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So what should we seek in order to avoid or at least reliably reduce the availability of such arbitrary exercise of power? The commonest forms of answer – limiting, constraining, curbing – cast the role of the rule of law as defensive and negative, often exclusively so. These terms typically miss the positive, often constitutive, and anyway indispensable role of power in social affairs and in what we should hope for if the rule of law is to attain its proper ends. I recall the term ‘tempering’ as long used, but largely forgotten, to express the ambitions of those pursuing values then and long since associated with the rule of law. In part a description, in part metaphor, the idea of ‘tempering’ gives more food to thought and possibility than the defensive, diminishing terms in common use. I demonstrate that in its various uses – personal, institutional, metallurgical – the term evokes a salutary combination of balance, thoughtfulness, moderation, and strength appropriate to the rule of law ideal.
Mindfulness-based cognitive therapy (MBCT) was developed for relapse prevention in people with remitted depression but is increasingly used for those with difficult-to-treat depression (DTD). A key question regarding this broader application is whether ongoing depressive symptoms constrain therapeutic responsiveness or disrupt MBCT’s proposed mechanism, decentering. We explored whether baseline depressive severity moderates clinical outcomes, whether changes in decentering mediate treatment effects, and whether this mediation varies by baseline severity.
Methods
Secondary moderation, mediation, and moderated mediation analyses were conducted using data from the RESPOND randomized trial (N = 234), comparing MBCT plus treatment as usual (TAU) with TAU alone in adults not remitted after high-intensity psychological therapy. Depressive symptoms (PHQ-9) and decentering (Experiences Questionnaire) were assessed at baseline, post-treatment (10 weeks), and follow-up (34 weeks). Analyses were conducted using structural equation modelling.
Results
Higher baseline severity predicted greater symptom improvement across both groups. Treatment-related increases in decentering partially mediated the effect of MBCT on depressive symptoms at follow-up. Although baseline severity did not moderate the treatment effect, it moderated the indirect effect, with decentering more strongly associated with symptom reduction among those with higher baseline depression. Severity did not moderate the acquisition of decentering skills.
Conclusions
Concerns that more severe depressive symptoms limit the effectiveness of MBCT were not supported. MBCT’s core mechanism remained operative under substantial symptom burden, with clinical impact amplified at higher severity. These findings reduce key uncertainties regarding the application of MBCT in DTD and support its use across a broad range of symptom severity.
This chapter introduces the long tradition of American thinkers and leaders emphasizing a priority for citizenship education. It then has three sections: (a) Tocqueville’s Affirmation of American Civic Education; (b) Montesquieu’s Philosophy of a Modern and Moderate Civics – including the view of how Christianity can play a moderating role in a modern, democratic-republican civics; and (c) The American Founders on Civic Knowledge and Civic Virtue for Self- Government – including Washington’s great emphasis upon and leadership in civic education.
The Lex Talionis (‘an eye for an eye, a tooth for a tooth …’ ) was introduced by Hammurabi of Babylon, as a measure to control private vengeance and concentrate punishment in the hands of legitimate authority. It also carried the message that punishment should be proportionate to the crime, a principle that was pressed by progressive thinkers in later ages, such as Montesquieu. As the law was formulated, an offence committed merited an equivalent punishment: one eye for an eye, not two. Over time the Lex became the standard-bearer of backward-looking retributivism, which carries the idea that offenders deserve to be punished simply because of the offence they have committed. As such, it was an obstacle in the way of any burgeoning abolitionist thought, in particular because it prescribed ‘a life for a life’. The abolitionist Giuseppe Pelli attacked the Lex head-on. In doing so he drew on the diverse critiques of the Lex of a succession of earlier (non-abolitionist) thinkers. The Lex Talionis has staying power. It embodies a basic human conviction that retaliation is due for injuries suffered. As such, it is outside the law; it will coexist with, and survive, any legal environment.
