Screening for Physical Violence in Couple Therapy: Methodological,Practical, and Ethical Considerations

Over two-thirds of clients in family therapy clinics engage in some form of physical violence against their partners within the year prior to the initiation of therapy. However, family therapists are aware of only a small proportion of these cases. The purpose of this article is to enhance the ability of family therapists to detect marital violence. We examine client and therapist reasons for why physical violence is not detected. We then review various methods to screen for the presence of physical violence, especially the Conflict Tactics Scales. Finally, indicators of life-threatening violence are presented to help family therapists detect cases that require immediate intervention to protect the partner whose life may be in danger.     

Responding to Negative Internal Experience: Relationships Between Acceptance and Change-Based Approaches and Psychological Adjustment

The authors examined the relationships between change-based and acceptance-based strategies for responding to negative internal experience (thoughts and emotions) and levels of psychological symptoms and well-being. A large sample of undergraduate students completed measures of their general frequency of experiencing negative affect and intrusive thoughts, their typical ways of responding when these experiences occur, and their levels of psychological symptoms and well-being. Correlational analyses showed that most of the identified ways of responding to negative internal experiences were significantly related to psychological symptoms and well-being, even after accounting for the general frequency of experiencing unwanted thoughts and emotions. Regression analyses suggested that change-based ways of responding add little or no incremental variance over acceptance-based strategies in accounting for lower symptom levels and greater well-being.     

Feminist Approaches to Social Science: Epistemological and Methodological Tenets

This paper is a primer for community psychologists on feminist research. Much like the field of community psychology, feminist scholarship is defined by its values and process. Informed by the political ideologies of the 1970s women's movement (liberal, radical, socialist feminism, and womanism), feminist scholars reinterpreted classic concepts in philosophy of science to create feminist epistemologies and methodologies. Feminist epistemologies, such as feminist empiricism, standpoint theory, and postmodernism, recognize women's lived experiences as legitimate sources of knowledge. Feminist methodologies attempt to eradicate sexist bias in research and find ways to capture women's voices that are consistent with feminist ideals. Practically, the process of feminist research is characterized by four primary features: (1) expanding methodologies to include both quantitative and qualitative methods, (2) connecting women for group-level data collection, (3) reducing the hierarchical relationship between researchers and their participants to facilitate trust and disclosure, and (4) recognizing and reflecting upon the emotionality of women's lives. Recommendations for how community psychologists can integrate feminist scholarship into their practice are discussed.     

The Use of Consultation in Psychological Practice: Ethical,Legal, and Clinical Considerations

The importance of consulting with other professionals to maintain acceptable standards of care is well documented in many health care professions. However, evidence indicates that many psychologists fail to utilize consultation when needed, and that consultation use varies along dimensions such as the education and training of the consultee, the type of setting, number of years in practice, and proximity to available consultants. In this article, we review the research on the use of consultation by psychologists as well as other health care professionals. We discuss the clinical, ethical, and legal implications of seeking consultation as a professional psychologist. Finally, a detailed and practical model for the regular use of consultation is given to improve the routine use of consultation in clinical practice.     

Using Neuroscience to Broaden Emotion Regulation: Theoretical and Methodological Considerations

Behavioral research on emotion regulation thus far has focused on conscious and deliberative strategies such as reappraisal. Neuroscience investigations into emotion regulation have followed suit. However, neuroimaging tools now open the door to investigate more automatic forms of emotion regulation that take place incidentally and potentially outside of participant awareness that have previously been difficult to examine. The present paper reviews studies on the neuroscience of intentional/deliberate emotion regulation and identifies opportunities for future directions that have not yet been addressed. The authors suggest a broad framework for emotion regulation that includes both deliberative and incidental forms. This framework allows insights from incidental emotion regulation to address open questions about existing work, and vice versa. Several studies relevant to incidental emotion regulation are reviewed with the goal of providing an empirical and methodological groundwork for future research. Finally, several theoretical issues for incidental and intentional emotion regulation are discussed.     

Research on Intercessory Prayer: Theoretical and Methodological Considerations

Belief in the healing power of prayer is found in various religious traditions. Spiritually grounded clinical interventions, such as intercessory prayer (IP), need to be understood in a broader sense. This essay features the IP trials, observing the controversial relationship between inconsistent results and allegedly inadequate methods and theoretical hypothesis. A survey of the literature was conducted including publications indexed until September 2013, focusing on the trials developed in the field and on the critics about the methodological design. Recent meta-analyses and multicenter studies found inconclusive results in the investigation of IP. Clinical trials on IP present some methodological difficulties: The intervention is not fully controlled; the primary outcome is not properly defined; and the theoretical models seem inconsistent. The “non-local consciousness” model may be appropriate for studies of IP. Directions for future research: greater emphasis on the evaluation of the effectiveness of this intervention in animal models; selection of subjects and healers who have previous connection; considering the hypothesis of non-local consciousness in the study design.     

