Who should manage care? The case for providers

Health care professionals should be the ones to make allocation decisions in the managed care setting because they are in the best position to assess outcomes, cost effectiveness, and quality of care.     

Client preferences for informed consent information

Thirty-five current therapy clients, 47 former clients, and 42 college students with no therapy experience rated 27 items in terms of importance for inclusion in informed consent discussions. The current and former client samples rated information about inappropriate therapeutic techniques, confidentiality, and the risks of alternative treatments as most important, and information about the personal characteristics of the therapist and the therapist's degree as least important. The results of this study provide evidence for differential informed consent disclosure practices.     

Multiple information sources in interceptive timing

This study was designed to explore the limitations of tau (τ) as an explanatory construct for the timing of interceptive action. This was achieved by examining the effects of environmental structure and binocular vision on the timing of the grasp in a simple one-handed catch. In two experiments, subjects were required to catch luminous balls of different diameters (4, 6, 8 and 10 cm) in a completely darkened room. In the first experiment the influence of the presence vs. absence of an environmental background structure (both under monocular viewing) was tested, and in the second experiment the influence of monocular vs. binocular vision was examined. It was found that irrespective of the presence of environmental structure, an effect of ball size occurred in the monocular viewing conditions. That is, in monocular viewing conditions the grasp was initiated and completed earlier for the larger balls as compared to the smaller ones, while in the binocular viewing condition subjects behaved in accordance with a constant time to contact strategy: no effects of ball size were found. It is concluded that under binocular viewing a binocular information source is used, while in the monocular viewing condition a lower order information source like image size or image velocity is probably involved.     

Assessment of retrieval strategy in incidental, intentional, and inclusion tests with word-fragment cues

The purpose of this study was to assess retrieval strategy in incidental, intentional, and inclusion tests with word-fragment cues following a levels-of-processing manipulation at study. The results of Exp. 1 showed small levels-of-processing effects in incidental tests, and most subjects reported involuntary rather than voluntary retrieval of study-list words. In an intentional test, although levels of processing had a much greater effect, quite a few subjects also reported involuntary rather than voluntary retrieval of study-list words, and these subjects showed a smaller effect of levels of processing than subjects reporting voluntary retrieval. These results suggest that subjects given instructions for both voluntary and involuntary retrieval of study-list words in an inclusion test might not in fact attempt voluntary retrieval at all, but simply adopt an involuntary retrieval strategy. The results of Exp. 2 provided evidence to support this suggestion. The general implication is that where test contamination refers to subjects' failure to use retrieval strategies in accordance with test instructions, inclusion tests can be contaminated, as well as incidental or intentional tests, and that it is always necessary to obtain converging evidence about the actual strategies subjects use.     

Academic Advising: An Approach From Learning Disabilities Research

This article describes a program designed to improve academic performance of academically at-risk students at a small liberal arts college. Developed from research on successful adults with learning disabilities, the program emphasizes strategic goal planning and incorporates approaches often found in support services for college students with learning disabilities. Preliminary results indicate that a relation exists between the program and increased grade point average of at-risk students.     

The U.S. Supreme Court Decision in Jaffee v. Redmond: Implications for Counselors

In 1996, the U.S. Supreme Court held that communications between licensed psychotherapists and their patients are privileged under the Federal Rules of Evidence. The nature of privileged communication, the history of this Supreme Court decision, and implications of the decision for counselors are discussed.     

Ethnic differences in psychiatric disorders among adolescent substance abusers in treatment

The present study describes the diagnostic profile of over 800 adolescents admitted to residential therapeutic community programs for treatment of drug abuse and related problems. The relationship between race/ethnicity and psychiatric disturbance is examined, and the association among these factors to outcome is investigated. Over 90% of the sample had a DSM-III-R nonsubstance diagnosis. There were significant differences among the race/ethnic groups on attention deficit-hyperactivity and the disruptive behavior and affective disorders. In general, African-American adolescents yielded the lowest rates of disturbance across all categories of disorders. There was no relationship among race/ethnicity, psychiatric disturbance, and 1-year posttreatment outcomes.     

Polanyi's Finalism

Although Michael Polanyi's model of science and his construal of the nature of the real are usually thought to be congenial to religion and although Polanyi himself says that "the stage on which we thus resume our full intellectual powers is borrowed from the Christian scheme of Fall and Redemption" (Polanyi 1958, 324), theologians have given little attention to the model of God he presents. The metaphysical and theological vision unfolded in part 4 of Personal Knowledge is a thoughtful alternative to materialist versions of neo-Darwinism and provides a platform for revisiting four long-standing controversies at the interface of science and religion: whether life and mind can be completely specified in terms of physical analysis, whether nature can be adequately understood without appeal to final causes, whether natural selection adequately explains life's diverse forms, and whether knowledge can be fully objectified. Through an exploration of Polanyi's contribution to these discussions, we undertake to show not only that his treatment of God as a cosmic field is strikingly original but also that in reinstating activity as a metaphysical category, he reconstructs our understanding of our creaturely hope and calling.