Increasingly informed consent: discussing distinct aspects of psychotherapy at different points in time

Psychologists are ethically obligated to obtain informed consent to psychotherapy "as early as is feasible" (American Psychological Association, 2002, p.1072). However, the range of topics to be addressed includes both information that may be immediately and uniformly applicable to most clients via policy or rule, as well as information that is not immediately presentable because it varies widely across clients or emerges over time. In this study, licensed psychologists were surveyed regarding the earliest feasible point at which they could provide information regarding specific aspects of psychotherapy. Results indicate that, although psychologists believe that they are capable of presenting some information, such as payment and confidentiality policies, at the outset, they believe that a discussion of more substantive issues, such as psychotherapy duration, goals, orientation, and activities, can take place only after some therapy has transpired. Implications are discussed regarding the process and event models of informed consent.     

How does clients' method of payment influence psychologists' diagnostic decisions?

To what extent does payment method (managed care vs. out of pocket) influence the likelihood that an independent practitioner will assign a Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1994) diagnosis to a client? When a practitioner does diagnose, how does payment method influence the specific choice of a diagnostic category? Independent practitioners responded to a vignette describing a fictitious client with symptoms of depression or anxiety. In half of the vignettes, the fictitious client intended to pay via managed care; in the other half, the fictitious client intended to pay out of pocket. Payment method had a very significant impact on diagnosis such that relative to out-of-pocket clients, managed care clients were much more likely to receive diagnoses and more likely to receive adjustment disorder diagnoses in particular. We discuss implications involving informed consent and other ethical issues.     

Factorial structure of the kidcope in Hong Kong adolescents

The Kidcope (A. Spirito, L. J. Stark, & C. Williams, 1988), a brief screening measure of coping strategies for children and adolescents, was subjected to exploratory and confirmatory factor analyses in a sample of adolescents in Hong Kong. A 2-factor model was found to fit the data when only the 2 emotional regulation items were treated separately and were allowed to load on the 2 different factors. Further analyses showed that factor loadings, factor variances, and factor covariance were invariant across age and gender. On the basis of the factor analyses, the authors created 2 composite scores, representing control-oriented and escape-oriented coping strategies. Implications for the use of the Kidcope in research and preventive intervention are discussed.     

The Longest Faculty Strike in the History of U.S. Institutions of Higher Education: Perceptions of the Union President

The president of the AAUP faculty union at University of Bridgeport, from 1987 to 1991, offers a first-hand account of the circumstances leading to the fatal strike there. He refutes accusations that the union and its leadership destroyed the university and provides a dramatic, personal account of a faculty union under attack by union busters. The faculty, he argues, was resisting a concerted onslaught on traditional faculty rights. It fought desperately to stifle a retrograde revolution in higher education seeking the substitution of absolute Management Rights to traditional collegiality. He refers to faculty as the soul and mind of a university, and to administration as a necessary evil whose duty is primarily to assist the faculty in the accomplishment of the university's mission.     

Control and maintenance effects of long-term relaxation training in a case of hypertension

The effects of long-term, varied relaxation in a case of essential hypertension are described. The client's unusual achievement of voluntary control over his blood pressure was discussed in terms of new directions in the search of a relaxation specific factor.     

Pattern goodness and speed of encoding

Two experiments attempted to resolve a conflict in the literature about whether good patterns are encoded faster than poor patterns in speeded classification tasks. The results showed clear effects of goodness on the memory component of such tasks, but no effect on speed of encoding. The conflicts appear to be due in part to varying encoding requirements of different tasks.     

Goal attainment scaling: An idiosyncratic method to assess treatment effectiveness in agoraphobia

Goal attainment scaling (GAS) is an individually tailored way to measure treatment gains, using a highly standardized procedure. An advantage of the method is that it takes into account individual characteristics of the patients, and at the same time the data are suitable for quantitative analysis and comparable across patients. Despite the wide acceptance and use of the method in the evaluation of psychotherapy, data on its psychometric properties are rather scarce. In the current study, GAS was used as one of several outcome measures in a research project on the effectiveness of various treatments for panic disorder with agoraphobia. Guidelines for GAS are presented as well as data on the reliability and validity of the procedure. Results indicate that the procedure is reliable, valid, and sensitive to the improvement of patients during treatment. Comparison of GAS with standardized measures revealed considerable concordance, although the clinical end status of patients diverged somewhat dependent on the measure considered.     

Exogenous testosterone and social experience each enhance the development of aggressive behavior in Cyprinodon variegatus

The combined effects of testosterone and social experience from the time of hatching on development of aggressive behaviors in Cyprinodon variegatus were investigated. Social experience was defined as a rearing condition allowing visual, tactile, chemosensory, and auditory contact with zero, three, or 15 additional conspecifics. Behaviors were videotaped once weekly from 3 weeks to 4 months post-hatching, using the focal animal method, and an ethogram was constructed. At 3 months post-hatching, half the fish were injected once with testosterone propionate (2 μg/g b. w., i. p., vehicle-Ringer's solution) and the other half were injected with Ringer's isotonic saline solution. Testosteronetreated subjects showed significantly greater frequencies and durations of behaviors that may be related to aggression than did saline controls. Two weeks after the treatments, a round-robin tournament was conducted between testosterone- and saline-treated fish from each rearing condition. Testosterone-treated fish won significantly more encounters than did saline-treated subjects over all rearing conditions. Furthermore, significantly more aggressive acts were displayed by fish raised in the groups of 16 and the groups of four than did the Isolates. Although the number of aggressive acts exhibited by the group of 16 was greater than the group of four, the difference was not statistically significant.     

Deciding to Act

Philosophical Studies -     

Phenomenology and Theology—Reflections on the Study of Religion

The academic study of religious belief and practice is frequently taken to debunk the content of religion. This attitude impedes the science-theology dialogue and causes believers to react defensively toward studies of religion. I argue that a large, although not unrestricted, domain exists in which phenomenology of religion is neutral with respect to content, that is, compatible with either belief or unbelief. Theology can constructively interact with secular studies of religion, in some cases even explicitly hostile ones. Three themes emerge that elaborate on this interaction: (1) the claim that a scientific study of religion is capable of refuting belief is a logical mistake; (2) religious practice, and to some extent belief, can benefit from secular scrutiny; (3) the entirety of religious expressions is richer than the content that can be captured by analytical study of the phenomenon.