Resistances Encountered in Starting a Group Therapy Program for Suicide Attempters in Varied Administrative Settings

ABSTRACT: This paper reports a number of areas of difficulty—funding issues, managment and personal bias issues, theoretical issues—which emerged in the development of five treatment groups comprised entirely of depressed and suicidal patients. These groups reflected a coordinated effort between the city-county mental health system and the specific funding agencies. Strategies for overcoming these difficulties are discussed.     

Dirty Money

Many states have significantly reduced their support for higher education in the last decade, increasing the importance of securing external funding for research and academic centers at colleges and universities. This paper addresses issues that have been raised by critics of funding from "morally tainted" sources like tobacco companies, pharmaceutical companies, and oil and gas companies and attempts to develop plausible criteria for "morally acceptable" funding in light of criticisms that focus on issues such as transparency, conflicts of interests, academic and scientific integrity, and coercion. A further discussion of whether special or unique criteria are necessary for ethicists and ethics centers is also included.     

Feminist directions in medical ethics

I explore some new directions—suggested by feminism—for medical ethics and for philosophical ethics generally. Moral philosophers need to confront two issues. The first is deciding which moral issues merit attention. Questions which incorporate the perspectives of women need to be posed—e. g., about the unequal treatment of women in health care, about the roles of physician and nurse, and about relationship issues other than power struggles. “Crisis issues” currently dominate medical ethics, to the neglect of what I call “housekeeping issues.” The second issue is how philosophical moral debates are conducted, especially how ulterior motives influence our beliefs and arguments. Both what we select—and neglect—to study as well as the “games” we play may be sending a message as loud as the words we do speak on ethics.     

A Mixed Methodological Analysis of the Role of Culture in the Clinical Decision‐Making Process

Even though literature indicates that particular cultural groups receive more severe diagnoses at disproportionate rates, there has been minimal research that addresses how culture interfaces specifically with clinical decision making. This mixed methodological study of 41 counselors indicated that cultural characteristics of both counselors and clients—including the degree of match between these characteristics—affect attention to cultural issues in clinical decision making. In addition, there was a significant relationship between participant cultural bias and perceived level of client functioning.     

Bioethics and Pastoral Concern: Some Possible New Directions in Pastoral Theology

This special issue of the journal is comprised of papers given at a conference in May 2011 at the University of Texas Health Science Center at Houston on the theme of “Social Justice and the Health Professions.” This article offers the following rationale for this special issue in particular and for pastoral theologians to contribute to bioethics in general: (1) two contemporary theological thinkers in bioethics, Karen Lebacqz and Lisa Cahill, argue that theological discussions of justice broaden and deepen discussions of justice in mainstream bioethics—thus the focus on social justice provides an area for interdisciplinary and intersectional work; (2) pastoral theologians have not, to a great extent, contributed to discussions of religion and bioethics—this has been the territory of theological ethicists, especially during the 1970s; (3) one influential pastoral theologian, Bonnie Miller-McLemore, has called for (a) a broader concern for health in pastoral theology beyond psychological health and (b) more disciplinary approaches within pastoral theology beyond psychology so as to attend to “the living human web”; and (4) one way to advance the theological contributions in bioethics is by inviting pastoral theologians to focus on matters of social justice (an established area of intersection) as identified by health professionals, thus providing (a) new areas for inquiry and (b) new theological perspectives in bioethics. This article also suggests that pastoral theologians can contribute to bioethics by focusing on both “macro” issues (issues relating to structures and groups) and “micro” issues (issues relating to persons and experiences) as a way of pursuing the topic of justice in bioethics. The bulk of this article focuses on “macro” issues, but, in closing, the author articulates how he has been addressing “micro” issues in his own work. The author argues that both of these approaches—“macro” and “micro”—are legitimate ways for pastoral theologians to express pastoral concerns in bioethics.     

Evaluation of settlement service programs for newcomers in ontario: A geographical perspective

This article presents an evaluation of the two largest settlement programs—LINC and ISAP—in the province of Ontario in terms of their geographical distribution and funding allocation and in relation to the settlement patterns of new immigrants. This study found that the current locations of both programs largely match the settlement patterns of newcomers in Ontario. However, in the Toronto CMA, where over 75% of Ontario's newcomers live, settlement services remain concentrated in the historical immigrant reception area of the City of Toronto, although many new immigrant groups settle directly in suburbia. Adoption of the proposed National Allocation Formula for Ontario would reduce the disparities, but a modified model is needed for more equitable allocation of services and resources. This study should have useful policy implications. Because the Canadian government is contemplating new policies that would require future newcomers to move to smaller urban centres or rural towns to reduce overconcentration in large metropolitan areas, equitable provision of settlement services in these centres and towns will become more important.     

