Blood, Meth, and Tears: The Super Soldiers of World War II

Day and night, soldiers in World War II were physically and mentally strained by fatigue and psychiatric distress. Consequently, many soldiers were left exhausted and demoralized. War efforts hinged on soldiers succeeding in missions, thus a fast-acting solution was needed. Development of the psychostimulant drugs Benzedrine and Pervitin in the 1920s and 30s spurred enthusiasm among scientists, the media, the public, and various governments. Potent and powerful, these drugs exert effects that promote wakefulness, elevated mood, and improved field performance. Governments quickly began researching use of stimulants to improve their war efforts. By the early 40s, both drugs had millions of tablets in circulation. Though controversial, psychostimulants proved effective as combatants of fatigue, and low morale

Telling Our Own Story: The Role of Narrative in Racial Healing

An important resource for leaders and practitioners working to overcome our nation's legacy of racism. The authors present the power of the narrative and its important role in racial healing

Can Practicing Mindfulness Improve Lawyer Decision-Making, Ethics, and Leadership?

Jon Kabat-Zinn, the founder of mindfulness-based stress reduction, defines mindfulness as paying attention in a curious, deliberate, kind, and non-judgmental way to life as it unfolds each moment. Psychologist Ellen Langer defines mindfulness as a flexible state of mind actively engaging in the present, noticing new things, and being sensitive to context. Langer differentiates mindfulness from mindlessness, which she defines as acting based upon past behavior instead of the present and being stuck in a fixed, solitary perspective, oblivious to alternative multiple viewpoints. Something called mindfulness is currently very fashionable and has been so for some time now in American business, education, media, medicine, popular culture, and sports. Many business, legal, and medical organizations are considering how mindfulness can help alleviate stress, improve productivity, reduce mistakes, and resolve conflicts. Many people from Hollywood, Silicon Valley, and Wall Street practice some form of mindfulness. Much of the widespread popularity of mindfulness stems from (popular media coverage about) empirical, experimental research data in psychology and neuroscience about how practicing mindfulness improves emotional, mental, and psychological health by boosting attention, concentration, immune response, and positive affect, while reducing mind wandering, distress, emotional reactivity, and negative affect. Practicing mindfulness is a form of experiential learning that provides a temporal space to pause and reflect upon more thoughtful decisions, including sustaining ethical behavior and leadership. This Article draws upon various novel interdisciplinary and multidisciplinary approaches, ranging from biology, decision theory, financial economics, management science, medicine, neuroscience, psychology, and psychiatry to analyze how practicing mindfulness can improve the decision-making, ethics, and leadership of non-lawyers. To date, there is little empirical or experimental research about how practicing mindfulness affects law students, lawyers, or law professors. There is a large and growing body of empirical or experimental research about how practicing mindfulness affects people who are not in the legal profession. Based on this research, this Article makes three recommendations. First, law professors and lawyers should team up with neuroscientists and psychologists to conduct multimethods waitlist controlled research studies involving law students, lawyers, and law professors to determine if practicing mindfulness improves legal decision-making, ethics, and leadership. Second, law students, lawyers, and law professors should try practicing mindfulness to see if they improve their legal decision-making, ethics, and leadership. Third, law schools, law firms, and bar associations should try offering voluntary mindfulness training and supporting mindfulness practice to see if doing so improves legal decision-making, ethics, and leadership

Can Practicing Mindfulness Improve Lawyer Decision-Making, Ethics, and Leadership?

