Integrating neurobiology and psychopathology into evidence-based treatment of social anxiety disorder

Social anxiety disorder (SAD) is a common, chronic psychiatric disorder characterized by a persistent fear of social or performance situations in which embarrassment can occur. This disorder typically appears during the mid-adolescent years and is unremitting throughout life if not properly treated. SAD presents as two subtypes: the more common and debilitating generalized form, and the nongeneralized form, which consists predominantly of performance anxiety. The majority of patients with SAD have comorbid mental disorders, including mood, anxiety, and substance abuse. No single development theory has been proposed to account for the origins of SAD, although current understanding of the etiology of SAD posits an interaction between psychological and biological factors. Risk factors include environmental and parenting influences and dysfunctional cognitive and conditioning events in early childhood. The neurobiology of SAD appears to involve neurochemical dysfunction, as evidenced by studies of neuroreceptor imaging, neuroendocrine function, and profiles of response to specific medications. Clinical trials have demonstrated that benzodiazepines and antidepressants are effective in the treatment of SAD. The selective serotonin reuptake inhibitors are emerging as the first-line treatment for SAD, based on their proven safety, tolerability, and efficacy. Goals for ongoing future research include development of approaches to achieve remission, to convert nonresponders and partial responders to full responders, and to prevent relapse and maintain long-term efficacy. This monograph explores the epidemiology, clinical presentation, and differential diagnosis of SAD, with a focus on neural circuitry of social relationships and neurochemical dysfunction. The prevalence, rates of recognition and treatment, patterns of comorbidity, quality-of-life issues, and natural history of SAD are discussed as well as pharmacologic and psychosocial treatment strategies for SAD.     

Propositions, semantic values, and rigidity

Jeffrey King has recently argued: (i) that the semantic value of a sentence at a context is (or determines) a function from possible worlds to truth values, and (ii) that this undermines Jason Stanley's argument against the rigidity thesis, the claim that no rigid term has the same content as a non-rigid term. I show that King's main argument for (i) fails, and that Stanley's argument is consistent with the claim that the semantic value of a sentence at a context is (or determines) a function from worlds to truth values.     

What aamft approved supervisors get paid

A national survey of American Association of Marriage and Family Therapy Approved Supervisors found statistically significant bivariate relationships between their annual income in 1999 and their gender, professional identity, supervision setting, and geographic locale. Race, community size, and years of clinical experience were not significantly related to income statistically. Moreover, only gender was statistically significant upon a sequential logistic regression of these variables relative to an income of greater or less than $50,000 a year.     

Family Therapy Study Group: The Mumbai Experience

Family therapy training in India is not provided in a systematic manner. Only one institution, the National Institute of Mental Health and NeuroSciences at Bangalore, offers this training, in the form of a three-month program. Consequently, a workshop on basic skills in Family Therapy was conducted in February 2003, at Mumbai, by a trained family therapist from Bangalore. The workshop resulted in founding the Family Therapy Study Group (Mumbai), a non-registered body, in March 2003 so that learning could continue to occur. The group meets once a month for two hours and has had 18 such meetings at this writing. This paper describes the objectives, activities, significant achievements, and future plans of the study group.     

Relational Semantics and Domain Semantics for Epistemic Modals

The standard account of modal expressions in natural language analyzes them as quantifiers over a set of possible worlds determined by the evaluation world and an accessibility relation. A number of authors have recently argued for an alternative account according to which modals are analyzed as quantifying over a domain of possible worlds that is specified directly in the points of evaluation. But the new approach only handles the data motivating it if it is supplemented with a non-standard account of attitude verbs and conditionals. It can be shown the the relational account handles the same data equally well if it too is supplemented with a non-standard account of such expressions.     

Relativism and Two Kinds of Branching Time

This essay examines the case for relativism about future contingents in light of a distinction between two ways of interpreting the ‘branching time’ framework. The first step of the relativist argument is to argue for the ‘Non-Determination Thesis’, the view that there is no unique actual future. The second step is to argue from the Non-Determination Thesis to relativism. I show that first step of this argument fails. But despite that result, the second step is still of interest, because one might hold the Non-Determination Thesis on alternative grounds. I then argue that whether the second step of the argument succeeds depends on how the branches in question are interpreted. If the branches are ersatz possible worlds, then the argument for relativism might go through. But if the branches are concrete parts of a ‘branching multiverse’, then the argument for relativism turns out to make implausible assumptions about the nature of personal identity over time.     

On Recanati’s Mental Files

Abstract

In his book Mental Files (Oxford: Oxford University Press, 2012), Francois Recanati develops a theory of mind and language based on the idea that Fregean senses should be identified with ‘mental files’, mental representations whose primary function is to store information about objects. I discuss three aspects of Recanati’s book. The first concerns his use of acquaintance relations in individuating mental files, and what this means for ‘file dynamics’. The second concerns his comments on a theory that I have elsewhere advocated, the ‘sequenced worlds’ or ‘multi-centered worlds’ theory. The third concerns how the mental file approach handles non-doxastic attitudes like imagining.     

Defining Background Information: A Solution to the Problem of Old Evidence

Journal of Indian Council of Philosophical Research - This paper discusses an aspect of the problem of old evidence which I call here the general problem of old evidence. The probability of old...