Evidence of Potentially Harmful Psychological Treatments for Children and Adolescents

This paper applies the concept of potentially harmful psychotherapies (PHTs; Lilienfeld, Perspectives on Psychological Science 2(1):53–70, 2007) to concerns about potentially harmful treatments for children and adolescents (PHTCs). I propose that such treatments can be identified by methods derived from the Adverse Childhood Experiences (ACE) Study and from the NIS-4 study of abuse and neglect, as well as by their plausibility or congruence with established child development theory and research. Five psychological treatments for children and adolescents that have been reported as harmful are examined, using evidence from published materials, journalists’ reports, legal documents and Internet sites. Details of treatment and outcomes are compared to relevant ACE and NIS-4 criteria and to plausibility, and empirical support for the treatments is examined. The examined treatments use methods that would be considered adverse childhood experiences or abusive or neglectful care events if they occurred outside a therapeutic setting. Most, but not all, lack empirical support of effectiveness and are incongruent with established information about child development. Risks associated with PHTCs can thus be identified through close examination before children are exposed to them and harmed. Prevention or reduction of PHTC use may be possible. Public and professional education about PHTCs are essential parts of child protection in this context and are arguably an ethical obligation of both social workers and psychologists.     

Cost-effectiveness of family-based substance abuse treatment

In order to compete in a financially sensitive health care system, family systems-based treatments must demonstrate effective clinical results as well as cost-effectiveness. Cost-effectiveness research can demonstrate to health care insurers and policy makers which treatments are viable options for implementation. The present literature review identified eight cost-effectiveness family-based substance abuse treatment studies. The results suggest that certain family-based treatments are cost-effective and warrant consideration for inclusion in health care delivery systems.     

A Case Series of 44 Completed Gambling-Related Suicides

This paper presents an analysis of 44 case records of suicide occurring between 1990 and 1997 in the State of Victoria, Australia, in which the State Coroner identified the presence of a putative gambling problem. Analysis of demographic data revealed that the majority of suicidal gamblers were male with a mean age of 40 years with 84% of the sample being either unemployed or from lower socioeconomic backgrounds. The most common method of suicide was carbon monoxide poisoning. A quarter of the victims left a suicide note. Evidence was found indicating that almost a third (31.8%) of cases had previously attempted suicide and one in four had sought some form of mental health assistance for their gambling problem. A number of putative risk factors were identified including comorbid depression, large financial debts and relationship difficulties. The relationship between crime, suicide and gambling and gender differences among suicidal gamblers was also examined. The authors conclude that further research is required to substantiate these initial findings which are based on retrospective accounts and secondary sources of evidence.     

Analysis of the implementation of ergonomic design at the new units of an oil refinery

Ergonomic design is the adaptation of working conditions to human limitations and skills in the physical design phase of a new installation, a new working system, or new products or tools. Based on this concept, the purpose of this work was to analyze the implementation of ergonomic design at the new industrial units of an oil refinery, using the method of Ergonomic Workplace Assessment. This study was conducted by a multidisciplinary team composed of operation, maintenance and industrial safety technicians, ergonomists, designers and engineers. The analysis involved 6 production units, 1 industrial wastewater treatment unit, and 3 utilities units, all in the design detailing phase, for which 455 ergonomic requirements were identified. An analysis and characterization of the requirements identified for 5 of the production units, involving a total of 246 items, indicated that 62% were related to difficult access and blockage operations, while 15% were related to difficulties in the circulation of employees inside the units. Based on these data, it was found that the ergonomic requirements identified in the design detailing phase of an industrial unit involve physical ergonomics, and that it is very difficult to identify requirements related to organizational or cognitive ergonomics.     

