Live Kidney Donations and the Ethic of Care

In this paper, we seek to re-conceptualize the ethical framework through which ethicists and medical professionals view the practice of live kidney donations. The ethics of organ donation has been understood primarily within the framework of individual rights and impartiality, but we show that the ethic of care captures the moral situation of live kidney donations in a more coherent and comprehensive way, and offers guidance for practitioners that is more attentive to the actual moral transactions among donors and recipients. A final section offers guidelines for the practice of live kidney transplants that emerge from an ethic of care.     

Convergent and discriminant validity of three measures of stage of change

The University of Rhode Island Change Assessment (E. A. McConnaughy, J. O. Prochaska, & W. F. Velicer, 1983), the Stages of Change Readiness and Treatment Eagerness Scale (W. R. Miller & J. S. Tonigan, 1996), and the Readiness to Change Questionnaire (S. Rollnick, N. Heather, R. Gold, & W. Hall, 1992) are commonly used multidimensional measures of stage of change. The authors examined the convergent and discriminant validity of drug-use versions of these 3 measures through multitrait-multimethod analysis in a population of indigent, out-of-treatment drug users (N = 377). Agreement in stage-of-change assignment and the relationship between stage of change and drug-use behaviors were also examined. Confirmatory factor analysis suggests that the Stages of Change Readiness and Treatment Eagerness Scale may have questionable convergent validity with the University of Rhode Island Change Assessment and Readiness to Change Questionnaire. There was moderate agreement in stage assignment. Analysis of behavior did provide some support for the construct validity of the measures. The results suggest that these drug-use stage-of-change measures may not be equivalent.     

Dialectical Behavior Group Therapy is Feasible and Reduces Emotional Dysfunction in Multiple Sclerosis

We examined whether dialectical behavior therapy (DBT) was feasible and effective in multiple sclerosis (MS). A convenience sample of 20 patients with anxiety or depression symptoms received either DBT (n = 10) or standard medical care (n = 10). The DBT protocol was found to be feasible in the MS population studied (e.g., good retention and acceptability). For the DBT group, significant improvements were demonstrated in self-rated and clinician-rated depressive symptoms, clinician-rated anxiety symptoms, self-rated general psychopathology symptoms, and quality of life. In contrast, the standard medical care group retained for exploratory purposes showed no significant improvements. This pilot work provides preliminary support for the utility of DBT in MS, but further work is needed to clarify this benefit using a large, randomized controlled approach.     

Solitude,Religious and Cultural Uniqueness in a Foreign Environment: Adjustments as an Arab Student

Arab-Muslims have extremely religious-centered and restrictive cultural practices. Living in a foreign country where Islam is a minority religion and culture is categorically different entails a great deal of adjustment. This study explored how Arab-Muslim International Students live and cope in a non-Arab, non-Muslim country. The authors used phenomenological approach with Colaizzi’s method of analysis to (1) explore the lived experience of the Arab students’ academic and social life and (2) come up with recommendations that can be supported by universities in Philippines and other countries with Arab students. Emergent themes include Hybrid vision and empowerment from education beyond borders “Tatallo at wa kudurat,” Stigma in the Arab world “Hallah,” Islam as way of life “Al Islam: Manhaj Hayyat,” and Future of the Arab-Muslim students “Wahaa.” The major concepts that emerged from the lived experience of these students focused on the practical reasons for quality education, challenges along the way, culture shock, the stigma, and misconceptions about Arabs and Muslims. They experienced discrimination, the impact of stereotyping and misconceptions about the Arab-Muslims. Their tenacity of the Islam faith has become a coping mechanism and kept them enormously strong. They also strived to show the real meaning of being Muslim, and finally, looking forward to how they can become the oasis in the desert. The Arab-Muslim International Students experience difficult adjustments in a foreign country to acquire high quality education, while holding on to their Islam faith and keeping their culture intact.     