The effect of dietary intake on body weight may vary based on individual genetic differences. However, children are rarely used in such investigations. The aim was to identify possible genetic moderation through polygenic scores (PGS) for BMI, of the association between dietary intakes and BMI in children. The study sample included children who were part of a French-Canadian birth-cohort study. BMI data was available on seven occasions between ages 4 and 13 years. FFQ (juice and fruit drinks, sweets and snack foods, meats, and fruits and vegetables) and 24-h dietary recall (proteins, lipids, carbohydrates, total energy) data were available up to 4 years. Linear mixed models were used to account for repeated BMI measurements. The consumption of juice and fruit drinks (in girls), sweets and snack foods, fruits and vegetables, proteins, lipids, carbohydrates and total energy were associated with BMI. Associations with BMI increased with age (kg/m2 per year) for fruits and vegetables (β: −0.03, 95%CI: −0.06;−0.01), lipids (β: 0.11, 95%CI: 0.01;0.22), carbohydrates (β: 0.05, 95%CI: 0.01;0.08), and total energy (β: 0.07, 95%CI: 0.02;0.12), and with higher values of a PGS (kg/m2 per SD) for proteins (β: 0.54, 95%CI: 0.03;1.06), lipids (β: 0.63, 95%CI: 0.12;1.13), and total energy (β: 0.32, 95%CI: 0.06;0.58). Using longitudinal data, we showed that the associations between specific dietary intakes and BMI may vary depending on age and genetic susceptibility in childhood.
This study examines how multiple dimensions of socio-emotional well-being relate to cognitive functioning in older adults, and whether the associations vary by cognitive status, depression, and socio-demographic factors.
Methods:
Data from the Harmonized Cognitive Assessment Protocol of the Survey of Health, Ageing and Retirement in Europe (n = 2,650; mean age = 76; 54.5% females) were used to test associations between life satisfaction, meaning in life, social connectedness, and loneliness with global, domain-specific cognitive performance, and informant-rated cognitive decline.
Results:
Linear mixed models, with individuals nested within five countries, found that higher life satisfaction, meaning in life, and social connectedness were associated with better cognitive outcomes, whereas greater loneliness was associated with worse performance and greater informant-rated decline. The largest effect sizes were observed for meaning in life (median β = .10) and loneliness (median β = −.09) across cognitive measures. The associations generally remained significant adjusting for well-known clinical (e.g., diabetes), behavioral (e.g., physical inactivity), and psychological (depressive symptomatology) risk factors for dementia. Moderation and sensitivity analyses suggested that associations with global cognition hinged on the inclusion of participants classified with cognitive impairment, while some domain-specific associations (e.g., loneliness and episodic memory) were observed only in individuals without cognitive impairment. Overall, evidence for moderation by cognitive status, depression and age was limited, and no moderation was observed for sex or education.
Conclusions:
The results underscore the importance of socio-emotional well-being in cognitive aging and highlight the need for longitudinal research to clarify mechanistic pathways and inform targeted interventions.
Sensory processing sensitivity (SPS) is a trait characterized by heightened responsiveness to external and internal stimuli. Past research suggests individuals high in SPS may exhibit depressive symptoms, possibly due to their highly sensitive nervous system. While the link between SPS and sleep quality remains unexplored, studies have established a strong association between depression and sleep. This study aimed to compare sensitivity groups concerning sleep quality and depression and to evaluate depression’s moderating effects on the SPS–sleep quality relationship. An online survey was administered to 1,122 Spanish participants (female 75.8%, n = 850), with a mean age of 24.5 (standard deviation [SD] = 11.2). Analyses of covariance (ANCOVAs) indicated that the high-sensitivity group experienced more sleep disturbances and severe symptoms of depression, considering gender, age, and monthly incomes as sociodemographic variables. Depression was found to significantly moderate the SPS–sleep quality relationship (F(2, 1116) = 5.717, p = .003), exacerbating the impact of SPS on sleep disturbances. The study findings suggest that highly sensitive people appear to indicate more severe depressive symptoms, as well as sleep quality disturbances, with the influence of gender, age, and monthly income. Also, depression seems to moderate the relationship between SPS and sleep quality, leading to greater sleep disturbances among highly sensitive individuals with severe depressive symptoms.
Models with multiple equations rather than a single equation are the subject of Chapter 4. It covers model specification, implied moments, model identification, model estimation, and model interpretation, fit, and diagnostics in the context of such models. The consequences of measurement error and the treatment of mediation effects are part of the chapter. Finally, the chapter compares simultaneous equation models and Directed Acyclic Graphs (DAGs).
Chapter 3 concentrates on single equation regression models but presents them from the perspective of structural equations models. It introduces and applies the major steps of structural equation modeling: model specification, implied moments, model identification, model estimation, and model interpretation and fit. It also includes diagnostics and testing for regression and a discussion of the consequences of using multiple regression with variables measured with errors.
