The Art of Clinical Supervision: Pastoral Counseling (New York and Mahwah, NJ: Paulist Press, 1987)

Reviewed by Peter Yuichi Clark

Stressful life events are related to more negative interpretations, but not under acute stress

Studies have identified deleterious effects of stress on multiple cognitive processes such as memory and attention. Little is known about the impact of stress on interpretation. We investigated how an induced acute stress and more long-term stress related to life events were associated with interpretations of ambiguous stimuli. Fifty participants answered a questionnaire indexing the number of stressful life events. A median split was used to compare those reporting few or more events. Half of participants performed an arithmetic task that induced acute stress; they were compared to a control group performing a less stressful task. We measured the interpretation of ambiguous visual stimuli, which participants had to judge as “negative” or “positive”. We found a significant interaction between the number of stressful life events and the induced acute stress on the proportion of positive interpretations. In the control group, participants reporting more stressful events produced less positive interpretations than those reporting few events. In the induced stress condition, no significant difference was found. Life events tend to influence interpretation in the absence of an acute stressor, which seems to be more influent in the short term

Cancer incidence and stage at diagnosis among people with psychotic disorders: Systematic review and meta-analysis.

Research regarding the incidence of cancer among people with psychotic disorders relative to the general population is equivocal, although the evidence suggests that they have more advanced stage cancer at diagnosis. We conducted a systematic review and meta-analysis to examine the incidence and stage at diagnosis of cancer among people with, relative to those without, psychotic disorders. We searched the MEDLINE, EMBASE, PsycINFO, and CINAHL databases. Articles were included if they reported the incidence and/or stage at diagnosis of cancer in people with psychotic disorders. Random effects meta-analyses were used to determine risk of cancer and odds of advanced stage cancer at diagnosis in people with psychosis, relative to those without psychotic disorders. A total of 40 articles were included in the review, of which, 31 were included in the meta-analyses. The pooled age-adjusted risk ratio for all cancers in people with psychotic disorders was 1.08 (95% CI: 1.01-1.15), relative to those without psychotic disorders, with significant heterogeneity by cancer site. People with psychotic disorders had a higher incidence of breast, oesophageal, colorectal, testicular, uterine, and cervical cancer, and a lower incidence of skin, prostate, and thyroid cancer. People with psychotic disorders also had 22% higher (95% CI: 2-46%) odds of metastases at diagnosis, compared to those without psychotic disorders. Our systematic review found a significant difference in overall cancer incidence among people diagnosed with psychotic disorders and people with psychotic disorders were more likely to present with advanced stage cancer at diagnosis. This finding may reflect a need for improved access to and uptake of cancer screening for patients diagnosed with psychotic disorders

A formalized general theory of syntax with bindings

We present the formalization of a theory of syntax with bindings that has been developed and refined over the last decade to support several large formalization efforts. Terms are defined for an arbitrary number of constructors of varying numbers of inputs, quotiented to alpha-equivalence and sorted according to a binding signature. The theory includes a rich collection of properties of the standard operators on terms, such as substitution and freshness. It also includes induction and recursion principles and support for semantic interpretation, all tailored for smooth interaction with the bindings and the standard operators

Cancer incidence and stage at diagnosis among people with recent-onset psychotic disorders: A retrospective cohort study using health administrative data from Ontario, Canada.

OBJECTIVE: Prior evidence on the relative risk of cancer among people with psychotic disorders is equivocal. The objective of this study was to compare incidence and stage at diagnosis of cancer for people with psychotic disorders relative to the general population. METHOD: We constructed a retrospective cohort of people with a first diagnosis of non-affective psychotic disorder and a comparison group from the general population using linked health administrative databases in Ontario, Canada. The cohort was followed for incident diagnoses of cancer over a 25-year period. We used Poisson and logistic regression models to compare cancer incidence and stage at diagnosis between people with psychotic disorders and the comparison group, adjusting for confounding factors. RESULTS: People with psychotic disorders had an 8.6% higher incidence (IRR = 1.09, 95%CI = 1.05,1.12) of cancer overall relative to the comparison group, with effect modification by sex and substantial variation across cancer sites. People with psychotic disorders also had 23% greater odds (OR = 1.23, 95%CI = 1.13,1.34) of being diagnosed with more advanced stage cancer relative to the comparison group. CONCLUSIONS: We found evidence of elevated cancer incidence in people with non-affective psychotic disorders relative to the general population. The higher odds of more advanced stage cancer diagnoses in people with psychotic disorders represents an opportunity to improve patient participation in recommended cancer screening, as well as timely access to services for cancer diagnosis and treatment. Future research should examine confounding effects of lifestyle factors and antipsychotic medications on the risk of developing cancer among people with psychotic disorders

Witnessing (co)datatypes

Datatypes and codatatypes are useful for specifying and reasoning about (possibly infinite) computational processes. The Isabelle/HOL proof assistant has recently been extended with a definitional package that supports both. We describe a complete procedure for deriving nonemptiness witnesses in the general mutually recursive, nested case—nonemptiness being a proviso for introducing types in higher-order logic

Sharing HOL4 and HOL Light proof knowledge

New proof assistant developments often involve concepts similar to already formalized ones. When proving their properties, a human can often take inspiration from the existing formalized proofs available in other provers or libraries. In this paper we propose and evaluate a number of methods, which strengthen proof automation by learning from proof libraries of different provers. Certain conjectures can be proved directly from the dependencies induced by similar proofs in the other library. Even if exact correspondences are not found, learning-reasoning systems can make use of the association between proved theorems and their characteristics to predict the relevant premises. Such external help can be further combined with internal advice. We evaluate the proposed knowledge-sharing methods by reproving the HOL Light and HOL4 standard libraries. The learning-reasoning system HOL(y)Hammer, whose single best strategy could automatically find proofs for 30% of the HOL Light problems, can prove 40% with the knowledge from HOL4

Finding Finite Models in Multi-Sorted First-Order Logic

This work extends the existing MACE-style finite model finding approach to multi-sorted first order logic. This existing approach iteratively assumes increasing domain sizes and encodes the related ground problem as a SAT problem. When moving to the multi-sorted setting each sort may have a different domain size, leading to an explosion in the search space. This paper focusses on methods to tame that search space. The key approach adds additional information to the SAT encoding to suggest which domains should be grown. Evaluation of an implementation of techniques in the Vampire theorem prover shows that they dramatically reduce the search space and that this is an effective approach to find finite models in multi-sorted first order logic.Comment: SAT 201