Validity of the Dictionary of Occupational Titles as applied to construction site workers in Hong Kong

This study was designed to examine the content validity of the Dictionary of Occupational Titles (D.O.T.) as applied to construction site workers in Hong Kong. The study was divided into the First Expert Panel Review, the Second Expert Panel Review and the Field Study. The results indicated that (i) 15 out of the 55 items of the D.O.T. were identified as insignificant job requirements, and 14 items other than those suggested by the D.O.T. were identified as significant job requirements by the First Expert Panel; (ii) criteria of 20 out of the 40 items of the job requirements as suggested by the D.O.T. were identified as different from the ones suggested by the Second Expert Panel; and (iii) criteria of 4 items were found to be different among the D.O.T., the Second Expert Panel and the Field Study. The results of this study substantiate the claim that the validity of the D.O.T. is questionable, and research on a larger scale should be implemented to further examine the validity of the D.O.T.     

Ethical practice and evaluation of interventions in crime and justice. The moral imperative for randomized trials

In considering the ethical dilemmas associated with randomized experiments, scholars ordinarily focus on the ways in which randomization of treatments or interventions violates accepted norms of conduct of social science research more generally or evaluation of crime and justice questions more specifically. The weight of ethical judgment is thus put on experimental research to justify meeting ethical standards. In this article, it is argued that just the opposite should be true, and that in fact there is a moral imperative for the conduct of randomized experiments in crime and justice. That imperative develops from our professional obligation to provide valid answers to questions about the effectiveness of treatments, practices, and programs. It is supported by a statistical argument that makes randomized experiments the preferred method for ruling out alternative causes of the outcomes observed. Common objections to experimentation are reviewed and found overall to relate more to the failure to institutionalize experimentation than to any inherent limitations in the experimental method and its application in crime and justice settings. It is argued that the failure of crime and justice practitioners, funders, and evaluators to develop a comprehensive infrastructure for experimental evaluation represents a serious violation of professional standards.     

A critique of social indicators analysis and key informants surveys as needs assessment methods

This paper reports data from a pilot study designed to determine the practicality and utility of two differing needs assessment methodologies: social indicators analysis and key informants surveys. The authors found social indicators analysis successfully identified differential areas of need within the SMSA which served as the research site. They suggest it is a practical and valid means for assessing human service needs at a general level. The key informants survey was judged to be less useful. Informants generally were unable to identify the extent of differing types of needs or their geographic distribution. It is suggested additional research utilizing differing designs must be completed before meaningful conclusions can be reached about the utility of the key informants survey as a needs assessment method.     

Detecting interaction links in a collaborating group using manually annotated data

Identification of network linkages through direct observation of human interaction has long been a staple of network analysis. It is, however, time consuming and labor intensive when undertaken by human observers. This paper describes the development and validation of a two-stage methodology for automating the identification of network links from direct observation of groups in which members are free to move around a space. The initial manual annotation stage utilizes a web-based interface to support manual coding of physical location, posture, and gaze direction of group members from snapshots taken from video recordings of groups. The second stage uses the manually annotated data as input for machine learning to automate the inference of links among group members. The manual codings were treated as observed variables and the theory of turn taking in conversation was used to model temporal dependencies among interaction links, forming a Dynamic Bayesian Network (DBN). The DBN was modeled using the Bayes Net Toolkit and parameters were learned using Expectation Maximization (EM) algorithm. The Viterbi algorithm was adapted to perform the inference in DBN. The result is a time series of linkages for arbitrarily long segments that utilizes statistical distributions to estimate linkages. The validity of the method was assessed through comparing the accuracy of automatically detected links to manually identified links. Results show adequate validity and suggest routes for improvement of the method.     

The Impact of New Treatments and Other Trends on HIV Prevention for Gay and Bisexual Men in the United States

SUMMARY

This paper details how HIV prevention workers in the United States are being! impacted by advances in HIV/AIDS treatments and a changing HIV prevention paradigm. Approximately sixty participants attending the 1997 National Lesbian and Gay Health Conference and AIDS Fprum in Atlanta, GA, provided observations about how HIV prevention targeting men who have sex with men is changing in the United States. While new treatments may be the most noticeable change impacting HTV prevention, radical change due to the synergistic effects of several factors, not only recent medical advances, is seen as propelling a paradigm shift. Twelve challenges were identified and suggestions for facilitating progress in the changing paradigm enumerated. The future of HIV prevention is discussed.     

