Triangular empathy: “The other” in psychotherapy with individuals

This paper seeks to explore triangular dimensions in individual psychotherapy. In addition to serving as the dyadic object of transference projection and/or as selfobject for a person in psychotherapy, the therapist may be called upon to help the patient work on relationships with certain early, important people or their representations and on the interplay between such relationships and the therapeutic one, that is, in a triangular configuration. Because patients' attempts to introduce others into individual psychotherapy are sometimes experienced by therapists as resistant rather than as integral to the therapeutic process, I propose an empathic reconsideration of such patient efforts to get us to help with the complicated dimensions of human relatedness.     

Are old-age security and the utility of children in rural India really unimportant?

Abstract Extract In their recent paper in this journal M. and Carol Vlassoff are to be commended for helping to remedy the dearth of empirical studies on the old-age security motive for children (and particularly sons) in rural areas of developing countries.(1) However, while the questionnaire which they applied to 357 ever-married men in a rural village in Maharashtra state in India is potentially useful, several of the conclusions they derive from it are unwarranted and, if left unquestioned, would undoubtedly have the effect of setting back the serious investigation of the effects of this motive rather than furthering it. The invalid or at least questionable inferences are taken up one at a time in the order of their appearance:     

Distribution of exotic monk parakeets across an urban landscape

Monk parakeets (Myiopsitta monachus) are the most abundant and widely distributed of the naturalized parrots in the United States. Their presence is simultaneously encouraged by some humans (through use of bird feeders) and discouraged by others (through removal of their nests) and, as a result, they show an interesting spatial distribution across urban areas. We used an online public survey and field surveys to examine the influence of human activities and land use on the distribution of this exotic species around Chicago, IL (USA). These efforts resulted in detection of 249 nesting structures and approximately 778 birds across the region. A CART analysis successfully separated nesting sites from random sites and correctly classified 90?% of the nesting sites. The most important factor in the model was land use, with nests typically found in areas with less than 84?% residential zoning. We found nests on a wide variety of substrates including trees, cell phone towers, and stadium lights. Spatial point pattern analysis indicated that nests in trees and nests in built substrates were significantly dissociated with each other at all scales. Nests on built substrates were closer to railroads and highways or in areas with lower human population density, suggesting either a difference in substrate availability or human tolerance between these settings. While humans may have a positive effect on distribution of monk parakeets at large spatial scales, at the scale of this study we see a potentially negative effect of too many humans on the distribution of monk parakeet nests.     

Demand for gambling: development and assessment of a gambling purchase task

Self-report purchase tasks are a novel approach examining the reinforcing value of addictive behaviour relative to increasing monetary costs required to access the addictive behaviour (i.e. demand). These measures reveal a positive relationship between the indices of demand and addiction problem severity and can elucidate factors associated with motivation for substance use. Gambling is an addictive behaviour that has not been examined using this paradigm. This study seeks to adapt and examine the purchase task for gambling behaviour. A gambling purchase task was devised that asked individuals how often per month they would gamble at various cover charges. Participants were 73 adults from the community with either gambling disorder (n = 28) or alcohol use disorder (n = 24) or were a healthy control (n = 21). Both the alcohol and gambling purchase tasks were administered. Results demonstrate discriminant validity of the gambling purchase task, as individuals with gambling disorder have significantly greater demand for accessing gambling than other groups. The alcohol purchase task also evidenced discriminant validity in that individuals with alcohol use disorder have significantly greater demand for alcohol than other groups. These findings support the use of the gambling purchase task to assess the demand for gambling.     

Heterogeneity in treatment effects across diverse populations

Differences in patient characteristics, including age, sex, and race influence the safety and effectiveness of drugs, biologic products, and medical devices. Here we provide a summary of the topics discussed during the opening panel at the 2018 Johns Hopkins Center for Excellence in Regulatory Science and Innovation symposium on Assessing and Communicating Heterogeneity of Treatment Effects for Patient Subpopulations: Challenges and Opportunities. The goal of this session was to provide a brief overview of FDA-regulated therapeutics, including drugs, biologics and medical devices, and some of the major sources of heterogeneity of treatment effects (HTE) related to patient demographics, such as age, sex and race. The panel discussed the US Food and Drug Administration's role in reviewing and regulating drugs, devices, and biologic products and the challenges associated with ensuring that diverse patient populations benefit from these therapeutics. Ultimately, ensuring diverse demographic inclusion in clinical trials, and designing basic and clinical research studies to account for the intended patient population's age, sex, race, and genetic factors among other characteristics, will lead to better, safer therapies for diverse patient populations.     

The sociological landscape of youth confinement

This article examines key sociological questions that are raised by the confinement of children and young people. Globally, there are approximately one million children held in confinement, and there is an emerging body of qualitative sociological research in this area. This article examines the role that social constructions of childhood innocence and evil play in shaping the processes of protection and removal, and how these constructions play a role in mediating state strategies of punishment and rehabilitation. The article also draws from an emerging body of qualitative sociological research to examine the role of youth confinement institutions in socializing vulnerable young people.     

如何在未来职场中保持不败?

2025年的职场将会变成什么样子 我10岁的时候,父亲带我去马里兰州参观"世界未来学会"的总部,从此以后,我就一直对未来进行思考.现在,我是一个职场专栏作家,我的工作就是思考2025年的职场将会变成什么样子,将对我们提出怎样的要求.     

Self-Directed Gambling Changes: Trajectory of Problem Gambling Severity in Absence of Treatment

Most problem gamblers do not seek formal treatment, recovering on their own through cognitive re-appraisal or self-help strategies. Although barriers to treatment have been extensively studied, there is a paucity of research on self-directed changes in problem gambling and very few studies have examined these changes prospectively. The aim of this study was to examine the trajectory of gambling severity and behavior change over an 18-month period, among a sample of non-treatment seeking/attending problem gamblers recruited from the community (N?=?204) interested in quitting or reducing gambling. Separate mixed effects models revealed that in absence of formal treatment, significant reductions in gambling severity, frequency, and amount gambled could be observed over the course of a 6 to 9-month period and that changes experienced within the first 12 months were maintained for an extended 6 months. Problem gambling severity at baseline was significantly associated with changes in severity over time, such that participants with more severe gambling problems demonstrated greater reductions in their gambling severity over time. A total of 11.1% of participants gambled within a low-risk threshold at 18 months, although 28.7% of the sample reported consecutive gambling severity scores below problem levels for the duration of 1 year or longer. The findings suggest that among problem gamblers motivated to quit or reduce their gambling, significant self-directed changes in gambling severity can occur over a relatively short time. Additional prospective studies are needed to document the role of specific self-help tools or thought processes in exacting gambling changes.