Black Church Leaders’ Attitudes About Mental Health Services: Role of Racial Discrimination

Black church leaders are often first responders to mental health issues in the Black community, yet few researchers have examined their attitudes about seeking outside mental health services. In order to fill this gap, we surveyed 112 church leaders in a northeastern urban Baptist Black mega-church (22 associate pastors, 34 deacons, and 56 congregation care givers) using The National Survey of American Life. Findings suggest church leaders more often relied on the church community and alternative health services, leaders who attended church more often tended to report not receiving any outside mental health treatment, the closer church leaders felt to all Black people, the less satisfied they were with help received from formal mental health services, and leaders who experienced more racial discrimination tended to report worse overall mental and physical health. Clinical providers and Black churches should develop collaborative partnerships to better meet the needs of this community.     

Readiness for Change: Involving the Family with Adolescents in Residential Settings

Adolescence is a pivotal time in human development and can be a challenging time for individuals to learn to regulate emotions, while also balancing biopsychosocial changes. The family plays a key role in an adolescent’s development. Thus, it is imperative for families to remain involved when adolescents are in residential treatment for emotional or behavioral issues. In this paper, we explore the benefits of, and methods for, increasing the identified patient’s (i.e., the adolescent’s) and the family’s readiness for change. The process of increasing family engagement in residential treatment is considered through the lens of the Stages of Change model. Barriers practitioners may face with adolescents and their families are also addressed.     

Common Factors Come Alive: Practical Strategies for Implementing Common Factors in MFT Training

Presently, MFT training programs teach MFT models in a way that emphasizes differences over similarities (Karam et al. in J Marital Fam Ther, 2015. doi: 10.1111/jmft.12096; Sprenkle and Blow in J Marital Fam Ther 30:113–129, 2004a. doi: 10.1111/j.1752-0606.2004.tb01228.x, in J Marital Fam Ther 30:151–157, b. doi: 10.1111/j.1752-0606.2004.tb01230.x; Sprenkle et al. in Common factors in couple and family therapy: the overlooked foundation for effective practice. Guilford Press, New York, 2009). Although teaching a variety of models and their distinctiveness is vital, doing so may create a competitive rather than integrative relationship between models (Karam et al. 2015). While Karam et al. 2015 encourage the inclusion of common factors in MFT training, we expand their justification for the importance of doing so We also explain conceptual and practical ways to include common factors in MFT training. Common factors instruction can fulfill multiple purposes: (a) create a sense of cohesiveness for programs which need to teach breadth of topics that can seem unrelated, (b) help prepare practitioners who need to learn many models well but will likely adopt an integrative approach, (c) align with basic skills training, (d) align with process research, and (e) enhance the richness of individual models. For each of these purposes, we provide an example of a classroom activity. We conclude with a unifying example of how one student may learn the common-factors perspective and weave it into her reflective practices as an MFT student.     

Family Therapy for an Adult Child Experiencing Bullying and Game Addiction: An Application of Bowenian and MRI Theories

Bowenian theory and MRI family therapy model were chosen to treat a Korean male adult client whose symptomatic problems were bullying and game addiction. To test its validity of therapeutic effectiveness, the following case analysis methods were used: narrative analysis of interview contents, categorization of the nine sessions of verbatim, videotaping, and notes according to classified concepts (i.e., triangulation), and explanation using matrix and network. Results showed that low level of differentiation, patterns of emotional cutoff, and dynamics of triangulation were clearly present in this client. After MRI family therapy, changes were evident in perceptive references, communication patterns, stress-coping mechanism, symptomatic behaviors, and intra-family relationships.     

Expectations About Couple Therapy Over Time

One common factor of therapy, expectations, has been demonstrated to be a significant contributor to outcome in individual therapy. Despite this, little is known about expectations about couple therapy. This paper presents the qualitative results of a study exploring clients’ expectations before beginning couple therapy and after six sessions. Results indicate that clients form pre-therapy expectations about their therapist, the process of therapy, and their partner. Results also showed that after six sessions, clients’ expectations about therapy were often met or modified in ways that were positive. Implications for therapists and researchers are included.     

Equality in Education – Why We Must Go All the Way

In this paper I present and defend a highly demanding principle of justice in education that has not been seriously discussed thus far. According to the suggested approach, “all the way equality”, justice in education requires nothing short of equal educational outcome between all individual students. This means not merely between equally able children, or between children from different groups and classes, but rather between all children, regardless of social background, race, sex and ability. This approach may seem implausible at first, due to the far-reaching implications it entails, primarily its requirement to deny better-off children their advantage for the sake of equality. However the paper argues that all-the-way-equality, in fact, does a better job realizing the goals of justice in education than alternative conceptions of justice. It is further argued that at least some of the principle’s most radical consequences, those that make it seem counterintuitive, can be mitigated by balancing all-the-way-equality with competing interests.     

The Ladder of Rationality

This paper is a review and critical discussion of John Broome’s Rationality Through Reasoning. In particular, it engages critically with (i) Broome’s view on the independence of normative reasons and rationality, (ii) his construal of the capacity, property, and requirement senses of “rationality”, and (iii) his account of reasoning as a conscious, rule-following operation on mental contents.     

Should the Changing Character of War Affect Our Theories of War?

War has changed so much that it barely resembles the paradigmatic cases of armed conflict that just war theories and international humanitarian law seemed to have had in mind even a few decades ago. The changing character of war includes not only the use of new technology such as drones, but probably more problematically the changing temporal and spatial scope of war and the changing character of actors in war. These changes give rise to worries about what counts as war and thus what norms to use in evaluating a particular conflict. In this paper, I develop an argument that the changing character of war gives us reasons to take reductionist revisions of just war theory seriously. By reductionist theories of war I mean those revisions within the just war tradition that suggest that we can use ordinary peacetime interpersonal analyses of moral responsibility and liability to harm to decide what justice requires in times of war.