Jon Kabat-Zinn, the founder of mindfulness-based stress reduction, defines mindfulness as paying attention in a curious, deliberate, kind, and non-judgmental way to life as it unfolds each moment. Psychologist Ellen Langer defines mindfulness as a flexible state of mind actively engaging in the present, noticing new things, and being sensitive to context. Langer differentiates mindfulness from mindlessness, which she defines as acting based upon past behavior instead of the present and being stuck in a fixed, solitary perspective, oblivious to alternative multiple viewpoints. Something called mindfulness is currently very fashionable and has been so for some time now in American business, education, media, medicine, popular culture, and sports. Many business, legal, and medical organizations are considering how mindfulness can help alleviate stress, improve productivity, reduce mistakes, and resolve conflicts. Many people from Hollywood, Silicon Valley, and Wall Street practice some form of mindfulness. Much of the widespread popularity of mindfulness stems from (popular media coverage about) empirical, experimental research data in psychology and neuroscience about how practicing mindfulness improves emotional, mental, and psychological health by boosting attention, concentration, immune response, and positive affect, while reducing mind wandering, distress, emotional reactivity, and negative affect. Practicing mindfulness is a form of experiential learning that provides a temporal space to pause and reflect upon more thoughtful decisions, including sustaining ethical behavior and leadership. This Article draws upon various novel interdisciplinary and multidisciplinary approaches, ranging from biology, decision theory, financial economics, management science, medicine, neuroscience, psychology, and psychiatry to analyze how practicing mindfulness can improve the decision-making, ethics, and leadership of non-lawyers. To date, there is little empirical or experimental research about how practicing mindfulness affects law students, lawyers, or law professors. There is a large and growing body of empirical or experimental research about how practicing mindfulness affects people who are not in the legal profession. Based on this research, this Article makes three recommendations. First, law professors and lawyers should team up with neuroscientists and psychologists to conduct multimethods waitlist controlled research studies involving law students, lawyers, and law professors to determine if practicing mindfulness improves legal decision-making, ethics, and leadership. Second, law students, lawyers, and law professors should try practicing mindfulness to see if they improve their legal decision-making, ethics, and leadership. Third, law schools, law firms, and bar associations should try offering voluntary mindfulness training and supporting mindfulness practice to see if doing so improves legal decision-making, ethics, and leadership

Aliens, dreams and strange machines: an investigation into thought, interpretation and rationality

Interpretationism about the mind claims that we can gain a philosophical understanding of the nature of thought by considering how we interpret the thoughts of others. My thesis aims to develop a version of this theory which is plausible in the sense that: (1) it has the potential to retain certain advantages attaching to theories of mind which focus on the behaviour, rather than the internal make-up of candidate thinkers; (2) it can fend off certain apparent counterexamples. The thesis is split into four parts. Part I explains why one might want to answer ‘No’ to the question ‘Are there particular sorts of internal organisation which a being must have in order to count as a thinker?’ It then introduces interpretationism as a position which will allow us to answer ‘No’ to this question. My version of interpretationism claims that a being has a thought iff it is interpretable as having that thought, and that all thinkers are rational. Both claims face several apparently obvious counter-examples. Parts II and III address these counterexamples by developing the crucial notions of interpretability and rationality. Part II starts by considering the problem of seemingly hidden thoughts which occur during dreams, and uses this to develop an account according to which a subject is interpretable as having a thought if either a) there is sufficient evidence concerning the thought in the subject’s actual situation and actions, or b) there would be sufficient evidence in at least one suitable counterfactual situation. I consider and reject an objection that this understanding of interpretability is incompatible with a commitment to the holism of interpretation, and then show how it can be used to address further proposed counter-examples, such as cases involving deception or paralysed thinkers. However, I agree with Block (1981) and Peacocke (1983) that their string-searching machine and Martian marionette must be counted as thinkers by this account. I argue that these are not counterexamples to the theory, however, because the intuitions against counting such beings as thinkers can be discredited. Part III uses considerations about human limitations and propensities towards reasoning errors to argue that the interpretationist cannot adopt a deontological understanding of rationality that seems prevalent in the literature, nor a purely consequentialist account of rationality. I explain how Cherniak’s (1986) conception of minimal rationality may be adapted for the interpretationist’s purposes. I then consider and reject the idea that the emphasis on the rationality of thinkers will leave us unable to fit paradigmatically non-rational thoughts and thought processes (dream thoughts, imaginings and association) into our account. Part IV shows why interpretationism so developed is well placed to retain the advantages of a theory of mind which focuses on behaviour, and outlines potential avenues for further research

A concept analysis of analgesic nonadherence for cancer pain in a time of opioid crisis

