Problems in privileged communication

Although most counselors offer their clients confidentiality as a condition of the counseling relationship, they are unable to guarantee the protection of privileged communication. Even when protected by statutory provision, counselors do not have total immunity from appearance in court and disclosure of confidential information. There are exceptions to privileged communications statutes that could produce severe conflicts between a counselor's ethical and legal duties, and similar problems can occur if the counselor is faced with a defamation or malpractice suit.     

Confidentiality and privileged communication in group psychotherapy

The concept of confidentiality is fundamental to all forms of psychotherapy. The idea of protecting confidential material goes as far back as the Hippocratic Oath in ancient Greek history. Centuries later, authors continue to assert that "only by maintaining confidentiality can the essential groundwork of trust in treatment be developed" (Hough, 1992, p. 106). Others have even argued that without confidentiality, psychotherapy has no value (Epstein, Steingarten, Weinstein, & Nashel, 1977). Confidentiality in group psychotherapy is more complicated than in individual therapy because self-disclosure is at the core of group therapy and there are numerous people hearing the disclosures. Confidentiality in group therapy, once ignored in the literature on ethics, is gaining more attention as this modality becomes more widely practiced; so too is an acknowledgement that ethical dilemmas surrounding confidentiality in groups are commonplace. This article discusses the major considerations and dilemmas on confidentiality in group psychotherapy. We first review confidentiality broadly and discuss the ethical principles that are related to confidentiality. In the next section, we discuss the complexities of confidentiality in group psychotherapy. Finally, we review research on confidentiality in groups and describe common ethical dilemmas.     

Command use and compliance in staff communication with elderly residents of long-term care facilities

Verbal communication between nursing assistants and individuals with dementia can be challenging, particularly during hands-on caregiving tasks. Although there are many aspects of verbal communication that can affect the quality of an interaction, one potentially important communication variable is the types of commands issued by nursing assistants when they need a resident to complete a task. The purpose of this study was to examine the kinds of commands used by nursing care staff when they interact with patients with dementia during activities of daily living. Commands were categorized according to their feasibility/specificity as well as form. An additional goal of this study was to measure compliance and noncompliance rates associated with the various categories of commands. Results indicate that alpha commands (clear, concise, and feasible) account for higher compliance and less noncompliance compared with beta commands (ambiguous, interrupted, and not feasible). In addition, commands that are stated directly, that clarify a previous command, and that are repeated exactly produce better compliance. It is concluded that training nursing staff to change the types of commands they provide during caregiving tasks may reduce distress experienced by both staff and residents.     

Herding by attribution of privileged information

We study a situation where agents take extreme actions and how these actions are imitated by others. First, Experiment 1 showed that an expert first mover had an advantage in obtaining herding by others on his investment decision, when compared to a non‐expert first mover. Experiment 2 showed that this advantage only appeared when the first mover's investment was out‐of‐the‐ordinary (in fact, highly aberrant). We obtained the same level of herding in Experiment 3 when the first mover had privileged information, instead of being an expert. Second, Experiment 4 showed that when people observed the same out‐of‐the‐ordinary investment and did not know whether the first mover had privileged information or not, they herded on him as if he had privileged information. In fact, our data revealed that participants thought that the unknown first mover had privileged information. Furthermore, herding was statistically indistinguishable from the condition where observers knew unambiguously that the first mover had privileged information. Copyright © 2008 John Wiley & Sons, Ltd.     

The privileged role of location in visual working memory

Reports have conflicted about the possible special role of location in visual working memory (WM). One important question is: Do we maintain the locations of objects in WM even when they are irrelevant to the task at hand? Here we used a continuous response scale to study the types of reporting errors that participants make when objects are presented at the same or at different locations in space. When several objects successively shared the same location, participants exhibited a higher tendency to report features of the wrong object in memory; that is, they responded with features that belonged to objects retained in memory but not probed at retrieval. On the other hand, a similar effect was not observed when objects shared a nonspatial feature, such as color. Furthermore, the effect of location on reporting errors was present even when its manipulation was orthogonal to the task at hand. These findings are consistent with the view that binding together different nonspatial features of an object in memory might be mediated through an object’s location. Hence, spatial location may have a privileged role in WM. The relevance of these findings to conceptual models, as well as to neural accounts of visual WM, is discussed.     

