Nurturing Socioculturally and Medically Appropriate Palliative Care Delivery: Lessons Learned by Israeli Medical Faculty

Journal of Religion and Health - Israel is one of the few countries worldwide with a national policy and defined standards of palliative care (PC); its culture is highly diverse and more...     

Lessons Learned: Providing Supportive Accountability in an Online Anxiety Intervention

Technology-delivered interventions have the potential to help address the treatment gap in mental health care but are plagued by high attrition. Adding coaching, or minimal contact with a nonspecialist provider, may encourage engagement and decrease dropout, while remaining scalable. Coaching has been studied in interventions for various mental health conditions but has not yet been tested with anxious samples. This study describes the development of and reactions to a low-intensity coaching protocol administered to N = 282 anxious adults identified as high risk to drop out of a web-based cognitive bias modification for interpretation intervention. Undergraduate research assistants were trained as coaches and communicated with participants via phone calls and synchronous text messaging. About half of the sample never responded to coaches’ attempts to schedule an initial phone call or did not answer the call, though about 30% completed the full intervention with their coach. Some anxious adults may choose technology-delivered interventions specifically for their lack of human contact and may fear talking to strangers on the phone; future recommendations include taking a more intensive user-centered design approach to creating and implementing a coaching protocol, allowing coaching support to be optional, and providing users with more information about how and why the intervention works.     

Medical Humanities and Cultural Studies: Lessons Learned from an NEH Institute

In this essay, the directors of an NEH Institute on Medicine, Literature, and Culture consider the lessons they learned by bringing humanities scholars to a teaching hospital for a month-long institute that mingled seminar discussions, outside speakers and clinical observations. In an exchange of letters, they discuss the productive tensions inherent in approaching medicine from multiple perspectives, and they argue the case for a broader conception of medical humanities that incorporates the methodologies of cultural studies.     

Confessions of a Whistle-Blower: Lessons Learned

In 1988 I began a report on the accuracy of expert testimony in child sexual abuse cases utilizing Ralph Underwager and Hollida Wakefield as a case study (Wakefield & Underwager, 1988). In response, Underwager and Wakefield began a campaign of harassment and intimidation, which included multiple lawsuits; an ethics charge; phony (and secretly taped) phone calls; and ad hominem attacks, including one that I was laundering federal grant monies. The harassment and intimidation failed as the author refused demands to retract. In addition, the lawsuits and ethics charges were dismissed. Lessons learned from the experience are discussed.     

从恐惧到羞耻:霍布斯和埃利亚斯的情感思想及其内在关联

霍布斯论证了从相互恐惧和死亡恐惧的自然状态如何进入到以主权者的至高威慑力为基础的现代政治社会。受到霍布斯影响的埃利亚斯,虽然同样强调恐惧和国家的作用,但却以不同于自然法的过程社会学,论述了欧洲文明的进程,尤其是从中世纪的相互恐惧、对君主的恐惧到文明人的自我羞耻这一心理生成过程。他们之间的思想关联表明,现代人的核心感受从此前的外在恐惧转变为内在恐惧或自我羞耻,从"所有人对所有人的战争"转变为"自我内心的冲突"或"自我对自我的斗争",这将促使我们重新反思现代国家的形成和现代社会的建构。     

Military Influence Tactics: Lessons Learned in Iraq and Afghanistan

When deployed U.S. soldiers attempt to influence the attitudes, beliefs, or behaviors of civilians, success can save lives and failure can be deadly. Survey data from 228 military personnel with deployment experience to Iraq and Afghanistan revealed that in a challenging wartime environment, empathy, respect, prior relationships, and familiarity with influence targets predicted success in cross-cultural influence attempts. Influence techniques involving resources and positive feelings were used more commonly in relatively successful influence attempts; negative tactics were used more commonly in unsuccessful attempts.     

So You Want to Do an Online Study: Ethics Considerations and Lessons Learned

The use of the Internet in conducting psychological research has become increasingly common over the past few decades, as Internet access has become more widespread. Although web-based work has a number of benefits, including lower cost, easy access to large samples, and strict standardization of administration, the limitations must also be considered. Among these limitations are the ethics concerns related to conducting psychological research online. These concerns include limitations in maintaining confidentiality, conducting thorough informed consent, and conducting valid assessment. Particular focus is given to the limitations inherent in conducting a fully automated online study. All of these limitations are discussed in detail through both a review of existing literature and the brief review of a recent study. The recent study identified areas in which participants struggled with completing a fully automated online task. This article discusses the ethics implications of Internet research as well as offering suggestions for researchers who intend to conduct web-based research, and thoughts on future directions as psychology moves forward in web-based research and assessment.     

Lessons Learned in Looking Back: Perspectives from Trailblazers

Although this is in many ways a good era for women, many things have yet to improve. Women continue to lag behind men with regard to salaries, are under-represented in position of leadership, and still take on greater responsibility for child rearing and family responsibilities. Careers dominated by women tend to be associated with lower salaries and lower prominence and by the same token, women tend to dominate leadership positions when the field becomes less prestigious. Although women now outnumber men in graduating classes, the feminization of clinical psychology brings new challenges. This special series comes out of the 2009 trailblazer panel held at the ABCT convention in New York City, which explored the experiences faced by pioneering women in behavior therapy and discussed ways to help women overcome the glass ceiling. This introductory paper summarizes the lessons learned by these trailblazers with a view toward helping women in academia today.     