Callous-unemotional (CU) traits, characterized by lack of empathy, guilt, and deficient affect, are linked to facial emotion recognition (FER) deficits in children. While anxiety is also associated with FER anomalies, these relationships are often examined in isolation despite co-occurrence. This study aims to concurrently investigate unique contributions of CU traits and anxiety on children’s FER patterns. We recruited 107 children aged 6 to 11 from community settings, assessing CU traits through caregiver reports and anxiety via caregiver and child reports. FER performance was evaluated using a computer-based task. Results indicate that CU traits negatively impact overall FER accuracy, particularly when controlling for parent-reported anxiety. CU traits were inversely related to total FER accuracy for children self-reporting high anxiety levels. These findings enhance our understanding of how CU traits and anxiety interact to influence FER deficits, suggesting that interventions targeting CU traits should consider anxiety symptoms as a critical factor in emotional processing challenges among children.
We examined whether obsessive passion and harmonious passion interacted in the prediction of work–family conflict, and the indirect effects of obsessive passion on counterproductive work behaviors as mediated by work–family conflict. We collected data from two samples of employees with jobs in engineering (Sample 1) and administration (Sample 2). Obsessive passion was associated with higher levels of work–family conflict, whereas harmonious passion was negatively related to work–family conflict. Furthermore, the positive effects of obsessive passion on work–family conflict were lower at high levels of harmonious passion. Work–family conflict was also positively related to counterproductive work behaviors (Sample 2). Finally, the indirect effects of obsessive passion on counterproductive work behaviors (Sample 2) were lower at high levels of harmonious passion.
This chapter examines the constitutional role of parties and partisanship. We begin by sketching a conception of constitutionalism as a mechanism for finding an equilibrium between different social interests. Appealing as this ideal of moderation has long been for many, we highlight its limits as a basis for democracy and progressive change. A desirable constitutional model must make space for political conflict and immoderation, and as we go on to argue, partisans and the associations they form are an important foundation for this. The final section connects these observations to the contemporary political world, in particular to the state of parties today and to some of the misplaced anxieties about ‘polarisation’ they give rise to.
Conditioning on variables affected by treatment can induce post-treatment bias when estimating causal effects. Although this suggests that researchers should measure potential moderators before administering the treatment in an experiment, doing so may also bias causal effect estimation if the covariate measurement primes respondents to react differently to the treatment. This paper formally analyzes this trade-off between post-treatment and priming biases in three experimental designs that vary when moderators are measured: pre-treatment, post-treatment, or a randomized choice between the two. We derive nonparametric bounds for interactions between the treatment and the moderator under each design and show how to use substantive assumptions to narrow these bounds. These bounds allow researchers to assess the sensitivity of their empirical findings to priming and post-treatment bias. We then apply the proposed methodology to a survey experiment on electoral messaging.
In Book 4 of Plato's Republic, Socrates introduces what is regarded by scholars as the Platonic account of justice, according to which it is essentially internal and self-regarding, a matter of relations among the parts of a city or soul. In this book, Roslyn Weiss contends that there is another notion of justice, as other-regarding and external, which is to be found in a series of conversations in Book 1 between Socrates and three successive interlocutors. Weiss considers the relationship between justice as conceived in Book 1 and Book 4, and carefully examines what can be learned from each of the arguments. Her close analysis of Book 1 brings to light what Socrates really believed about justice, and extracts and explores this Book's many insights concerning justice—at both the political and the personal level.
This chapter addresses an inevitable question: How are later books of the Republic, and specifically Book 4, related to Book 1? It contends that justice as conceived in Book 1 is “external,” concerned with how one entity regards and treats another, and so is at odds with the novel definition of justice in Book 4, according to which it is “internal,” a matter of what happens within a single entity, whether a city or a soul. It is argued that in Book 4, Socrates, having been tasked with persuading Glaucon and Adeimantus that there is profit in being just, identifies a reward for being just, namely, the harmonious internal state of city and soul. Although he briefly calls this healthy and therefore desirable condition “justice,” he more frequently and aptly identifies it as “moderation.” This chapter makes the case that it is the account of justice found in Book 1 that more closely reflects Socrates’ (or Plato’s) understanding of it.
The validity of conclusions drawn from specific research studies must be evaluated in light of the purposes for which the research was undertaken. We distinguish four general types of research: description and point estimation, correlation and prediction, causal inference, and explanation. For causal and explanatory research, internal validity is critical – the extent to which a causal relationship can be inferred from the results of variation in the independent and dependent variables of an experiment. Random assignment is discussed as the key to avoiding threats to internal validity. Internal validity is distinguished from construct validity (the relationship between a theoretical construct and the methods used to operationalize that concept) and external validity (the extent to which the results of a research study can be generalized to other contexts). Construct validity is discussed in terms of multiple operations and discriminant and convergent validity assessment. External validity is discussed in terms of replicability, robustness, and relevance of specific research findings.
