An intrusive and restrictive alternative to contingent shock

A 31-year-old man, a New Zealander with severe developmental disability, engaged in life-threatening operant vomiting. His therapists and two consultant behavior analysts recommended applying for a Court order to evaluate treatment that included the short-term use of contingent shock. In Court, others gave expert testimony that positive procedures alone would be sufficient and effective. Following the Court's decision against contingent shock, professionals who were responsible for ensuring compliance with the decision did not identify a nonaversive intervention. Consequently, the client was subjected to an intrusive medical procedure (chronic nasogastric intubation) and a severely restricted environment. This intervention was continued for 1 year. Problems that resulted from conflicting expert testimony on treatment alternatives are discussed.     

From exclusion to inclusion; supporting Special Educational Needs Co-ordinators to keep children in mainstream education: a qualitative psychoanalytic research project

This paper draws on my doctoral research study based on consulting work with three primary school Special Educational Needs Co-ordinators (SENCos) that took place in 2008. The study examined the interactions that arose in the consultations with the SENCos and their staff. The findings that emerged from the application of Grounded Theory research methodology showed that the consultant, the SENCos and the children for whom they were responsible all felt on the edge of school life. SENCos and their staff were subject on a daily basis to powerful projections from children who were unable to tolerate difficult feelings and they were at risk of becoming identified with these feelings. The consultant in turn was the recipient of powerful projections from the SENCos. These complex dynamics of projective identification are examined in the study. The question of how SENCos and staff can better support children on the edge of exclusion with these unregulated feeling states is discussed. It is proposed that senior management teams and policy makers are essential in putting the SENCo role more at the centre of schools, both physically and in terms of how it is perceived. The need for access to a consultant who can help SENCos to understand and process extreme feelings is recommended as a way forward.     

Perspectives on the role of the eyewitness expert

Extensive controversy over the appropriate application of expert knowledge regarding issues of eyewitness accuracy led to a conference and a special issue of taw and Human Behavior in 1986. Arguments were presented both in support of and against the eyewitness researcher as expert testifier. The current research explored the views of the general public (N = 50), defense attorneys (N = 14), and prosecutors (N = 10) with regard to the use of eyewitness expertise in each of four roles (court-appointed expert, consultant, researcher, expert tesdfier for the defense). Extensive differences of opinion were found across both samples and expert roles. In general, prosecutors held significantly more negative views of the usefulness of expert witnesses for the defense than did the public or defense attorneys. The role of court-appointed expert was viewed positively by all three groups and may present a useful alternative to the battles of experts that may result from current practices.     

Reasoning about scientific evidence: effects of juror gender and evidence quality on juror decisions in a hostile work environment case.

This study examined whether participants were sensitive to variations in the quality of an experiment discussed by an expert witness and whether they used heuristic cues when evaluating the expert evidence. In the context of a hostile work environment case, different versions of the expert testimony varied the presence of heuristic cues (i.e., whether the expert's research was generally accepted or ecologically valid) and evidence quality (i.e., the construct validity of the expert's research). Men who heard expert testimony were more likely to find that the plaintiff's workplace was hostile than were men who did not hear the expert testimony; expert testimony did not influence women's liability judgments. Heuristic cues influenced participant evaluations of the expert testimony validity, but evidence quality did not. Cross-examination did not increase juror sensitivity to evidence quality. Implications for science in the legal system are discussed.     

Fundamental Issues in Defining Consultation

Understanding and articulating one's definition of consultation is essential for successful consultation to occur. Early definitions presented the consultant primarily as a one-an-one content expert. Today there are many definitions ranging from the original one-on-one content expert to system-wide operations. Several different definitions are reviewed and presented for consideration, The main issues that surround the operational definitions of consultation are also included. The final conclusion is that consultants define consultation depending on their work setting, educational backgrounds, goals, and conceptual models.     

基于眼动数据的一例角色书信疗法临床案例的分析与启示

采用眼动法,探究来访者阅读去信与回信时认知信息的变化,以及新手型咨询师与来访者在阅读角色书信时认知信息的差异。结果表明,来访者阅读回信时,对去信中诱发不良情绪的部分认知因素予以回应;新手型咨询师的注视时间显著短于来访者,注视次数多于来访者,热点区域不同于来访者。结果说明,往复的角色书信可以促进来访者转变不良认知;新手型咨询师对角色书信的理解与来访者存在不同。     

Navigators and Captains: Expertise in Clinical Ethics Consultation

The debate about what constitutes the discipline of ethics and who qualifies as an ethics consultant is linked unavoidably to a debate that is potentiated by the reality of a rapidly changing and high-stakes health care consultation marketplace. Who we are and what we can offer to the moral gesture that is medicine is shaped by our fundamental understanding of the place of expert knowledge in the transformation of social reality. The struggle for self-definition is particularly freighted since clinical ethics consultation aspires to be more than academic contemplation. Two recent books (Ethics Consultation by John La Puma and David Schiedermayer and The Health Care Ethics Consultant: A Practical Guide, edited by Francoise Baylis) exemplify the two most popular but most widely divergent positions on these issues. We argue that while useful, neither book addresses fully the particular and distinct role of the professional ethicist.     

