Predicting Psychologists' Intentions to Integrate Complementary and Alternative Therapies Into Their Practice

Drawing on an extended Theory of Planned Behaviour (TPB) framework, we employed a cross‐sectional design study to investigate psychologists' intentions to integrate complementary and alternative therapies (CAT) into their practice via recommending CAT to clients or referring clients to CAT practitioners. Participants were registered practicing psychologists from a range of therapeutic orientations (e.g., narrative, cognitive behavioural, psychodynamic). The psychologists were either recruited by phone, following a search of the Internet, or were contacted through their place of employment (hospitals, university counselling service). Those who agreed to participate (N = 122; n = 88 females, n = 34 males) completed a questionnaire that included standard TPB items of attitude, subjective norm, and perceived behavioural control, along with items measuring perceived risk, past behaviour, CAT knowledge, and gender. The outcome variables of interest were (a) intention to recommend CAT to clients and (b) intention to refer clients to CAT practitioners. Structural equation modelling revealed that the extended model was a good fit, explaining 69% (recommending CAT) and 51% (referring to CAT practitioners) of the variance in intentions. For both behaviours, direct paths from attitude and subjective norm to intentions were observed, with perceived risk and past behaviour influencing the TPB predictors of attitudes, subjective norm, and perceived behavioural control. The findings illustrate the role that cognitive and risk factors have on psychologists' decisions to integrate CAT into their practice. Understanding psychologists' cognitions and decisions about CAT integration forms an important basis on which to consider future changes in policy or practice.     

Hope and Burden among Latino Families of Adults with Schizophrenia

This study examined hope and family burden among Latino families of individuals with schizophrenia. The sample consisted of 54 family members, one family member per outpatient adult recruited from public mental health programs in a diverse urban community. Hierarchical linear regression analyses were used to test the hypothesis that the family member's increased hope for the patient's future would be associated with decreased family burden beyond effects explained by the patient's length of illness and severity of symptoms. Results supported the study hypothesis. Family hope for the patient's future was associated with four of five types of family burden. Findings point to the prominent role of hope as a source of resilience for Latino families dealing with severe mental illness of a loved one.     

A Determinable-Based Account of Metaphysical Indeterminacy

Many phenomena appear to be indeterminate, including material macro-object boundaries and certain open future claims. Here I provide an account of indeterminacy in metaphysical, rather than semantic or epistemic, terms. Previous accounts of metaphysical indeterminacy (MI) have typically taken this to involve its being indeterminate which of various determinate (precise) states of affairs obtain. On my alternative account, MI involves its being determinate (or just plain true) that an indeterminate (imprecise) state of affairs obtains. I more specifically suggest that MI involves an object's (i) having a determinable property, but (ii) not having any unique determinate of that determinable. I motivate the needed extension of the traditional understanding of determinables, then argue that a determinable-based account of MI accommodates, in illuminating fashion, both ‘glutty’ and ‘gappy’ cases of MI, while satisfactorily treating concerns about MI stemming from Evans’ argument and the problem of the many.     

Dichotic listening,executive functions and grey matter cortical volume in patients with schizophrenia and healthy controls

Schizophrenia is characterized by cognitive impairment, especially in relation to executive functions. Brain structural abnormalities are also often seen in schizophrenia although little is known of the relationship between cognitive impairment and structural brain changes. Our aim was therefore to investigate this relationship further using MRI and a dichotic listening (DL) task with simple speech sounds and with instructions to focus attention and report only from the left or right ear stimulus. When instructed to focus attention on the left ear syllable a cognitive conflict is induced requiring the allocation of executive resources to be resolved. Grey matter (GM) volume was measured with MRI from four volumes of interests (VOIs), left and right frontal and temporal cortex, respectively, and correlated with DL performance. The results showed significant differences between the groups in their ability to focus attention on and report the left ear stimulus, which was accompanied by reduced GM volume in the left frontal and right temporal lobe VOIs. There was also a significant positive correlation between left frontal GM volume and performance on the DL task, for the groups combined. The results did not support a conclusion that an impairment in cognitive function in schizophrenia was driven by an corresponding impairment in brain structure, since there were no significant correlations when the groups were analyzed separately. It is however concluded that patients with schizophrenia are impaired in executive functions and that they also show reduced GM volumes in left frontal and right temporal lobe areas, compared to healthy controls.     

Endings as gain: The capacity to end and its role in creating space for growth

The paper describes an application of child psychotherapy in a paediatric setting. It examines the crucial part that attention to endings played in a clinical intervention where the phantasy of going on for ever threatened to inhibit growth. Case material is used to illustrate the different meanings and functions of endings and their significance in terms of parenting issues and developmental tasks. In this context the concept of negative elasticity is put forward as a useful tool for exploring the nature of boundaries. The final part of the paper focuses on the value of the external-reality experience of ending, its relationship to potential professional omnipotence and the importance of sustaining a tension between inner- and outer-world factors.     

The rehabilitation of primary object relations in the first year of intensive therapy with a severely deprived child

The following is an account of the first year of a therapy carried out in the public sector of a child born at the beginning of 1990 in an eastern European country and brought up in a home for abandoned children until he was placed with Italian parents at the end of 1995. I shall describe the child's initial psychological state, vigorous, but desperate, and then go on to describe the course of the first year of therapy, focusing in particular on the sessions of the from period, in which, apart from the quality and intensity of his anxiety, his need to fie this anxiety by retracing the stages of his first object experiences is clear.     

Austin on knowing

Philosophical anthropology is a broad‐gauged study of man drawing on the findings of empirical sciences and the humanities. The paper is intended as a tribute to one of the pioneers in this field. The first part outlines central features of Plessner's conception, focusing on man's instinctual deficiency and his ‘eccentric position’ in the world; man from this perspective is an ‘embodied’ creature in the dual sense of experiencing the world through his bodily organs and of ‘having’ a body and being able to reflect on his mundane situation. In social terms the perspective implies that man can find himself only through embodiment in institutional settings and role patterns ‐ settings which, however, remain open to reinterpretation and revision. Subsequently Plessner's outlook is compared and contrasted with alternative views of the human condition. According to Gehlen, man's instinctual deficiency an openness need to be corrected through institutional stability and the standardization of role structures. Reviewing leading writings of the ‘counter‐culture’, a final section explores contemporary anti‐institutional trends which see man as a fugitive from social constraints and his search for self‐fulfilment as antithetical to role patterns.