Hume's Reflections on the Identity and Simplicity of Mind1

The article presents a new interpretation of Hume's treatment of personal identity, and his later rejection of it in the “Appendix” to the Treatise. Hume's project, on this interpretation, is to explain beliefs about persons that arise primarily within philosophical projects, not in everyday life. the belief in the identity and simplicity of the mind as a bundle of perceptions is an abstruse belief, not one held by the “vulgar” who rarely turn their minds on themselves so as to think of their perceptions. the author suggests that it is this philosophical observation of the mind that creates the problems that Hume finally acknowledges in the “Appendix.” He is unable to explain why we believe that the perceptions by means of which we observe our minds while philosophizing are themselves part of our minds. This suggestion is then tested against seven criteria that any interpretation of the “Appendix” must meet.     

The Pursuit of Quality: A Look Into the Future of CACREP

This is a look into the future of the Council for Accreditation of Counseling and Related Educational Programs (CACREP). A brief review summarizes the context in which it will find itself in the next decade. Two primary issues that must be addressed should serve as the basis for changes. First, what are the societal needs that counselors will be required to address? Second, what preparation is appropriate for counselors to meet these needs? Suggested changes with supporting rationale are discussed for the preparation standards, the board structure, and relationships with other accreditation agencies. CACREP has made significant contributions to the counseling profession and to society.     

Communication and Adjustment in Marriage: Investigating the Relationship

The relationship between marital communication and adjustment is assumed to be a strong one, although little research has been done to verify the assumption. This article reports a study in which the relationship was shown to be positive; it also describes some clinical observations of the sample couples in a related research task. It suggests that those scoring low on marital adjustment tended to either communicate more about their relationship than about the content of the task or to ignore each other in favor of working on the task independently.     

The Clergyperson as Counselor: An Inherent Conflict of Interest

Counseling is a function performed by many clergypersons as part of their overall role of minister in a congregational setting. There is an inherent conflict of interest when a clergyperson seeks to be an objective and therapeutic counselor to members of the very group on which he or she depends for both material benefits and volunteer help. The authors provide illustrations of this conflict of interest and then examine it in the light of codes of ethics of several professional counseling organizations. Clergy who do counseling are urged to adopt a professional code of ethics and abide by it, even if this involves cessation of the counseling function.     

Searching for the Glass Slipper: A Case Study in Midlife Career Counseling

There seems to be a paucity of counseling reports written from the perspective of both counselor and client. This article is presented as a case study of the first author's experience as a career counseling client of the second author. It is intended to illuminate for students and practitioners some typical counseling practices and the theoretical foundations from which they spring, as well as how the client reacted to them.     

The severity of depression in cancer patients

The Hamilton Rating Scale was used for measuring the severity of symptoms of depression in cancer patients and healthy control subjects. The rating of patients took place at the end of clinical tests carried out for determining their diagnosis. Cancer patients had elevated scores for depressed mood, loss of work and interests, agitation, general somatic symptoms, hypo-chondriasis, and loss of weight. Total depression scores indicative of moderate depression (i.e. 9–18) were found in 41% of patients, whereas 24% had scores greater than 18, indicative of severe depression. The findings suggests that the majority of cancer patients may require appropriate psychological support.     

Transforming Helplessness: An Approach to the Therapy of "Stuck" Couples

Therapists working with couples often find themselves frustrated when they proceed to negotiate conflicts, even when the historical antecedents and psychological dynamics seem well understood. Despite the genuine willingness of each member to negotiate a solution, they remain stuck in demands that the other take the first steps toward change. This article proposes that a crucial step--transforming helplessness--must precede efforts at fostering communication/negotiation skills. A four-square analysis of the situation helps to explain how this stalemate occurs. Also, it points the way to strategies that can transform the couple's attitudes from helpless complaining to empowered, creative action. Three case examples illustrate clinical applications of this approach.