Longing for the Feminine: Reflections on Love,Sexual Orientation,Individuation, and the Soul

This article is a collaboration that represents several years of dialogue about our topic, alongside the individual depth work done by each of us to overcome the negativities that often poison collaborations and feeling connections: envy, enmeshment, and passivity. It is the unique expression of two women working together in a co-creative process pulsed by feminine principles. Diane is a Jungian analyst and has spent her life close to the unconscious. Fran is a writer, educator, and lifelong student of mystical paths. The article gives an account of Diane's longing for the divine feminine and the particular meaning it has for her as a lesbian in this time of global upheaval. In particular, her story highlights the psychic suffering that individuals go through when their same-sex attractions and love orientation are judged as psychologically “immature” or religiously “sinful.” Neither Christian-based “conversion therapy” nor Jungian analysis turned Diane into a heterosexual woman. Her story reveals the benefit of Jung's depth psychology even as it underscores the singularity of every person's individuation process. The article's unusual format is a tandem of Diane's first-person sharing of her soul's journey and Fran's witnessing of the journey's profound significance. We found that both voices were needed. Truth requires not only the one who lives a journey with courage but also the one who witnesses it with a loving heart. Ultimately, we see the personal journeys of gays and lesbians as significant to the larger context of the evolution of human consciousness.     

Foster Care Children’s Kinship Involvement and Behavioral Risks: A Longitudinal Study

Researchers have found that individual strengths (e.g., coping, optimism) are protective against behavioral risk (e.g., delinquency, suicide) among traumatized youth in foster care. However, less is known about kinship involvement (i.e., extended family support) as a social strength that can also attenuate the effects of childhood trauma, thereby reducing behavioral risk. Addressing the lack of research on kinship involvement, the present longitudinal study investigated individual strengths (IS) and kinship involvement (KI) as moderators between trauma experiences (TE) and risk behaviors (RB) among 336 youth, ages 6 to 13, who entered the Illinois child welfare system between 2011 and 2014. Controlling for Time 1 (T1) RB, T1 IS, age, gender, and ethnicity, we utilized a three-level Hierarchical Generalized Linear Model to analyze TE?×?KI and TE?×?IS at T2. The study found that KI was negatively associated with RB (β16?=??.08, Event Rate Ratio [ERR]?=?0.92, p?=?<.01), suggesting that youth with more KI had relatively lower RB trajectories. Further, the TE?×?IS interaction was significant in the model (β21?=??.05, ERR?=?0.95, p?<?.01); TE was positively associated with RB at lower levels of IS but not higher levels of IS. These results highlight the importance of assessing children’s kinship networks and individual strengths early in foster care.     

Using Prediction and Desensitization Techniques to Treat Dental Anxiety: A Case Example

Although professional dental care prevents many medical issues such as periodontal disease and tooth decay, dental anxiety among individuals with significant disabilities frequently prevents receipt of adequate dental care. Furthermore, although research documents the positive effects of interventions designed to decrease dental anxiety, there is a paucity of research on their effectiveness with this group. This case study examined the efficacy of a two‐component dental treatment package on improving a young boy's patient behavior during routine dental examinations. Results indicate overall improvements in participant behavior and maintenance of appropriate behavior three years after the study. Copyright © 2016 John Wiley & Sons, Ltd.     

The Objectivity of Ordinary Life

Metaethics tends to take for granted a bare Democritean world of atoms and the void, and then worry about how the human world that we all know can possibly be related to it or justified in its terms. I draw on Wittgenstein to show how completely upside-down this picture is, and make some moves towards turning it the right way up again. There may be a use for something like the bare-Democritean model in some of the sciences, but the picture has no standing as the basic objective truth about the world; if anything has that standing, it is ordinary life. I conclude with some thoughts about how the notion of bare, “thin” perception of non-evaluative reality feeds a number of philosophical pathologies, such as behaviourism, and show how a “thicker”, more value-laden, understanding of our perceptions of the world can be therapeutic against them.