White Racial Identity and White Racial Consciousness: Similarities,Differences, and Recommendations

To dispel apparent confusion, White racial identity and White racial consciousness are described and contrasted in terms of theoretical conceptualization and measures used. It is recommended that priority be given to the validation of existing or new measurement instruments to provide a sound basis for future findings. Para disipar la confusión aparente, la identidad racial Bianca, y el conocimiento racial Blanco, se describen y son contrastados en términos de sus conceptos teóricos y las medidas empleadas. Se recomienda dar prioridad a la validación de instrumentos existentes o nuevos para proporcionar una base sólida para los deseubrimientos futuros.     

Lorenz Curves: A New Model for the Distribution of Psychiatric Services

The growth of child and adolescent psychiatric services based on the wraparound philosophy raises new questions for medical directors, investigators, and clinicians interested in improving quality of care and outcomes. Typically, quality improvement studies have focused on standardizing care and decreasing variation while community based services following a wraparound model are by definition individualized. To date, little information on how to evaluate such services in a managed care environment has been available. We present one option for evaluating the distribution of medical services and the extent to which providers individualize services for children with severe emotional disorders. Specifically, we (a) review the philosophy and goals of wraparound services, (b) introduce the Lorenz curve as a tool for determining the degree of inequality in service distribution at a given institution, and (c) present a case study on the use of Lorenz curves by a Medicaid Behavioral Health Organization in profiling behavioral providers.     

Assessment Instruments Used by Addictions Counselors

The Association for Assessment in Counseling's Committee on Assessment and Training in Addictions Counseling conducted a survey of Master Addictions Counselors (MACs) certified by the National Board for Certified Counselors. The intent of the survey was to identify which standardized assessment instruments were most frequently used by MACs and perceived to be most important in their substance abuse practices. This article describes survey results and provides training and practice recommendations.     

Monotonicity in Practical Reasoning

Classic deductive logic entails that once a conclusion is sustained by a valid argument, the argument can never be invalidated, no matter how many new premises are added. This derived property of deductive reasoning is known as monotonicity. Monotonicity is thought to conflict with the defeasibility of reasoning in natural language, where the discovery of new information often leads us to reject conclusions that we once accepted. This perceived failure of monotonic reasoning to observe the defeasibility of natural-language arguments has led some philosophers to abandon deduction itself (!), often in favor of new, non-monotonic systems of inference known as `default logics'. But these radical logics (e.g., Ray Reiter's default logic) introduce their desired defeasibility at the expense of other, equally important intuitions about natural-language reasoning. And, as a matter of fact, if we recognize that monotonicity is a property of the form of a deductive argument and not its content (i.e., the claims in the premise(s) and conclusion), we can see how the common-sense notion of defeasibility can actually be captured by a purely deductive system.