Applied ethics in mental health in Cuba: part II--power differentials,dilemmas, resources,and limitations

This article is the second one in a series dealing with mental health ethics in Cuba. It reports on ethical dilemmas, resources and limitations to their resolution, and recommendations for action. The data, obtained through individual interviews and focus groups with 28 professionals, indicate that Cubans experience dilemmas related to (a) the interests of clients, (b) their personal interests, and (c) the interests of the state. These conflicts are related to power differentials among (a) clients and professionals, (b) professionals from different disciplines, and (c) professionals and organizational authorities. Resources to solve ethical dilemmas include government support, ethics committees, and collegial dialogue. Limitations include minimal training in ethics, lack of safe space to discuss professional disagreements, and little tolerance for criticism. Recommendations to address ethical dilemmas include better training, implementation of a code of ethics, and provision of safe space to discuss ethical dilemmas. The findings are discussed in light of the role of power in applied ethics.     

Applied ethics in mental health in Cuba: part I--guiding concepts and values

As part of a project on professionals' lived experience of ethics, this article explores the guiding concepts and values concerning ethics of mental health professionals in Cuba. The data, obtained through individual interviews and focus groups with 28 professionals, indicate that Cubans conceptualize applied ethics in terms of its central role in professional practice and its connection to the social context and subjective processes. Findings also show that Cuban professionals are guided not only by a set of professional values but by a set of civic values as well. The former are subdivided into other-oriented values and self-oriented values. The study of ethics in another culture such as Cuba offers a unique point of view from which to critique the social construction of our own conceptions of applied ethics in North America.     

L'idée de la logique formelle dans les appendices VI à X du volume 12 des Husserliana (1970)

Gödel always claimed that he did not know Skolem's Helsinki lecture when writing his dissertation. Some questions and doubts have been raised about this claim, in particular on the basis of a library slip showing that he had requested Skolem's paper in 1928. It is shown that this library slip does not constitute evidence against Gödel's claim, and that, on the contrary, the library slip and other archive material actually corroborate what Gödel said.     

Risk-appraisal,outcome and self-efficacy expectancies: Cognitive factors in preventive behaviour related to cancer

Abstract

Health education often attempts to influence or persuade through risk-appraisal of impending danger or harm. Risk: appraisal implies cognitive processes concerning the severity of the threatening event and the probability of its occurrence. In two studies we investigated whether risk factors could adequately predict preventive behaviour with respect to cancer. The tint study concerned the health belief model. the second study the protection motivation theory. Protection motivation theory includes the health belief factors but also self-efficacy expectancy. The most important finding is that risk-appraisal does not predict preventive behaviour adequately: outcome expectancy and self-efficacy expectancy should be included in the prediction of preventive behaviour. In general, our findings suggest the superiority of the protection motivation theory to the health belief model in predicting preventive behaviour with respect to cancer.     

The Future of Humanistic Psychology: Towards a Self With Expanded Horizons

What is humanistic psychology's most enduring crisis as it looks forward for a positive future? As we attempt to address this question, we argue that humanistic psychology has always neglected the task of theorizing the self. This is, indeed, a great cause of concern, given the concept's centrality to most of its defining tenets and principles. Within this frame, we propose the Galactic Self that can embrace the dichotomies presented by the conflicting theoretical positions of self in psychology, while expanding its horizons to capture its infiniteness. Such a self is dynamic, transformative, expansive, evolving and infinite in nature, and complements humanistic psychology's promise of understanding an ever-evolving human psyche.     

A concise review of the correspondence between the traditional functional analysis and alternative assessment formats

The functional assessment of challenging behavior (e.g., self-injurious behavior) has evolved over many years of research and practice. This concise review summarizes the positive predictive value, negative predictive value, accuracy, sensitivity, and specificity of common procedural adaptations reported to improve functional assessment safety and efficiency. We conclude with suggestions for clinicians and researchers.     

Resilience in Community: A Social Ecological Development Model for Young Adult Sexual Minority Women

Family support and rejection are associated with health outcomes among sexual minority women (SMW). We examined a social ecological development model among young adult SMW, testing whether identity risk factors or outness to family interacted with family rejection to predict community connectedness and collective self‐esteem. Lesbian and bisexual women (N = 843; 57 % bisexual) between the ages of 18–25 (M = 21.4; SD = 2.1) completed baseline and 12‐month online surveys. The sample identified as White (54.2 %), multiple racial backgrounds (16.6 %), African American (9.6 %) and Asian/Asian American (3.1 %); 10.2 % endorsed a Hispanic/Latina ethnicity. Rejection ranged from 18 to 41 % across family relationships. Longitudinal regression indicated that when outness to family increased, SMW in highly rejecting families demonstrated resilience by finding connections and esteem in sexual minority communities to a greater extent than did non‐rejected peers. But, when stigma concerns, concealment motivation, and other identity risk factors increased over the year, high family rejection did not impact community connectedness and SMW reported lower collective self‐esteem. Racial minority SMW reported lower community connectedness, but not lower collective self‐esteem. Families likely buffer or exacerbate societal risks for ill health. Findings highlight the protective role of LGBTQ communities and normative resilience among SMW and their families.     

Utilizing Creative Expressive Techniques and Group Counseling to Improve Adolescents of Divorce Social-Relational Capabilities

Adolescents of divorce present challenges for mental health counselors unfamiliar with issues this population encounters. Problems such as negative societal perceptions and low behavioral self-efficacy can combine, causing long-lasting problems. Specifically, adolescents of divorce appear to be at risk for developing inadequate social/relational capabilities. To improve adolescents’ relational and social competencies, the authors advocate for a creative combination of expressive techniques and group counseling. This brief, six-week intervention may be a viable, creative tool for counselors working with this distinct client population.     

Predictors of Self-Appraised Health Status in Sub-Saharan Africa: The Case of Ghana

Whereas determinants of self-assessed health status -subjective health are well scrutinized in developed countries, little is known about factors influencing how people appraise their own health in Sub-Sahara Africa. In the context of increasing burden of care due to high incidence of chronic diseases, poverty and social transformation this paper explores the predictors of self-appraised health status in Ghana. Using 2005–2008 wave of the World Values Survey, the authors employ parametric and ordered logistic regression techniques to assess the relative effect of economic, cultural, social capital, geographic, and demographic factors in molding subjective health among Ghanaians. The study reveals that cultural background has independent significant effect on subjective health over and above individual characteristics. The relative importance of cultural background in shaping subjective health is more significant and salient for Ewes compared to Akans. Income, age and satisfaction with life are noncultural variables that consistently emerged as predictors of subjective health among the respondents. Policy implications of the study are discussed echoing the need to adopt multidimensional approach to improving overall health paying attention to cultural background in the country. It is also suggested that more studies into the interplay between cultural background and social capital variables and subjective health are needed to untangle the rationale behind the association between culture and social capital and health status in the country. Future areas of research are also alluded to.