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Promoting Gender-Affirming Care: Challenging Conflation and Embracing Complexity 促进性别确认护理:挑战合并,拥抱复杂性
Q1 Social Sciences Pub Date : 2023-10-01 DOI: 10.1177/23727322231197148
Melvin L. Rouse
Anti-LGBTQ legislation and policies that restrict access to gender-affirming care for gender-diverse youth have been on the rise. These policies, particularly policies that restrict gender-affirming care for trans and gender-diverse youth, are often based on a narrow interpretation of data and oversimplification of the concepts of sex and gender. Quantitative and qualitative public health data show that queer and gender-diverse youth face significant mental health risks, so they need care and treatment options that address their distinct needs. Recognizing the complexities of sex and gender, inclusive policies should support gender-affirming care for gender-diverse youth. Restrictive legislation and policies based on oversimplified understandings of sex and gender perpetuate discrimination and harm. Policy recommendations include ensuring access to gender-affirming care, providing comprehensive LGBTQ-inclusive education and training for healthcare providers, and ensuring protection against discrimination.
反对lgbtq的立法和政策一直在增加,这些立法和政策限制了性别多元化青年获得性别肯定护理的机会。这些政策,特别是限制对跨性别青年和性别多样化青年的性别肯定护理的政策,往往是基于对数据的狭隘解释和对性和性别概念的过度简化。定量和定性的公共卫生数据表明,酷儿和性别多样化的青年面临着重大的心理健康风险,因此他们需要满足其独特需求的护理和治疗方案。认识到性和社会性别的复杂性,包容性政策应支持对性别多样化青年的性别肯定关怀。基于对性和性别的过分简化的理解的限制性立法和政策使歧视和伤害永久化。政策建议包括确保获得性别肯定护理,为医疗保健提供者提供全面的包容lgbtq的教育和培训,并确保不受歧视。
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引用次数: 0
Nicotine as an Environmental Toxin: Implications for Children's Health 尼古丁作为环境毒素:对儿童健康的影响
Q1 Social Sciences Pub Date : 2023-10-01 DOI: 10.1177/23727322231190588
Lisa M. Gatzke-Kopp, Danielle R. Rice
Despite significant declines in population smoking rates and effective policies to ban smoking in public places, environmental exposure to nicotine remains prevalent among children. Environmental smoke exposure affects children's respiratory, immune, and metabolic health but is also implicated in children's cognitive and behavioral development. Nicotine's chemical properties mimic naturally occurring chemicals in the brain. When nicotine is present during brain development (prenatally through the first five years of life), it alters developmental processes that affect systems involved in cognitive control, impulsivity, and sensitivity to rewarding substances, increasing risks for obesity. Because nicotine is the specific toxin underlying these outcomes, vaping is unlikely to be a safer alternative. Given the rise in vaping among young adults generally, and pregnant women specifically, this exposure represents a public health concern that warrants additional attention. Policies including modernized public health messaging and routine screening could reduce children's inadvertent exposure.
尽管人口吸烟率显著下降,公共场所禁烟政策也行之有效,但儿童在环境中接触尼古丁的情况仍然普遍存在。环境烟雾暴露会影响儿童的呼吸、免疫和代谢健康,但也与儿童的认知和行为发育有关。尼古丁的化学性质类似于大脑中自然产生的化学物质。当尼古丁出现在大脑发育过程中(产前到5岁),它会改变发育过程,影响认知控制系统、冲动和对奖励物质的敏感性,增加肥胖的风险。因为尼古丁是导致这些结果的特定毒素,所以电子烟不太可能是一种更安全的选择。考虑到年轻人,尤其是孕妇吸电子烟的人数普遍上升,这种接触代表了一个值得进一步关注的公共卫生问题。包括现代化公共卫生信息和常规筛查在内的政策可以减少儿童无意中的接触。
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引用次数: 0
Risk for Cannabis Use Disorder in People Who Use Cannabis to Cope with Internalizing Disorders: Implications for Policy and Practice 使用大麻应对内化障碍的人群中大麻使用障碍的风险:对政策和实践的影响
Q1 Social Sciences Pub Date : 2023-10-01 DOI: 10.1177/23727322231195273
Brandon S. Schermitzler, Thomas J. Preston, Richard J. Macatee
The prevalence of Cannabis Use Disorder (CUD) is increasing in the United States, likely related to increasing cultural and legal acceptance of cannabis. While most cannabis users will not develop a CUD, certain behaviors may increase risk. For example, smoking to cope with anxiety or depressive disorders is associated with higher rates of cannabis use. Users who smoke to cope with these internalizing disorders (anxiety, depression) increase the addictive potential of cannabis. Systems that potentially maintain problematic use in people with internalizing disorders include the reward processing and the stress responsivity systems. Both exhibit neurobiological changes after chronic heavy cannabis use and are affected across internalizing disorders. The shared importance of these systems may warrant several recommendations for policy and practice. Some reexamine cannabis-related policy, invest in local communities, and improve cannabis education.