The humour effect: differential processing and privileged retrieval.

The effects of humour on memory and heart rate were explored as a function of experimental design. In within-subject manipulations, original humorous cartoons were better remembered than the literal translations and weird cartoons, whereas literal and weird cartoons were equally well remembered. Good recall of humorous cartoons occurred at the expense of recall of non-humorous cartoons. Secondary heart-rate deceleration was larger in response to original cartoons than to literal and weird cartoons. Neither the memory nor the heart-rate effects were found in between-subjects comparisons. The results were consistent with differential processing resulting from within-list contrasts. However, retrieval processes also favoured good recall of humorous material.     

Examining employee compliance with organizational surveillance and monitoring

Although the prevalence of employee monitoring and surveillance technologies (MSTs; e.g. e‐mail monitoring) is increasing, very little research has explored the question of whether employees simply accept these systems (compliance) or enact strategies for thwarting them (resistance). In the present study, we proposed a framework based on the theory of planned behaviour and ethical decision making research to predict employees' MST compliance and resistance intentions. We proposed that organizational commitment, organizational identification, and attitudes towards surveillance would predict intentions, with the relationships between attitudes and intentions being moderated by employees' perceived behavioural control and social norms. Moderated multiple regression models were tested and provided support for predictions about the attitudinal and belief constructs, and partial support for predictions about behavioural control and norms. Implications for organizational MST policies and practices are discussed.     

White racism,civility, and the obligations of the socially privileged

Civility is a virtue associated with civic life, particularly with politics. This article briefly discusses civility as a moral principle requiring moral actions that give rise to the virtue of civility. Civility requires different practices on the part of persons with differential access to social power. In a white supremacist society, those with white privilege must avoid the temptation to use accusations of incivility to silence black voices. Suggestions are offered about how those with white privilege can fulfill their particular duties of civility in a racist society. Points include listening to hard truths and resisting retreat into white fragility.     

laws and their stability

Many philosophers have believed that the laws of nature differ from the accidental truths in their invariance under counterfactual perturbations. Roughly speaking, the laws would still have held had q been the case, for any q that is consistent with the laws. (Trivially, no accident would still have held under every such counterfactual supposition.) The main problem with this slogan (even if it is true) is that it uses the laws themselves to delimit qs range. I present a means of distinguishing the laws (and their logical consequences) from the accidents, in terms of their range of invariance under counterfactual antecedents, that does not appeal to physical modalities (or any cognate notion) in delimiting the relevant range of counterfactual perturbations. I then argue that this approach explicates the sense in which the laws possess a kind of necessity.     

Knowledge with and Without Belief

This article argues for the thesis that the distinction between propositional and doxastic justification should be extended to knowledge. A consequence of this thesis is that there is a type of knowledge that requires belief and a type that does not. A familiar example strikingly similar to the sort of example used to introduce the propositional/doxastic justification makes a prima facie case. Additional theoretical advantages are revealed when the distinction is applied within the context of some recent epistemological debates. These include debates over the knowledge account of assertion, testimonial knowledge, self‐deception, and the question of whether knowledge can be essentially based on falsehood. It is contended that the sort of distinction offered here provides a way to settle these debates and, at the same time, acknowledge what is correct in the opposing positions.     

The relationship of compliance with inattention and hyperactivity/impulsivity

The aim of the study was to investigate the relationship between Attention Deficit Hyperactivity Disorder (ADHD) inattention and hyperactivity/impulsivity symptoms in predicting compliance. It was hypothesised that inattention symptoms are a better predictor of compliance than hyperactivity/impulsivity. There were two different groups of participants: 367 college students (both males and females) and 89 male prisoners. All participants had completed the Gudjonsson Compliance Scale (GCS) and the DSM-IV-TR (Screening) Checklist for adult ADHD symptoms. Significant correlations emerged between compliance and ADHD symptoms, but the correlations were higher for inattention than hyperactivity/impulsivity among both samples. This was confirmed by multiple regression analyses (hierarchical), which showed that the variance in compliance explained by ADHD inattention versus hyperactivity/impulsivity symptoms increased from 2% to 8% for college students and 8% to 24% for prisoners after entering inattention into the model (hyperactivity/impulsivity was entered first in the regression models). The findings suggest that inattention is a more powerful predictor of compliance than hyperactivity/impulsivity. This is a novel and an important finding.