Parental consent for psychological evaluations: Legal,ethical and practical considerations

This article explores the legal, ethical, and practical considerations underlying the requirement for acquiring parental consent prior to a psychological assessment of children in school settings. Publ. L. 94-142 now mandates that parents for all children potentially labeled as handicapped give permission for a preplacement evaluation. This article reviews in detail specific aspects of that mandate, argues that this procedure be generalized to all situations where psychologists propose to evaluate children by reviewing both current ethical codes and standards for practice and public policy which favors such an undertaking. Finally, the authors indicate methods for implementing the mandate by discussing such issues as who should obtain consent and what information parents should receive prior to giving consent.     

Status-based rejection sensitivity among asian americans: implications for psychological distress

We examined whether anxious expectations of discrimination among Asian Americans can help explain this group's elevated levels of internalizing symptomatology, such as lower self-esteem (Twenge & Crocker, 2002) and higher depressive symptoms (Okazaki, 1997, 2002) relative to European Americans. Study 1 reports on the development and validation of a scale measuring status-based rejection sensitivity among Asian Americans (RS-A). In Study 2, scores on the RS-A were related to spontaneous discrimination attributions specifically in situations where discrimination is both applicable and possible for Asian Americans. Study 3 revealed that shame mediated the relationship between RS-A and internalizing symptomatology. Implications for well-being and intergroup interactions are discussed.     

The unconscious pursuit of emotion regulation: implications for psychological health

Because of the central involvement of emotion regulation in psychological health and the role that implicit (largely unconscious) processes appear to play in emotion regulation, implicit emotion-regulatory processes should play a vital role in psychological health. We hypothesised that implicitly valuing emotion regulation translates into better psychological health in individuals who use adaptive emotion-regulation strategies. A community sample of 222 individuals (56% women) who had recently experienced a stressful life event completed an implicit measure of emotion regulation valuing (ER-IAT) and reported on their habitual use of an important adaptive emotion-regulation strategy: cognitive reappraisal. We measured three domains of psychological health: well-being, depressive symptoms, and social adjustment. As hypothesised, individuals who implicitly valued emotion regulation exhibited greater levels of psychological health, but only when they were high in cognitive reappraisal use. These findings suggest that salutary effects of unconscious emotion-regulation processes depend on its interplay with conscious emotion-regulation processes.     

Children with AIDS in the public schools: The ethical issues

The question of whether to allow children with AIDS to attend public school generates explosive emotions and has wide-reaching consequences. This paper focuses on the perspective of parents of well children who may be asked to attend school with children who have AIDS. These parents are poised at the heart of the dilemma: they are the ethical “bottom line,” and an argument that fails to satisfy them ought not to satisfy anyone. The conflicting commitments these parents face are first to the parentchild covenant which requires them to act in their child's best interests, and second, to the principles of beneficence and justice, which require them not to further burden a sick child with ostracism and isolation. Almost exact parallels exist between this issue and that of proxy consent by parents for children's participation in low-risk, non-therapeutic research. The lengthy and important debate between Paul Ramsey and Richard McCormick on this question is analyzed, concluding that McCormick's position in favor of thoughtful proxy consent is the more compelling. Returning to the question of allowing children with AIDS to attend school, the essay shows why the parallels are persuasive. On the ethical level, the apparent conflict of obligations is almost exactly the same; on the pragmatic level, the essay shows why sharing a classroom with a child who has AIDS is comparable to the “low-risk” category that the National Commission for the Protection of Human Subjects found acceptable in its 1978 guidelines. The essay concludes that parents of healthy childrenmay and ought to accept the presence of children with AIDS in the public school.     

Fear of AIDS: Its meaning and implications for clinical practice

Clinical reports have appeared about patients who present for mental health treatment with the major symptom of fearing that they have AIDS. The clinical reports of patients who fear AIDS are similar to those made many years ago by patients who feared syphilis. As with the syphilophobia of years ago, the AIDS group represents a divergent set of patients. Some can be described as the worried well who have realistic concerns because of a recent history of high risk behavior; others have unrealistic fears that are secondary to a major mental disorder such as hypochondriasis, depression, or schizophrenia. Suggestions are made to psychotherapists who encounter patients presenting with the problem of fearing AIDS.The views expressed here do not necessarily represent those of the Pennsylvania Psychological Association     

