Deciding for a child: a comprehensive analysis of the best interest standard

This article critically examines, and ultimately rejects, the best interest standard as the predominant, go-to ethical and legal standard of decision making for children. After an introduction to the presumption of parental authority, it characterizes and distinguishes six versions of the best interest standard according to two key dimensions related to the types of interests emphasized. Then the article brings three main criticisms against the best interest standard: (1) that it is ill-defined and inconsistently appealed to and applied, (2) that it is unreasonably demanding and narrow, and (3) that it fails to respect the family. Finally, it argues that despite the best interest standard??s potent rhetorical power, it is irreparably encumbered by too much inconsistency and confusion and should be rejected.     

Revisiting the best interest standard: uses and misuses

The best interest standard is the threshold most frequently employed by physicians and ethics consultants in challenging a parent's refusal to provide consent for a child's medical care. In this article, I will argue that the best interest standard has evolved to serve two different functions, and that these functions differ sufficiently that they require separate standards. While the best interest standard is appropriate for choosing among alternative treatment options for children, making recommendations to parents, and making decisions on behalf of a child when the legal decision makers are either unable to make a decision or are in dispute, a different standard is required for deciding when to seek state interference with parental decision-making authority. I will suggest that the harm principle provides a more appropriate threshold for determining when to seek state intervention than the best interest standard.     

The lived experience of psychotherapists working with older clients: an heuristic study

This paper presents the results of an heuristic study based on the research question: ‘How do psychotherapists experience working with older clients?’ The question came from the researchers’ experience and interest in working with older clients in general practice. It started from the researchers’ desire to examine more closely feelings and elements present in their own experience in dialogue with seven other practising therapists who had an interest and experience of working with this client group. Qualities and elements identified were: perceptions of old age and ageism; boundaries and settings; changes to practice; culture and experiences; awareness of time; loss; decline and mortality; and parents and children. These are illustrated by material from each of the participants, a composite depiction of the experience, a creative synthesis and examples from the researchers’ experiences.     

Talking about interest: exploring the role of social interaction for regulating motivation and the interest experience

The Self-Regulation of Motivation Model suggests that the experience of interest is an important source of human motivation and that people often strategically regulate the experience of interest. Previous work based on this model suggests that the social context may influence this process at multiple points. The present research focuses on whether talking to others about an activity experience is one means by which individuals evaluate how interesting that activity is. In Study 1 college students completed questionnaires that asked about real life experiences where working on an activity was more interesting because they worked with others. They described experiences that occurred first in any domain, and then that occurred specifically in the school domain. Results suggested that the more students talked with others about the activity after it happened the more they reported greater interest in the activity after the conversations. In the school domain, this was especially true for Latinos and for individuals who scored higher on the Relational Self-Construal scale. Study 2 employed a lab paradigm to control for the task that individuals talked to others about and to examine whether the nature of listeners’ reactions influenced the speaker’s interest even after the study was ostensibly over. First, replicating Pasupathi and Rich (2005, ‘Inattentive listening undermines self-verification in personal storytelling’, Journal of Personality 73, pp. 1051–1086) college students who talked to a distracted friend about a computer game during the lab session reported a significant drop in interest relative to those who talked to attentive friends, regardless of whether the attentive listeners agreed or disagreed with participants. Importantly, interest ratings at a 4–6 week follow-up were affected by the perceived responsiveness of listeners during spontaneous conversational retellings outside the lab, controlling for interest levels at the end of the lab session. Taken together, results suggest that social interaction plays an important role in regulating activity interest even beyond the immediate activity experience.     

Deciding whether to work after retirement: The role of the psychological experience of aging

Due to the graying of the global labor markets, post-retirement employment is becoming increasingly important in the 21st century. To better understand older people's decisions to engage in post-retirement employment, the current study investigated the role of the psychological experience of aging. Two dimensions that capture positive aging experience (i.e., personal growth and gaining self-knowledge) and two dimensions that capture negative aging experience (i.e., physical loss and social loss) were differentiated and their relations to post-retirement employment were hypothesized. We argue that aging experience may influence the decision to work after retirement by generating both, approach and avoidance responses. Longitudinal data from the German Aging Survey (N = 551) were used to test the hypotheses. The results of structural equation modeling indicated that retirees who experienced aging as social loss and as personal growth were more likely to engage in post-retirement employment a decade later, while retirees who experienced aging as gaining self-knowledge were less likely to engage in post-retirement employment. Theoretical and practical implications of this study are discussed.     

Gold medal award for life achievement in psychology in the public interest

The American Psychological Foundation (APF) Gold Medal Awards recognize distinguished and enduring records of accomplishment in four areas of psychology: the application of psychology, the practice of psychology, psychology in the public interest, and the science of psychology. The 2011 recipient of the Gold Medal Award for Life Achievement in Psychology in the Public Interest is Salvatore R. Maddi. Dorothy W. Cantor, president of the APF, will present the APF Gold Medal Awards at the 120th Annual Convention of the American Psychological Association on August 3, 2012, at 4:00 p.m. Members of the 2012 APF Board of Trustees are Dorothy W. Cantor, president; Charles L. Brewer, vice president/secretary; Gerald Koocher, treasurer; Elisabeth R. Straus, executive vice president/executive director; Norman Anderson; Brian N. Baird; David H. Barlow; Camilla Benbow; Sharon Stephens Brehm; Connie Chan; William Howell; Anthony Jackson; Ronald F. Levant; Aurelio Prifitera; Sandra Shullman; Archie L. Turner; and Kurt Geisinger, APA Board of Directors liaison.     

McCay Vernon: award for distinguished senior career contributions to psychology in the public interest

Presents a citation for McCay Vernon, who received the Award for Distinguished Senior Career Contributions to Psychology in the Public Interest "for fifty-five years of distinguished contributions toward improving the lives of both deaf and deaf-blind individuals." Accompanying the citation are a brief profile and a selected bibliography, as well as Vernon's award address, The APA and Deafness. ((c) 2006 APA, all rights reserved).     

Quint: An R package for the identification of subgroups of clients who differ in which treatment alternative is best for them

In the analysis of randomized controlled trials (RCTs), treatment effect heterogeneity often occurs, implying differences across (subgroups of) clients in treatment efficacy. This phenomenon is typically referred to as treatment-subgroup interactions. The identification of subgroups of clients, defined in terms of pretreatment characteristics that are involved in a treatment-subgroup interaction, is a methodologically challenging task, especially when many characteristics are available that may interact with treatment and when no comprehensive a priori hypotheses on relevant subgroups are available. A special type of treatment-subgroup interaction occurs if the ranking of treatment alternatives in terms of efficacy differs across subgroups of clients (e.g., for one subgroup treatment A is better than B and for another subgroup treatment B is better than A). These are called qualitative treatment-subgroup interactions and are most important for optimal treatment assignment. The method QUINT (Qualitative INteraction Trees) was recently proposed to induce subgroups involved in such interactions from RCT data. The result of an analysis with QUINT is a binary tree from which treatment assignment criteria can be derived. The implementation of this method, the R package quint, is the topic of this paper. The analysis process is described step-by-step using data from the Breast Cancer Recovery Project, showing the reader all functions included in the package. The output is explained and given a substantive interpretation. Furthermore, an overview is given of the tuning parameters involved in the analysis, along with possible motivational concerns associated with choice alternatives that are available to the user.     

Correspondence with clients in therapy

Resistance to the therapy process, and the help of the therapist, may sometimes be bypassed or overcome through the substitution of written for verbal communication. Techniques and implications of this procedure are discussed in this paper.