Clinical pragmatism: a method of moral problem solving

This paper presents a method of moral problem solving in clinical practice that is inspired by the philosophy of John Dewey. This method, called "clinical pragmatism," integrates clinical and ethical decision making. Clinical pragmatism focuses on the interpersonal processes of assessment and consensus formation as well as the ethical analysis of relevant moral considerations. The steps in this method are delineated and then illustrated through a detailed case study. The implications of clinical pragmatism for the use of principles in moral problem solving are discussed.     

African Americans and Consultation

This article reviews key issues related to racial minorities working as consultants, provides an analysis of possible impediments to successful consultation by stage of the process, and provides examples of how majority consultants can provide support for this underrepresented group in the field. Implications for training are discussed.     

Journal Reviews

Journal of Child Psychotherapy Samuels , Andrew (ed.). (1996). ‘Symposium: post-Jungian thought,’The Psychoanalytic Review Schwartz -Salant , Nathan . ‘On the interactive field as analytic object’. In The Interactive Field in Analysis, Vol 1. Chiron Clinical Series Jacobs , Theodore J. ‘On therapeutic interventions in the analysis of certain “unana-lyzable” patients’. Contemporary Psychoanalysis Guntrip , Harry . ‘My experience of analysis with Fairbairn and Winnicott. (How complete a result does psychoanalytic therapy achieve?)’. First published in The International Review of Psycho-Analysis Padel , John . ‘The case of Harry Guntrip’. Markillie , Ronald . ‘Some personal recollections and impressions of Harry Guntrip.’ Published together in The International Journal of Psycho-Analysis Plaut , F. ‘Analytiker als Minorität’. [Analysts as a minority]. Analytische Psychologic Samuels , Andrew ‘The politics of transformation/the transformation of polities’, International Journal of Psychotherapy     

Presence and absence through the mirror of transference: a model of the transcendent function

The workings of the transcendent function are explored through the development of a model of psychical process which is founded on the symbolism of the mirror. The model consists in a three-dimensional psychical manifold comprising apperceptive, reflective, and subjective axes. A fourth, temporal axis is implicit in the process character of the model. A fifth, affective axis is not discussed. The model is used to enhance understanding of both failed and successful transcendent functioning. Parallels with modes of initiation are developed. The transference role of the therapist is explored.     

CLASSWIDE PEER TUTORING: AN INTEGRATION STRATEGY TO IMPROVE READING SKILLS AND PROMOTE PEER INTERACTIONS AMONG STUDENTS WITH AUTISM AND GENERAL EDUCATION PEERS

A multiple baseline design across subjects with a reversal was used to examine the effects of classwide peer tutoring relative to traditional reading instruction on reading skills and social interaction time for 3 high-functioning students with autism and their typical peers in integrated, general education classrooms. Traditional reading instruction consisted largely of teacher-led instruction with individual student participation and seat work. Classwide peer tutoring consisted of 25 to 30 min of well-specified instruction in which tutor—learner pairs worked together on a classwide basis on reading fluency and comprehension skills. All students participated in 15- to 20-min unstructured free-time activities immediately following reading instruction. Results of reading assessments demonstrated that classwide peer tutoring increased reading fluency and correct responses to reading comprehension questions for students with autism and their peers. The procedure further increased the total duration of free-time social interactions for students with autism and typical peers, with individual variation in performance.     

REDUCING ESCAPE BEHAVIOR AND INCREASING TASK COMPLETION WITH FUNCTIONAL COMMUNICATION TRAINING,EXTINCTION AND RESPONSE CHAINING

The effects of functional communication training, extinction, and response chaining on 3 subjects' escape-maintained aberrant behavior were evaluated using a multielement design. Functional communication training consisted of teaching subjects a verbal response that was functionally equivalent to their aberrant behavior. Subjects initially were allowed to escape from a task contingent on the trained verbal response. In subsequent treatment phases, escape was contingent on the trained verbal response plus the completion of the specified number of steps in the task (response chaining). The number of steps was increased until a subject completed the task to obtain a break. Results showed that the treatment reduced rates of aberrant behavior and that the chaining procedure was effective in decreasing the availability of escape.     

Some neglected problems in IRT

The paper addresses three neglected questions from IRT. In section 1, the properties of the “measurement” of ability or trait parameters and item difficulty parameters in the Rasch model are discussed. It is shown that the solution to this problem is rather complex and depends both on general assumptions about properties of the item response functions and on assumptions about the available item universe. Section 2 deals with the measurement of individual change or “modifiability” based on a Rasch test. A conditional likelihood approach is presented that yields (a) an ML estimator of modifiability for given item parameters, (b) allows one to test hypotheses about change by means of a Clopper-Pearson confidence interval for the modifiability parameter, or (c) to estimate modifiability jointly with the item parameters. Uniqueness results for all three methods are also presented. In section 3, the Mantel-Haenszel method for detecting DIF is discussed under a novel perspective: What is the most general framework within which the Mantel-Haenszel method correctly detects DIF of a studied item? The answer is that this is a 2PL model where, however, all discrimination parameters are known and the studied item has the same discrimination in both populations. Since these requirements would hardly be satisfied in practical applications, the case of constant discrimination parameters, that is, the Rasch model, is the only realistic framework. A simple Pearsonx ² test for DIF of one studied item is proposed as an alternative to the Mantel-Haenszel test; moreover, this test is generalized to the case of two items simultaneously studied for DIF.     

The role of fairness orientation and supervisor attributions in absence disciplinary decisions

The present study investigated the role of the work value of fairness and attributions regarding the causes of absence in supervisor disciplinary decisions. It was hypothesized that supervisors who valued fairness, and those who made internal attributions regarding the cause of a particular absence incident, render more severe disciplinary decisions than supervisors who value fairness less, and who make external attributions. Furthermore, it was hypothesized that the degree to which supervisors valued fairness moderates the relationship between external attributions and the severity of disciplinary decisions. Using a policy capturing approach, results were consistent with predictions. Implications of the results for research and practice are discussed.     

Brain dynamics,psychophysiological uncertainty and behavioral learning

The present paper takes a first step toward the integration of recent findings on brain dynamics and learning into established fields of psychophysiological science. Leading-edge studies of brain dynamics have shown that the brain manifests an inherent variability and that, when new stimuli (i.e., “problems”) are presented to the organism, brain chaos increases.     

Temporal coordination of alternative and simultaneous aiming movements of constrained timing structure

Two experiments are reported addressing the preparation and initiation of movements with equal or unequal timing properties for both hands. Temporal coordination was examined in two movement tasks: one in which both hands performed the movements simultaneously (simultaneous aiming task) and one in which only one alternative of two possible movements was executed (choice aiming task). For each task a different group of subjects was used. Besides the timing relationships between both movements, the effects of preparation interval (1, 3, and 5 s), the average velocity (7, 14, 17.5, and 70 cm/s), the presence of advance information about the required velocity of the movement(s), and practice were investigated. Based on the common- and the specific-timing notions, distinct hypotheses were tested as to the effects of the variables on the temporal coordination as revealed by reaction time. A main result was that the effects of timing differences between the hands was task specific. For the choice task the data are in agreement with the common-timing notion of coordination, i. e., only one timing demand at a time can be prepared, whereas in the simultaneous task evidence was obtained for the specific-timing notion, i. e., independent preparation and initiation of different timing properties for the hands. However, it is argued that the results of the choice task probably do not reflect a general inability to prepare movements of different timing requirements for both hands, but is related to a task-specific strategy of selective preparation.