Research on the predictors of outcome for early, community-based, and time-limited interventions targeted for clinical depression in adolescents is still scarce. We examined the role of demographic, psychosocial, and clinical variables as predictors of outcome in a trial conducted in Finnish school health and welfare services to identify factors associating to symptom reduction and remission after a brief depression treatment. A total of 55 12–16-year-olds with mild to moderate depression received six sessions of either interpersonal counseling for adolescents or brief (...) psychosocial support. Both interventions resulted in clinical improvement at end of treatment and 3- and 6-month follow-ups. Main outcome measures were self-rated BDI-21 and clinician-rated Adolescent Depression Rating Scale. Latent change score models were used to identify predictors of change in depressive symptom scores and clinical remission at end of treatment and 3- and 6-month follow-ups over the combined brief intervention group. Symptom improvement was predicted by younger age and having a close relationship with parents. Both symptom improvement and clinical remission were predicted by male gender, not having comorbid anxiety disorder, and not having sleep difficulties. Our results add to knowledge on factors associating with good treatment outcome after a brief community intervention for adolescent depression. Brief depression interventions may be useful and feasible especially for treatment of mild and moderate depression among younger adolescents and boys, on the other hand clinicians may need to cautiously examine sleep problems and anxiety comorbidity as markers of the need for longer treatment. (shrink)

BackgroundThe aim of this study was to investigate the effectiveness of psychotherapeutic interventions for clinically referred adolescents, as well as to examine whether sociodemographic, clinical, or treatment-related variables and patients’ role expectations predict treatment outcome or are possible predictors of treatment dropout.MethodThe study comprised 58 adolescents suffering from diverse psychiatric disorders referred to psychotherapeutic interventions conducted in outpatient care. The outcome measures, The Beck Depression Inventory, and the Clinical Outcomes in Routine Evaluation – Outcome Measure were filled in at baseline (...) and at 3-, 6-, and 12-month follow-ups. Possible predictors were assessed at baseline.ResultsThe results indicate that the mean level of symptoms and psychological distress decreased during the treatment, most reduction occurring in the first 6 months. The frequency of treatment sessions was the strongest predictor of good outcome. Adolescents with a higher level of externalizing problems or lower level of expectations for their own active role in treatment seem to have a higher risk of dropping out.ConclusionOffering intensive treatment for a shorter period might be the most efficient way to gain symptom reduction and decrease psychological distress in psychotherapeutic interventions with adolescents. Being aware of externalizing behavior and increasing the adolescents’ own agency during the assessment could strengthen commitment and result in the adolescent benefiting more from treatment. (shrink)

Concepts are the building blocks of higher-order cognition and consciousness. Building on Conceptual Spaces Theory (CST) and proceeding from the assumption that concepts are inherently dynamic, this paper provides historical context to and significantly elaborates the previously offered Iterative Subdivision Model (ISDM) with the goal of pushing it toward empirical testability. The paper describes how agents in continuous interaction with their environment adopt an intentional orientation, estimate the utility of the concept(s) applicable to action in the current context, engage in (...) practical action, and adopt any new concepts that emerge: a largely pre-intellectual cycle that repeats essentially without interruption over the conceptual agent’s lifetime. This paper elaborates utility optimization by establishing three constraints on concept formation/evaluation – non-redundancy, distinctiveness, and proportionality – embedding them in a quasi-mathematical model intended for development into a formal logic. The notion of a distinctor – a quality dimension of the conceptual space in focus at any given time, used for making what we call a difference distinction – is key. The primary contribution of the revised ISDM is the way it relates concepts to action via utility optimization/actualization and the way it describes the emergence of quality dimensions through trial-by-action (trial and error), something previous presentations of CST have failed to address. (shrink)

The literature on quantum logic emphasizes that the algebraic structures involved with orthodox quantum mechanics are non distributive. In this paper we develop a particular algebraic structure, the quasi-lattice ( $${\mathfrak{I}}$$ -lattice), which can be modeled by an algebraic structure built in quasi-set theory $${\mathfrak{Q}}$$. This structure is non distributive and involve indiscernible elements. Thus we show that in taking into account indiscernibility as a primitive concept, the quasi-lattice that ‘naturally’ arises is non distributive.

