Moral Treatment in Asylums and General Hospitals in 19th-Century America

Moral treatment, a therapeutic approach that emphasized character and spiritual development, and called for kindness on the part of all who came in contact with the patient, flourished in American mental hospitals during the first half of the 19th century. Many of its essential features also existed then in the treatment of physical illness in American general hospitals. Changing social and welfare services and advances in scientific medicine contributed to a subsequent decline in moral treatment and to a divergence between the therapeutic approaches of the two kinds of hospitals. In recent years, there has been a gradual convergence in their treatment modes. Contemporary social and welfare services are contrasted with traditional moral treatment.     

宗教与慈善——从同一个站台出发的列车或走向同一站点的不同交通工具?

宗教是慈善重要的思想渊源,一种重要的慈善组织形式,宗教提供的慈善服务对扶贫济困、社会救助发挥了积极的作用,慈善也促进宗教教化功能的实现。随着社会分化,慈善和宗教逐渐分离,现代慈善注入了更多的内涵,但宗教慈善仍然发挥着重要作用。现代社会,宗教与慈善都面临着角色定位和社会管理的挑战,如何合理自我调适,回应社会的需求是一个需要关注的问题。     

Social identity and perceptions of torture: It's moral when we do it

Two studies examined the effects of social identity concerns on the moral justification of torture. British and American nationals read a media report concerning the torture of a terrorist suspect that they were led to believe had been perpetrated either by members of their own nation's security services or by another nation's security services. When the torture was perpetrated by the ingroup, participants described it as more morally justified than when the torture was perpetrated by the other nation's security services. This effect was mediated by participants' decreased empathy for the ingroup's torture victim (Study 1), as well as increased victim blame and perceiving the perpetrators as prototypical of their national group (Study 2). We consider how social identity concerns enable moral justification of harm doing.     

Are personality disorders associated with social welfare burden in the United States?

This study examined the association between personality disorders and use of major social welfare services in a nationally representative sample of U.S. adults (N = 43,093). Social welfare services received and diagnoses of personality, substance use, mood, and anxiety disorders were assessed with the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV-version. Analyses quantified the association between personality disorders and forms of public assistance while controlling for numerous confounds. Logistic regression analyses revealed dependent personality disorder, paranoid personality disorder, antisocial personality disorder, and avoidant personality disorder were significantly associated with increased odds of receiving public assistance. In contrast, persons diagnosed with histrionic, schizoid, and obsessive-personality disorder were not significantly more likely to receive any public welfare service. Development of effective prevention and treatment of personality disorders would likely lead to reductions in overall social welfare burden.     

Conceptualizations of Social Class in Afrtican American Women:

This article addresses the multiple definitions of social class in African American people and how the therapist's understanding of these definitions is important in therapeutic interventions with African American women. The article discusses: (a) the traditional ways in which social class has been defined in social science and the limits of these conceptualizations; (b) the multiple definitions of class within the African American community; and (c) treatment concerns for African American women based on class issues. Clinicians working with African American and other women who vary by class should be able to assess how class variables influence their therapeutic interventions with these women.     

Cultural Mistrust of Mental Health Professionals Among Black Males Transitioning from Foster Care

We examined cultural mistrust of mental health professionals among Black males who are transitioning from the foster care system (N = 74) and its relationship to their level of satisfaction with child welfare services and the frequency of negative social contextual experiences. Results of hierarchical regression analysis showed that the level of satisfaction with child welfare services moderated the relationship between negative social contextual experiences and cultural mistrust of mental health professionals. Specifically, more frequent negative social contextual experiences were related to greater cultural mistrust of mental health professionals for Black males reporting low satisfaction with child welfare services, but not for those reporting high satisfaction with child welfare services. Implications for service delivery are discussed.     

Justice as a basic human need

A stark encounter with some of the hostages and their families at the time of a parliamentary coup brought to mind the significance of justice for human development and community discourse. The evidence is presented, the concept of justice explored, human needs defined, and the argument advanced for more psychologists to extend their present academic and professional concerns with aspects of civil and criminal justice to include a concern with the social. The suggestion is that together all three components of justice are sufficiently compelling a component of human welfare to feature in any list of basic needs. Epistemologically they could also be construed as presenting a combined orthogonal domain to be integrated with moral values and be recognised as a stream of the emerging scientist-practitioner-metaphysician model. In raising the topic, attention is paid to the contributions of constitutional and international lawyers, moral philosophers, and a few pioneer psychologists. The hope is that others in such realms as child development, forensic services, industrial/organisational psychology, pastoral psychology, political psychology, and social psychology, might be sufficiently inspired to consider its relevance, undertake requisite training, and redesign their research accordingly.     

