The peripheral position of sex in a psychotherapy: An illustrative case of a mirror transference

Understanding the role of sexualization in a depressed patient gives us the opportunity to re-examine the place of sexual activity in psychopathology. The self psychological concept of the mirror transference is used to explain the therapist's activity in the case illustration.     

Will Swedish and Dutch drug policy converge? The role of theory

Sweden and The Netherlands are often referred to as the archetypes of prohibition and harm reduction, respectively. Both nations have, however, recently adopted political measures that fit well in the other country's model. But they have also taken steps that reflect traditional thinking. Are we witnessing the initial stages of convergence or are recent developments better interpreted as adjustments? This article addresses these questions by comparing Swedish and Dutch theoretical understandings of ‘the drug problem’. Goals and practices are illuminated in the context of underlying theory, raising the question: Can substantial convergence be achieved without significant prior changes in theoretical perceptions? It is found that the theoretical understandings of the two paradigms do not mix easily, complicating attempts at convergence. Moreover, both countries have invested a great deal of political prestige in their respective models, further exacerbating the problem. A conceivable way to circumvent these difficulties is suggested.     

Q-LEARNING WITH CENSORED DATA

We develop methodology for a multistage-decision problem with flexible number of stages in which the rewards are survival times that are subject to censoring. We present a novel Q-learning algorithm that is adjusted for censored data and allows a flexible number of stages. We provide finite sample bounds on the generalization error of the policy learned by the algorithm, and show that when the optimal Q-function belongs to the approximation space, the expected survival time for policies obtained by the algorithm converges to that of the optimal policy. We simulate a multistage clinical trial with flexible number of stages and apply the proposed censored-Q-learning algorithm to find individualized treatment regimens. The methodology presented in this paper has implications in the design of personalized medicine trials in cancer and in other life-threatening diseases.     

An Agent‐Based Model for Pathogen Persistence and Cross‐Contamination Dynamics in a Food Facility

We used an agent‐based modeling (ABM) framework and developed a mathematical model to explain the complex dynamics of microbial persistence and spread within a food facility and to aid risk managers in identifying effective mitigation options. The model explicitly considered personal hygiene practices by food handlers as well as their activities and simulated a spatially explicit dynamic system representing complex interaction patterns among food handlers, facility environment, and foods. To demonstrate the utility of the model in a decision‐making context, we created a hypothetical case study and used it to compare different risk mitigation strategies for reducing contamination and spread of Listeria monocytogenes in a food facility. Model results indicated that areas with no direct contact with foods (e.g., loading dock and restroom) can serve as contamination niches and recontaminate areas that have direct contact with food products. Furthermore, food handlers’ behaviors, including, for example, hygiene and sanitation practices, can impact the persistence of microbial contamination in the facility environment and the spread of contamination to prepared foods. Using this case study, we also demonstrated benefits of an ABM framework for addressing food safety in a complex system in which emergent system‐level responses are predicted using a bottom‐up approach that observes individual agents (e.g., food handlers) and their behaviors. Our model can be applied to a wide variety of pathogens, food commodities, and activity patterns to evaluate efficacy of food‐safety management practices and quantify contamination reductions associated with proposed mitigation strategies in food facilities.     

Forced online: push factors of internet sexuality: A preliminary study of online paraphilic empowerment

Online sexual behavior may be more completely explained by integrating a Pull Factor analysis, centering on the characteristics of the Internet that make it an appealing outlet for sexuality (e.g., "Triple A Engine") and a Push Factor analysis, centering on characteristics of the offline world that disallow fulfillment of sexual desires. This new framework is utilized in explaining paraphilic (unconventional) sexualities online. Because paraphilics are members of highly concealable, horizontal and rare sexual minorities, they are pushed online by mainstream society. Online, paraphilics interact with similar others, and through lurking, re-learning and self-disclosing, may become sexually empowered. Clinical ramifications of attainment of positive sexual-social identity via empowerment are discussed, as are possible affects on public policy.     

Ordering results for series and parallel systems comprising heterogeneous exponentiated Weibull components

In this paper, we discuss the usual stochastic and reversed hazard rate orders between the series and parallel systems from two sets of independent heterogeneous exponentiated Weibull components. We also obtain the results concerning the convex transform orders between parallel systems and obtain necessary and sufficient conditions under which the dispersive and usual stochastic orders, and the right spread and increasing convex orders between the lifetimes of the two systems are equivalent. Finally, in the multiple-outlier exponentiated Weibull models, based on weak majorization and p-larger orders between the vectors of scale and shape parameters, some characterization results for comparing the lifetimes of parallel and series systems are also established, respectively. The results of this paper can be used in practical situations to find various bounds for the important aging characteristics of these systems.     

