Projecting Lower Competence to Maintain Moral Warmth in the Avoidance of Prosocial Requests

When faced with prosocial requests, consumers face a difficult decision between taking on the request's burden or appearing unwarm (unkind, uncaring). We propose that the desire to refuse such requests while protecting a morally warm image leads consumers to under‐represent their competence. Although consumers care strongly about being viewed as competent, five studies showed that they downplayed their competence to sidestep a prosocial request. This effect occurred across both self‐reported and behavioral displays of competence. Further, the downplaying competence effect only occurred when facing an undesirable prosocial request, not a similarly undesirable proself request. The final studies showed that people specifically downplayed competence and not warmth. We further distinguished between social warmth (e.g., humor) and moral warmth (e.g., kindness), showing that when competence, social warmth, and moral warmth were all requisite skills for a prosocial task, people downplayed competence and social warmth more than moral warmth. These findings underscore that although people care strongly about being viewed as competent, they willingly trade off competence evaluations if evaluations of warmth—particularly moral warmth—are at risk.     

Counselling approaches to increasing students' learning competence

Learning competence is a comprehensive term which encompasses study skills, relevant interpersonal skills, and absence of debilitating achievement anxiety. 721 first year university freshmen were asked about the areas in which they felt more and less competent as learners. A factor analysis of their responses suggested eight areas of learning competence including: planning, organising and effective use of study time; effective reading and memorising; interpersonal relations and ability to obtain study help; and examinations. Ways in which counsellors can assist students with these varying learning concerns are reviewed, and it is suggested that more attention be paid in schools and colleges to professional approaches and structures for increasing student learning competence.     

The relative effects of competence and likability on interpersonal attraction

Undergraduate students in Singapore (N = 80) learned about the competence (low vs. high) and likability (low vs. high) of a future interaction partner and indicated their attraction toward that stranger. The effect of likability was two times as large as that of competence. Because of the additive effects of the two manipulated factors on attraction, the authors interpreted the preference for lovable fools over competent jerks as an outcome of a generalized supremacy of likability over competence.     

Multicultural Competence and Counselor Training: A National Survey

The extent to which practicing professional counselors perceive themselves as multiculturally competent and the basis for their training experiences in multicultural counseling have not been determined. This article reports the results of a survey on practicing professional counselors' perceptions of their multicultural competence and the nature of their pre- and in-service professional preparation in this area. There was no significant difference in self-perceived multicultural competence between graduates of Council for Accreditation of Counseling and Related Educational Programs (CACREP) accredited and nonaccredited programs. However, ethnicity was related to higher levels of perceived multicultural competence.     

Learning to Be a Professional: Two Models of Competence and Related Learning Strategies

SUMMARY

Occupations required by the health industry, specifically in aged and palliative care, include nursing, pastoral care, medicine, and social work amongst many others. Professional education for these health disciplines incorporates competence for practice and critical thinking skills. Two different conceptual models of competence, personal and operational, reveal different approaches to learning. Personal competence, currently dominant in the higher eduction (tertiary) sector, privileges theory over practice. Personal competence can exclude non-propositional forms of knowledge, making it difficult for students to explain their practice experiences. The operational model of competence, which is emerging in professional education, has the potential to develop critical approaches to learning and practice, skills required for practice development and quality improvement in today's health environment.     

Anger and shame as determinants of perceived competence

Emotions are complex signals conveying a multitude of “messages” concomitantly. This idea is examined within the context of competence inferences drawn from the emotional expressions of another individual. In two studies, participants assuming the role of patients took part in a simulated medical consultation. They encountered a physician who had either a high or a standard professional status, and who responded with anger, shame, or emotional neutrality when asked to clarify the advice he dispensed. While a display of anger did not affect perceived competence, shame made the physician appear less competent. Three types of signals conveyed by the emotions were responsible for these effects: the physician's decisiveness and control over the situation, and the extent to which he felt professionally devalued by the patient's request, mediated the effects of the emotions on perceived competence. A priori information about the physician's professional status had little effect on the perception of competence. The research exemplifies the richness of information contained in emotions, and the complex way in which it allows observers to construe an impression of the expresser.     

