Beyond Hopelessness

Abstract

The researchers conducted a needs assessment survey of practicing school-based occupational therapists to determine the incidence of grief within existing caseloads, current awareness of the issue, related concerns, and willingness or resistance to address grief in the intervention environment. The survey was administered to a representative sample of 150 school-based therapists throughout the state of Ohio. Fifty-six therapists responded with usable data.

The results suggest that the students who are currently on occupational therapy (OT) caseloads face a large number of grief issues. Although a majority of therapists reported addressing grief issues, only a small percentage typically do so for a variety of reasons. The school therapists offered a number of explanations for the limited follow-through on this issue. These findings support the profession's recent efforts to further establish occupational therapy as a well-recognized and respected provider of interventions to address the mental health and psychosocial needs of children in school settings.     

Beyond Role-Playing

Abstract

Approaches utilized in preparing actors are similar to developing empathy. This article defines empathy as a state and a trait and examines the use of theater exercises in the development of empathy. Theoretical, practical, and research bases for utilizing theater exercises are presented. A small study using theater exercises designed to develop empathy is described. While quantitative analysis did not reveal significant results, qualitative results indicated high salience for a participating counselor education class and need for further research.     

Beyond Homophobia

No abstract available for this article.     

Beyond Millianism

In Beyond Rigidity, Soames attempts to defend Millianism by articulating a novel account of the semantics and pragmatics of sentences containing names. Soames uses this account both to respond to the objection that Millianism unintuitively allows the unrestricted substitution of coreferential names in propositional attitude contexts, and to generate a positive argument for Millianism. I argue that the positive argument fails, and that Soames’s account of the semantics and pragmatics of sentences containing names is inconsistent with Millianism.

Beyond the Mainstreams

My interest in the theory and art of psychoanalysis is traced to some of its sources—my childhood and expulsion from Germany in the late 1930s, my experience as a member of a discriminated-against minority, my nonacceptance as a psychologist by American psychoanalytic societies, my invitation to participate in the development of self psychology, and my fortuitous encounter with personal and professional friends who have contributed to the scope of my psychoanalytic endeavors (e.g., to my abiding interest in research and, in particular, the empirical studies of the early mother–infant dyad). I offer this account as evidence of the varied and creative opportunities that await psychoanalysts not outside but beyond the mainstream of American psychoanalysis.     

Beyond Mental Competence

Justification for psychiatric paternalism is most easily established where mental illness renders the person mentally incompetent, depriving him of the capacity for rational agency and for autonomy, hence undermining the basis for liberal rights against paternalism. But some philosophers, and no doubt some doctors, have been deeply concerned by the inadequacy of the concept of mental incompetence to encapsulate some apparently appealing cases for psychiatric paternalism. We ought to view mental incompetence as just one subset of a broader justification for psychiatric paternalism. The very basis of liberal limitations on psychiatric paternalism, whether described in terms of rights to autonomy or as respect for differences in values and lifestyles, presupposes a sense of moral persistence, and hence some sufficiently persistent self. Paternalistic intervention is warranted when we are unable to govern our lives in a manner consistent with the goals and values that comprise that ‘self’. One way that can occur is when we lack the mental capacities required for autonomy, such that we are unable to interpret and interact with our environment in order to meaningfully pursue our goals, i.e. mental incompetence. But it can also occur when we are subject to impositions that alter our goals without altering our capacity to pursue them — i.e. when it is our ‘self’ that is impaired rather than our competence.