“It Would Be a Shame to Lose Them”: A Critical Historical,Scoping, and Expert Review on the Use of Projective Assessments in Occupational Therapy,Part II

Projective assessments have a long history in occupational therapy, yet their relevance may be questioned. Part I of this article provided a critical history of their development and a scoping review of the evidence. This second article outlines an interview-based qualitative study of the clinical and academic perspectives of nine experts. Through this comprehensive two-part article, conceptual and methodological issues are articulated in order to suggest educational and clinical guidelines, and future research avenues. The place of projective assessments in occupational therapy is demonstrated as a salient specialty area of practice in the current evolving landscape of mental health.     

Older Adults’ Psychosocial Responses to a Fear of Falling: A Scoping Review to Inform Occupational Therapy Practice

Abstract

Falls in older adults are a major health concern, yet the “fear of falling”, a common psychosocial response that can occur post-fall, has seldom been investigated. A scoping review was conducted to identify and map interventions that occupational therapists can use to manage the fear of falling psychosocial response (FoFPR) among older adults. Thirteen electronic databases were searched and 22 studies were retrieved. Cognitive behavioral therapy, guided imagery, and Tai Chi were interventions found to help older adults deal with their FoFPRs. Occupational therapists assisting older adults in this area can play a significant role.     

A Review of the Literature on Bullying in U.S. Schools and How a Parent–Educator Partnership Can Be an Effective Way to Handle Bullying

Bullying has been studied for many years in the U.S. and other countries. This article is a review of the literature focusing on the laws (state and federal) pertaining to bullying and the long-term effects of being a bully. In addition, the article provides an overview of the five different types of bullying: (a) physical bullying, (b) verbal bullying, (c) bullying through relational aggression, (d) bullying through social aggression, and (e) cyberbullying. Focus is also given to the emotional and physical behaviors of the (a) bully, (b) passive victim, (c) bully victim, and (d) bystander, as well as the short- and long-term effects of bullying on each of them. The last part of the article focuses on the importance of having a parent–educator partnership with zero tolerance for bullying.     

One Need Not Be a House to Be Haunted: On Enactment,Dissociation, and the Dread of “Not-Me”—A Case Study

This paper examines psychic trauma as experience so shockingly strange that it exceeds the threshold for cognitive processing and begins to flood the mind with unintegratable affect that threatens to disorganize the internal template on which one's experience of self-coherence, self-cohesiveness, and self-continuity depends. A detailed clinical vignette illustrates how the unprocessed “not-me” experience held by a dissociated self-state as an affective memory without an autobiographical memory of its traumatic origin “haunts” the self. It remains a ghostly horror even in an otherwise successful psychoanalysis unless a new perceptual reality is created between patient and analyst that alters the narrative structure maintaining the dissociation as though the past were still a present danger. The analyst's making optimal use of dissociative processes in an intersubjective and interpersonal context enables the patient more readily to self-regulate affect in those areas of implicit memory where trauma has left its mark; the dissociated ghosts of “not-me” are thus persuaded, little-by-little, to cease their haunting and participate more and more actively and openly as self-reflective, self-expressive parts of “me.”     

‘When Would You Do It?’ An Investigation into the Effects of Retaliation,Seriousness of Malpractice and Occupation on Willingness to Blow the Whistle

A questionnaire study involving white collar workers (n=48) investigated the effects of the threat of retaliation, seriousness of malpractice and occupational status of the observer on the likelihood and method of whistle-blowing chosen. In line with previous whistle-blowing and bystander intervention research, the likelihood of whistle-blowing was greater for serious malpractices and where threatened retaliation was low. The effect of retaliation was only significant for serious white collar malpractices and in every situation internal whistle-blowing was more likely than external. The general likelihood of whistle-blowing was positively correlated with the perception that reporting the malpractice would result in change.     

And Yet it Moves! A Reply to “Rectifying Misconception: A Comprehensive Response to Gardner,Moore, and Marks Comments on ‘Some Concerns About the Psychological Implications of Mindfulness: A Critical Analysis’ ”

In this brief article I reply to Gardner et al. (J Ration Emot Cogn Behav Ther. doi:10.1007/s10942-014-0196-1, 2014)’s comments to my previous article titled “Some concerns about the psychological implications of mindfulness. A critical analysis” (David, in J Ration Emot Cogn Behav Ther. doi:10.1007/s10942-014-0198-z, 2014). While initially—humorously and for the sake of debate—adopting an attitude towards mindfulness based on a modified version of Galileo’s Abjuration, I then critically argued that Gardner et al.’s criticism is focused on a priori defending a construct and its associated practices that, by the very nature of empirically supported constructs/interventions, are not perfect (i.e., panacea), but subject to clarifications, limitations, and improvements.     

Some Musings About the Limits of an Ethics That Can Be Applied – A Response to a Question About Courage and Convictions That Confronted the Author When She Woke Up on November 9, 2016

I experienced the 2016 Presidential election as a loss of innocence. For the first time in my life, the prospect of losing my most basic rights and freedoms did not feel so remote. Confronting this possibility prompted the musings in this article. I call them ‘musings' because the article is not a systematic defense of a clearly demarcated position. It is, rather, a somewhat circuitous exploration of the many questions that pressed themselves upon me as I struggled to understand what distinguishes (a) reasonable accommodations to injustice from (b) morally unacceptable accommodations. When is a commitment not really a commitment? When does reasonable fear become shameful cowardice? When does my knowledge that I can do something to resist injustice give me good enough reason to resist? Under what conditions is my reason an enemy of my ideals? What is the proper balance between valuing myself beyond price and appreciating that many, many things matter far more than my own life and security? In grappling with these questions, I have been reminded of the extent to which moral discernment does not involve applying a ‘philosophy' and the extent to which it cannot be secured by prior training.     

Is it smart to play the horses? Comment on "A day at the races: a study of IQ, expertise, and cognitive complexity" (Ceci & Liker, 1986)

Ceci and Liker (1986b) presented data that they contended shows two things: (a) Handicapping harness races is a cognitively complex undertaking that can be captured by a multiple regression model, and (b) neither overall skill at handicapping nor the complexity of the mental model used is related to standard measures of intelligence. The first contention is not at issue. But the second contention, that handicapping performance is unrelated to IQ, is not supported by the data presented; in fact, the opposite conclusion seems more likely. The purpose of this comment is to point out errors frequently made in individual-differences research concerning population definition, sample selection, dependent and independent variable reliability and validity and interpretation of results.     

‘Be careful,or you'll act corruptly and make a carved image for yourselves,in the form of a figure,the likeness male or female’ (Deut. 4:16): A commentary on Norenzayan's Big Gods: How Religion Transformed Cooperation and Conflict (2013)

Norenzayan's book is an ambitious attempt to integrate recent research from behavioral economics and social psychology, particularly priming studies, into a book about religion. If the account is meant as an explanation of religion or big religion, it does not succeed. If it has more modest aims, namely to describe how surveillance institutions, of which big religion is one important class, can sometimes lead to cooperation and conflict, then it is quite successful in doing so.