Background Pain is one of the most common symptoms identified along the cancer trajectory. Among patients with moderate to severe cancer pain, nonadherence to prescribed analgesics may complicate treatment plans and exacerbate pain severity. Nonadherent behaviors are likely due to a number of individual/family, provider, and system level factors and may lead to negative pain-related outcomes. Purpose The purpose of this concept analysis is to clarify the concept of analgesic nonadherence for cancer pain and qualify its utility in the context of the opioid crisis. Method Walker and Avant's (2019) method for concept analysis was used. We integrated empirical evidence, relevant literature, and sociopolitical considerations related to the opioid crisis to provide critical and timely analysis. Data were collected from a search of PubMed, CINAHL, PsycINFO, and Scopus. The search yielded 418 individual records. Empirical articles using quantitative and qualitative methodologies pertaining to analgesic nonadherence for cancer pain in adult outpatient settings, written in English, with an abstract, and published between 2010 and 2018 were considered. Other relevant literature sources were used if additional criteria were met. A total of 33 records were selected for detailed review. Findings Few studies link analgesic nonadherence to patient outcomes highlighting a significant literature gap. Given the available evidence, a definition for analgesic nonadherence is proposed for future use in research, education, practice, and policy settings. Discussion The paucity of empirical data combined with the implications of the opioid crisis and conflicting pain management guidelines create uncertainty about the utility of analgesic nonadherence. The concept of analgesic nonadherence warrants further normative and empirical research to clarify the role of opioids and the meaning of nonadherence in shaping pain-related outcomes within the current sociopolitical environment

ADHD Versus PTSD in Preschool-Aged Children: Implications for Misdiagnosis

Attention Deficit Hyperactivity Disorder (ADHD) has been one of the most diagnosed disorders in children since it was included in the Diagnostic and Statistical Manual of Mental Disorders−III (DSM−III) in 1980. The number of children who have been diagnosed since that time has grown significantly, raising concerns about the overwhelming number of young children being diagnosed and prescribed medication. According to the literature, young children are diagnosed at a higher rate by pediatric primary care physicians (PCPs) than clinical child psychologists (CCPs) because they are taken to a PCP’s office by a parent, rather than referred from a school environment, where such behaviors would be presenting as problematic. There is a concern that PCPs lack the knowledge and skill to properly diagnose ADHD, including the criterion that symptoms be present in at least two environments, such as home and school. Because young children are not in school, the potential for misdiagnosis is greater. PCPs and CCPs have little to no training in diagnosing ADHD in young children, and there are no criteria in the Diagnostic and Statistical Manual of Mental Disorders−IV (DSM−IV) for children under age 7. Also DSM−IV criteria do not address differences in symptom presentation between young children and school-aged children or between ADHD and PTSD as a differential diagnosis. ADHD also presents an additional diagnostic dilemma because the symptomatology overlaps with PTSD. PTSD could be overlooked and therefore yield a misdiagnosis of ADHD. Proper skill and training are necessary for PCPs and CCPs to make a diagnosis of ADHD by definitively ascertaining that all environmental/salient factors have been considered to rule out symptoms that may be transient due to adverse childhood experiences (ACEs) related to complex trauma or PTSD. The addition of PTSD for children 6 years and younger in the recent release of DSM−5 in 2013 may help PCPs and CCPs to differentiate between ADHD and PTSD. This study investigates the differences between PCPs and CCPs in making a diagnosis of ADHD or PTSD in preschool-aged children, along with the ACEs each utilized in their decision-making process

A Systems Thinking Approach to Formulating the Problem of Military Sexual Trauma Among Black Female Veterans

Minority veterans are one of the fastest growing veteran populations (Department of Veterans Affairs, 2020b). Research over the last fifty years has documented that minority veterans, especially Black female veterans, are at a disproportionate risk for many problems, such as suicide and military sexual trauma (MST) (Department of Veterans Affairs, 2020b). In order to adequately address problems faced by the Black female veteran population, I argue that the problem must first be adequately formulated by the veteran community and veteran leadership. In this dissertation, I review the current body of literature on military sexual trauma with a systems view, using Daniel Kim’s (1999) iceberg model as a template. After developing a deeper understanding of the current reality from literature, I adopted Dave Snowden and Mary Boone’s (2007) Cynefin framework to include the sensing and probing by Black female veterans in order for military and veteran leadership to make sense of and respond to complex problems that Black female veterans experience. I conclude that the Black female veterans must be incorporated as decision-makers, advisors, participants, and resources in order to more adequately formulate and address the problems they experience, such as suicide and military sexual trauma