Family Welfare Effort,Total Fertility,and In Vitro Fertilization: Explaining the Israeli Anomaly

The theory of family welfare effort is a leading macro‐sociological explanation of variation in human fertility. It holds that states which provide universally available, inexpensive, high‐quality day care, generous parental leave, and flexible work schedules lower the opportunity cost of motherhood. They thus enable women, especially those in lower socioeconomic strata, to have the number of babies they want. A considerable body of research supports this theory. However, it is based almost exclusively on analyses of Western European and North American countries. This paper examines the Israeli case because Israel's total fertility rate is anomalously high given its family welfare effort. Based on a review of the relevant literature and a reanalysis of data from various published sources, it explains the country's unusually high total fertility rate as the product of (1) religious and nationalistic sentiment that is heightened by the Jewish population's perception of a demographic threat in the form of a burgeoning Palestinian population and (2) the state's resulting support for pro‐natal policies, including the world's most extensive in vitro fertilization (IVF) system. The paper also suggests that Israel's IVF policy may not be in harmony with the interests of many women insofar as even women with an extremely low likelihood of becoming pregnant are encouraged to undergo the often lengthy, emotionally and physically painful, and risky process of IVF.     

On the odd girth and the circular chromatic number of generalized Petersen graphs

A class \(\mathcal{G}\) of simple graphs is said to be girth-closed (odd-girth-closed) if for any positive integer g there exists a graph \(\mathrm {G} \in \mathcal{G}\) such that the girth (odd-girth) of \(\mathrm {G}\) is \(\ge g\). A girth-closed (odd-girth-closed) class \(\mathcal{G}\) of graphs is said to be pentagonal (odd-pentagonal) if there exists a positive integer \(g^*\) depending on \(\mathcal{G}\) such that any graph \(\mathrm {G} \in \mathcal{G}\) whose girth (odd-girth) is greater than \(g^*\) admits a homomorphism to the five cycle (i.e. is \(\mathrm {C}_{_{5}}\)-colourable). Although, the question “Is the class of simple 3-regular graphs pentagonal?” proposed by Ne?et?il (Taiwan J Math 3:381–423, 1999) is still a central open problem, Gebleh (Theorems and computations in circular colourings of graphs, 2007) has shown that there exists an odd-girth-closed subclass of simple 3-regular graphs which is not odd-pentagonal. In this article, motivated by the conjecture that the class of generalized Petersen graphs is odd-pentagonal, we show that finding the odd girth of generalized Petersen graphs can be transformed to an integer programming problem, and using the combinatorial and number theoretic properties of this problem, we explicitly compute the odd girth of such graphs, showing that the class is odd-girth-closed. Also, we obtain upper and lower bounds for the circular chromatic number of these graphs, and as a consequence, we show that the subclass containing generalized Petersen graphs \(\mathrm {Pet}(n,k)\) for which either k is even, n is odd and \(n\mathop {\equiv }\limits ^{k-1}\pm 2\) or both n and k are odd and \(n\ge 5k\) is odd-pentagonal. This in particular shows the existence of nontrivial odd-pentagonal subclasses of 3-regular simple graphs.     

Longitudinal Consistency in Self-Reported Age of First Vaginal Intercourse among Young Adults

We examined consistency in self-reports of age at first vaginal sex among 9,399 male and female respondents who participated in Waves III and IV (separated by approximately seven years) of the National Longitudinal Study of Adolescent Health (Add Health). Respondents were coded as consistent if they reported an age at first vaginal intercourse at Wave IV that was within one year of the age they reported at Wave III. Sociodemographic, behavioral, and cognitive predictors of consistency were examined using bivariate and multivariate logistic regression. Overall, 85.43% of respondents were able to provide consistent reports. Among both males and females, consistency was associated with age, years since first vaginal intercourse, race/ethnicity, and lifetime number of other-sex partners in final multivariate models. Respondents who were older and had more recently had their first sexual experience were more likely to be consistent. For females only, those who reported a history of nonparental, physically forced sex were less likely to be consistent. Most young adults consistently report age at first vaginal intercourse, supporting the credibility of retrospective self-reports about salient sexual events such as timing of first vaginal intercourse.