Third party assisted conception: an African perspective

The central importance of reproduction in all human cultures has given rise to many methods and techniques of assisting reproduction or overcoming infertility. Such methods and techniques have achieved spectacular successes in the Western world, where processes like in vitro fertilization (IVF) constitute a remarkable breakthrough. In this paper, the author attempts to reflect critically on assisted reproduction technologies (ART) from the background and perspective of African culture, a culture within which human reproduction is given the highest priority but which also exhibits a highly ambivalent attitude to modern technology-assisted methods of reproduction. The author considers the ethical crux of reproductive technologies to be linked to the issue of the moral status of the human embryo and argues that a morally significant line of demarcation cannot be drawn between embryos and other categories of humans.     

Books

Abstract

Kelley, T. L. Crossroads in the Mind of Man. Stanford University: Stanford Univ. Press. Pp. 245. $4.00.

Vaughan, W. F. The Lure of Superiority. New York: Holt, 1928. Pp. viii + 307. $3.00; stud. ed. $2.40.

Bagby, E. The Psychology of Personality. New York. Holt, 1928. Pp. viii+233. $2.50; stud. ed. $2.00.     

Examining Correlates of Civic Engagement Among Immigrant Adolescents in the United States

Using a diverse urban sample of immigrant adolescents in the United States (N = 345) followed from 10^th grade (M_age = 15.69) to 12^th grade, this study examined the extent to which ecological assets (i.e., community connections and social network resources) predicted civic commitments (i.e., community engagement, social responsibility) as potentially mediated by fair society beliefs. The authors also examined whether ethnicity and generation status moderated these associations. As hypothesized, fair society beliefs were higher and predicted greater civic commitments only among Asian youth. Ecological assets were associated with greater civic commitments for all participants; these links were primarily direct for Latino immigrants and indirect (via fair society beliefs) for Asian youth. First-generation immigrants had more ecological assets and were more civically committed, however social network resources predicted fair society beliefs and community engagement only for second-generation youth. These differences indicate that immigrant youth are best understood as a heterogeneous group and suggest the need for further investigation of cultural variations in civic developmental processes.     

Dewey and the Question of Realism

An interpretation is given of John Dewey's views about “realism” in metaphysics, and of how these views relate to contemporary debates. Dewey rejected standard formulations of realism as a general metaphysical position, and interpreters have often been taken him to be sympathetic to some form of verificationism or constructivism. I argue that these interpretations are mistaken, as Dewey's unease with standard formulations of realism comes from his philosophical emphasis on intelligent control of events, by means of ordinary action. Because of his views about relations, Dewey's views in this area do risk collapsing into an overly holistic position. I discuss how these problems might be avoided, and consider also how Dewey's views about naturalism and realism might usefully inform ongoing work.     

The Development of Guidelines for the Inclusion of Spirituality and Spiritual Care in Unani Tibb Practice in South Africa: A Study Protocol

Journal of Religion and Health - Unani Tibb is a holistic form of medicine, which highlights the interconnectedness of mind, body and soul. Despite this, there is very little evidence of spiritual...     

Managing boundaries under pressure: A qualitative study of therapists’ experiences of sexual attraction in therapy

Aim: To identify therapists’ views on sexual boundaries and the strategies they employ to manage them in therapeutic practice. Method: In‐depth qualitative interviews were conducted with a sample of 13 accredited, experienced practitioners of psychotherapy or counselling. A grounded theory approach, informed by principles from Free Association Narrative methodology, was employed, in which team members used debriefing sessions for extending depth of understanding of the interviews. Findings: There is consensus about boundaries at the extremes, but variability about fantasy, flirtation and touch. A core process was generated from accounts of successful management of sexual attraction. We identified four problematic ways of reacting to boundary pressure, each with potential to harm clients and therapy. Discussion: A participant‐observer stance was conceptualised as essential for managing threats to boundaries, consistent with the empathic stance. Minor boundary crossings were viewed by interviewees as both potential precursors of more serious transgressions, and as opportunities for understanding the client's difficulties. Implications for practice: These span training, accrediting organisations, supervision and therapy practice.     

D-Cycloserine for Treatment Nonresponders With Obsessive-Compulsive Disorder: A Case Report

Despite being the most effective treatment available, as many as one third of patients who receive exposure and response prevention (ERP) for obsessive-compulsive disorder (OCD) do not initially respond to treatment. Recent research suggests that the n-methyl d-aspartate (NMDA) receptor partial agonist D-Cycloserine (DCS) may speed up the course of ERP for OCD rather than enhance it. Thus, it is unclear whether DCS would benefit patients who have proven nonresponsive to ERP and serotonin reuptake inhibitors. The present study evaluated the ability of DCS to enhance ERP for 2 patients with OCD who previously had failed to show adequate response to treatment using time-series analysis. Both patients experienced greater reductions with DCS augmented ERP than they did with prior treatment; however, 1 patient relapsed by the 1-month follow-up. DCS augmented ERP might be an effective method for boosting outcomes in individuals who do not readily respond to ERP.     

The Roosevelt years: crucial milieu for Carl Rogers' innovation

This study explores broad features of political culture and event of the 1930s and World War 2 years, viewed in relation to the emergence and rapid early growth of the new therapy of Carl Rogers. The paper traces Rogers' early professional life and examines distinctive emphases in sociopolitical thought and development during Franklin D. Roosevelt's leadership as President over the prolonged emergency of the Great Depression and the crisis of the War. The study includes a focus on the President's own outlook and style, pertinent New Deal innovations, and wartime needs. Twelve features of this larger context are discriminated as together having vital importance for the new therapy and its founder. The congruent courses of the macrocontext and of Rogers' innovation are followed to the ending of Roosevelt's life. Direct causation is not attributed, but the evidence adduced newly points to particular contours of a larger environment favorable for the expression of Rogers' values and rare ability. In sum, the author concludes that a synergy of highly conducive historical circumstance and individual exceptionality contributed to the philosophical underpinnings, attitudinal values and early momentum of Rogers' client-centered therapy.