Factors influencing failure to show for a family evaluation

Abstract

An important issue in clinical practice concerns clients' failure to keep their initial evaluation appointments, which has been termed defection (Shapiro and Budman, 1973). Research findings and clinical impressions suggest that client defection can be related to three sets of factors: actuarial variables, client psychological and motivational variables, and client-clinician interaction prior to the initial appointment (Rubinstein and Lorr, 1956; Garfield, 1971). Among the actuarial variables, the following have been suggested as being related to clients' defection: referral source, distance client must travel for the appointment, client socioeconomic status (SES), and waiting time (Brill and Storow, 1960; Raynes and Warren, 1971; Lorion, 1973).     

What Are the Confidentiality Rights of Collaterals in Family Therapy?

The privacy rights of collateral family members constitute one of the most complex ethical issues in the field of family therapy. The author opens with four case studies which illustrate some of the dilemmas. The opening section reviews the APA Ethics Code on this topic, followed by an in depth analysis of confidentiality issues in marital therapy and the special ethical dilemmas of high conflict, child custody cases. The author reviews the scant case law on this topic and closes with a set of best practices guidelines for the clinician.     

Criteria for basic emotions: Seeking DISGUST?

In response to our proposal that DISGUST be considered an emotional system comparable to the SEEKING system, Panksepp has argued that the inclusion of disgust would necessitate the addition of hunger, thirst, fatigue, and other affective states. Although the English word disgust may carry primarily gustatory connotations, we are not suggesting a distaste system but a broad multipurpose system comparable to SEEKING. Our proposal is that nutritionally-, sexually-, and socially-related stimuli plus ideational components are all able to activate either the SEEKING or DISGUST systems in analogous ways. Our intent is to point out this evolutionary trajectory from illness-related reactions, which include distaste reflexes, through more complex learned aversions and avoidance responses, to human core disgust, which eventually gives rise to a secondary emotion encompassing socio-moral attributes.     

The role of controlled attention on recall in major depression

Information processing biases are hallmark features of major depressive disorder (MDD). Depressed individuals display biased memory and attention for negative material. Given that memory is highly dependent on attention for initial encoding, understanding the interplay of these processes may provide important insight into mechanisms that produce memory biases in depression. In particular, attentional control—the ability to selectively attend to task-relevant information by both inhibiting the processing of irrelevant information and disengaging attention from irrelevant material—may be one area of impairment in MDD. In the current study, clinically depressed (MDD: n = 15) and never depressed (non-MDD: n = 22) participants' line of visual gaze was assessed while participants viewed positive and negative word pairs. For each word pair, participants were instructed to attend to one word (target) and ignore one word (distracter). Free recall of study stimuli was then assessed. Depressed individuals displayed greater recall of negatively valenced target words following the task. Although there were no group differences in attentional control in the context of negative words, attention to negative targets mediated the relationship between depression status and recall of negative words. Results suggest a stronger link between attention and memory for negative material in MDD.     

Legal Risk in Selection: An Analysis of Processes and Tools

Purpose

This paper reviews a decade of employment litigation to illuminate the most legally dangerous selection devices and employment practices.

Design/Methodology/Approach

A sample (n = 312) of court cases drawn from 10 years of Bloomberg BNA case briefs was analyzed to determine which selection tools (e.g., biographical information blank, interview, cognitive ability test, and psychomotor test) and which selection processes (e.g., violations of the four-fifths rule, administrative inconsistencies, lack of documentation, failure to provide accommodations) are most at risk for litigation for unfair employment practices.

Findings

Results demonstrate that while some selection tools do attract legal scrutiny, dangerous hiring practices such as favoritism against protected classes and improper human resource documentation put employers at far greater risk of suit. When considering cases settled outside of court and those that continued to trial, the data reveal that employers lose employment discrimination cases at a rate nearing 90 % and suffer an average payout of over $1.5 million per case.

Implications

Just as legal challenges once drove the search for selection tools free of adverse impact, the current legal landscape demonstrates the necessity of fair and consistent selection processes. This paper provides evidence of common mistakes in implementing selection systems—mistakes that lead to costly legal battles.