Wind Power Planning Controversies and the Construction of ‘Expert’ and ‘Lay’ Knowledges

UK and Scottish planning policies include commitments to reflect the views of the public. However, this case study of one planning application for a wind farm in rural Scotland highlights the limited role played by lay knowledge within planning processes. The planning application process had two separate stages which structured the roles of lay and expert knowledge differently. Local objectors were able to influence the early planning application stage. However, this resulted in an appeals process (public inquiry) which was beyond the influence of lay people, and within which lay knowledge played only a marginal role. The early planning application stage enabled a wider range of knowledges to be relevant, perhaps even allowing lay knowledge to sideline expert knowledge. Within the inquiry such roles were reversed. Witnesses who could not back up their evidence with ‘reliable’ data or scientific reasoning were discredited as illegitimate and as having little to contribute to the inquiry process. Thus the inquiry constructed boundaries between expert and lay knowledge, in ways which diminished the role that lay knowledge might play. Whilst the construction of expert knowledge at the public inquiry played a central role in marginalising lay knowledge, it was central to all sides of the argument; the role of expert knowledge was reinforced by both the opposition group and the developers. Therefore, it is not only policy-makers and planning officials, but also lay people who act as though expert and lay knowledge can be clearly distinguished from one another.     

Reducing disruptive behavior through consultation

A university laboratory school counselor was consulted by a fourth grade teacher in order to resolve disruptive classroom behaviors of one student who did not stay seated and frequently spoke without permission. A behavioral approach in the classroom enabled the counselor to help. The teacher was instructed to pay attention to the child only when he remained seated or raised his hand for recognition. The student's behavior improved substantially. This study illustrates how the counselor can be effective as a consultant.     

Models of the relationship between genetic counselor and client

Three alternative models of the relationship between genetic counselors and clients are typified by the paternalistic professional, the expert consultant, and the autonomous client. Kant's principle of autonomy stipulates that the agent with rational will is to be treated as an end in itself rather than merely as a means to an end. Mutual respect between two such autonomous agents, in our case a genetic counselor and a client, will dictate elements of the clinical encounter.     

Children's recall and recognition of sex role stereotyped and discrepant information

This research investigated the influence of differing levels of sex role stereotyped and discrepant information on immediate and delayed (one week) memory. Specifically, kindergarten and second-grade children's recall and recognition of stereotyped, moderately discrepant, and highly discrepant pictures were compared. In Study 1, a sorting procedure was utilized to determine the level of stereotyping of 34 toys. From this study 12 toys were selected as stimuli for Study 2. In Study 2, children's immediate and delayed recall and recognition was assessed. Results suggested significantly better recall of highly discrepant pictures than stereotyped or moderately discrepant pictures. In addition, immediate recall was better than delayed recall and second-grade recall was better than kindergarten recall. Similar trends emerged with the recognition task. Results were discussed with respect to the schematic processing model.This paper represents a joint collaborative effort on the part of the authors. The authors wish to thank the principals, teachers, and children who participated in the study; the child models; the student research assistants; the photographer, Martha Putt; and the statistical consultant, Joseph Kropp.     

Conservation Withdrawal vs. Depression in Medically Ill Patients: Rorschach Case Study

The psychological consultant in a general hospital may be asked to evaluate physically ill patients who present ambiguous clinical symptomatology. The differential diagnoses of depression from the normal (conservation-withdrawal) reaction to stress is particularly difficult. A case study is presented illustrating the Rorschach test findings of a patient who appeared depressed upon initial clinical examination, but who illustrates conservation-withdrawal, an adaptive nonpathological stress reaction.     

Brief report: A clinical tracking system for helping see the forest through the trees

Adults with developmental disabilities who display behavior disorders repressent some of our field's biggest challenges. Those who provide direct support for such individuals are sometimes frightened and often frustrated by the occurrence of these behaviors parrticularly if neither they nor the agencies for whom they work have been successful in alleviating them. Under such circumstances the agency may secure the services of a consultant. At such times the consultant may find it diffcult to obtain information [from which to generate plausible hypothese and design interventionl plans] that is not unduly influenced by the emotions of the moment. This article describes a stop-gap system that can be used under such circumstsances to gather and analyze valuable longitudinal behavioual ecological data. The basic assumptions and strategies of this system are explained and illustrated through three case studies.     