The gap between law and ethics in human embryonic stem cell research: Overcoming the effect of U.S. Federal policy on research advances and public benefit

Key ethical issues arise in association with the conduct of stem cell research by research institutions in the United States. These ethical issues, summarized in detail, receive no adequate translation into federal laws or regulations, also described in this article. U.S. Federal policy takes a passive approach to these ethical issues, translating them simply into limitations on taxpayer funding, and foregoes scientific and ethical leadership while protecting intellectual property interests through a laissez faire approach to stem cell patents and licenses. Those patents and licenses, far from being scientifically and ethically neutral in effect, virtually prohibit commercially sponsored research that could otherwise be a realistic alternative to the federal funding gap. The lack of federal funding and related data-sharing principles, combined with the effect of U.S. patent policy, the lack of key agency guidance, and the proliferation of divergent state laws arising from the lack of Federal leadership, significantly impede ethical stem cell research in the United States, without coherently supporting any consensus ethical vision. Research institutions must themselves implement steps, described in the article, to integrate addressing ethical review with the many legal compliance issues U.S. federal and state laws create. The opinions expressed in this article are the author’s own, and are not necessarily the opinions of others, including Children’s Hospital Boston. Portions of earlier versions of this article were previously published by the American Bar Association and the New York State Bar Association.     

Predicting Compliance in Group CBT Using the Group Therapy Questionnaire

This study examined the clinical applicability of the Group Therapy Questionnaire (GTQ) for identifying individuals at risk of poor attendance in cognitive-behavioral therapy (CBT) groups for depression, anxiety, and obsessive-compulsive disorder (OCD). Participants (n = 80) completed the GTQ prior to their involvement in one of five types of CBT groups. Participants’ attendance was recorded by the group therapists. Findings revealed that patients’ expectations of group were associated with attendance. Level of interpersonal difficulty, health issues, and drug and alcohol use—as assessed by the GTQ—were not associated with attendance. A shorter version of the GTQ with questions tapping expectations of group participation would provide a valuable screening tool to aid clinicians in identifying clients at risk for low attendance.     

Bridging the Divide or Intensifying the Conflict? How Disagreement Affects Strong Predilections about Sexual Minorities

This study draws on a sample of participants in online groups that discussed legalization of same‐sex marriage, to examine whether exposure to perceived disagreement decreases—as the deliberative theorists hope—or rather increases—as the research on confirmation bias predicts—strongly held predilections. Overall, participants' views towards same‐sex marriage and sexual minority rights remained largely unchanged after deliberating, regardless of the ideological composition of their groups. Consistent with the confirmation bias model, those who strongly opposed same‐sex marriage and sexual minority rights prior to the discussions and who perceived that others disagreed with them became even more opposed, and this effect was not a short‐term shift. Strong proponents, on the other hand, did not polarize in their views, but instead became slightly less favorable towards same‐sex marriage and sexual minority rights as a result of disagreement. Implications of these findings for deliberation of contentious issues are discussed.     

On the Role of Intuition in Decision Making and Some Ways of Multicriteria Aid of Intuition

Practical experiences in decision-making—including the experience in the reform of the system of funding of scientific research in Poland—lead to the conclusion that it is important to understand better the role of intuition in decision-making processes. For this purpose a more specific definition of intuition is proposed. One of the conclusions from this definition is that multicriteria aid for decisions should concentrate more on supporting earlier stages of decision processes that precede choice. The role of and possible tools for multicriteria aid for model simulation and analysis are presented. © 1997 by John Wiley & Sons, Ltd.     

Barking up the wrong tree? Industry funding of academic research

This case raises ethical issues involving conflicts of interest arising from industrial funding of academic research; ethical responsibilities of laboratories to funding agencies; ethical responsibilities in the management of a research lab; ethical considerations in appropriate research design; communication in a research group; communication between advisor and graduate student; responsibilities of researchers for the environment; misrepresentation or withholding of scientific results.     

Barking up the wrong tree? Industry funding of academic research. A case study with commentaries

This case raises ethical issues involving conflicts of interest arising from industrial funding of academic research; ethical responsibilities of laboratories to funding agencies; ethical responsibilities in the management of a research lab; ethical considerations in appropriate research design; communication in a research group; communication between advisor and graduate student; responsibilities of researchers for the environment; misrepresentation or withholding of scientific results.     

A quality assurance programme for psychotherapy — The finnish experience

In many respects the status of psychotherapy in public health-care systems is similar to that of alternative medicine. The roots of training are outside universities. Legitimation and public funding have been non-existent or insufficient as compared with other fields of health care. Also a great deal of mysticism is attached to both. It is therefore relevant to study the role of psychotherapy from the frame of reference given by research into alternative health care.

Formal health care is characterised by (1) legalised status, (2) access to public funding and (3) integration in the formal medical curriculum. On the other hand there are several treatment philosophies which remain as outsiders from the point of view of formal health care. Informal health care approaches are characterised by (1) lack of legalised status, (2) no access to public funding and (3) no integration in the medical curriculum. Alternative medicine is a term usually attached to forms of informal health care like acupuncture, Spa-culture etc.

Psychotherapy in the public health sector lies somewhere between formal and informal health care. While it has no legalised status, anyone may call himself ‘psychotherapist’. Its definition remains obscure and its public accountability poor.

