Assessment of DSM-IV personality disorders in obsessive-compulsive disorder: comparison of clinical diagnosis, self-report questionnaire, and semi-structured interview

In patients with obsessive-compulsive disorder, personality disorders are not many times assessed according to DSM-IV criteria. The purpose of the present study is to examine the prevalence of personality disorders diagnosed according to the DSM-IV in a severely disordered OCD population (n=65) with three different methods of assessing personality disorders (structured interview, questionnaire, and clinical diagnoses). Furthermore, correspondence between these different methods was investigated and their construct validity was examined by relating the three methods to external variables. Each method resulted in a predominance of Cluster C personality disorders, and obsessive-compulsive personality disorder had the highest prevalence. However, there was generally low correspondence regarding which patient had which personality disorder. Results concerning the relation of external variables were the most promising for the structured clinical interview.     

The Embodiment of Birth

This paper rejects dualism between mind and body toview the self as an embodied biological entity. Rather thanseeing the body operating by passive mechanisms as Descartesargues, it holds it actively moves in and even defines its world. Carrying this perspective to medicine presents an attempt toincorporate or work with internal processes of the body; it issensitive to how patients identify with their bodies. Thecurrent discussion over the extent to which women should try tohave natural childbirths provides a concrete example of thedifferences between mechanistic and embodied approaches tomedicine.     

Empathic-Cognitive Development in Students of Counseling

Empathy is both crucial to counseling and a desired outcome in higher education. Since the 1960s, many studies have examined the relationship between stages of adult cognitive development and level of empathy, particularly in counselors. Though positive, findings related to this critical research focus have been grounded in small, local samples, leading several investigators to call for a replication using a large, national sample. In response, this study surveyed 340 graduate student members of a large professional counseling association across the United States. Results indicated that more mature forms of thought (according to the Perry scheme) are associated with higher empathy levels (Hogan scale). Implications are drawn for adult development theory, education of counselors, and higher education reform.     

Confidentiality and the counsellor in general practice

The privacy of patients and their need for protection from harm are values respected by all professions. But words are open to interpretation. When counsellors join a multi-disciplinary Team, the variety of attitudes to confidentiality is often not made explicit, but is held within a broad corporate ideology. How then do counsellors protect the patient, and themselves, within the team approach to medical care? What are the consequences if they do not adhere to team norms? It is contended that corporate ideology is the main variable affecting the integration of a confidential counselling service within a medical setting.     

‘Ought implies Can’ and the law

In this paper, we investigate the ‘ought implies can’ (OIC) thesis, focusing on explanations and interpretations of OIC, with a view to clarifying its uses and relevance to legal philosophy. We first review various issues concerning the semantics and pragmatics of OIC; then we consider how OIC may be incorporated in Hartian and Kelsenian theories of the law. Along the way we also propose a taxonomy of OIC-related claims.     

Helping parents to motivate adolescents in mathematics and science: an experimental test of a utility-value intervention

The pipeline toward careers in science, technology, engineering, and mathematics (STEM) begins to leak in high school, when some students choose not to take advanced mathematics and science courses. We conducted a field experiment testing whether a theory-based intervention that was designed to help parents convey the importance of mathematics and science courses to their high school-aged children would lead them to take more mathematics and science courses in high school. The three-part intervention consisted of two brochures mailed to parents and a Web site, all highlighting the usefulness of STEM courses. This relatively simple intervention led students whose parents were in the experimental group to take, on average, nearly one semester more of science and mathematics in the last 2 years of high school, compared with the control group. Parents are an untapped resource for increasing STEM motivation in adolescents, and the results demonstrate that motivational theory can be applied to this important pipeline problem.     

Meta-Analysis of Interventions for Basic Mathematics Computation in Single-case Research

This study examined interventions for addition and subtraction that were implemented through single-case design (SCD) research studies. We attempted to extend prior SCD meta-analyses by examining differences in effect sizes across several moderating variables and by including a novel index of effect, improvement rate difference (IRD). We also examined the extent to which effect sizes differed by degree of experimental control achieved in the studies. Forty-seven effect sizes were obtained across 11 studies. IRD effect sizes ranged from .59 to .90 and suggested a moderate to large effect for the math interventions. Variables that appeared to moderate the effects were student age, time spent in intervention, and intervention type. We also identified a relationship between experimental control and the obtained effect sizes. Findings indicated that further SCD research in basic arithmetic and rigorous experiments are necessary to establish an evidence base that accurately characterizes intervention effectiveness.     

Climate Change: Evidence of Human Causes and Arguments for Emissions Reduction

In a recent editorial, Raymond Spier expresses skepticism over claims that climate change is driven by human actions and that humanity should act to avoid climate change. This paper responds to this skepticism as part of a broader review of the science and ethics of climate change. While much remains uncertain about the climate, research indicates that observed temperature increases are human-driven. Although opinions vary regarding what should be done, prominent arguments against action are based on dubious factual and ethical positions. Thus, the skepticisms in the recent editorial are unwarranted. This does not diminish the general merits of skeptical intellectual inquiry.