebo effect should be employed in clinical practice. This paper describes the way the placebo effect is perceived in modern medicine and offers some historical reflections on how these perceptions have developed; discusses elements of a definition of the placebo effect; and suggests some conditions under which making use of the therapeutic potential of the placebo effect can be ethically acceptable, if not warranted. An earlier version of this paper was presented at an international conference, “Placebo: Its Action and Place in Health Research Today,” held in Warsaw, Poland on 12–13 April, 2003. Nikola Biller-Andorno, MD, PhD, is Assistant Professor in the Dept. of Medical Ethics and History of Medicine, University of Goettingen, Germany. Dr. Biller-Andorno also serves as an ethicist for the World Health Organization (WHO). This paper does not necessarily reflect the views of the World Health Organization.     

Key Word Index Volume 5

Other Index

Key Word Index Volume 5     

Transdiagnostische Fertigkeiten in Abhängigkeit vom Behandlungssetting

Transdiagnostic skills (e.g. skills such as emotion regulation or social competence) are an important part of psychotherapy in outpatient as well as inpatient settings. To date there are no studies that answer the question whether both patient groups are comparable regarding several skills or if they differ. In the present study 102 outpatients were compared to 183 inpatients in 7 different skills. The difference between the two groups was smaller than a priori assumed. At the beginning of treatment inpatients had a lower ability to manage stress (mainly in the management of exhaustion). This could be interpreted as an indication that inpatients have more difficulties in coping with daily hassles which leads to greater exhaustion. To conclude, the improvement of skills should attract interest in both settings. Furthermore, a special focus on interventions to decrease deficits in stress management should be considered for in-patient treatment.     

Reducing Social Stress in Urban Adolescents with Peer Network Counseling

Increased social stress in the context of peer interactions is associated with multiple negative health outcomes, including substance use. Addressing social stress could provide protective effects for adolescents who are particularly vulnerable to peer-based issues such as loneliness and perceived isolation. Toward this end, we examined the efficacy of a 20-min substance use intervention named peer network counseling to reduce social stress with 119 urban adolescents. Adolescents presenting at primary care clinics were randomized into treatment or control conditions and followed for 6 months. Utilizing a repeated measures general linear model, we examined the effects of peer network counseling while controlling for race, gender, age, depression symptoms, and substance use (alcohol, marijuana). At 6 months the peer network counseling condition decreased social stress compared to controls (p?<?0.05). A linear mixed-effects moderation model revealed that peer network counseling temporarily moderated the effect of alcohol use, but not for marijuana or heavy alcohol use. Peer network counseling seems to reduce social stress, which suppresses alcohol use among peer network counseling participants in the short term. These promising findings appear to support the efficacy of peer network counseling in reducing social stress, which can moderate alcohol use among urban adolescents.     

Encouraging electricity savings in a university residential hall through a combination of feedback, visual prompts, and incentives

This experiment investigated the combined use of visual prompts, daily feedback, and rewards to reduce electricity consumption in a university residential hall. After a 17-day baseline period, the experimental intervention was introduced in the intervention hall, and no change was made in the control hall. Energy usage decreased in the intervention hall, but energy usage did not change appreciably in the control hall. In the intervention hall, mean daytime and nighttime savings were 16.2% and 10.7%, respectively, compared to savings of 3.8% (day) and 6.5% (night) in the control hall.     

Otto Neurath on the Structure of Protocol Sentences; A New Approach to an Interpretative Puzzle

Summary  Otto Neurath’s thesis concerning the structure of protocol sentences is central to the famous Protocol Sentence Debate in the Vienna Circle. However, its precise nature is far from easy to discern in Neurath’s writings. So far, only Thomas Uebel has attempted a closer analysis of Neurath’s contribution to the debate. I argue that Uebel’s interpretation is problematic in some respects and propose a novel analysis, which hopefully brings into a clearer light Neurath’s position in the Protocol Sentence Debate as well as his relevance to contemporary philosophies of science.