Using Disguised Clinical Case Material

When, why, and how clinicians decide to write about clients are ethical concerns. There are risks and potential clinical ramifications as well as responsibilities for how these decisions are made. On the basis of 141 interviews with psychoanalysts who have published in 3 major national and international psychoanalytic journals, the author explores decisions about whether to only disguise the client's material or whether, in addition, to ask consent outlines and some of the clinical consequences. The author concludes that clinicians need to individualize their decision making based on the particular client and the nature of the therapeutic relationship and offers ways to go about making these judgments.     

Keeping things in perspective

Scientific realism holds that scientific representations are utterly objective. They describe the way the world is, independent of any point of view. In Scientific Representation, van Fraassen argues otherwise. If science is to afford an understanding of nature, it must be grounded in evidence. Since evidence is perspectival, science cannot vindicate its claims using only utterly objective representations. For science to do its epistemic job, it must involve perspectival representations. I explicate this argument and show its power.     

Cognitive Vulnerability to Depression in Canadian and Chinese Adolescents

The goal of the current study was to compare diathesis-stress and transactional models of cognitive vulnerability to depression in samples of Canadian (n = 118) and Chinese (n = 405) adolescents. We utilized a six-month multi-wave, longitudinal design in order to examine whether (a) perceived control moderated the association between the occurrence of dependent interpersonal stressors and subsequent increases in depressive symptoms (i.e., a diathesis-stress perspective) and (b) dependent interpersonal stressors mediated the association between perceived control and subsequent increases in depressive symptoms (i.e., a transactional perspective). Results from idiographic, time-lagged, hierarchical linear modeling analyses indicated that for Canadian adolescents both diathesis-stress and transactional models were significant predictors of depressive symptomology. When examining the diathesis-stress model, boys, but not girls, who reported lower perceived control, reported higher levels of depressive symptoms following the occurrence of dependent interpersonal stress. Gender differences, however, were not present in the transactional model. In contrast, transactional, but not diathesis-stress, models were significant in Chinese adolescents, and gender differences did not emerge. Overall, these results may reflect culturally-relevant differences in the etiology of depression in Canadian and Chinese adolescents.     

Developing and Validating a Quantitative Measure of Organizational Courage

Purpose  

To present the Organizational Courage Assessment (OCA) and explore its construct validity.     

Predictors of multitasking performance in a synthetic work paradigm

This study investigated determinants of success in a ‘synthetic work’ task designed to reflect the requirement for multitasking that is common to many occupations. Participants were administered tests of working memory capacity (WMC) and processing speed (PS), and they reported experience with videogames, a type of activity presumed to involve multitasking. Results revealed that WMC was a strong predictor of multitasking in a ‘non‐emergency’ condition when the pace of the tasks was relatively slow, whereas PS was a weaker predictor. Additionally, there was evidence for the incremental validity of videogame experience (VGE), consistent with the possibility that multitasking is supported by a general, trainable skill. Finally, individual differences in strategy use accounted for a large proportion of the variance in multitasking, above and beyond other predictor variables, and WMC predicted use of an effective strategy. Copyright © 2009 John Wiley & Sons, Ltd.     

Brain preparation before a voluntary action: Evidence against unconscious movement initiation

Benjamin Libet has argued that electrophysiological signs of cortical movement preparation are present before people report having made a conscious decision to move, and that these signs constitute evidence that voluntary movements are initiated unconsciously. This controversial conclusion depends critically on the assumption that the electrophysiological signs recorded by Libet, Gleason, Wright, and Pearl (1983) are associated only with preparation for movement. We tested that assumption by comparing the electrophysiological signs before a decision to move with signs present before a decision not to move. There was no evidence of stronger electrophysiological signs before a decision to move than before a decision not to move, so these signs clearly are not specific to movement preparation. We conclude that Libet’s results do not provide evidence that voluntary movements are initiated unconsciously.     

Women’s Experience of Telehealth Cancer Genetic Counseling

Telegenetics offers an alternative model of delivering genetic counseling to rural and outreach areas; however there is a dearth of qualitative research into the patient’s experience. Twelve women who had received telemedicine genetic counseling for hereditary breast and/or ovarian cancer (HBOC) within the previous 12 months participated in a semi-structured telephone interview. The interview explored women’s experience with telegenetics, satisfaction, perceived advantages and disadvantages and quality of the interaction with their genetic professionals. Overall women were highly satisfied with telegenetics. Telegenetics offered them convenience and reduced travel and associated costs. The majority of women described feeling a high degree of social presence, or rapport, with the off-site genetic clinician. One woman with a recent cancer diagnosis, reported that telemedicine was unable to meet her needs for psychosocial support. This finding highlights the need to be mindful of the psychosocial support needs of women with a recent diagnosis being seen via telegenetics. Patients attending for HBOC genetic counseling are generally highly satisfied with the technology and the interaction. Care should be taken, however, with patients with more complex psychosocial needs.