Reassessing Predictors of Therapist Competence

Clinicians frequently cite theoretical orientation and training as the central aspects of therapist competence: however, research has indicated that neither is predictive of therapy outcome. Instead, nonspecific factors such as therapist personal characteristics may be the primary determinants of successful outcome. A redefinition of therapist competence is necessary to complement the continued search for significant predictors of therapy outcome.     

Latent Classes of Psychiatric Symptoms Among Chinese Children Living in Poverty

Describing co-occurring symptom patterns among children in nonwestern contexts may have important implications for how emotional and behavior problems are defined, conceptualized, studied, and ultimately prevented. A latent profile analysis (LPA) was conducted on the co-occurring psychiatric symptoms of 196 Chinese children living in poverty. Child depression, anxiety, aggression, and self-esteem scores were used as indicators in the LPA. Three classes of symptoms best described the symptom presentations of children in this study. Ninety-one percent of the youth in the sample were assigned to a class without clinically significant elevations on any symptom index. Six percent fell into an externalizing class, and 3% were assigned to a class with elevated internalizing symptoms. The three classes met empirical criteria for distinctiveness and were validated against parent- and child-rated family characteristics and resources. Children in the externalizing class were more likely to experience harsh and neglectful parenting and their parents were more likely to report avoidant coping styles. In addition to some parenting behaviors (overprotection and low parental support), internalizing symptoms were uniquely associated with low levels of education, housing, economic, and social resources. Implications for preventive interventions are discussed.     

Systemic Explanations of Scientific Misconduct: Provoked by Spectacular Cases of Norm Violation?

Journal of Academic Ethics - In the past two decades, individual explanations of scientific misconduct (‘bad apples’) have increasingly given way to systemic explanations (‘bad...     

Innovations in the Identification and Referral of Mothers at Risk for Depression: Development of a Peer-to-Peer Model

This paper describes a feasibility study of a peer-delivered prevention intervention to identify mothers at high risk for depression and facilitate engagement in mental health services for their emotional health. Sixteen family peer advocates and their supervisors partnered with academic researchers over a period of 6 months to develop a four-session intervention that focused on identifying symptoms of depression, providing education about depression and treatment, actively linking caregivers to treatment for their own emotional health, and assisting caregivers in becoming active participants in their mental health care. Collaborating with peers to develop the model enhanced its perceived relevance and utility, and resulted in an intervention that was complimentary to their roles and the mission of peer-delivered support services. Peer/professional partnerships may be beneficial for enhancing the feasibility and acceptability of research efforts; the impact of peers’ participation in the current project and the need for future research to develop and study peer-delivered models is discussed.     

The role of corroborative evidence in child sexual abuse evaluations

Published studies of forensic child sexual abuse (CSA) evaluations by mental health and medical professionals and paraprofessionals (MHPs) were analysed in order to evaluate two widely held assumptions. These related assumptions are (1) evidence that corroborates children's reports of sexual abuse is rare in forensic CSA evaluations; and (2) in the vast majority of evaluations, MHPs base their judgements about whether or not sexual abuse allegations are true on their assessments of children's reports of sexual abuse and other psychosocial data. Data from five chart review studies of a combined total of 894 forensic CSA evaluations provided sufficient information to assess the validity of these assumptions. Corroborative evidence was present in 36% of the 894 evaluations and in 54% of evaluations in which MHPs judged the allegations likely to be true, contradicting the first assumption. In the evaluations in which corroborative evidence was present, the presence or absence of a child's report of sexual abuse was only weakly associated with MHPs' judgements about the validity of the allegations (allegations in almost all corroborated cases were judged likely to be true, even in the absence of a child's report), partially contradicting the second assumption. Implications of this analysis for research and policy are discussed. Copyright © 2010 John Wiley & Sons, Ltd.     

Democratic pluralism and majority rule

Abstract

I argue that Metz’s undertaking, in seeking a ‘comprehensive basic norm’ to underpin African ethics, is similar to Hans Kelsen’s postulation of the Grundnorm in his Pure Theory of Law. But African ethics does not need to be underpinned by an approach such as Kelsen’s. In my view, Metz’s preference for seeking to develop a Grundnorm rests upon a failure to attend carefully to the distinctness of African ethical thinking from Western ethical thinking. This failure is manifest in a spurious distinction (on which Metz relies) between ‘moral anthropology’ / ‘cultural studies’ and ‘normative theory’. It is also manifest in Metz’s failure to attend carefully to the work of Wiredu and Bujo, both of whom present systematic, critical analyses of African ethical thinking while implicitly rejecting the quest for a Grund norm as being unAfrican.     

What is a Natural Conception of the World?

Continental philosophers such as Heidegger and Nicolai Hartmann and analytic philosophers such as Ryle, Strawson, and Jennifer Hornsby may be interpreted as using competing intellectual strategies within the framework of one and the same research programme, the programme of developing a natural conception of the world. They all argue that the Manifest Image of the world (to use Sellars's terminology) is compatible with, or even more fundamental than, the Scientific Image. A comparative examination of these strategies shows that Hartmann's strategy of stratification is superior to those of Heidegger, Ryle, and Strawson.     

Some Observations on Group Therapy with the Blind

This study integrates the theoretical assumptions underlying member preparation for group into a series of pregroup interview guidelines, which are then field tested for reliability and validity using a Solomon Four-Group design. Findings indicate a significant relationship exists between those individuals having the pregroup interview and a realistic perception of group membership and understanding of group purpose. The third dimension, which tested congruence between member goals and group purpose due to having the pregroup interview, was not significant. Implications of the study and suggestions for further research are discussed.