A multicultural framework in counsellor training: A preliminary evaluation

The multicultural module of a postgraduate Diploma in Counselling was evaluated. The evaluation focused both on former students' experience of the relevance of multiculturalism to their counselling and on which of three perspectives on multiculturalism they most agreed with. The findings confirmed and illustrated the relevance of multiculturalism to practice. The counsellors also expressed a clear preference for an integrationist perspective, with a structuralist approach their second choice.     

A framework for rationing by clinical judgment

Although rationing by clinical judgment is controversial, its acceptability partly depends on how it is practiced. In this paper, rationing by clinical judgment is defined in three different circumstances that represent increasingly wider circles of resource pools in which the rationing decision takes place: triage during acute shortage, comparison to other potential patients in a context of limited but not immediately strained resources, and determination of whether expected benefit of an intervention is deemed sufficient to warrant its cost by reference to published population based thresholds. Notions of procedural justice are applied along with an analytical framework of six minimal requisites in order to facilitate fair bedside rationing: (1) a closed system that offers reciprocity, (2) attention to general concerns of justice, (3) respect for individual variations, (4) application of a consistent process, (5) explicitness, and (6) review of decisions. The process could be monitored for its applicability and appropriateness.     

The career resources model: an integrative framework for career counsellors

Changes in the nature of work and organisations have led to an increased need for self-directed career management (SDCM). However, there is no consensus in the literature of what constitutes SDCM and many related concepts have been proposed. Integrating previous research across different conceptualisations of SDCM, the article proposes four critical career resources which are essential for career development in the modern context: human capital resources, social resources, psychological resources and identity resources. Implications of this framework for counselling practice are presented.     

Case manager: A clinical tool for training residential treatment staff

Various behavioral approaches to institution staff training have appeared in the literature, with some showing that traditional didactic-type instruction or tangible extrinsic reinforcement is not always necessary for effective training. The system described here used principles of modeling and feedback to teach institution staff behavior management skills. In addition, staff were assigned special titles, i.e., “case manager.” Results indicate that this individualized system was associated with improvements in the target behaviors in question, and also increased the amount of time staff properly interacted with assigned residents. Implications are with regard to using this efficient approach as a clinical tool for training staff to be effective behavioral technicians.     

Family resilience: a framework for clinical practice

This article presents an overview of a family resilience framework developed for clinical practice, and describes its advantages. Drawing together findings from studies of individual resilience and research on effective family functioning, key processes in family resilience are outlined in three domains: family belief systems, organizational patterns, and communication/problem-solving. Clinical practice applications are described briefly to suggest the broad utility of this conceptual framework for intervention and prevention efforts to strengthen families facing serious life challenges.     

Closing the gaps: developmental psychopathology as a training model for clinical child psychology

Espouses developmental psychopathology as a framework for training our future leaders due to its emphasis on an ecological, transactional lifespan perspective, as well as interdisciplinary bridging and policy focus. This perspective, used as a framework for questioning and thinking about the complex interplay of psychological and social phenomena, provides a method for closing the gaps in training future psychologists as it allows for the development of niche expertise under an umbrella of the broader, ecological perspective. In an increasingly complex world of shrinking mental health dollars and growing severity of mental health problems for families and youth, clinical psychologists are needed more than ever to solve social problems. The current training paradigms in clinical child psychology programs need redirection and clarification for future psychologists to contribute meaningfully to science, practice, and policy. This article provides background in the history and influence of the developmental psychopathology perspective, as well as future implications for doctoral training programs in clinical psychology.     

A new framework for modeling decisions about changing information: The Piecewise Linear Ballistic Accumulator model

In the real world, decision making processes must be able to integrate non-stationary information that changes systematically while the decision is in progress. Although theories of decision making have traditionally been applied to paradigms with stationary information, non-stationary stimuli are now of increasing theoretical interest. We use a random-dot motion paradigm along with cognitive modeling to investigate how the decision process is updated when a stimulus changes. Participants viewed a cloud of moving dots, where the motion switched directions midway through some trials, and were asked to determine the direction of motion. Behavioral results revealed a strong delay effect: after presentation of the initial motion direction there is a substantial time delay before the changed motion information is integrated into the decision process. To further investigate the underlying changes in the decision process, we developed a Piecewise Linear Ballistic Accumulator model (PLBA). The PLBA is efficient to simulate, enabling it to be fit to participant choice and response-time distribution data in a hierarchal modeling framework using a non-parametric approximate Bayesian algorithm. Consistent with behavioral results, PLBA fits confirmed the presence of a long delay between presentation and integration of new stimulus information, but did not support increased response caution in reaction to the change. We also found the decision process was not veridical, as symmetric stimulus change had an asymmetric effect on the rate of evidence accumulation. Thus, the perceptual decision process was slow to react to, and underestimated, new contrary motion information.     

A nonlinear mixed model framework for item response theory

Mixed models take the dependency between observations based on the same cluster into account by introducing 1 or more random effects. Common item response theory (IRT) models introduce latent person variables to model the dependence between responses of the same participant. Assuming a distribution for the latent variables, these IRT models are formally equivalent with nonlinear mixed models. It is shown how a variety of IRT models can be formulated as particular instances of nonlinear mixed models. The unifying framework offers the advantage that relations between different IRT models become explicit and that it is rather straightforward to see how existing IRT models can be adapted and extended. The approach is illustrated with a self-report study on anger.     

The gender affirmative lifespan approach (GALA): A framework for competent clinical care with nonbinary clients

Abstract

Background: The limited research on nonbinary individuals suggests that this community experiences significant health disparities. Compared to binary transgender individuals, research suggests that nonbinary individuals are at elevated risk for discrimination and negative mental health outcomes, including depression, anxiety, traumatic stress, and suicidality. Even mental health providers who work with binary transgender individuals often lack knowledge of and training to work competently with nonbinary individuals.

Methods: The authors of this conceptual article present the Gender Affirmative Lifespan Approach (GALA), a psychotherapy framework based in health disparities theory and research, which asserts that therapeutic interventions combating internalized oppression have the potential to improve mental health symptomatology resulting in improved overall health and well-being for gender diverse clients. GALA’s therapeutic interventions are designed to promote positive gender identity development through five core components: (1) building resiliency; (2) developing gender literacy; (3) moving beyond the binary; 4) promoting positive sexuality; and (5) facilitating empowering connections to medical interventions (if desired).

Results: The core components of the GALA model are individualized to each client’s unique needs, while taking into consideration age and acknowledging developmental shifts in, or fluidity of, gender across the lifespan. This model represents an inclusive, trans-affirmative approach to competent clinical care with nonbinary individuals.

Discussion: Application of the GALA model with nonbinary clients is discussed, including one clinical case vignette.     

The five connections: A human rights framework for psychologists

This article provides a brief introduction to human rights, describes why human rights are intrinsic to psychology, and introduces the “Five Connections Framework,” which was adopted by the American Psychological Association in 2021. This framework articulates five distinct relationships between human rights and psychology: (a) Psychologists possess rights by virtue of being human, as well as specific rights essential to their profession and discipline; (b) Psychologists apply their knowledge and methods to the greater realisation of human rights; (c) Psychologists respect human rights and oppose the misuse of psychological science; (d) Psychologists ensure access to the benefits of psychological science and practice; and, (e) Psychologists advocate for human rights. Each of the five connections is described, highlighting implications for psychological research, practice, training and advocacy, with suggestions for how these connections can guide and inspire individual psychologists and psychological associations worldwide.