Ethical Challenges in the Treatment of Individuals With Intellectual Disabilities

The effective provision of psychotherapy services to individuals with intellectual disability requires consideration of ethical issues related to clinical competence, access to services, obligations to multiple parties, guardianship, and appropriate assessment practices. This article provides an overview of major ethical considerations with guidance for clarifying and resolving common ethical concerns. Psychologists are encouraged to expand access to psychotherapy services for this population while maintaining awareness of potential modifications, training needs, and boundaries of professional competence. The authors provide recommendations and resources for effective and ethical treatment of psychotherapy clients with intellectual disabilities.     

The logic of conditionals 1

The standard use of the propositional calculus ('P.C.’) in analyzing the validity of inferences involving conditionals leads to fallacies, and the problem is to determine where P.C. may be ‘safely’ used. An alternative analysis of criteria of reasonableness of inferences in terms of conditions of justification rather than truth of statements is proposed. It is argued, under certain restrictions, that P. C. may be safely used, except in inferences whose conclusions are conditionals whose antecedents are incompatible with the premises in the sense that if the antecedent became known, some of the previously asserted premises would have to be withdrawn.     

Mental Health and Adverse Childhood Experiences

The theoretical basis of occupational therapy interventions was investigated in two mental health facilities in the Midwestern United States. Using retrospective cohort and grounded theory designs, 121 medical records were reviewed and five occupational therapy practitioners were interviewed. Theoretical reasoning was not explicitly documented, but according to analysis, the behavioral/cognitive-behavioral model, client-centered models, and the model of human occupation were the most frequently used theories to guide interventions. Lack of documentation of theory use has significant implications for the value accorded to occupational therapy skills in health care. A larger study is recommended to increase external generalizability of the findings.     

Cleaning Up the Dirty Work: Professionalization and the Management of Stigma in the Cosmetic Surgery and Tattoo Industries

This article considers the similarities between the cosmetic surgery and tattoo industries, focusing on how each has transitioned from a disreputable and deviant industry to achieve varying degrees of mainstream acceptance and success. Specifically, each industry is conceptualized as engaging in “dirty work” requiring practitioners to actively reframe and legitimate their respective industry. Using Event Structure Analysis, I model and compare the development of each industry based on linear historical narratives. The resulting models illustrate the importance of events within each narrative along with their relationship to each other. Findings suggest that the creation of industry-wide professional organizations is integral to changing public perception of a given industry. Furthermore, findings show that the more hierarchical structure of the cosmetic surgery industry, as well as its integration into the medical industry, have helped it to thrive in a manner that contrasts sharply with the more disorganized structure of the tattoo industry.     

Grateful individuals are not suicidal: Buffering risks associated with hopelessness and depressive symptoms

With suicidal behavior serving as a leading cause of injury and death around the world, researchers must expand ongoing efforts to uncover protective factors. In this study, we examined if gratitude mitigated existing risk factors for suicide. Specifically, we predicted that gratitude moderates the relationship between suicidal ideation and (a) hopelessness and (b) depressive symptoms in a sample of 369 diverse undergraduate students. Results indicate that for people who are highly grateful, both hopelessness and depressive symptoms are less likely to be associated with thoughts and intentions to kill oneself. The findings demonstrate the value of integrating protective factors against suicidality, including character strengths such as gratitude, into existing theories that tend to be limited to vulnerability factors. We offer tentative ideas for enhancing the impact of suicide prevention and intervention programs by directly addressing gratitude, which has been shown to be highly modifiable.     

Energy,Complexity, and Strategies of Evolution: As Illustrated by Maya Indians of Guatemala

Using free energy rate density (Φ_m) I differentiate two evolutionary strategies common to cosmic, biological, and cultural systems: the horizontal when energy increases proportional to mass, with no increase in complexity; and the vertical when it increases disproportionately to the mass and complexity increases. The vertical process is a continuing increase in complexity such that the system becomes vulnerable to collapse when energy sources fail. This is illustrated by a comparison of four Mayan Indian groups in Guatemala.     

Autobiographical memory deficits in schizophrenia

This study investigated autobiographical memory processes in a group of individuals diagnosed with schizophrenia and matched controls. The schizophrenia group displayed an overgeneral style of autobiographical memory retrieval on two widely used measures, and displayed problems retrieving both autobiographical facts and events. They showed a specific impairment in the recall of autobiographical events and facts in early adulthood, around the time of onset of their illness. Retrieval deficits were independent of mood state and premorbid intellectual functioning. The magnitude of the deficits in autobiographical memory retrieval specificity were considerably greater than any general impairments in episodic and working memory.     

Autobiographical memory specificity in adults reporting repressed,recovered, or continuous memories of childhood sexual abuse

Some psychotherapists believe that adult survivors of childhood sexual abuse (CSA) are characterised by memory deficits for their childhood. Using the Autobiographical Memory Test (AMT), we asked nonabused control participants and participants who reported either continuous, recovered, or repressed memories of CSA to retrieve a specific personal memory in response to either positive or negative cue words from either childhood or adolescence/adulthood. The results indicated that participants who believed they harboured repressed memories of abuse tended to exhibit the greatest difficulty retrieving specific memories from their childhood. Neither posttraumatic stress disorder (PTSD) nor major depression was related to diminished memory specificity.