The implementation of online technologies to promote wellbeing is increasingly becoming a worldwide priority. This study includes secondary analyses of data and examined drop-out rates in an online guided self-help intervention for patients with anorexia nervosa. Specifically, rates of drop-out at end of treatment (i.e. six-week assessment), as well as intervention adherence (minimum of four of six online guided sessions) and differences between completers and drop-outs were examined. Motivation to change and associated patient variables were assessed as predictors of drop-out (...) using structural equation modelling. Ninety-nine patients were randomised to the intervention arm of the trial. Data were available for 82 individuals, 67 of whom completed the six-week assessment and attended a minimum of four online sessions. No significant differences were found between completers and drop-outs at baseline. At the end of the first week of participation, drop-outs from the six-week assessment or the intervention reported less satisfaction with their work with the mentor delivering online guidance. Greater confidence in own ability to change and higher controlled motivation (willingness to change due to pressure from others) predicted lower drop-out rates from the six-week assessment. Stronger alliance with the therapist at the treatment centre and lower psychological distress were associated with greater autonomous motivation (self-directed motivation) and importance and ability to change. Data demonstrate that a novel online guided self-help intervention for patients with anorexia nervosa is feasible. Early satisfaction with the program and external pressure to change have a protective role against drop-out rates. (shrink)

PurposeThe ability to hear ourselves speak has been shown to play an important role in the development and maintenance of fluent and coherent speech. Despite this, little is known about the developing speech motor control system throughout childhood, in particular if and how vocal and articulatory control may differ throughout development. A scoping review was undertaken to identify and describe the full range of studies investigating responses to frequency altered auditory feedback in pediatric populations and their contributions to our understanding (...) of the development of auditory feedback control and sensorimotor learning in childhood and adolescence.MethodRelevant studies were identified through a comprehensive search strategy of six academic databases for studies that included real-time perturbation of frequency in auditory input, an analysis of immediate effects on speech, and participants aged 18 years or younger.ResultsTwenty-three articles met inclusion criteria. Across studies, there was a wide variety of designs, outcomes and measures used. Manipulations included fundamental frequency, formant frequency, frequency centroid of fricatives, and both fundamental and formant frequencies. Study designs included contrasts across childhood, between children and adults, and between typical, pediatric clinical and adult populations. Measures primarily explored acoustic properties of speech responses. Some studies additionally examined the association of these acoustic responses with clinical measures, and neural measures using electrophysiology and magnetic resonance imaging.ConclusionFindings indicated that children above 4 years generally compensated in the opposite direction of the manipulation, however, in several cases not as effectively as adults. Overall, results varied greatly due to the broad range of manipulations and designs used, making generalization challenging. Differences found between age groups in the features of the compensatory vocal responses, latency of responses, vocal variability and perceptual abilities, suggest that maturational changes may be occurring in the speech motor control system, affecting the extent to which auditory feedback is used to modify internal sensorimotor representations. Varied findings suggest vocal control develops prior to articulatory control. Future studies with multiple outcome measures, manipulations, and more expansive age ranges are needed to elucidate findings. (shrink)

The concept of normal is so familiar that it can be hard to imagine contemporary life without it. Yet the term entered everyday speech only in the mid-twentieth century. Before that, it was solely a scientific term used primarily in medicine to refer to a general state of health and the orderly function of organs. But beginning in the middle of the twentieth century, normal broke out of scientific usage, becoming less precise and coming to mean a balanced condition to (...) be maintained and an ideal to be achieved. In Normality, Peter Cryle and Elizabeth Stephens offer an intellectual and cultural history of what it means to be normal. They explore the history of how communities settle on any one definition of the norm, along the way analyzing a fascinating series of case studies in fields as remote as anatomy, statistics, criminal anthropology, sociology, and eugenics. Cryle and Stephens argue that since the idea of normality is so central to contemporary disability, gender, race, and sexuality studies, scholars in these fields must first have a better understanding of the context for normality. This pioneering book moves beyond binaries to explore for the first time what it does—and doesn’t—mean to be normal. (shrink)

I develop an account of predictive similarity that allows even Antirealists who accept a correspondence conception of truth to answer the Realist demand (recently given sophisticated reformulations by Musgrave and Leplin) to explain the success of particular scientific theories by appeal to some intrinsic feature of those theories (notwithstanding the failure of past efforts by van Fraassen, Fine, and Laudan). I conclude by arguing that we have no reason to find truth a better (i.e., more plausible) explanation of a theory's (...) success than predictive similarity, even of its success in making novel predictions. (shrink)

Realists have responded to challenges from the historical record of successful but ultimately rejected theories with what I call the selective confirmation strategy: arguing that only idle parts of past theories have been rejected, while truly success‐generating features have been confirmed by further inquiry. I argue first, that this strategy is unconvincing without some prospectively applicable criterion of idleness for theoretical posits, and second, that existing efforts to provide one either convict all theoretical posits of idleness (Kitcher) or stand refuted (...) by detailed consideration of the very examples (optical/electromagnetic ether, caloric fluid) to which they appeal (Psillos). I also argue that available avenues for improving on these proposals are unpromising. (shrink)

