Serious Ethical Violations in Medicine: A Statistical and Ethical Analysis of 280 Cases in the United States From 2008–2016

Serious ethical violations in medicine, such as sexual abuse, criminal prescribing of opioids, and unnecessary surgeries, directly harm patients and undermine trust in the profession of medicine. We review the literature on violations in medicine and present an analysis of 280 cases. Nearly all cases involved repeated instances (97%) of intentional wrongdoing (99%), by males (95%) in nonacademic medical settings (95%), with oversight problems (89%) and a selfish motive such as financial gain or sex (90%). More than half of cases involved a wrongdoer with a suspected personality disorder or substance use disorder (51%). Despite clear patterns, no factors provide readily observable red flags, making prevention difficult. Early identification and intervention in cases requires significant policy shifts that prioritize the safety of patients over physician interests in privacy, fair processes, and proportionate disciplinary actions. We explore a series of 10 questions regarding policy, oversight, discipline, and education options. Satisfactory answers to these questions will require input from diverse stakeholders to help society negotiate effective and ethically balanced solutions.     

The Effects of Single- Versus Multiple-Exemplar Training on Vocal Identification of Artists’ Styles

The purpose of the present study was to assess the effects of single- versus multiple-exemplar training with several artists’ paintings on graduate students’ stimulus generalization to novel paintings by the same artists. Six graduate students participated in this study. Participants studied decks of cards that depicted images of paintings by six different artists. Multiple-exemplar decks included three exemplars of three artists for a total of nine cards, and single-exemplar decks included single exemplars of three artists for a total of three cards. Participants “tested out” when ready following independent study with each deck and were required to score 100 % correct in order to move on to a generalization probe, during which participants were presented with novel exemplars. Overall, four of six participants performed better on the generalization probe after multiple-exemplar training, though in the case of three participants, only to a slight degree. These modest effects suggest that multiple-exemplar training may facilitate stimulus generalization, but that studying with single exemplars may allow for stimulus generalization as well.     

Belongings Beyond Borders: Reflections of Young Refugees on Their Relationships with Location

Young separated refugees are exiled from familiar places and on seeking asylum encounter new, potentially alienating, places. Yet, there is limited research regarding the effects of location on the psychological experiences of young separated refugees. This study explores the relationships that young adults who arrived in the UK as separated refugees have with the spaces that they inhabit and the consequences of these. It draws on qualitative interviews with young men from Iraq and Afghanistan who are living in London. Four key themes emerged from the analysis. Participants felt frustrated in bureaucratic settings where processes of labelling and physical manipulation prevented their sense of subjectivity from being expressed. Certain community spaces offered a rich range of support. Micro‐spaces of belonging and embodied processes of exploration in the wider community were also reported to be psychologically beneficial. The themes suggest that considerations of young separated refugees' relations to place may provide alternative psychological understandings of their experiences, particularly in relation to concepts such as trauma. Policy implications related to immigration control and the benefits of community projects are highlighted. Copyright © 2015 John Wiley & Sons, Ltd.     

Privilege and Oppression in Counselor Education: An Intersectionality Framework

Multiculturalism and social justice are considered major forces in the counseling profession, revolutionizing the complexity of social identity, cultural identity, and diversity. Although these major forces have influenced the profession, many challenges exist with their implementation within counselor education curriculum and pedagogy. A major challenge is the complex dynamics of privilege and oppression that both counselor educators and counseling students face. This article discusses the use of intersectionality to approach counselor education pedagogy and practice. El multiculturalismo y la justicia social están considerados como fuerzas importantes con las que la profesión de la consejería está revolucionando la complejidad de la identidad social, la identidad cultural y la diversidad. Aunque estas fuerzas importantes han influido en la profesión, existen desafíos relacionados con su implementación en los planes curriculares y pedagogía de la educación de consejeros. Un desafío significativo es la compleja dinámica entre privilegio y opresión que enfrentan tanto los formadores de consejeros como los estudiantes de consejería. Este artículo discute el uso de la interseccionalidad para enfocar la pedagogía de la educación de consejeros y la práctica.     

Sound Body,Sound Mind? The Interrelation Between Health Change and Personality Change in Old Age

Personality development is characterized by increasing maturation, that is, people become more conscientious, agreeable and emotionally stable as they age. In late life, however, these trends seem to be reversed. Because many changes and transitions in older age are related to health, we investigated correlated changes in health problems and personality traits, the sources of health changes in later life and the directionality of effects. Our sample consisted of older adult twins, aged 64–85 years at time 1 (n = 410; 135 male/275 female; 134 monozygotic/63 dizygotic twin pairs), assessed at two different time points about five years apart, and we ran bivariate latent change and latent change twin model analyses. Increasing health problems were associated with decreases in agreeableness, extraversion, emotional stability and conscientiousness. Changes in health problems were only due to environmental influences, implying that the association between health and personality changes was exclusively environmental. Directional effects were largely absent, but health and personality were significantly related at the second measurement occasion (age 69–89 years). Our results support the link between health change and personality change in late life and spark the assumption of normative personality adaptations to deterioration of health status as a means of developmental regulation. Copyright © 2017 European Association of Personality Psychology     

Parental Opioid Abuse: A Review of Child Outcomes,Parenting, and Parenting Interventions

Opioid abuse is now considered an epidemic, and many of the adults using this substance are parents. The purpose of the current paper is twofold: (1) to review rigorously conducted studies (e.g., included a comparison group; utilized inferential statistics) examining the association of opioid abuse with parenting and child outcomes, and (2) to review parenting intervention programs with these caregivers. Findings indicate that there are very few rigorously conducted studies examining children and parenting when parents abuse opioids. Furthermore, only four intervention programs have been conducted using randomized control trials and inferential statistics. We conclude that there is limited research that can be labeled as a rigorous science currently addressing this aspect of the opioid epidemic. Recommendations for further research are delineated.