Human science and counselling psychology: Closing the gap between research and practice

In this article, the case is made that human science-or ‘qualitative research’ as it is now popularly known–promises to be a better way of closing the gap between research and practice in counselling psychology than has been provided by the natural science approach to the discipline as instantiated in the Boulder model of the scientist-practitioner. Like the practice of counselling psychology, human science focuses on subjectivity and stresses the achievement of an understanding as opposed to the demonstration of truth; it stresses collaboration with participants rather than a subject-object dualism; and it emphasizes holism in contrast with fragmentation. Some practicalities entailed in the conduct of human science in counselling psychology are discussed.     

‘community psychology and politics’ by David Smail

Demystification, eschewing roles that disempower others and enhancing accessibility to the tools of knowledge, are consistent with the aims of community and applied social psychology. Although a focus on psychological empowerment can be a distraction from the need for actual power, it can also enhance it. Psychologists who avoid victim blaming and individual causal attribution biases can contribute to the discourse about social change. This requires both a reinterpretation of the known facts, and a reframing of social analysis. Social scientists and professionals are today's theologians and priests. Our power lies in our legitimation as interpreters of social reality. Teaching the psychology of empowerment, participative decision making and informed consent can influence the powerful as well as the powerless.     

Forgoing treatment in an adult with no apparent treatment preferences: A case report

This article reports in detail an ethics case consultation involving a decision to forgo life-sustaining treatment for a middle-aged man following a “massive” cerebral bleed resulting in profound brain damage, but not unconsciousness. An unusual feature of this case is that, despite normal intelligence, caring family relationships and a history of life-threatening cardiac disease, vigorous and sustained inquiry could not elicitany indications of this patient's values, perceptions or preferences regarding end of life care. Other than a deliberately autobiographical methodological prologue and a few brief comments at the end, the case is presented straightforwardly and without intercurrent analysis.     

Shape discriminations of three-dimensional objects depend on the number and location of bends

In three experiments, subjects made shape discriminations of three-dimensional objects differing in orientation, number of bends, and location of bends (e.g., the central arm vs. a minor subarm). In general, encoding times at 0° disparity on bothsame anddifferent trials were affected by the number of bends, but only after a certain threshold of bends in the objects had been reached (Experiment 1). This effect was not due to the subjects’ having to search for matching ends of the objects (Experiment 2). In contrast, rotation rates were influenced by the location of the bends, but not by the number of bends per se (Experiment 3). The results support a representational scheme that is hierarchical, but not necessarily one in which the principal axis of an object is paramount.     

Obsessive intrusive thoughts in nonclinical subjects. Part I. Content and relation with depressive, anxious and obsessional symptoms

The present study reports on the development and preliminary validation of a 52 item self-report instrument designed to assess intrusive thoughts, images and impulses that are similar to the aggressive, sexual and disease-related thinking characteristic of clinical obsessions. Two hundred and ninety-three students completed the Obsessive Intrusions Inventory (OII) as well as standard self-report measures of negative cognitions and obsessive, anxious and depressive symptoms. Regression analysis revealed that intrusive thinking was a significant and unique predictor of obsessional but not anxious or depressive symptoms. Furthermore, intrusive thinking showed a moderate correlation with anxious but not depressive cognitions. The results indicate that the intrusive thoughts assessed by the OII are distinct from other forms of negative thinking and may, in fact, constitute an analogue form of clinical obsessions in nonclinical populations.     

Social Perceptions of Termination of Medical Treatment: Suicide or Rational Decision?

In two studies, college students read about a critically ill patient who died after CPR attempts failed, CPR was not attempted pursuant to a "Do-Not-Resuscitate" (DNR) order, he terminated all medical treatment, or he self-administered a lethal injection. Death resulting from treatment termination was perceived as significantly more unconventional than were death by CPR failure or DNR order. Ending treatment and lethal injection were perceived as equivalent acts of suicide, and resulted in the patient's being seen as less rational and less capable of making health care decisions. Timing of the patient's decisions regarding treatment, as indicated by the presence or absence of Living Will information, did not alter these perceptions. Results are discussed in light of opposing hypotheses regarding views of "naive" social perceivers toward actions with identical outcomes: that acts of commission are perceived as causal and rated more negatively than acts of omission (Spranca, Minsk, & Baron, 1991), and that acts seen as abnormal are attributed greater causal impact (Hilton & Slugoski, 1986).     

The Importance of Attitudes in the Prediction of College Students' Intentions to Drink

Fishbein's (1967, 1980) theory of reasoned action was used to test the relative importance of attitudes and subjective norms in predicting undergraduate students' intentions to perform 3 different types of social drinking actions: avoiding drinking, drinking enough to get a slight buzz, and drinking enough to get drunk. A multiple regression paradigm was used to determine the relative effectiveness of attitudes and subjective norms in predicting intentions to perform each of the 3 drinking behaviors. Although attitudes were consistently found to be better predictors of intentions than were subjective norms, the strength of the attitude-intention relation varied widely across the 3 actions. In particular, the attitude-intention correlation was strongest for "drinking enough to get drunk." Findings also suggest that subjective norms, previous behavior, and perceived behavioral control are not important variables for predicting this behavior.     

CHOICE-MAKING TREATMENT OF YOUNG CHILDREN'S SEVERE BEHAVIOR PROBLEMS

The choice-making behavior of 5 young children with developmental disabilities who engaged in aberrant behavior was studied within a concurrent operants framework. Experimental analyses were conducted to identify reinforcers that maintained aberrant behavior, and functional communication training packages were implemented to teach the participants to gain reinforcement using mands. Next, a choice-making analysis, in which the participants chose one of two responses (either a mand or an alternative neutral response) to obtain different durations and qualities of reinforcement, was conducted. Finally, treatment packages involving choice making via manding were implemented to decrease inappropriate behavior and to increase mands. The results extended previous applications of choice making to severe behavior disorders and across behaviors maintained by positive and negative reinforcement.