Originality/Value

This paper reduces cumbersome legal records into useful evidence of trends in recent employment law cases. Selection system designers and organizations who implement them will benefit from avoiding the risky hiring practices presented in this paper.     

Religiosity and Fear of Death: A Theory-Oriented Review of the Empirical Literature

Do religious people fear death more or less than those who are nonreligious? According to two theories, religiosity and fear of death should be inversely correlated. A third theory suggests that moderately religious persons should be more fearful than those who are extremely religious or nonreligious. Yet a fourth theory predicts that religiosity and fear of death should be positively correlated. Eighty-four studies were located in which pertinent findings have been presented, several of which reached more than one conclusion based on different definitions of religiosity. Overall, 40 studies provided findings supporting the conclusion that religiosity and fear of death are inversely correlated, nine supported a curvilinear relationship, 27 supported a positive correlation, and 32 indicated that no significant relationship exists between religiosity and fear of death. Chi square analyses of several features of these conflicting studies suggest that there is probably a modest negative correlation between religiosity and fear of death among persons who are at least modestly religious. However, when nonreligious individuals are sampled alongside those who are both moderately and extremely religious, the overall relationship shifts to being curvilinear, and possibly even positive, depending on the aspect of religiosity being assessed. The implications of these conclusions for the four theories are discussed.     

Nicknames of notorious American twentieth‐century deviants: The decline of the folk hero syndrome

This report examines the public use of personal nicknames for notorious American Twentieth Century Deviants. The analysis documents the frequency of nicknames by decade in the twentieth century, the category of the deviant act committed by the person nicknamed, and the connotations of the nicknames. The relationship between the use of nicknames for deviants, and deviants as folk heroes is explored. The data indicate that the public use of personal nicknames for deviants peaks in the 1920's and 1930's and has been declining ever since. This phenomenon parallels the decline in American's belief in the “rags to riches” type of folk hero.     

The impact of cognitive control on children’s goal monitoring in a time-based prospective memory task

The present study investigated whether developmental changes in cognitive control may underlie improvements of time-based prospective memory. Five-, 7-, 9-, and 11-year-olds (N = 166) completed a driving simulation task (ongoing task) in which they had to refuel their vehicle at specific points in time (PM task). The availability of cognitive control resources was experimentally manipulated by imposing a secondary task that required divided attention. Children completed the driving simulation task both in a full-attention condition and a divided-attention condition where they had to carry out a secondary task. Results revealed that older children performed better than younger children on the ongoing task and PM task. Children performed worse on the ongoing and PM tasks in the divided-attention condition compared to the full-attention condition. With respect to time monitoring in the final interval prior to the PM target, divided attention interacted with age such that older children’s time monitoring was more negatively affected by the secondary task compared to younger children. Results are discussed in terms of developmental shifts from reactive to proactive monitoring strategies.     

Homophobia is the patient 1

This paper draws on psychoanalytic work with a heterosexual woman who struggles with the conscious and unconscious aspects of her homophobia. It reflects on the limitations of the classical psychoanalytic interpretations of phobia as a symptom in the light of contemporary philosophers such as Levinas, Foucault and Butler. It focuses particularly on the connection between anxiety and the relation to the Other.     

Languages of trauma; towards a phenomenological response

In this article, I explore the possibilities of a phenomenological perspective on trauma in psychoanalytic practice. I highlight the problem of interpretations that universalise experiences of trauma, provide explanations in terms of ‘causes’ and assume particular processes/stages of ‘recovery’ from it. The notion of trauma challenges dichotomies of ‘internal’ and ‘external’ worlds. Traumatic experiences always have a context – that of the immediate relational circumstances of the individual suffering from the trauma, including the wider social/relational context, and the person’s history. I argue for an attunement to the language and specificity of the meanings, verbal and non-verbal, conscious and unconscious, of the client’s suffering within the analytical relationship. This requires the therapist to avoid ‘ready-made’ interpretations from psychoanalytic theory and to be open to the poiesis of the speech, which emerges between therapist and client. My discussion of my reading of the Chilean documentary film, Nostalgia for the Light, which focuses on the traumatic experiences of those who survived Pinochet’s military regime (1973–1989), highlights how diverse responses to trauma are. The originality of the language of the film calls on us as therapists to discover new ways of listening and speaking to our clients’ suffering.