在美国,大麻使用障碍(CUD)的患病率正在上升,这可能与大麻在文化和法律上的接受度不断提高有关。虽然大多数大麻使用者不会患上CUD,但某些行为可能会增加风险。例如,为应对焦虑或抑郁症而吸烟与大麻使用率较高有关。为了应对这些内在障碍(焦虑、抑郁)而吸烟的使用者增加了大麻上瘾的可能性。在内化障碍患者中潜在维持有问题使用的系统包括奖励处理系统和压力反应系统。两者在长期大量使用大麻后都表现出神经生物学变化,并受到内化障碍的影响。鉴于这些系统的共同重要性,可能需要对政策和实践提出若干建议。一些国家重新审视大麻相关政策,投资当地社区,并改善大麻教育。
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引用次数: 0
Contributions of Biobehavioral Sciences to the Study and Prevention of Firearm Violence: Perceived Threat, Cognitive Control, and Firearm Culture 生物行为科学对研究和预防枪支暴力的贡献:感知威胁、认知控制和枪支文化
Q1 Social Sciences Pub Date : 2023-10-01 DOI: 10.1177/23727322231196498
Edelyn Verona, Melanie Bozzay, Craig J. Bryan
The study and prevention of firearm violence are clearly in the realm of psychology, yet the potential contributions of the biobehavioral sciences to the study of firearm violence are underexplored. Most biobehavioral research has identified individual-level vulnerabilities for violence more broadly, with less focus on how biological risk manifests in the context of firearm culture in particular. Reviewing the literature leads to two main insights: first, the nature of firearm acquisition in the United States (easy access, self-protection motives, and exaggerated perceptions of threat) can itself trigger biobehavioral processes (e.g., threat disruptions in cognitive control) representing a risk for firearm violence. Second, cutting-edge research using digital and biological phenotyping represents a potentially useful approach for tracking and forecasting the momentary risk of firearm violence among high-risk firearm carriers. Policy recommendations informed by the reviewed research can help improve prevention and intervention efforts.
枪支暴力的研究和预防显然属于心理学领域,但生物行为科学对枪支暴力研究的潜在贡献尚未得到充分探索。大多数生物行为研究已经更广泛地确定了个人层面的暴力脆弱性,而较少关注生物风险在枪支文化背景下的表现。回顾文献可以得出两个主要见解:首先,美国枪支获取的性质(容易获取,自我保护动机和夸大的威胁感知)本身可以触发生物行为过程(例如,认知控制中的威胁中断),这代表了枪支暴力的风险。其次,使用数字和生物表型的前沿研究代表了一种潜在的有用方法,可以跟踪和预测高风险枪支携带者的枪支暴力瞬间风险。经审查的研究提供的政策建议有助于改进预防和干预工作。
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引用次数: 0
The Intersection of Racism and Neuroscience Technology: A Cautionary Tale for the Criminal Legal System 种族主义与神经科学技术的交集:刑事法律体系的警世故事
Q1 Social Sciences Pub Date : 2023-10-01 DOI: 10.1177/23727322231196299
Emily R. Perkins, Daniel E. Bradford, Edelyn Verona, Roy H. Hamilton, Keanan J. Joyner
Neuroscience evidence is appealing as a means to increase “objectivity” and reduce racial disparities in the criminal legal system. However, increasing reliance on defendants’ brain data may instead maintain racial disparities while rendering biases invisible. First, neurobiological data are not any more objective than traditional psychological measures. Second, the complexity and inaccessibility of neuroscience undermines public understanding of what such data can actually say. Third, existing methodologies have limitations when working with hair types and skin colors that are socially coded as Black; these phenotypic biases reduce both the reliability of individual data and the representativeness of comparison groups, skewing interpretations of defendants’ brain data. More research is needed before neuroscience evidence can be considered more probative than prejudicial.