According to the standard narrative, natural kind is a technical notion that was introduced by John Stuart Mill in the 1840s and the recent craze for natural kinds, launched by Putnam and Kripke, is a continuation of that tradition. I argue that the standard narrative is mistaken. The Millian tradition of kinds was not particularly influential in the 20th-century, and the Putnam-Kripke revolution did not clearly engage with even the remnants that were left of it. The presently active tradition of (...) natural kinds is less than half a century old. Recognizing this might help us better appreciate both Mill and natural kinds. (shrink)

The aim is to uncover the foundations of quine's distinction between definite singular terms and general terms in predicative position, And hence of the general schema of predication, 'fx'. While each term in such a predication specifies its own item, The items so specified exhibit a typical difference exemplified in the basic case by the difference between spatio-Temporal particulars and properties of such particulars. A generally consequential difference of role is that while both terms are applied to the item of (...) lower type, Only the definite singular term has the function of identifying it. (shrink)

There has been an increase in recent years in the use of empirical methods in healthcare ethics. Appeals to empirical data cannot answer moral questions, but insights into the knowledge, attitudes, experience, preferences and practice of interested parties can play an important part in the development of healthcare ethics. In particular, while we may establish a general ethical principle to provide explanatory and normative guidance for healthcare professionals, the interpretation and application of such general principles to actual practice still requires (...) interpretation and judgement. And many situations in healthcare practice are complex and may involve a variety of principles, each of which may conflict with the others. Simple surveys or interview studies may not be sufficient if we wish to develop a nuanced approach to ethical practice that can be set out in guidelines, codes or directives. We do not resolve moral questions by plebiscite. In this paper, the authors argue for the use of consensus methods to develop shared understanding of ethical practice, and they argue further for the combination of the Delphi method with the use of vignettes to illustrate the kind of situations that may occur in practice. They develop their argument in part by reference to their experience of using this approach in their recent research. (shrink)

As family physicians, general practitioners play a key role in safeguarding children. Should they suspect child abuse or neglect they may experience a conflict between responding to the needs and interests of the child and those of an adult patient. English law insists on the paramountcy of the interests of the child, but in family practice many other interests may be at stake. The authors argue that uncritical adoption of the paramountcy principle is too simplistic and can lead, paradoxically, to (...) greater harm. They argue for a more subtle and nuanced view of interests and of conflicts of interest in safeguarding children. (shrink)

Elsewhere I have argued that the most significant threat to scientific realism arises from what I call the problem of unconceived alternatives: the repeated failure of past scientists and scientific communities to even conceive of alternatives to extant scientific theories, even when such alternatives were both (1) well-confirmed by the evidence available at the time and (2) sufficiently scientifically serious as to be actually embraced in the course of further investigation. In this paper I explore Francis Galton’s development and defense (...) of his “stirp” theory of inheritance and conclude that this particular historical example offers impressive support for the challenge posed by the problem of unconceived alternatives while simultaneously showing how we can make that challenge deeper and sharper. (shrink)

La « théorie » de la prédication de Barth comme « théologie de la Parole de Dieu » a été remise en question au début des années 60 alors qu’elle était constituée depuis les années 20. Qu’en est-il exactement de cette conception trop peu connue dans son exactitude, en France notamment ? Soucieux de pratique, Barth conçoit d’abord la prédication comme une Theologia viatorum et semble affirmer le caractère divin de la parole de la prédication. Or, la difficulté, voire l’échec, (...) de celle-ci en rappelle le caractère de terrible humanité. Ainsi passe-t-il « d’une attestation indirecte du Christ » dans la prédicaiton de l’église, à une « prédication, service de la parole de Dieu », compte tenu de ce que seul le Christ, en définitive, est Parole de Dieu, et que la charge de prédication appartient à toute la « communauté de témoins ».Barth's « theory » of preaching as « theology of the World of God » was put into question at the beginning of the 60's, although it goes back to the 20’s. What is it exactly about this conception, too little known in its details, especillaly in France ? Concerned with practice, Barth first conceived preaching as a Theologia viatorum and seems to have confirmed the divine character of the preached word. But the difficulty, indeed the failure, of the latter recalls the character of terrible humanity. Thus there evolves from « an indirect attestation of Christ « in the preaching of the Church, to a « preaching service of God’s word », taking into account that only Christ, finally is Word of God, and that the role of preaching belongs to all the « community of witnesses». (shrink)

Weak measurements offer new insights into the behavior of quantum systems. Combined with post-selection, quantum mechanics predicts a range of new experimentally testable phenomena. In this paper I consider weak measurements performed on time-dependent pre- and post-selected ensembles, with emphasis on the decay of excited states. The results show that the standard exponential decay law is a limiting case of a more general law that depends on both the time of post-selection and the choice of final state. The generalized law (...) is illustrated for two interesting choices of post-selection. (shrink)