Behavioral Health Consultation and Primary Care: Lessons Learned

This article provides an overview of 20 years of professional experiences with developing and implementing a model for integrating behavioral health services into primary care. The Primary Care Behavioral Health (PCBH) model is designed to provide immediate access to behavioral care for a large number of primary care patients by positioning a behavioral health consultant in the exam room area to function as a core member of the primary care team. In an initial era of discovery, the authors were directly involved in developing and testing a variety of new approaches to providing behavioral health services in general medicine. In a second era focused on feasibility, the authors worked with Kaiser Permanente, the United States Air Force and Navy, the Veteran’s Administration, and the Bureau of Primary Care to system test this innovative model of integrated care. Now in an era devoted to dissemination, the authors review the various roles formal research, system level quality improvement initiatives and stakeholder analysis play in promoting integrated care. The authors also describe current efforts to (1) create a tool that helps systems develop integration targets and (2) use the PCBH model as a platform for teaching medical residents and behavioral health providers to work together in a redesigned primary care team model.     

Maternal Guilt and Shame: The Role of Self-discrepancy and Fear of Negative Evaluation

Guilt and shame are emotions commonly associated with motherhood. Self-discrepancy theory proposes that guilt and shame result from perceived discrepancies between one’s actual and ideal selves. Fear of negative evaluation by others may enhance the effects of self-discrepancy especially for shame, which involves fear of others’ reproach. The purpose of this study was to examine the relationships between self discrepancy, guilt, shame, and fear of negative evaluation in a cross-sectional, self report study of mothers. Mothers of children five and under (N = 181) completed an on-line survey measuring guilt, shame, fear of negative evaluation, and maternal self-discrepancies. Guilt and shame were related to maternal self-discrepancy and fear of negative evaluation. In addition, fear of negative evaluation moderated the relationship between maternal self-discrepancy and shame such that mothers who greatly feared negative evaluation had a very strong relationship between these variables. Maternal self-discrepancy and shame were not related among mothers who had low fear of negative evaluation. The results are discussed in terms of the detrimental effects of internalizing idealized standards of perfect motherhood.     

Training and Supervising Counselors: Lessons Learned From Deliberate Psychological Education

A psychological education curriculum package designed to stimulate growth in three target areas (psychologival development, mastery of skills, and understanding concepts) was piloted with 18 in-service counselors and teachers. Although significant gains were achieved in counseling skills and moral reasoning, shifts in ego and conceptual level failed to reach statistical significance. Bernier considers these results in light of developmental and cognitive theory and discusses implications for training and supervision. He presents a case for viewing counselor education within a developmental perspective.     

What a Difference Family-Driven Makes: Stories of Success and Lessons Learned

Community Psychology’s emphasis on citizen participation aligns with the nationwide children’s mental health family movement and is clearly evident in communities that have made sustainable system changes. The national family movement has long advocated for the meaningful engagement of families and youth who are the focus population of the federal Children’s Mental Health Initiative. Little rigorous research about the experience of families in leadership positions or of their impact on systems of care has been done. In the absence of scientifically acquired evidence, this article offers the reader a glimpse into the authority, influence and credibility earned by four family leaders as well as their impact on local system of care communities. Their stories occur in four distinct macro level arenas: governance, evaluation, legislative advocacy, and workforce development. In the end, common attributes emerge from their stories, providing anecdotal information useful to identifying the qualities of successful family leadership and their impact on sustainable macro level changes.     

社会主义和民族性问题:英国新左派的经验教训

20世纪60年代佩里.安德森与他的亲密合作者汤姆.奈恩与爱德华.汤普森围绕社会主义与民族性等问题展开了一场影响深远的论战。在这场论战中,佩里.安德森等人在具体历史认知和理论逻辑上的缺陷得到充分的暴露,而爱德华.汤普森则在反驳佩里.安德森等人的过程中留下一笔丰富的理论遗产。     

Teaching Bioethics to a Large Number of Biology and Pharma Students: Lessons Learned

To be made aware of bioethical issues related to their disciplines, undergraduate students in biology and pharmaceutical sciences at the University of Basel are required to enroll in the bioethics course called “Introduction to Bioethics”. This article describes the chances and challenges faced when teaching a large number of undergraduate biology and pharmaceutical sciences students. Attention is drawn to the relevance and specific ethical issues that biology and pharmaceutical sciences students may be confronted with and to how these could be integrated into ethics curricula. Results from a survey addressing the knowledge and opinion of students taking the course in spring semester 2012, 2013, and 2014 are presented and discussed. Finally, we describe the lessons learned and how we have improved the course based on students’ feedback throughout the following years.     

Stranger Harassment and PTSD Symptoms: Roles of Self-Blame,Shame, Fear,Feminine Norms,and Feminism

Sex Roles - Stranger harassment is a prevalent experience for many women but is often trivialized as a social problem (Kearl 2014; Vera-Gray 2016). As a result, there is a lack of knowledge related...