This chapter explains how the Chilean right has been reconfigured due to the multidimensional crisis that has shaken Chile since the end of 2019. The authors analyze how tensions regarding competition and identity have affected relevant actors and structured their perceptions, calculations, and behaviors. They examine the ideational changes and continuities of the Chilean right’s road to moderation. They argue that the joint processes of liberalization and democratization gave rise to a gattopardista strategy of “changing so that things may remain the same.” This was characterized by the programmatic moderation of coalition candidates until the 2017 campaign, with traditional right-wing parties moving to the center to the extent that they did not threaten the pillars of the neoliberal model. However, when centrist and left-wing parties aimed to significantly reform the institutional core, the traditional right did react, and moved further to the right on the ideological continuum.
The analysis of ‘moderation’, ‘interaction’, ‘mediation’ and ‘longitudinal growth’ is widespread in the human sciences, yet subject to confusion. To clarify these concepts, it is essential to state causal estimands, which requires the specification of counterfactual contrasts for a target population on an appropriate scale. Once causal estimands are defined, we must consider their identification. I employ causal directed acyclic graphs and single world intervention graphs to elucidate identification workflows. I show that when multiple treatments exist, common methods for statistical inference, such as multi-level regressions and statistical structural equation models, cannot typically recover the causal quantities we seek. By properly framing and addressing causal questions of interaction, mediation, and time-varying treatments, we can expose the limitations of popular methods and guide researchers to a clearer understanding of the causal questions that animate our interests.
Whether material deprivation-related childhood socio-economic disadvantages (CSD) and care-related adverse childhood experiences (ACE) have different impacts on depressive symptoms in middle-aged and older people is unclear.
Methods
In the Guangzhou Biobank Cohort Study, CSD and ACE were assessed by 7 and 5 culturally sensitive questions, respectively, on 8,716 participants aged 50+. Depressive symptoms were measured by 15-item Geriatric Depression Scale (GDS). Multivariable linear regression, stratification analyses, and mediation analyses were done.
Results
Higher CSD and ACE scores were associated with higher GDS score in dose-response manner (P for trend <0.001). Participants with one point increment in CSD and ACE had higher GDS score by 0.11 (95% confidence interval [CI], 0.09–0.14) and 0.41 (95% CI, 0.35–0.47), respectively. The association of CSD with GDS score was significant in women only (P for sex interaction <0.001; women: β (95% CI)=0.14 (0.11–0.17), men: 0.04 (−0.01 to 0.08)). The association between ACE and GDS score was stronger in participants with high social deprivation index (SDI) (P for interaction = 0.01; low SDI: β (95% CI)=0.36 (0.29–0.43), high SDI: 0.64 (0.48–0.80)). The proportion of association of CSD and ACE scores with GDS score mediated via education was 20.11% and 2.28%.
Conclusions
CSD and ACE were associated with late-life depressive symptoms with dose-response patterns, especially in women and those with low adulthood socio-economic status. Education was a major mediator for CSD but not ACE. Eliminating ACE should be a top priority.
Essential minerals are cofactors for synthesis of neurotransmitters supporting cognition and mood. An 8-week fully-blind randomised controlled trial of multinutrients for attention-deficit/hyperactivity disorder (ADHD) demonstrated three times as many children (age 6–12) had significantly improved behaviour (‘treatment responders’) on multinutrients (54 %) compared with placebo (18 %). The aim of this secondary study was to evaluate changes in fasted plasma and urinary mineral concentrations following the intervention and their role as mediators and moderators of treatment response. Fourteen essential or trace minerals were measured in plasma and/or urine at baseline and week eight from eighty-six participants (forty-nine multinutrients, thirty-seven placebos). Two-sample t tests/Mann–Whitney U tests compared 8-week change between treatment and placebo groups, which were also evaluated as potential mediators. Baseline levels were evaluated as potential moderators, using logistic regression models with clinical treatment response as the outcome. After 8 weeks, plasma boron, Cr (in females only), Li, Mo, Se and vanadium and urinary iodine, Li and Se increased more with multinutrients than placebo, while plasma phosphorus decreased. These changes did not mediate treatment response. However, baseline urinary Li trended towards moderation: participants with lower baseline urinary Li were more likely to respond to multinutrients (P = 0·058). Additionally, participants with higher baseline Fe were more likely to be treatment responders regardless of the treatment group (P = 0·036.) These results show that multinutrient treatment response among children with ADHD is independent of their baseline plasma mineral levels, while baseline urinary Li levels show potential as a non-invasive biomarker of treatment response requiring further study.