THE RIGHT TO EFFECTIVE BEHAVIORAL TREATMENT

We propose that individuals who are recipients or potential recipients of treatment designed to change their behavior have the right to a therapeutic environment, services whose overriding goal is personal welfare, treatment by a competent behavior analyst, programs that teach functional skills, behavioral assessment and ongoing evaluation, and the most effective treatment procedures available.     

Religiosity enhances emotion and deontological choice in moral dilemmas

While early psychological theories debated the relation between religiosity and moral decision making, more recent work approached this relation on empirical grounds using multidimensional measures of religiosity and moral dilemmas. The present study investigated the influence of individual differences in religious thoughts and feelings, social desirability and mood on emotions and decisions in moral dilemmas that pit social welfare against harming another person. In order to increase emotional salience, moral dilemmas were framed as personal choices. Results indicated that the tendency to seek religious guidance in everyday life, and social desirability positively predicted deontological choices (i.e., refusing to harm one person in order to save several people). In addition, individual differences in religious feelings positively predicted negative emotion presence in these moral dilemmas. These results highlight the motivational and emotional dimensions of religiosity that influence moral choice and emotional experience in moral dilemmas.     

饥无食寒无衣则乱无治:社会保障感受与不道德行为的关系

从社会心理学的角度探索社会保障感受与不道德行为的关系,及焦虑在其中的作用。用三个实验对假设进行检验,实验1和实验2探索社会保障感受对不道德行为的影响; 实验3则进一步探索焦虑在其中的作用。回归分析表明,社会保障感受可显著预测人们的不道德行为,社会保障感受越低人们的不道德行为越多; 焦虑在其中起中介作用,低社会保障感受会促进焦虑的产生,继而增加不道德行为。研究从社会心理学角度探索并证实了社会保障感受引发不道德行为的微观心理机制,拓宽了社会保障的伦理道德价值研究视域,为未来从社会心理学的角度研究社会保障与伦理道德的关系提供了可资借鉴的思路。     

Influence of social factors in the development of the young child's moral judgment

In a series of seven different studies, the author attempted to test Piaget's theoretical position of social factors as primary contributors to the development of moral judgment. Populations of American and Swiss subjects were presented with moral dilemmas stories opposing adult—child and child—child situations and classified into three moral levels (heteronomous, intermediate, autonomous). The influence of school was studied by camparing moral levels of subjects who had never attended school to moral levels of kindergarten and first grade students. Questionnaires sent to Swiss and American parents provided information about their attitude toward the children's socialization. Effect of interaction was measured by interviewing subjects individually, then in pairs and on an individual post-test three weeks later. Results demonstrate the role of social factors such as dynamic exchanges, discussions and oppositions in the learning of moral values. Cognitive conflicts are seen as fostering decentration and achievement of higher level responses through the equilibration process.     

Conscientious objection and person-centered care

Person-centered care offers a promising way to manage clinicians’ conscientious objection to providing services they consider morally wrong. Health care centered on persons, rather than patients, recognizes clinicians and patients on the same stratum. The moral interests of clinicians, as persons, thus warrant as much consideration as those of other persons, including patients. Interconnected moral interests of clinicians, patients, and society construct the clinician as a socially embedded and integrated self, transcending the simplistic duality of private conscience versus public role expectations. In this milieu of blurred boundaries, person-centered care offers a constructive way to accommodate conscientious objection by clinicians. The constitutionally social nature of clinicians commits and enables them, through care mechanisms such as self-care, to optimize the quality of health care and protect the welfare of patients. To advance these conditions, it is recommended that the medical profession develop a person-centered culture of care, along with clinician virtues and skills for person-centered communication.     

Social Concern and Delinquency: An Empirical Assessment of a Novel Theory

Using the Pathways to Desistance data, this study provides a test of Agnew’s social concern theory. Social concern is hypothesized to reduce criminality through four components: care about the welfare of others, desire for close ties, moral intuitions, and desire to conform. The analyses provide support for the theory’s core contentions. Care about others and moral intuitions are negatively associated with delinquency. Further, social concern partly mediates the effects of social learning, strain, social bond, self-control, and social support on delinquency. Findings indicate that social concern theory is a promising approach that merits continued theoretical refinement and empirical assessment.     

Jack London: A Case Study of Moral Creativity

This case study of Jack London seeks to find the roots of his moral creativity. After identifying the attributes of creativity and moral creativity, the article examine the life of London, extracting the features that appear to have made him one of the most prolific and popular American authors and, in particular, committed him to the welfare of the working classes of the world. The article concludes by examining the educational implications of the case study.     