The competent psychoanalytic supervisor: Some thoughts about supervision competences for accountable practice and training

What are the competences required to satisfactorily practice effective or “good enough” psychoanalytic supervision? In this paper, I would like to consider that question. Over the past approximate 15-year period, increasing attention has been directed toward more specifically identifying and defining the components of competent psychoanalytic practice. But any parallel attention toward identifying and defining the components of competent psychoanalytic supervision practice has, in comparison, been sorely limited if not virtually absent. If we are to best practice competent psychoanalytic supervision and best train future psychoanalytic supervisors for competent practice, effort needs to be made to concretely delineate the competences that are requisite for such practice. In what follows, I present and adapt six broad-based families of internationally relevant supervision competence areas for use in psychoanalytic supervision: (1) knowledge about/understanding of psychoanalytic supervision models, methods, and intervention; (2) knowledge about/skill in attending to matters of ethical, legal, and professional concern; (3) knowledge about/skill in managing psychoanalytic supervision relationship processes; (4) knowledge about/skill in conducting psychoanalytic supervisory assessment and evaluation; (5) knowledge about/skill in fostering attention to difference and diversity; and (6) openness to/utilization of a self-reflective, self-assessment stance in psychoanalytic supervision. Although by no means an exhaustive list, 30 supervision competences (five per family) are proposed as significant for guiding competent psychoanalytic supervision practice and supervisor training, and a brief explanatory comment is offered in support of each broad-based family of competences.     

The Client Cultural Competence Inventory: An Instrument for Assessing Cultural Competence in Behavioral Managed Care Organizations

The rapid growth in Behavioral Managed Care Organizations has led to increasing concern about the future availability of culturally competent mental health services for ethnic minorities. Prior efforts to assess cultural competence of mental health services have focused exclusively on agency providers and individual mental health professionals rather than on clients' perceptions of care. We introduce the Client Cultural Competence Inventory, which has several advantages over other cultural competence measures including its (a) lower susceptibility to social desirability bias, (b) ability to assess attitudes concerning a broader range of therapists, providers and plans, and (c) focus on clients rather than the psychiatric community as the central force in determining cultural competence. Preliminary psychometric analyses of the inventory are presented from data gathered in a group of parents with children who are severely emotionally disturbed.     

Attorney- client decision- making in criminal cases: Client competence and participation as perceived by their attorneys

The authors employed a structured interview to ascertain public defenders' perceptions of their clients' competence and the degree of their participation in the defense. In a sample of 122 randomly selected, non-dismissed felony cases, attorneys had doubts about the competence of 14.8% (n = 18) of their clients. Attorneys reported that clients whose competence was doubted were less involved in decision-making and, overall, were passive participants in their cases. Nearly one-half of these clients were not referred for assessment by a mental health professional. The authors compare the practices of attorneys faced with clients of suspected competence with those of mental health clinicians treating patients with impairments in decision-making capacity.     

Physician Beliefs about Physical and Mental Competency of Patients Applying for Concealed Weapon Permits

Law enforcement officials have asked health care providers to evaluate patient applications for concealed weapon permits. The current study was designed to examine physician beliefs regarding competency to carry a concealed weapon for patients with specific physical and mental conditions. Among 222 North Carolina physicians who participated in this survey (40% response rate), large variation and uncertainty existed for determining competency. Physicians most frequently chose mild dementia, post-traumatic stress disorder, and recent depression as conditions that would render a patient not competent to carry a concealed weapon. Male physicians and those owning a gun were more likely to deem a patient competent. Almost a third of physicians were unsure about competence for most conditions. Physicians asked to assess competency of patients to carry a concealed weapon have quite disparate views on competency and little confidence in their decisions. If physicians are expected to assess patient competence to carry a concealed weapon, more objective criteria and training are needed. Copyright © 2015 John Wiley & Sons, Ltd.     

More than Words: Applying the Discipline of Literary Creative Writing to the Practice of Reflective Writing in Health Care Education

This paper examines definitions and uses of reflective and creative writing in health care education classrooms and professional development settings. A review of articles related to writing in health care reveals that when teaching narrative competence is the goal, creative writing may produce the best outcomes. Ultimately, the paper describes the importance of defining literary creative writing as a distinct form of writing and recommends scholars interested in using literary creative writing to teach narrative competence study pedagogy of the field.     

Always on call: thoughts from a neophyte physician

This commentary describes a new physician who encountered a patient in crisis in a nonmedical environment. It discusses professional obligations, ethical principles, errors committed, and reasoning behind such errors. Unusual circumstances, uncertainty about how to properly identify oneself as a physician, self-doubt, and discomfort with practicing outside one's scope of training are recognized as reasons behind these errors. Medical students should be reminded of their ethical obligation to offer emergency care within their limitations, instructed how to identify themselves, and guided to become competent team leaders. Resident doctors should continue to receive instruction as they internalize ethical principles and identify their scopes of practice. Practicing physicians should be competent in offering basic emergency care if needed.     