In this paper I have tried to show how one country — Finland — has tried to grapple with this problem as it attempted to set up psychotherapy services whose quality could be properly monitored — ‘Quality Assurance’ — allowing for public accountability. Now that psychotherapy is well established as a valuable treatment in the field of mental health it is possible to consider future expansion as a cost-effective way to improve the general mental health of the country.     

Social Contexts and Building Social Capital for Collective Action: Three Case Studies of Volunteers in the Context of HIV and AIDS in South Africa

Social capital is increasingly conceptualised in academic and policy literature as a panacea for a range of health and development issues, particularly in the context of HIV. In this paper, we conceptualise social capital as an umbrella concept capturing processes including networks, norms, trust and relationships that open up opportunities for participation and collective action that allow communities to address issues of common concern. We specifically outline social capital as comprising three distinct forms: bonding, bridging and linking social capital. Rather than presenting original data, we draw on three well‐documented and previously published case studies of health volunteers in South Africa. We explore how social contexts shape the possibility for the emergence and sustainability of social capital. We identify three cross‐cutting contextual factors that are critical barriers to the emergence of social capital: poverty, stigma and the weakness of external organisations' abilities to support small groups. Our three case studies suggest that the assumption that social capital can be generated from the ground upwards is not reasonable. Rather, there needs to be a greater focus on how those charged with supporting small groups—non‐governmental organisations, bureaucracies and development agencies—can work to enable social capital to emerge. Copyright © 2014 John Wiley & Sons, Ltd.     

Components of high-performance computing and communication in the behavioral sciences

By its very nature, the spectrum of computational problems approached in the behavioral sciences necessitates the use of almost all elements of high-performance computing and communication. The salient performance issues of various components—networking, disk and tape storage, memoryprocessor configurations, and processing elements—are discussed. Hardware, software, and application issues surrounding parallel computing performance are also discussed.     

Obtaining funding for new researchers in psychology

A mentor is the key person to assist a student who wishes to become an independent investigator. The federal government provides long-term funding for decades of research by an investigator, and short-term funding for years of transition from student to investigator is available from both governmental and private agencies. Grants designed for men and women and various ethnic groups are valuable resources. Courteous acknowledgment of sponsorship by the grantee facilitates continued grants from the funding source.     

Psychological Science in Australia

This paper is a brief account of the Australian Strategic Review of the Psychology Discipline and its Research. Issues discussed include Australia's contribution to world research in psychological science, research funding, the age and qualifications of researchers, the social and economic benefits arising from the applications of research outcomes, multidisciplinary issues, the role of psychology in industry, links between the discipline and the profession of psychology, professional training, cross-cultural issues, and educational issues. Priorities for development of research and postgraduate training are identified, and include human factors and other areas related to technological change, clinical psychology with particular attention to health psychology, industrial and organizational psychology, and neuroscience and physiological psychology.     

Economic,Environmental and Moral Acceptance of Renewable Energy: A Case Study—The Agricultural Biogas Plant at Pěčín

The production of renewable energy in agricultural biogas plants is being widely criticized because—among other things—most of the feedstock comes from purpose-grown crops like maize. These activities (generously subsidized in the Czech Republic) generate competitive pressure to other crops that are used for feeding or food production, worsening their affordability. Unique pretreatment technology that allows substitution of the purpose-grown crops by farming residues (such as husk or straw) was built 6 years ago on a commercial basis in Pě?ín (Czech Republic) under modest funding and without publicity. The design of the concept; financial assessment and moral viewpoint were analyzed based on practical operating data. It showed that the apparatus improves economic, environmental and moral acceptance as well. However, according to the government’s view, public funding for this type of processing was shortened, “because waste materials represent a lower cost”. The impact of such governance was analyzed as well.     

Gender differences in self-evaluations of information about current affairs

This study examines how gender is related to self-evaluations of information to discuss current social and political issues. The sample is one of predominantly white (96%) college graduates. Using alumni samples, we look at how members of four classes that span 20 years evaluate their knowledge to hold conversations on a variety of public affairs issues ranging from the Strategic Defense Initiative to government funding of abortion. We find gender differences, with men perceiving themselves more knowledgeable in conversations and women less so. We raise the possibility that they are “doing gender.” The implications of these findings are explored.     

Mergers and group status: the impact of high,low and equal group status on identification and satisfaction with a company merger,experienced controllability,group identity and group cohesion

Although mergers are seen as tools to enhance business in today's global marketplace, they have had a low success rate, possibly because the focus has been on financial and legal issues rather than on the human factors involved. In this respect, focusing on the social psychological variables, social identity theory can provide an explanation for the failure of most mergers. An experiment based on this theory involving mergers between two workgroups was conducted to investigate the effects of merger‐related status on participants' psychological responses to the mergers. Thirty‐six small groups were assigned to three different status groups (high, low and equal status groups) using the minimal group paradigm. Most negative responses to the merger—in terms of identification with the merger group, satisfaction with the merger, common in‐group identity, group cohesion and controllability—were given by the members of the low status groups. Contrary to expectations, status was not related to the performance of the groups. Theoretical and practical implications are discussed. Copyright © 2007 John Wiley & Sons, Ltd.