Elephants in the living room

The elephant experience involves too much stimulation or input for a person to integrate. School personnel may help each other and their students to cope more effectively with these experiences by understanding the symptoms, the common sources, and the process of using them constructively. The symptoms are preoccupation, avoidance, overreaction, and flight into activity. Common sources are grades, test scores, and athletic success. The process of using them constructively involves facilitative people, use of personal resources, review of progress toward assimilation, and personal integration of experiential meaning. The elephant experience is seen as a source of learning that may be either devastating or enriching, and the challenge to the facilitator is to help each individual make it constructive.     

The elephant in the room: collaboration and competition among relief organizations during high-profile disasters

The non-governmental organizations (NGOs) that assume the bulk of emergency care during large-scale disasters in the developing world must expend considerable time and resources to ensure donations to sustain their field operations. This long-standing dilemma for the humanitarian community can create a competitive environment that: Compromises the delivery and quality of services, Allows the effectiveness of operations to be compromised by a lack of cooperation and collaboration, Disrupts the timely and accurate coordination and analysis of outcome measures that are crucial to successful response in the future, and Undermines the long-term capacity of indigenous aid organizations. This article addresses problems and potential solutions for improved coordination and long-term capacity-building of humanitarian aid.     

The elephant in the room: attention to salient scene features increases with comedic expertise

Cognitive Processing - What differentiates the joke writing strategy employed by professional comedians from non-comedians? Previous MRI work found that professional comedians relied to a greater...     

The myth of technology in health care

Technology is believed to have liberated health care from dogmas, myths and speculations of earlier times. However, we are accused of using technology in an excessive, futile and even detrimental way, as if technology is compelling our actions. It appears to be like the monster threatening Dr. Frankenstein or like the socerer’s broom in the hand of the apprentice. That is, the same technology that should liberate us from myths, appears to be mythical. The objective of this article is to investigate the background for the re-entrance of the myth: How we encounter it and how we can explain it. The main point is that a myth of technology is normative: it relates ‘is’ and ‘ought’ and directs our actions. This becomes particularly clear in health care. Hence, if there is a myth of technology, it is an ethical issue, and should be taken seriously.     

The health capability paradigm and the right to health care in the United States

Against a backdrop of non-ideal political and legal conditions, this article examines the health capability paradigm and how its principles can help determine what aspects of health care might legitimately constitute positive health care rights—and if indeed human rights are even the best approach to equitable health care provision. This article addresses the long American preoccupation with negative rights rather than positive rights in health care. Positive health care rights are an exception to the overall moral range and general thrust of U.S. legal doctrine. Some positive rights to health care have arisen from U.S. Constitutional Eighth Amendment cases and federal and state laws like Medicare, Medicaid, the State Children’s Health Insurance Program, the Emergency Medical Treatment and Active Labor Act, and the Patient Protection and Affordable Care Act. Finally, this article discusses some of the difficulties inherent in implementing a positive right to health care in the U.S.     

The spirituality of People of Color living with AIDS in long-term care

This article describes research results regarding the role of religion/spirituality among the chronically ill that highlights the benefits of religious beliefs and practices on patient health and well being. The author reports results from a questionnaire administered to People of Color living with AIDS who reside in a nursing home. The results suggest a strong spirituality as evidenced in a desire to communicate with God through frequent prayer and the reading of the patient's Holy Book. It includes high levels of hope, feelings of being loved, and attendance at religious services and classes held in the nursing home.     

The right to preventive health care

The right to health care is a right to care that (a) is not too costly to the provider, considering the benefits it conveys, and (b) is effective in bringing about the level of health needed for a good human life, not necessarily the best health possible. These considerations suggest that, where possible, society has an obligation to provide preventive health care, which is both low cost and effective, and that health care regulations should promote citizens’ engagement in reasonable preventive health care practices.     

The hard and soft of health care

For several decades, the American system of health care delivery has trusted scientific modalities to bring healing. This article points out the limitations of scientific medicine, the timelessness of spiritual components of healing, and the ongoing need for hospital personnel who are sensitive to the healing properties of faith, hope, and love.This article was delivered as the keynote address when Dr. Willis received the Wayne E. Oates Award on September 1, 1994.     

The next wave of change for psychology and mental health services in the health care revolution

Recent national changes in the de facto system of health and mental health care are described. Although the percentage of people without health insurance (always or sometimes) has not decreased, the organization of insured care has changed dramatically. Of the insured population, 75% are under some form of managed care. For 88% of the managed care population, mental health care has not been integrated with health care: the so-called carve-out. The author argues that system integration (carve-ins), for a variety of reasons, will begin soon and will occur very rapidly. A tilt toward carve-ins will have substantial impact on psychologists' training, service delivery, and research.     

The liberty principle and universal health care

A universal entitlement to health care can be grounded in the liberty principle. A detailed examination of Rawls's discussion of health care in Justice as Fairness shows that Rawls himself recognized that illness is a threat to the basic liberties, yet failed to recognize the implications of this fact for health resource allocation. The problem is that one cannot know how to allocate health care dollars until one knows which basic liberties one seeks to protect, and yet one cannot know which basic liberties to protect until one knows how health care dollars will be allocated. The solution is to design the list of basic liberties and the health care system in tandem so as to fit each other, such that every citizen is guaranteed a set of basic liberties and access to the health services needed to secure them.