Cultural practices of Hispanics: implications for the prevention of AIDS

Hispanic Americans have one of the highest rates of HIV seroprevalence among all ethnics groups in the US, with high rates being especially noticeable among women and children. Were it known which cultural factors have the most influence on whether Hispanics engage in high-risk behavior for HIV transmission, prevention interventions could be targeted accordingly. To that end, this study was mounted to identify which Hispanic cultural factors relate to condom use. 117 males and 73 females aged 17-56 years of mean age 25.67 were surveyed in Washoe county, Nevada. These mostly young adults had recently immigrated to the western US. It was initially posited that fate orientation, male- female relationships, family relationships, machismo behavior, and religion would have equal influence with respect to condom use. Analysis found that condom use was largely associated with and determined by men who are the principal buyers of condoms. A machismo attitude toward protecting women by using condoms was also associated with condom use. Neither fate orientation with respect to AIDS, nor religion were important determinants of condom use, even though 86.5% of the respondents were Catholic. The degree to which respondents adhered to traditional Hispanic cultural values was influenced by the degree of education and acculturation. On the basis of these findings, the authors suggest targeting AIDS prevention messages to males, while emphasizing the protection of women through condom use. They also suggest that both education and acculturation levels be assessed before implementing prevention programs.     

Control groups in psychosocial intervention research: ethical and methodological issues

This article summarizes a National Institute of Mental Health (NIMH) workshop that was convened to address the ethical and methodological issues that arise when conducting controlled psychosocial interventions research and introduces 6 thoughtful and inspiring papers presented by workshop participants. These papers, on topics ranging from informed consent to ethnic minority issues, reflect the depth and breadth of expertise represented by the multidisciplinary group of scientists and ethicists present at the meeting. More extensive follow-up, particularly from federal research applications and publications, of how investigators balance the need for strong research design with ethical considerations may help advance the science of psychosocial intervention research.     

A neurocognitive model of the ethical decision-making process: implications for study and practice

The field of business ethics is entrenched in a cognitive approach that portrays the ethical decision-making process as a completely deliberate and reasoned exercise. In light of growing concerns about the veracity of this approach, I build upon current knowledge of how the brain functions to present a neurocognitive model of ethical decision making. The model suggests that ethical decision making involves 2 interrelated yet functionally distinct cycles, a reflexive pattern matching cycle and a higher order conscious reasoning cycle, and thereby describes not only reasoned analysis, but also the intuitive and retrospective aspects of ethical decision making. The model sparks research in new areas, holds significant implications for the study of ethical decision making, and provides suggestions for improving ethical behavior in organizations.     

Stimulus-response compatibility and psychological refractory period effects: implications for response selection

The purpose of this paper was to provide insight into the nature of response selection by reviewing the literature on stimulus-response compatibility (SRC) effects and the psychological refractory period (PRP) effect individually and jointly. The empirical findings and theoretical explanations of SRC effects that have been studied within a single-task context suggest that there are two response-selection routes—automatic activation and intentional translation. In contrast, all major PRP models reviewed in this paper have treated response selection as a single processing stage. In particular, the response-selection bottleneck (RSB) model assumes that the processing of Task 1 and Task 2 comprises two separate streams and that the PRP effect is due to a bottleneck located at response selection. Yet, considerable evidence from studies of SRC in the PRP paradigm shows that the processing of the two tasks is more interactive than is suggested by the RSB model and by most other models of the PRP effect. The major implication drawn from the studies of SRC effects in the PRP context is that response activation is a distinct process from final response selection. Response activation is based on both long-term and short-term task-defined S-R associations and occurs automatically and in parallel for the two tasks. The final response selection is an intentional act required even for highly compatible and practiced tasks and is restricted to processing one task at a time. Investigations of SRC effects and responseselection variables in dual-task contexts should be conducted more systematically because they provide significant insight into the nature of response-selection mechanisms.     

Cognitive reappraisal in the context of oppression: implications for psychological functioning

Research on emotion regulation has shown cognitive reappraisal to be positively correlated with better psychological functioning. Prior research has failed to account for contextual influences on this important relationship. We examined how this relationship plays out across two United States ethnic groups that represent different contexts of oppression: Puerto Ricans, experiencing distal oppression (societal level) but not proximal oppression (immediate environment), and Latino Americans, experiencing both. We also captured individual beliefs regarding oppression of one's group and implications of that oppression by measuring oppressed minority ideology (OMI). Results confirmed our hypothesis that the relationship between reappraisal and psychological functioning would be moderated by the context of oppression (as measured by ethnic group membership and OMI). For Latino Americans high on OMI, reappraisal was negatively associated with psychological functioning. For Puerto Ricans, regardless of OMI, this relationship remained positive, suggesting a possible benefit for minorities in being surrounded by in-group members.     

