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.     

A prospective study of the distribution of illness within the menstrual cycle

The cyclic physiological variations during the menstrual cycle are thought to be associated with change in emotional state, in susceptibility to illness, and in frequency of illness-related behavior. Variations in frequency of illness with the phases of the menstrual cycle were examined using data from a 3-year prospective study of social and psychological antecedents of viral illness in 94 student nurses. Reported illnesses, accidents, medical consultations, and hospital admissions were randomly distributed throughout the menstrual cycle. Subjects took more medication on the 1st day of menses than on any other day of the cycle; howeverreported menstrual symptoms were infrequent, with only 4% of the population reporting two or more such episodes. It was concluded that there was an increase in discomfort on the data of onset of menses which was self-medicated but not defined as illness. There was no discernible relationship of illness or disability to any phase of the cycle.This work was supported in part by Center for Oral Health Research (COHR) grant DEO 2116, and Oral Medicine Training Grant ST01-DE-77. The authors wish to recognize the contribution of Carol Ram, R. N., who was the administrator of this study and responsible for the collection and organization of the large bank of information from which the material for this paper was abstracted. Without her care, diligence, and intelligent management, this study could not have been completed. We also wish to acknowledge the consultive advice of Dr. Larry Laster, Director, Division of Biometrics, School of Dental Medicine, in choice of analytic techniques, and the help of Dr. Arthur Segal in the early stages of data analysis.     

A twin study of personality and temperament during middle childhood

In a study of 105 same-sex twin pairs, ages 7 to 10 years, maternal ratings on 23 bipolar scales yielded six factors designated as compliant morality, applied cognitive, sociability, emotionality, tough-mindedness, and activity-distractibility. Analyses by twin pairs (68 identical, 37 fraternal) indicated that correlations for identical pairs were significantly higher than fraternal pairs on all but one factor: tough-mindedness. Profile analyses for the six factors indicated that the profiles of scores across the factors were more concordant for the identical twin pairs. Correlations obtained from the individual scales produced differences between the identical and fraternal twin pairs as well. Overall, the data suggested that several components and the total organization of those components of personality and temperament are genetically influenced.     

Personality factors in dysphoria: A psychometric refinement of beck's Sociotropy-Autonomy Scale

The Sociotropy-Autonomy Scale (SAS) was developed as a means of assessing two cognitive-personality constructs postulated as vulnerability factors in depression (Beck, 1983). While studies have confirmed the validity of the SAS Sociotropy Scale, the construct validity of the Autonomy Scale has not been well supported. The present study was conducted to improve on the measurement of autonomy by generating additional items which were added to the original questionnaire. This 93-item SAS was administered to 485 undergraduates along with the Beck Depression Inventory, Beck Anxiety Inventory, PRF Affiliation and Autonomy Scales, Positive and Negative Emotionality Measures, and Marlowe-Crowne Social Desirability Scale. Four factors labeled Sociotropy, Solitude/Interpersonal Insensitivity, Independence, and Individualistic Achievement emerged from a principal-factor analysis of the SAS item pool. Hierarchical multiple regression analyses indicated that positive emotionality and solitude/interpersonal insensitivity were specifically related to dysphoria, while negative emotionality and sociotropy had significant associations with both anxious and depressed mood states.This research was supported by University of New Brunswick Research Grant 22–51 awarded to the first author.     

Emotional Empathy in a Courtroom Simulation: A Person-Situation Interaction1

A pair of experiments were conducted using a simulated courtroom trial of a criminal case. In Experiment I subject-jurors were asked by defense counsel either to imagine themselves as the defendant (empathy-inducing appeal) or to pay close attention to evidence (nonempathy appeal). Later the judge delivered only general instructions or, in addition, charged jurors to give consideration only to the facts presented. When there was no Fact-focused judge's charge, juror-subjects who heard the empathy-inducing appeal rated the defendant's actions as more lawful and attributed less of the cause for the incident to his personality than did their counterparts in the nonempathy condition. Experiment II included individual differences in the tendency to empathize as an additional mediating variable. The original pattern of effects found for the manipulated variables in Experiment I appeared again, but were overshadowed by the stronger effects of the individual difference variable and of subject sex. Subject-jurors who scored high on the empathy individual difference measure rated the defendant less guilty, assigned less cause to him, and showed corresponding mood shifts when they heard the empathy-inducing appeal. In addition, male subjects empathized more strongly with the male defendant and viewed him more favorably.     

Fantasy as a medium for the reduction of trait versus state aggression

In the first phase of an experiment reducing hostility through fantasy, 203 first and second-year high school students completed a daydreaming scale, Rotter ISB, and a sociometric scale designed to ascertain which of their peers behave aggressively. The students of the upper and lower quarters of the daydreaming scale were classified as high and low fantasy, and as aggressive or nonaggressive subjects. The second phase, two weeks later, consisted of 94 subjects forming three groups: a trait aggressive group, a nonaggressive control group, and a group of nonaggressive subjects experimentally manipulated for aggression. Half of the subjects composed stories to four high-cue aggressive TAT cards; the other half read neutral stories. All the subjects then again completed the Rotter ISB which was scored for aggression. Analysis of covariance of the scores indicated that a reduction in hostility occurred only for the group experimentally aroused to aggression in the TAT condition. The scores of the trait-aggressive subjects, tested in a before-after analysis, showed an increase in their hostility level. Fantasy capacity did not influence the scores.     

Visual timing in hitting an accelerating ball

To investigate the timing of actions relative to events in the environment, we observed subjects leaping to punch a falling ball. We analysed their knee and elbow angles as functions of time for three ball-drop heights, finding that the differences in the functions for the different heights could be explained on the basis that the subjects were gearing their actions to a particular optic variable. This variable specifies the time remaining before contact with an object if the closing velocity is constant; for the falling ball it gives an increasingly accurate estimate of the time-to-contact. Our visuo-moto control model incorporates a delay parameter, the value of which was estimated from the data. In addition, correlations indicated that the knee and elbow were generally quite tightly coupled. The relationship of this task to laboratory tracking tasks and to the timing of actions in everyday life is described.     

Pigeons are attracted to a perceived gain without an actual gain

Reference dependence refers to the reduced value of a reward that is less than expected, or the added value of a reward that is greater than expected. There is evidence that when pigeons are offered an alternative that has 1 pellet versus an alternative that has 2 pellets, but one of the two pellets offered will be removed, the pigeons prefer the originally presented 1 pellet (loss aversion). In the present research, we tested for the opposite effect (gain attraction). In Experiments 1 and 2, pigeons could choose between 2 pellets, each one on a distinctive background. If they chose the optimal alternative, they received a second pellet. In Experiment 2, the second pellet obtained was the one not initially chosen (a task sometimes referred to as the ephemeral reward task). Pigeons learned to choose optimally in both experiments. In Experiment 3, we tested the pigeons for reference dependence. Pigeons were given an alternative that offered them one pellet or two pellets, if they chose the one-pellet alternative, they received an additional pellet, and if they chose the two-pellet alternative, they received the two pellets. In keeping with the reference dependence hypothesis, the pigeons preferred the 1-pellet alternative that gave them an extra pellet. These effects are related to similar findings with humans, including the endowment effect.

     

Realizing race

Philosophical Studies - A prominent way of explaining how race is socially constructed appeals to social positions and social structures. On this view, the construction of a person’s race is...