The Houston Conference: The Need for More Discussion

Neuropsychology Review -     

Chronic Fatigue Syndrome: The Need for Subtypes

Chronic fatigue syndrome (CFS) is an important condition confronting patients, clinicians, and researchers. This article provides information concerning the need for appropriate diagnosis of CFS subtypes. We first review findings suggesting that CFS is best conceptualized as a separate diagnostic entity rather than as part of a unitary model of functional somatic distress. Next, research involving the case definitions of CFS is reviewed. Findings suggest that whether a broad or more conservative case definition is employed, and whether clinic or community samples are recruited, these decisions will have a major influence in the types of patients selected. Review of further findings suggests that subtyping individuals with CFS on sociodemographic, functional disability, viral, immune, neuroendocrine, neurology, autonomic, and genetic biomarkers can provide clarification for researchers and clinicians who encounter CFS characteristically confusing heterogeneous symptom profiles. Treatment studies that incorporate subtypes might be particularly helpful in better understanding the pathophysiology of CFS. This review suggests that there is a need for greater diagnostic clarity, and this might be accomplished by subgroups that integrate multiple variables including those in cognitive, emotional, and biological domains.     

CACREP: The Need for a Mid-Course Correction

Since its inception in 1981, CACREP (Council for Accreditation of Counseling and Related Educational Programs) has been AACD's (American Association for Counseling and Development) program accrediting agency. As of April 1991, 72 counselor preparation programs have earned CACREP accreditation. Recommendations to modify CACREP's standards and system of governance are made with the intention of increasing CACREP's influenceand making it accountable to the constituents it serves.     

The Effects of Need for Cognition and Need for Affect on Partisan Evaluations

The voting behavior literature has advanced two prominent theoretical models of partisanship: the social psychological and rational models. Implicit to both stylized models is the assumption that all partisans process information similarly. Yet, growing research in psychology suggests that individuals possess different motivations when evaluating information. We propose that the applicability of the stylized models of partisanship is conditioned on individuals' need for cognition (NFC) and need for affect (NFA), with the social psychological model being most applicable to individuals who have a high NFA and the rational model most applicable to those with a high NFC. To test this proposition, we fielded a survey in which respondents who identified with the two major political parties in the United States (Democrat or Republican) were randomly assigned factual information that depicted either their party or their opposing party in a negative light. Respondents were then asked to assess the actions of that party and subsequently evaluate both political parties. We find evidence that is generally consistent with the proposition that the stylized models of partisanship are conditionally dependent on the extent to which individuals possess a need to engage in effortful thinking or a need to seek out emotions.     

The Therapeutic Frame: On the Need for Flexibility

A fundamental function of the therapeutic frame is protection of the therapeutic process from the intrusion of elements antithetical to the best interest of the client and detrimental to treatment outcome. It is argued that dogmatic interpretation of the frame promotes conformity rather than growth in the client, blinds the therapist to legitimate issues of client diversity, and constricts the therapist's ability to be appropriately responsive to the client. It is suggested that while the frame is essential to maintain the focus of treatment on the welfare of the client, inflexible adherence undermines this purpose.     

农民合作社对村庄治理的影响——基于对吉林梨树县百信农民合作社的实证调查

通过对吉林省梨树县百信农民合作社的实地调查,笔者对农民合作的动因进行了分析,并对合作社的内部治理结构、组织功能和组织文化进行了相关研究。笔者认为,以经济关系联合起来的农民在成为合作社的社员以后,并没有改变其村民的身份,这就出现了一个主体两种身份的局面,势必会把合作社和村庄治理挂起钩来;合作社的发展会对以村民自治为核心的村庄治理产生一些示范效应,并可能对村庄体制内组织功能产生一些替代。     

The Need for Counselor Licensure: A Rehabilitation Counseling Perspective

The legal, ethical, and professional problems related to the private practice of rehabilitation counseling are described. Counselor licensure is recommended as a remedy.     

Minority Religious Practices: The Need for Awareness and Knowledge

This study was conducted to investigate whether educators have knowledge regarding various religious groups. Results indicated that few educators possess knowledge of (a) which holidays are religious in nature and would necessitate that children be absent from school, (b) religious prohibitions and restrictions, and (c) the names of prophets and founders of various religions. Although significant differences in knowledge were found between educators who had completed a course in religion and those who had not completed such a course, completion of a multicultural education course did not produce significant differences. Recommendations for acquisition of knowledge, techniques, and strategies are also included.     

Black Boxing Restraints: The Need for Full Disclosure and Consent

In this article we discuss the necessity of fully informing patients and their families of what constitutes physical interventions and their attendant risks under the established principles and obligations of informed consent. After a brief review of the elements of informed consent and the nature of the duty to advise patients and their families of treatment risks, we argue that physical interventions are an unvalidated treatment for aggressive and violent behavior and should be used only as a safety intervention. We focus our discussion on the informed consent issues for school aged children, adolescents, and emancipated minors and contend that if restraints are used they must pose less risk than the behavior they are trying to alleviate. We also opine that if restraints are misused by mental health or child welfare treatment settings, then their misuse may be considered a subject of a patient maltreatment, abuse, criminal or civil action. A central thesis of the article is that informed consent must be seen as an integral and dynamic process of treatment. We recommend strategies that gain parental permission and child assent, that view informed consent as a dynamic and individualized process that aids and supports the therapeutic relationship, and that stress the importance of simplicity and clarity.     

The Need for Philosophy in Theology Today

The Text of a paper presented at the Upholland Theological Consultation, 25—27 April 1984, the gathering which founded the Catholic Theological Association of Great Britain     

The Need for an Encyclopedia of Psychological Information

The relationship was examined between judgments of relative distance and judgments of relative size made over a surface on which the packing density of the texture elements was progressively increased, from one end of the surface to the other along the S's line of sight. Significant positive correlations were obtained between distance and size judgments made by 32 Ss. This confirmed a weak version of the size-distance invariance hypothesis and supported a prediction contained in Gibson's theory of space perception.     

The Need for a Continuum of Trauma Services

Summary

Since September 2000, residents of Israel have experienced a prolonged period of terrorist attacks that shows no sign of abating. The ramifications of the ongoing trauma permeate every facet of life. Since existing services provided by government and Non-Governmental Organizations (NGOs) are unable to meet the needs that have emerged, the Continuum of Trauma Services (CTS) was developed for victims of terrorist attacks, their families, friends, emergency and mental health professionals and the community at large. This article also describes the Israel Trauma Coalition and its interest groups, which may be seen as the embodiment of an evolving CTS.