General systems theory: Practical and theoretical implications for group intervention

General systems theory (GST) principles have particular relevance for the practice of group psychotherapy. The present paper involves an integration of the abstract conceptual principles of GST with more practical issues in the fields of group dynamics and group psychotherapy. The specific focus is upon a hierarchical array of boundary subsystems having object relations characteristics, any one of which may become the target system for the leader's group intervention.     

Suicidal behavior inLatinas: explanatory cultural factors and implications for intervention

We posit that the high rates of suicidal behavior by teenage Hispanic females reported in large-scale surveys can be understood as a cultural phenomenon, a product of specific elements of the history, tradition, ideology, or social norms of a particular society, and that treatment interventions must take family and cultural factors into consideration. For over a decade, surveys have reported that among ethnic and racial minority youth in the United States, Latinas have the highest rates of suicidal behavior compared to African American and non-Hispanic White adolescent females. However, other research shows that the psychological profiles of suicidal Latina adolescent girls and the risk factors for Latina suicidal behavior may not be that different from non-Hispanic suicidal adolescent females. The unique situation of adolescent Latinas involves the convergence of cultural and familial factors (i.e., familism, acculturation, relatedness, autonomy, etc.) with the developmental, social, and individual factors frequently associated with suicidal behaviors. Based on this background, family-oriented interventions appear to be the most appropriate approach to the prevention and treatment of Hispanic suicidal girls. Factors implicated in Latina suicidal behavior and community-based interventions that include the adolescent and her family are suggested.     

Commitment as psychological process: Theory and pastoral implications

Persons today must devote significant effort to making and remaking personal commitments in a variety of contexts, both interpersonal and social in the larger sense. Therefore, it is important for pastors to acquire an understanding of the basic dynamics of the committing process. It is proposed that this process be viewed as a form of creativity involving four alternating phases, in which regression in the service of the ego allows deep and realistic commitments of self to be formed. Implications for pastoral care are suggested.     

Individual differences in emotional complexity: their psychological implications

Two studies explored the nature and psychological implications of individual differences in emotional complexity, defined as having emotional experiences that are broad in range and well differentiated. Emotional complexity was predicted to be associated with private self-consciousness, openness to experience, empathic tendencies, cognitive complexity, ability to differentiate among named emotions, range of emotions experienced daily, and interpersonal adaptability. The Range and Differentiation of Emotional Experience Scale (RDEES) was developed to test these hypotheses. In Study 1 (N=1,129) students completed questionnaire packets containing the RDEES and various outcome measures. Study 2 (N=95) included the RDEES and non-self-report measures such as peer reports, complexity of representations of the emotion domain, and level of ego development measured by a sentence completion test. Results supported all of the hypotheses, providing extensive evidence for the RDEES's construct validity. Findings were discussed in terms of the role of emotional complexity in ego maturity and interpersonal adaptability.     

Vulnerability: reflection on its ethical implications for the protection of participants in SAMHSA programs

The vulnerability of participants in Substance Abuse and Mental Health Services Administration (SAMHSA) programs is a consequence of the illnesses that they are experiencing; ethical guarantees must be in place that ensure the dignity of the persons involved in such programs. Dignity is more than an individual concern; it has individual, institutional, and societal dimensions. An ethical framework is proposed that involves the interrelated vulnerabilities and needs of individuals and communities and our societal response to them. Among the issues given particular attention are individual and community stigmatization, target population involvement in program planning, balance with regard to confidentiality and privacy, the place of proportionality grounded in a rich sense of community as a guiding ethical priniciple, and guidelines for SAMHSA programs.     

Perceptual learning with odors: implications for psychological accounts of odor quality perception

After two odors have been experienced in a mixture, the pair are subsequently rated as sharing more qualities and smelling more alike than equally exposed controls. These effects may result from the retrieval of a common mixture memory when either component is sniffed alone. If correct, odor pairs experienced together in a mixture should also be less discriminable than those experienced an equal number of times but in different mixtures. This was tested here by exposing participants to two odor mixtures (either AX, BY or AY, BX) and then testing their ability to discriminate between the components. As predicted, odors previously experienced together as a mixture were less discriminable than controls. These and related findings noted above suggest that learning and memory play an important role in odor quality perception.