A National Survey of Child Advocacy Center Directors Regarding Knowledge of Assessment,Treatment Referral,and Training Needs in Physical and Sexual Abuse

Mental health services are a core component of child advocacy centers in the United States. Child advocacy center directors were surveyed about (a) trauma and posttraumatic stress disorder; (b) referral criteria for treatment of abuse victims; (c) evidence-based treatments for abused children; (d) reliable, valid, and normed measures helpful in assessment; and (e) training needs. Directors accurately identified posttraumatic stress disorder symptoms, but additional symptoms were misidentified. Directors identified best practices for assessment and treatment, but they misidentified non-evidence-based practices. Primary reasons for referral for services included severity of abuse and emotional response of the child. However, referrals based on assessment findings were not a high priority. Directors expressed some training needs for staff consistent with issues identified in the study.     

Application of diffusion maps to identify human factors of self-reported anomalies in aviation

A study investigating what factors are present leading to pilots submitting voluntary anomaly reports regarding their flight performance was conducted. Diffusion Maps (DM) were selected as the method of choice for performing dimensionality reduction on text records for this study. Diffusion Maps have seen successful use in other domains such as image classification and pattern recognition. High-dimensionality data in the form of narrative text reports from the NASA Aviation Safety Reporting System (ASRS) were clustered and categorized by way of dimensionality reduction. Supervised analyses were performed to create a baseline document clustering system. Dimensionality reduction techniques identified concepts or keywords within records, and allowed the creation of a framework for an unsupervised document classification system. Results from the unsupervised clustering algorithm performed similarly to the supervised methods outlined in the study. The dimensionality reduction was performed on 100 of the most commonly occurring words within 126,000 text records describing commercial aviation incidents. This study demonstrates that unsupervised machine clustering and organization of incident reports is possible based on unbiased inputs. Findings from this study reinforced traditional views on what factors contribute to civil aviation anomalies, however, new associations between previously unrelated factors and conditions were also found.     

Treatments for PTSD and Pathological Gambling: What Do Patients Want?

This study explored the treatment preferences of 106 people with posttraumatic stress disorder (PTSD), pathological gambling (PG), or both. It is the first know study of its type for this comorbidity. Sixteen different treatment types were rated, with a broad array of modalities including manualized psychotherapies, medication, self-help, alternative therapies, coaching, and self-guided treatments (use of books and computerized therapy). A consistent finding was that PTSD treatments were rated more highly than PG treatments, even among those with both disorders. Further, of the sixteen treatment types, the sample expressed numerous preferences for some over others. For example, among PG treatments, self-help was the highest-rated. Among PTSD treatments, psychotherapies were the highest-rated; and individual therapy was rated higher than group therapy. For both PG and PTSD, medications were rated lower than other treatment types. Non-standard treatments (i.e., computerized treatment, books, coaching, family therapy, alternative therapies) were generally rated lower than other types. Discussion includes implications for the design of treatments, as well as methodological limitations.     

Sunk-cost fallacy and cognitive ability in individual decision-making

This paper reports on a laboratory experiment aiming at documenting the sunk-cost fallacy in individual decision-making and at identifying the role of the cognitive ability in its manifestation. For this purpose, the design rules out loss aversion and cognitive dissonance, identified by the literature as being the main psychological drivers of the bias. The sunk-cost fallacy is identified by comparing a low and a high sunk-cost treatment, respectively, against a control group that does not incur a sunk cost. There is evidence of a weak manifestation of the sunk-cost fallacy, which is statistically significant only for the high sunk-cost treatment. However, strong evidence of the fallacy was found among the high-cognitive-ability subjects. Finally, although cognitive ability is predictive of status-quo bias, it was not found to reduce the sunk-cost bias.     