This special issue brings together contributions from nine scholars who have been working at the frontiers of the comparative study of risk. Most of the papers that follow use a cross-national approach to investigate public attitudes to risk in a broad range of settings including Germany, Sweden, Denmark, England, and the United States. Two of the authors represented here adopt more creative interpretations for carrying out comparative studies that reach considerably beyond conventional methodologies of country-level contrasts. One contributor highlights the (...) temporal dimensions of novel forms of environmental uncertainty and a second selection, grounded in the sociology of language, compares the different objectives that lay people seek to satisfy when they speak about risk. In this sense, this issue provides a farrago of perspectives on the most befitting way to exploit the utility of comparative methodologies.Political scientists interested in the effects of different regulatory regimes and systems of governance have been responsible for most comparative risk research conducted to date. The papers in this issue depart from this tradition and instead draw on insights derived from social theory. There has been over the past decade a dramatic upswelling of interest in risk among theoretically-inclined sociologists and several writers have suggested that a pervasive sense of anxiety is a central feature of the current phase of modernity (e.g., Giddens, 1990; Beck, 1992). This collection represents an initial attempt to situate these recondite impressions in distinct contexts and to scrutinise them from a variety of comparative perspectives. (shrink)

Over the past decade risk society theory has become increasingly prominent within the field of environmental social theory. This perspective contends that conventional political divisions based on class are becoming less salient and are giving way to a politics predicated upon the distribution of risk. There is much in risk society theory, especially its central contention that public anxieties about high consequence-low probability events undermine the legitimacy of science, that has a distinctly German stamp. Through a comparative analysis of how (...) national context has differently shaped science as a public epistemology this paper suggests we should tread carefully in moving to accept the general applicability of this theoretical approach. (shrink)

Recently, several researchers and philosophers argued that clinical research trials are not therapy. Their position is based on foundational research ethics documents, such as the Belmont Report, on conceptual analysis, and on the general way clinical trials are conducted. After examining and rejecting these arguments, we claim that good research is consistent with good therapy; that often trials are good therapy; and that a blanket attack on clinical trials as non-therapeutic creates a research misconception. This misconception is potentially harmful because (...) it could weaken trial recruitment, could adversely affect funding for trials, and could overturn needed moral safeguards on therapeutic trials. Our more careful and accurate analysis of the nature of clinical trials can avoid such problems. (shrink)

A groundbreaking text for the account of the problem of evil in German idealism. Here is a brief review for the German audience.

Name der Zeitschrift: Semiotica Jahrgang: 2016 Heft: 213 Seiten: 473-491.

The study addresses the cyclically temporal aspect of sequence recognition, storage and recall using the Recurrent Oscillatory Self-Organizing Map (ROSOM), first introduced by Kaipainen, Papadopoulos and Karhu (1997). The unique solution of the network is that oscillatory States are assigned to network units, corresponding to their `readiness-to-fire''. The ROSOM is a categorizer, a temporal sequence storage system and a periodicity detector designed for use in an ambiguous cyclically repetitive environment. As its external input, the model accepts a multidimensional stream of (...) environment-describing feature configurations with implicit periodicities. The output of the model is one or a few closed cycles abstracted from such a stream, mapped as trajectories on a two-dimensional sheet with an organization reminiscent of multi-dimensional scaling. The model''s capabilities are explored with a variety of workbench data. (shrink)

This book investigates modern global civilization, offering an alternative to post-colonial theories and the "multiple modernities" approach (as well as the civilizational theory linked to it). It argues that modernity has become a global civilization that is heterogeneous and intertwined with other civilizations, and also aims at a renewal of critical theory that is not US-centric and Eurocentric, focusing instead on China, South Asia (India) and Latin America (Brazil). Dealing with the themes of centre-periphery relations, complexity (including culture and religion), (...) democracy and emancipatory possibilities, this book is based on general theoretical ideas such as collective subjectivity, the interplay of memory and creativity, and the concept of "modernizing moves," so as to deal with historical contingency. (shrink)

The rise of the phenomenon of virtue ethics in recent years has increased at a rapid pace. Such an explosion carries with it a number of great possibilities, as well as risks. This volume has been written to contribute a multi-faceted perspective to the current conversation about virtue. Among many other thought-provoking questions, the collection addresses the following: What are the virtues, and how are they enumerated? What are the internal problems among ethicists, and what are the objections and replies (...) to contemporary virtue ethics? Additionally, the practical implications following from the answers to these questions are discussed in new and fascinating research. Fundamental concepts such as teleology and eudaimonism are addressed from both a historical and dialectical approach. This tome will contribute not only to providing further clarity to the current horizons in virtue ethics, but also to the practical conclusion following from the study: to challenge the reader toward a greater pursuit of the virtuous life. (shrink)

Este livro aborda a Filosofia Clínica, método criado pelo psicanalista e filósofo Lúcio Packter, que direciona os procedimentos de diagnose e tratamento a partir da metodologia filosófica. A elaboração da obra conta com dois procedimentos distintos - o desenvolvimento de conferências e estudos apresentados sobre o assunto e uma entrevista com a Assessoria Virtual do Instituto Packter. Nesse sentido, o objetivo do autor é mostrar que a Filosofia Clínica consiste em uma técnica de ajuda pessoal, que respeita o sofrimento e (...) o mundo singular dos indivíduos. (shrink)