Sooner versus later: factors associated with temporal sequencing of suicide

There are few (if any) population-based prospective studies that provide information on factors associated with temporal sequencing of suicide. In this prospective population-based study, the National Health Interview Survey (NHIS), 1986-1994, was linked to the National Death Index (NDI), 1986-1997, to assess factors that predict recent (within 12 months of interview, termed sooner) suicide versus suicide further in the future (more than 12 months after interview, termed later). Of the 653 completed suicides in the NHIS cohort, 13.4 percent completed suicide within a year of interview, and 86.6 percent did so after a year. Sooner decedents were more likely to be White, less educated, unemployed, and to use firearms than any other method compared with later decedents. Surprisingly, sooner decedents had higher levels of self-rated health at baseline. These results have substantial implications for clinicians and other professionals who interact with people at highest risk of suicide. Unfortunately, it may be unrealistic to expect that health care providers can modify the behavior of individuals at highest risk of suicide.     

Accidental germ-line modifications through somatic cell gene therapies: some ethical considerations

Proposed somatic cell gene-therapies (especially those involving in utero therapies) may involve a small risk of germ-line modifications; this risk has engendered serious concern, and arguments have been made that such therapies ought not be pursued if such risks exists. We argue here that while pursuing deliberate germ-line modifications in humans would be inappropriate given the current state of the art, the risk of accidental germ-line modifications from most currently proposed in utero gene therapy is no different in kind or degree from other risks regularly taken in medical procedures. Given the possible benefits of such therapies, we argue that the risk of accidental germ-line modifications is well worth taking in these cases.     

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Multiplicity of Emotions in Moral Judgment and Motivation

Multiple moral emotions were examined from a dynamic motivational framework through two hypothetical dilemmas that originate from the cognitive-developmental research program in morality. A questionnaire based on recognition task measurement of moral motivation and emotions was administered to 546 college students. As part of the dynamic complexity of moral motivation, intrapersonal operation of multiple emotions were expected and found toward each emotion target in each judgment context. Compassion and distress were among the most important moral emotions. Relatively strong degrees of anger and hate were reported toward the victimizers in ways that distinguished judgment choices. Participants distinguished a variety of positive emotions from anger and hate through differential associations with judgment choices. The study revealed orderly patterns of variability in the multiplicity of moral emotional experience based on relations with specific emotion targets, judgment choices, and developmental quality of moral motivation. The overall developmental quality of moral motivation was negatively associated with hate and positively associated with anger toward the victimizers. Emotional awareness was also found to be positively related to the developmental quality of moral motivation. Exploring the intrapersonal multiplicity of moral emotional experience has important implications for understanding the complexity of moral decision making and motivation.     

Moral motivation of college students through multiple developmental structures: Evidence of intrapersonal variability in a complex dynamic system

This study is based on a broad conception of moral motivation by applying self-determination theory and dynamic systems perspectives. Accordingly, not only moral action, but also moral judgment is motivated. We carried out a detailed exploration of intrapersonal variability as a central aspect of moral motivation. Kohlberg’s six stages of moral development are reconceptualized as dynamic process structures of motivation that operate together within person simultaneously in different degrees. A total of 546 college students responded to a new instrument to assess moral motivation using a recognition task. Findings provided support for the notion that individuals use multiple motivational structures in different degrees as they make moral judgments. The majority of correlations between within-person operation degrees of motivational structures were significant. Variations in these correlations are explained to a large extent by developmental proximity of stage pairs. Results revealed both variability and developmental order in moral motivation. Implications of a dynamic developmental perspective are discussed in terms of understanding the complexity of moral motivation in ways that are sensitive to both intrapersonal and contextual variability.     

20/20: A Vision for the Future of Counseling: The New Consensus Definition of Counseling

With the promulgation of the 20/20: A Vision for the Future of Counseling consensus definition of counseling, there is finally profession‐wide clarity as to what it means to engage in professional counseling. This article describes the development and discusses the implications of the definition: “Counseling is a professional relationship that empowers diverse individuals, families, and groups to accomplish mental health, wellness, education, and career goals.” This consensus definition has been endorsed by 29 major counseling organizations.