The Corsi Block-Tapping Task: Methodological and Theoretical Considerations

The Corsi block-tapping task has enjoyed extensive use in clinical and experimental studies for a quarter of a century and is arguably the single most important nonverbal task in neuropsychological research. Nevertheless, there has been considerable inconsistency not only in the administration and scoring of this measure, but also in the physical properties of the test apparatus. In this paper, we survey a wide range of studies that have made use of the block-tapping task during the past 25 years and provide a detailed appraisal of the manifold methodological variations. Additionally, we discuss the historical context in which the Corsi originated and offer a critical examination of the cognitive processing operations purported to underlie performance on this task.     

Writing About Clients: Ethical Considerations and Options

Today, the decision to prepare clinical case material for publication is a decision that cannot be taken lightly. The decision involves reviewing ethical considerations and choosing among various options to safeguard client privacy. Such options include seeking the client's permission, disguising case material, and developing composite case material. These considerations are discussed and options are described along with guidelines and a case example illustrating these points.     

Custody Evaluations: Critical Contextual and Ethical Considerations

The area of custody evaluation is fraught with anxiety and tension for parents and children as well as therapists. This article encourages the use of a set of lenses that explores individual and family members' relationships within a variety of contexts. To advance the reader's understanding, a model employing various levels and domains will be presented and described. A variety of critical ethical issues, and challenges often encountered by therapists are also examined.     

Ethical Considerations for Clinical Research and Off-label Use of Ketamine to Treat Mood Disorders: The Balance Between Risks and Benefits

Previous research conducted in 1999 highlighted ethical concerns behind challenge studies inducing psychosis with ketamine and made recommendations to enhance ethical standards. Recently, a plethora of clinical trials have evaluated the efficacy of ketamine to treat mood disorders, which lead to complex ethical issues. Pharmaceutical companies and researchers hope to profit by developing patentable variations on ketamine for treating depression. Media have labeled ketamine as a “miracle” antidepressant. Some clinics offer expensive off-label use of ketamine to treat mood disorders. This article examines the ecological validity of ketamine trials, measures to protect patients, informed consent procedures, financial inducements to participants and conflict of interest of researchers, therapeutic misconception, concealment, and deception. Further recommendations are purposed to improve ethical standard of clinical research involving ketamine.     

论行政人的伦理困境与出路

行政人在行政实践中常会遭遇服从上级与对公众负责的冲突、行政人身份与角色群的紧张、公共利益与个人利益的僵局甚至行政人隐私权与公民知情权的平衡等四天伦理困境.行政人的不道德行为给社会带来了严重危害.行政人陷入伦理困境有三重因素:微观方面是行政人角色界定模糊;中观方面是监督和制约机制乏力;宏观方面是行政主导价值旁落和传统行政文化的侵扰.行政人选拔应与行政主导价值观相匹配,推进以组织流程转变为核心的政府再造运动;慎用行政实践中的伦理性妥协;开展行政人伦理培训;加强伦理立法及制度化是行政人摆脱伦理困境的基本理路.     

Assent and Dissent: Ethical Considerations in Research With Toddlers

In accordance with ethical principles and standards, researchers conducting studies with children are expected to seek assent and respect their dissent from participation. Little attention has been given to assent and dissent in research with toddlers, who have limited cognitive and emotional capabilities. We discuss research with toddlers in the context of assent and dissent and propose guidelines to ensure that research with toddlers still adheres to ethical principles. These guidelines include designing engaging studies, monitoring refusal and distress, and partnering with parents. Research with toddlers requires flexibility and creativity to respect toddlers in the context of their developmental capabilities.     

Evaluations of Rebuttal Analogy Users: Ethical and Competence Considerations

Recent theorizing and research concerning the pragmatics of analogy in persuasion posits that it serves two communicative functions. Specifically, rebuttal analogy instrumentally functions as argument and also as a social attack device used to demean the competence or character of opponents. The study reported here empirically investigated message receivers' perceptions of rebuttal analogy users. Participants were exposed to one of four messages employing rebuttal analogy or to one of the same four messages with a nonanalogy version of the rebuttal argument. As anticipated, the findings revealed that participants perceived the communicator employing rebuttal analogy as less ethical and less competent than communicators using nonanalogy counterparts. These results are discussed and future research is proposed.