Anger and perception of unfairness and harm: Cultural differences in normative processes that justify sanction assignment

Drawing on moral foundation theory, the author found that in response to an infringement of intellectual property rights, both US and Chinese samples reported anger and evaluated the infringement negatively. The results also highlight the importance of considering cultural factors in moral decision‐making. Apparently, in Chinese culture, moral decisions tend to be norm‐based, even when people are assigning sanction to a transgression of the ethics of autonomy. In contrast, in American culture, moral decisions tend to be preference‐based. Furthermore, although people tend to express their anger through punishment and contempt and disgust with social exclusion, in the American context, due to its relatively high mobility, to express their moral anger, individuals prefer to sanction wrongdoing by socially isolating the wrongdoer.     

SAMHSA philosophy and statement on ethical principles

As the major federal agency responsible for improving the delivery and effectiveness of substance abuse and mental health services to the American public, the Substance Abuse and Mental Health Services Administration (SAMHSA) is aware that its programs deal with especially sensitive issues. As a national leader in advancing effective services to persons with addictive and mental disorders, SAMHSA has stewardship over important interventions affecting personal, community, institutional, and social values. Inherent in SAMHSA's mission and goals is a commitment to protect and promote the human, civil, and legal rights and moral freedoms of those individuals and groups who participate in SAMHSA-funded activities and to demonstrate that Agency policies and procedures are congruent with publicly acceptable ethical principles and standards of conduct. A foundation of mutual trust between SAMHSA officials and participants as well as sensitivity to issues of public accountability will hasten and strengthen progress toward this shared vision.     

The Interplay of Empathy and Individualism in Support for Social Welfare Policies

Public support for government welfare programs is grounded in two potentially conflicting factors: a belief in individualism which undermines support for welfare assistance and the capacity for empathy which potentially enhances support. However, empathy is an expensive psychological commodity subject to pervasive up- and down-regulation. This article examines the degree to which a belief in individualism affects the expression of compassionate support for a person in need among those with the capacity for empathy. In two online survey experiments, empathic ability powerfully increases support for a welfare recipient and social welfare policies when it does not conflict with individualism. But, empathic ability decreases compassion and support for government welfare among strong individualists. Evidence that individualists down-regulate empathy for someone in need of government assistance is consistent with the conservative view that welfare promotes dependency and undermines individual agency. In contrast, charitable assistance is not associated with long-term dependency, and we find that empathy is up-regulated by strong individualists to generate charitable support for the same individual to whom they denied government assistance. The up- and down-regulation of empathy in response to someone in need of government welfare helps illuminate the sharp divisions over social welfare policy among the American public.     

A Political Account of Corporate Moral Responsibility

Should we conceive of corporations as entities to which moral responsibility can be attributed? This contribution presents what we will call a political account of corporate moral responsibility. We argue that in modern, liberal democratic societies, there is an underlying political need to attribute greater levels of moral responsibility to corporations. Corporate moral responsibility is essential to the maintenance of social coordination that both advances social welfare and protects citizens’ moral entitlements. This political account posits a special capacity of self-governance that corporations can intelligibly be said to possess. Corporations can be said to be “administrators of duty” in that they can voluntarily incorporate moral principles into their decision-making processes about how to conduct business. This account supplements and partly transforms earlier pragmatic accounts of corporate moral responsibility by disentangling responsibility from its conventional linkages with accountability, blame and punishment. It thereby represents a distinctive way to defend corporate moral responsibility and shows how Kantian thinking can be helpful in disentangling the problems surrounding the concept.     

Worker equality and adult development: the kibbutz as a developmental model

Adults' social status, particularly their occupations, is a powerful predictor of their level of moral and ego development. This association's inevitability was tested by examining the relationship of personal development with social status among 3 groups of workers. Results showed that kibbutz workers' moral and ego development were not significantly associated with educational, occupational, or social class standing, but that Israeli city and North American workers' moral and ego development were significantly associated with all measures of social status. In further contrast, work complexity was significantly associated with both moral and ego development only for kibbutz workers, suggesting that they engage in jobs that are appropriate to their psychological development without creating social inequality. Implications for developmental theory and workplace research are considered.     

Foster Care Chronicles: Use of the Arts for Teens Aging Out of the Foster Care System

This article describes the use of narrative and drama therapies as creative therapeutic interventions to engage and assist vulnerable youth. Foster Care Chronicles was a collaboration between a state university social work program and a local department of social services in a child welfare unit. This 2-year exploratory project employed an innovative approach to work with foster care youth, all of whom were within 2 years of “aging out” of care. The project utilized narrative therapy and drama therapy in a group setting by building on youths’ individual and collective strengths in writing, speaking, and acting. As these youth assessed their participation in this program, their reflections addressed developing aspects of self-image, self-healing, self-efficacy, and lessons learned.