神经科学证据作为一种增加“客观性”和减少刑事法律体系中种族差异的手段很有吸引力。然而,增加对被告大脑数据的依赖可能反而会维持种族差异,同时使偏见变得不可见。首先,神经生物学数据并不比传统的心理学测量更客观。其次,神经科学的复杂性和不可获取性削弱了公众对这些数据实际含义的理解。第三,现有的方法在处理被社会编码为黑色的头发类型和肤色时存在局限性;这些表型偏差降低了个体数据的可靠性和对照组的代表性,扭曲了对被告大脑数据的解释。在神经科学证据被认为是证据而非偏见之前,还需要进行更多的研究。
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引用次数: 0
Heart Rate Variability Biofeedback for Mental Health Treatment: A Policy Brief 心理健康治疗的心率变异性生物反馈:政策摘要
IF 3.8 Q1 Social Sciences Pub Date : 2023-03-01 DOI: 10.1177/23727322221144647
Sonya Kim
The WHO argues that a pharmacy-first approach should no longer be the reflexive treatment for mental health diagnoses. Heart rate variability biofeedback (HRVB) demonstrably treats various conditions—especially effective at regulating emotion, particularly managing and alleviating anger, stress, anxiety, and depression, common co-morbid diagnoses for rehabilitation medicine patients. HRVB trains users to study their biofeedback data in real time, alter bodily functions previously believed to be automatic, and garner health benefits. Despite convenience, relatively low cost, and empowering patients to manage their own symptoms, the current lack of reimbursability, and the lack of Phase III RCTs limit HRVB application. Ideally, the confidence of practitioners, patients, and insurers would follow the known efficacy of HRVB for the treatment of mental health conditions.
世界卫生组织认为,药物优先的方法不应再成为心理健康诊断的反射性治疗方法。心率变异性生物反馈(HRVB)可以治疗多种疾病,在调节情绪方面尤其有效,尤其是控制和减轻愤怒、压力、焦虑和抑郁,这些是康复医学患者常见的合并症诊断。HRVB训练用户实时研究他们的生物反馈数据,改变以前被认为是自动的身体功能,并获得健康益处。尽管使用方便,成本相对较低,并使患者能够控制自己的症状,但目前缺乏可报销性和缺乏III期随机对照试验限制了HRVB的应用。理想情况下,从业人员、患者和保险公司的信心将遵循已知的HRVB治疗精神健康状况的功效。
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引用次数: 0
Environmental Uncertainty and Substance Use Disorders: A Behavior Analytic Perspective. 环境不确定性与物质使用障碍:一个行为分析的视角
IF 3.8 Q1 Social Sciences Pub Date : 2023-03-01 Epub Date: 2023-03-15 DOI: 10.1177/23727322231152451
William S Doyle, Sally L Huskinson

Substance use disorder (SUD) and drug overdose deaths represent major economic, health, and safety issues in the United States. The psychology of uncertainty provides a mechanism for understanding, reducing, and controlling the damage from substance misuse. Illicit drugs (such as heroin or cocaine) are uncertain in their availability, quality, and acquisition (the time and effort required to obtain them) compared with nondrug-related alternatives (such as consumable goods, hobbies, or paychecks). Furthermore, the severity and likelihood of negative outcomes associated with drug use likewise are uncertain. Such uncertainties worsen substance use outcomes. The current review conveys what is known about the impact of uncertainty on substance use: laboratory investigations of uncertain time and effort required to obtain a substance and uncertain drug quality show uncertainty exacerbates harm. Furthermore, uncertain negative outcomes are not likely to deter substance use in individuals with a SUD. Finally, several policy implications include access to agonist medications; creating a safer drug supply; access to clean syringes/needles, naloxone, and safe-injection sites; and ending incarceration for substance use.

物质使用障碍(SUD)和药物过量死亡是美国主要的经济、健康和安全问题。不确定性心理学为理解、减少和控制药物滥用造成的损害提供了一种机制。与非毒品相关的替代品(如消费品、爱好或薪水)相比,非法药物(如海洛因或可卡因)的可得性、质量和获取(获得它们所需的时间和精力)都是不确定的。此外,与药物使用相关的负面结果的严重程度和可能性同样不确定。这种不确定性使药物使用结果恶化。目前的综述传达了已知的不确定性对物质使用的影响:获得物质所需的不确定时间和精力以及不确定的药物质量的实验室调查表明,不确定性加剧了危害。此外,不确定的负面结果不太可能阻止患有SUD的个体使用药物。最后,一些政策影响包括获得激动剂药物;创造更安全的药品供应;获得清洁的注射器/针头、纳洛酮和安全注射点;结束对滥用药物的监禁。
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引用次数: 0
Child Communication Research and Practice: Collaborative Roles for Behavior Analysts and Speech-Language Pathologists 儿童沟通研究与实践:行为分析师与言语病理学家的合作角色
IF 3.8 Q1 Social Sciences Pub Date : 2023-03-01 DOI: 10.1177/23727322221144652
Justin D. Lane, Jennifer A. Brown
Young children's social communication is key to their development and well-being. Naturalistic interventions can promote social communication in young children. Anyone concerned about children's social communication—families, professionals, planning teams, referral sources, funders, and policymakers—should understand the complementary roles of behavior analysts (BCBAs) and speech-language pathologists (SLPs), who both utilize naturalistic interventions. Resistance to collaboration may be rooted in broader conversations about differing theories of language development. BCBAs and SLPs likely have similar overarching goals and expectations, but collaboration has been unfortunately rare, due to field-specific training and recommendations. BCBAs and SLPs who adopt a unified theory of practice will place children, families, and educators at the center of all decisions. An interdisciplinary model rooted in research about naturalistic interventions, collaboration, and equitable practices that incorporates feedback from providers and researchers in each field, could address challenges. This model highlights (a) understanding key tenets from each respective field, (b) developing interdisciplinary teams, (c) measuring and evaluating collaborative planning, and (d) promoting mutual respect and equity. Children benefit when professionals collaborate.