Drive-Based Utility-Maximizing Computer Game Non-Player Characters

This research examines the emergence of the five-string fiddle in contemporary North American fiddle culture within the past ten years. By interacting with leading artistlevel practitioners, the research documents the evolution and impact of the instrument to date in exploring the possibilities the five-string fiddle presents for musical performance and innovation. North American vernacular music and, in particular, the contemporary fiddle playing landscape, exemplifies virtousic and innovative idiomatic technique and improvisation as central to an overarching musical explosion, evidenced in the music of many high level, multi-stylistic contemporary practitioners. Within contemporary American fiddle performance, it is compelling to observe how many of the most innovative and highly regarded players now perform on five-string fiddles. The research uses a qualitative research methodology, drawing on interviews conducted with seven leading American fiddle players, each of whom has adopted the five-string fiddle in their own musical practice. The participants represent a rich cross section of American fiddle culture. They emerged naturally during the course of the literature review, and in-depth listening research, as particularly relevant sample cases. All participants were identified as leading exponents of the diversities encompassed in American fiddle music, between them sharing extensive professional recording, performance and academic experience, and all playing on five-string instruments. The research is further illuminated through practice, reflecting on my own musical work in illustrating how I have personally adopted the five-string fiddle, drawing influence from the research in demonstrating some wider possibilities of the instrument. This enquiry is important as it addresses the lack of specific research to date regarding the five-string fiddle, despite the significanance it holds for some of American fiddle music\u27s leading exponents, and consequently, for fiddle music itself. Equally significant, is the role of the instrument in facilitating the performance of innovative extended instrumental techniques, in particular, the five-string fiddles association with the rhythmic/percussive \u27chop\u27 bow techniques, now, so conspicuous within contemporary groove-based American string music. ix The findings of this research established the definitive emergence of the five-string fiddle, and subscribe that the five-string has now become a widely accepted part of the mainstream instrumentation in American music. This understanding emerges clearly through the words and practice of the participants. From this perspective, the research identifies the musical reasons that inspire the instruments popularity and elaborates through practice, the musical possibilities it presents to others. behaviour selection systems that have been used successfully in industry. The evaluations show that UDGOAP can outperform these systems in both environments. Another novel contribution of this thesis is smart ambiance. Smart ambiance is an area of space in a virtual world that holds information about the context of that space and uses this information to have non-player characters inside the space select more contextually appropriate actions. Information about the context comes from events that took place inside the smart ambiance, objects inside the smart ambiance, and the location of the smart ambiance. Smart ambiance can be used with any cost based planner. This thesis demonstrates dierent aspects of smart ambiance by causing an industry standard action planner to select more contextually appropriate behaviours than it otherwise would have without the smart ambiance

A Comparison of Rational Versus Empirical Methods in the Prediction of Psychotherapy Outcome

Several systems have been designed to monitor psychotherapy outcome, in which feedback is generated based on how a client\u27s rate of progress compares to an expected level of progress. Clients who progress at a much lesser rate than the average client are referred to as signal-alarm cases. Recent studies have shown that providing feedback to therapists based on comparing their clients\u27 progress to a set of rational, clinically derived algorithms has enhanced outcomes for clients predicted to show poor treatment outcomes. Should another method of predicting psychotherapy outcome emerge as more accurate than the rational method, this method would likely be more useful than the rational method in enhancing psychotherapy outcomes. The present study compared the rational algorithms to those generated by an empirical prediction method generated through hierarchical linear modeling. The sample consisted of299 clients seen at a university counseling center and a psychology training clinic. The empirical method was significantly more accurate in predicting outcome than was the rational method. Clients predicted to show poor treatment outcome by the empirical method showed, on average, very little positive change. There was no difference between the methods in the ability to accurately forecast reliable worsening during treatment. The rational method resulted in a high percentage of false alarms, that is, clients who were predicted to show poor treatment response but in fact showed a positive treatment outcome. The empirical method generated significantly fewer false alarms than did the rational method. The empirical method was generally accurate in its predictions of treatment success, whereas the rational method was somewhat less accurate in predicting positive outcomes. Suggestions for future research in psychotherapy quality management are discussed