Counselor Empathy; Religiosity; and Lesbian,Gay, and Bisexual Perspectives

Values-based conflicts, such as between counselor religiosity and ability to work with lesbian, gay, and bisexual (LGB) clients, can present a challenge for counselors and trainees who seek to provide ethical and competent care. Because empathy can facilitate understanding a client's frame of reference, the authors examined the relationships between counselor religiosity, empathy, and LGB perspectives, as well as the potential mediating effects of empathy on values conflicts. The authors discuss implications for counselor education and practice.     

Culturally competent outcome evaluation in systems of care for children's mental health

Conclusions The area of culturally competent outcome evaluation and cross-cultural mental health research in general needs to be greatly developed given the culturally diverse nation we live in and the different needs of culturally diverse children and their families. Such evaluation is crucial in supporting the need for and effectiveness of culturally competent programs and special programs with a focus on particular cultural populations. The imperatives for cost effectiveness and clinical effectiveness which have been promoted by the transition to managed systems of care may actually promote the development of higher levels of cultural competence in community-based systems of care. Culturally competent care may well be the most cost-effective and clinically effective care.     

How infant appearance informs: Child care providers' responses to babies varying in appearance of age and attractiveness

Research suggests that an infant's attractiveness influences adult's judgments of its developmental competence, such that less attractive infants are considered to look older than more attractive infants. To assess the effects of knowledge of age on these attractiveness-based attributions, 90 staff members of licensed child care centers judged specific developmental skills and rated the global developmental competence of 6-month-olds, based on the infants' facial appearance. Knowing an infant's actual age modified relations between attractiveness and expectations of maturity. Caregivers who knew the infants' ages estimated that unattractive infants were capable of relatively few specific skills in some areas of development, but they nevertheless rated those infants to be relatively competent in their development. Without information about age, caregivers often rated less attractive infants to be lower in competence, although they judged these babies to be older, with a larger number of specific skills. Training implications for improving caregivers' judgments are discussed.     

Rational Selective Exploitation Among Americans and Chinese: General Similarity, With One Surprise

A cross-cultural experiment tested predictions regarding reward allocation decisions among subjects in the United States and Taiwan. The experiment included five independent variables—two between-subject factors (American vs. Chinese; instrumental vs. unspecified vs. social-emotional allocator orientation) and three within-subject factors (high vs. low employee competence, social skill, and mobility). In general, Americans and Chinese distributed rewards quite similarly: In both cultures, allocators distributed greater rewards to employees who were more competent and possessed greater social skill. In both cultures, instrumental allocator orientation induced stronger tendencies to base allocations on competence; social-emotional allocator orientation induced stronger tendencies to base allocations on social skill. In both cultures, subjects engaged in competence-based "rational selective exploitation"—among highly competent employees, those with greater professional mobility received larger portions of the reward pool than did counterparts with constrained mobility. In both cultures, subjects also evidenced an unexpected social-skill-based rational selective exploitation—among employees with good social skill those with greater professional mobility received larger portions of the reward pool than did counterparts with constrained mobility. However, there were a number of interactions with culture that ran contrary to our a priori predictions: We hypothesized that Americans would exhibit greater individualism by focusing on competence in allocating outcomes, and that Chinese would exhibit greater collectivism by focusing on social skill. Although Americans did attend to employee competence more than Chinese, Americans also attended to employee social skill more than Chinese. These findings are discussed in terms of an expanded conceptualization of the nature of individualism and collectivism.     

The Profession of Family Therapy in South Korea: Current Status and Future Directions

The authors present a brief overview of the family therapy field in South Korea. Since its introduction in the late 1970s, family therapy has been developing into a professional field with education and training institutions, practice settings, credentials, and practitioners holding memberships in various professional organizations. While such issues as family values and types, filial piety, violence, interethnic marriage, and social polarization have resulted in an increased demand for family therapy, such services are not readily accessible to Korean families in need. Efforts should be made in increasing number of competent family therapists by strengthening both academic and clinical requirements for credentialing. Efforts are also needed in increasing accessibility of family therapy services by making them more available within a variety of human service contexts.     

Challenges to professional psychology education in the 21st century: response to Peterson

Professional psychology education faces many critical challenges brought about by the major changes occurring in the health care arena. This article shows that professional schools and programs have a good record of responding to these challenges and of taking proactive steps sponding to prepare their graduates for new health care roles and delivery systems. Data on admissions to psychology doctoral training programs demonstrate little support for the toral concerns raised by Donald R. Peterson (2003, this issue) about the preparation of students for graduate training in professional programs. Although quality concerns are important to investigate, such examination best resides with portant the American Psychological Association's Committee on Accreditation, which has the promotion of quality and excellence in professional psychology education and training as its major goal and responsibility.