The impact of expert testimony on trials of battered women who kill their husbands

Increased attention to family violence is reflected, in part, in the growing number of social scientists who have applied the results of their work in trials of battered women who have killed their husbands. Acting as expert witnesses, these individuals detail their knowledge and offer opinions in order to educate jurors about the social and psychological consequences of abuse within marital relationships. Little is known about the actual impact of expert testimony on jury deliberation in cases involving battered women. Those engaged in studying the interface of psychology and criminal justice have relied primarily on anecdotal evidence which suggests that expert testimony shapes jurors' attitudes and their ultimate decisions. (Ellison & Buckhout, 1981). This article summarizes psychological research on how individuals, including battered women, react to victimization and provides a preliminary theoretical formulation of this problem.     

Early childhood mental health consultation: Care providers’ experiences of the consultative relationship

This article presents findings from a qualitative research study exploring child care teachers’ experiences receiving early childhood mental health consultation (ECMHC). As an emerging intervention in early childhood education, ECMHC is already yielding promising results, namely in helping teachers better address challenging behaviors in their classroom and promote a more nurturing classroom environment. However, there remains a lack of personal testimony from teachers who receive this intervention. Considering that teachers are the primary focus of most ECMHC interventions, the purpose of this study was to examine child care teachers’ personal experiences receiving consultation. Eight child care teachers were interviewed for this study. Results from this study illuminate key interpersonal processes in the development of the consultant–consultee relationship, indicate what teachers consider to be the most helpful components of consultation, and speak to the challenges that teachers experience in consultation. By examining the personal testimony of child care teachers who have received ECMHC services, consultants and researchers can consider ways to expand and improve future implementation of ECMHC.     

Expertise in Deception Detection Involves Actively Prompting Diagnostic Information Rather Than Passive Behavioral Observation

In a proof‐of‐concept study, an expert obtained 100% deception‐detection accuracy over 33 interviews. Tapes of the interactions were shown to N = 136 students who obtained 79.1% accuracy (Mdn = 83.3%, mode = 100%). The findings were replicated in a second experiment with 5 different experts who collectively conducted 89 interviews. The new experts were 97.8% accurate in cheating detection and 95.5% accurate at detecting who cheated. A sample of N = 34 students watched a random sample of 36 expert interviews and obtained 93.6% accuracy. The data suggest that experts can accurately distinguish truths from lies when they are allowed to actively question a potential liar, and nonexperts can obtain high accuracy when viewing expertly questioned senders.     

Work Stressors,Social Support,and Burnout in Junior Doctors: Exploring Direct and Indirect Pathways

The study tested a pathway model linking different occupational stressors, different sources of social support, and burnout. A sample of 184 junior medical doctors was used. Pathway analysis suggested that doctors who experienced increased time demands, organizational constraints, and a lack of personal confidence perceived their consultants as less supportive, whereas those who experienced greater clinical responsibility perceived their supervisors as more supportive. A lack of support from coworkers was linked with a lack of support from consultants, top management, and family. The perception of consultant support was linked with lower burnout, whereas the perception of coworker support was linked with higher burnout. The present findings may inform interventions aimed to support junior doctors experiencing burnout.     

The Appeal to Expert Opinion: Quantitative Support for a Bayesian Network Approach

The appeal to expert opinion is an argument form that uses the verdict of an expert to support a position or hypothesis. A previous scheme‐based treatment of the argument form is formalized within a Bayesian network that is able to capture the critical aspects of the argument form, including the central considerations of the expert's expertise and trustworthiness. We propose this as an appropriate normative framework for the argument form, enabling the development and testing of quantitative predictions as to how people evaluate this argument, suggesting that such an approach might be beneficial to argumentation research generally. We subsequently present two experiments as an example of the potential for future research in this vein, demonstrating that participants' quantitative ratings of the convincingness of a proposition that has been supported with an appeal to expert opinion were broadly consistent with the predictions of the Bayesian model.     

Ethical Considerations of Multiple Roles in Forensic Services

Attorneys increasingly rely on the services of mental health practitioners. Although some practitioners lack training, the promise of professional rewards lead some to accept opportunities with resulting ethical quandaries. Due to significant differences between the objectives of traditional mental health services and expert testimony, problems occur when clinicians venture into forensic services. Attorneys and judges, unfamiliar with mental health specialties, may seek to press a mental health practitioner into multiple roles. Although not all multiple roles are ethically inappropriate, caution demands careful parsing of particular roles: (a) academic/behavioral science expert; (b) fact witness as a treating therapist; (c) expert witness based on a clinically oriented assessment; (d) pretrial and/or trial consultant; and (e) professional critic of other experts. Possible ethical issues and risks associated with accepting multiple roles are identified and strategies for avoiding or minimizing harm or exploitation are discussed.