幼儿的社会交往是他们发展和幸福的关键。自然主义干预可以促进幼儿的社会交流。任何关心儿童社会沟通的人——家庭、专业人士、规划团队、转介来源、资助者和政策制定者——都应该理解行为分析师(BCBA)和言语语言病理学家(SLP)的互补作用,他们都使用自然主义干预。对合作的抵制可能源于关于不同语言发展理论的更广泛的对话。BCBA和SLP可能有类似的总体目标和期望,但不幸的是,由于具体领域的培训和建议,合作很少。采用统一实践理论的BCBA和SLP将把儿童、家庭和教育工作者置于所有决策的中心。一个植根于自然干预、合作和公平实践研究的跨学科模式,结合了每个领域的提供者和研究人员的反馈,可以应对挑战。该模型强调(a)理解每个领域的关键原则,(b)发展跨学科团队,(c)衡量和评估合作规划,以及(d)促进相互尊重和公平。专业人士合作,儿童受益。
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引用次数: 0
How Can We Move Advanced Methodology into Practice More Effectively? 我们如何才能更有效地将先进的方法论付诸实践?
IF 3.8 Q1 Social Sciences Pub Date : 2023-03-01 DOI: 10.1177/23727322221144649
J. Pek, Daniel J. Bauer
Methodology serves an essential role in advancing psychological science. However, meta-science research points to a leaky translational pipeline in which substantive research often fails to utilize recommended methodological practices. Various explanations for this problem include valuing the development of methods over methodology (making tools over using tools), incentives for methodological research, incentives for promoting pedagogy in methodology, an insufficient number of quantitative methodologists in the discipline, and scarcity of resources for substantive researchers seeking more advanced methodological training. Policy makers might consider several recommendations that could mitigate extant leaks in the translational pipeline.
方法论在推动心理科学的发展中起着至关重要的作用。然而,元科学研究指出了一个漏洞的转化管道,其中实质性研究往往不能利用推荐的方法实践。对这个问题的各种解释包括重视方法的发展而不是方法论(制造工具而不是使用工具),方法论研究的动机,促进方法论教学的动机,该学科中定量方法学家的数量不足,以及寻求更先进的方法论培训的实质性研究人员资源匮乏。政策制定者可能会考虑一些建议,这些建议可以减轻翻译管道中现有的泄漏。
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引用次数: 0
Connecting Research, Policy, and Practice in Colleges and Universities: An Internal Researcher/Practitioner Model 连接高校的研究、政策和实践:一个内部研究者/实践者模型
IF 3.8 Q1 Social Sciences Pub Date : 2023-03-01 DOI: 10.1177/23727322221147321
D. Robertson, Martha Pelaez
Behavior analysis often operates at the level of individual behavior depending on reinforcement contingencies. Here, a behavior analytic perspective addresses the challenge of connecting research to organizations’ policy and practice in order to improve performance regarding the organizations’ strategic objectives. In colleges and universities, three potentially overlapping approaches are plausible: (a) applying published scholarly research literature, (b) contracting external vendors of predictive analytics, and (c) integrating internal researchers/practitioners. This article discusses a model that emphasizes the third approach—internal researcher/practitioners—and that focuses on fundamental concepts related to contingencies (consequences) and rule-governed behavior. The model's use is illustrated in a case study: Florida International University, a large, public, metropolitan, Research I university, located in Miami, Florida. The application of the model appears to relate to significant and rapid improvement in the university's targeted performance metrics (e.g., student success as measured by variables such as students’ retention and on-time graduation).
行为分析通常在个体行为层面进行,依赖于强化随因性。在这里,行为分析的视角解决了将研究与组织的政策和实践联系起来的挑战,以提高组织战略目标的绩效。在学院和大学中,有三种可能重叠的方法是可行的:(a)应用已发表的学术研究文献,(b)与预测分析的外部供应商签订合同,以及(c)整合内部研究人员/从业者。本文讨论了一个强调第三种方法(内部研究者/实践者)的模型,该模型侧重于与偶然性(后果)和规则支配行为相关的基本概念。该模型的使用在一个案例研究中得到了说明:佛罗里达国际大学,一所位于佛罗里达州迈阿密的大型公立都市研究型大学。该模型的应用似乎与大学目标绩效指标(例如,由学生留校率和准时毕业等变量衡量的学生成功)的显著和快速改善有关。
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引用次数: 0
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Policy Insights from the Behavioral and Brain Sciences
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