Betting is Loving and Bettors are Predators: A Conceptual Metaphor Approach to Online Sports Betting Advertising

The legalisation of online gambling in multiple territories has caused a growth in the exposure of consumers to online sports betting (OSB) advertising. While some efforts have been made to understand the visible structure of betting promotional messages, little is known about the latent components of OSB advertisements. The present study sought to address this issue by examining the metaphorical conceptualisation of OSB advertising. A sample of Spanish and British television OSB advertisements from 2014 to 2016 was analysed (N = 133). Following Lakoff and Johnson’s conceptual metaphor theory, four main structural metaphors that shaped how OSB advertising can be understood were identified: betting as (1) an act of love, (2) a market, (3) a sport, and (4) a natural environment. In general, these metaphors, which were found widely across 29 different betting brands, facilitated the perception of bettors as active players, with an executive role in the sport events bet upon, and greater control over bet outcomes.     

Predictors of Supervisors' Referrals of Employees to an Employee Assistance Program

The purpose of this study was to determine what variables are associated with supervisors' referrals or nonreferrals of subordinates to an EAP. Variables selected for the study included variables found in prior research to be associated with referral or nonreferral and additional variables suggested by the human performance model of Gilbert (1978). Supervisors at the Iowa Department of Transportation were surveyed through in-house mail. Supervisors were identified as referrers or nonreferrers based on the records of the EAP. Discriminant analysis was used to determine which variables were associated with referral. A factor analysis was performed on the predictor variables to determine which were significantly interrelated.     

Ego Development,Ego Strengths,and Ethnic Identity Among First Nation Adolescents

Three conceptualizations of psychosocial development were investigated among Canadian First Nation adolescents. Loevinger's social cognitive model of ego development reflects the way in which an individual views the self and social reality. From Eriksonian theory, ego strengths refer to the emergent values or outcomes that represent resolution of the eight psychosocial stages of development, and ethnic identity is a domain of personal identity with special relevance for minorities. As expected, age and biological gender differences were found for ego development. Associations between ego development and ego strengths were supported as were age differences in ethnic identity status. Traditional students (strongly identified with indigenous culture) demonstrated greater ego strengths than bicultural (identified with both their own and mainstream cultures) adolescents.     

ON THE NATURE OF RECIPROCAL MOTIVES

Data from 692 subjects in 11 experimental treatments provide a systematic exploration of the existence and nature of reciprocal behavior in two-person games. The experimental design discriminates between motivations of reciprocity and (nonreciprocal) other-regarding preferences. The existence of positive reciprocity is found to be dependent on the level of social distance but not the level of monetary payoff. The larger context in which a decision is made is found to have a significant effect on negative reciprocity. These findings on payoff levels, social distance, decision context, and reciprocity have implications for both theoretical modeling and experimental design. (JEL C70 , C91 , D63 , D64 )     

Analysis of breeding bird communities along an urban-rural gradient in Berlin,Germany, by Hasse Diagram Technique

Breeding bird communities in Berlin were investigated at five study sites, which represent an structural urban-rural gradient, from densely built-up areas with sealed ground to green areas such as large parks. In this paper, we tested the Hasse Diagram Technique (HDT), an approach belonging to partial order theory, for its appropriateness to extract information about changes in species composition from our data set. As expected, the overall number of bird species was positively correlated with the urban-rural gradient, increasing from 12 found in the city center to 28 in an urban park. By HDT analysis, four different sub-groups of birds could be identified, contributing differentially to the increase in species number: (1) ubiquists, i.e., species found at each study site, (2) a sub-group, the species’ number of which was positively correlated with the urban-rural gradient, increasing with increasingly green areas, (3) a sub-group, the species’ number of which was negatively correlated with the urban-rural gradient, decreasing with a declining density of buildings, and (4) species, the distribution of which did not show any correlation with the urban-rural gradient. The results show that HDT is a suitable tool for formalized analysis of the pattern of species’ communities along an environmental gradient.