Treatment of depression in low-income older adults

The purpose of this study was to compare cognitive-behavioral group therapy (CBGT), clinical case management (CCM), and their combination (CBGT + CCM) to treat depression in low-income older adults (60+). Sixty-seven participants with major depressive disorder or dysthymia were randomly assigned and entered into 1 of the 3 treatment conditions for 6 months. They were followed for 18 months after treatment initiation on depression and functional outcomes. CCM and CBGT + CCM led to greater improvements in depressive symptoms than CBGT, but CBGT led to greater improvements in physical functioning. All 3 conditions resulted in similar reduction of needs. Findings suggest that disadvantaged older adults with depression benefit from increased access to social services either alone or combined with psychotherapy.     

Thinking about the Needy: A Reprise

This article discusses Jan Narvesons Welfare and Wealth, Poverty and Justice in Todays World, and Is World Poverty a Moral Problem for the Wealthy? and their relation to my Thinking about the Needy, Justice, and International Organizations. Section 2 points out that Narvesons concerns differ from mine, so that often his claims and mine fail to engage each other. For example, his focus is on the poor, mine the needy, and while many poor are needy, and vice versa, our obligations may differ regarding the poor than regarding the needy. Also, Narveson invokes a narrow conception of morality as those rules that government or society may compel people to follow. Given a broader, more plausible, conception of morality, many of Narvesons claims actually support my substantive views. Section 3 shows that many of Narvesons claims are relevant to the best means of aiding the needy, but do not challenge the validity of that end. This is true, for example, of his claims about the role of poor governments, the importance of freedom, the undesirability of mere handouts, and the effects of bad economic policies. Section 4 defends the importance of my distinction between acting justly and acting for reasons of justice. It illustrates that on several widely shared conceptions of justice there might be agent-neutralreasons of justice to aid the needy, even if from an agent-relative perspective one would not be acting unjustly if one failed to do so. Section 5 contests Narvesons portrayal of egalitarianism as concerned about inequality of wealth, per se, as insensitive to prior wrongs, and as holding that the worse-off have a right to be made better off at the expense of the well-off. In addition, it rejects Narvesons contention that egalitarians violate impartiality, and aim to impose their personal tastes on others. Section 6 challenges a fundamental assumption underlying Narvesons doctrine of mutual advantage. In addition, it denies that egalitarians are irrational merely because equality can conflict with the pareto principle. More generally, by appealing to impersonal ideals, it challenges the widely held view that the pareto principle is a condition of rationality. Section 7 argues that Narvesons meta-ethical assumptions are controversial, internally inconsistent, in tension with his normative views, and ultimately a version of skepticism. In addition, it challenges Narvesons view about the role intuitions play in moral theory. Section 8 clarifies points where Narvesons discussion of my views may be misleading. Finally, the paper notes the role that moral reasons may play in deliberation and action, but emphasizes the philosophical and theoretical nature of my work. My aim is to determine the moral considerations that are relevant to how people should act regarding the needy. Whether people will actually be moved to so act, for those reasons or otherwise, is another matter.     

Aging, subjective experience, and cognitive control: dramatic false remembering by older adults

Recent research suggests that older adults are more susceptible to interference effects than are young adults; however, that research has failed to equate differences in original learning. In 4 experiments, the authors show that older adults are more susceptible to interference effects produced by a misleading prime. Even when original learning was equated, older adults were 10 times as likely to falsely remember misleading information and were much less likely to increase their accuracy by opting not to answer under conditions of free responding. The results are well described by a multinomial model that postulates multiple modes of cognitive control. According to that model, older adults are likely to be captured by misleading information, a form of goal neglect or deficit in inhibitory functions.     

Report of the ACA Ethics Committee: 2002–2003

This report summarizes the activities of the American Counseling Association (ACA) Ethics Committee during the period of July 1, 2002, through June 30, 2003. Summary data of the complaints filed and the inquiries received are presented.     

What is Ethical About Grade Inflation and Coursework Deflation?

Recent research questions the validity of student evaluation of teaching (SET) data to measure teaching and learning. Yet, there is extensive use of this instrument around the world, which arguably contributes to a decline in the rigor of college classes. This performance measurement has lead to both unethical grade inflation and coursework deflation as faculty try to entertain students rather than educating them. These unethical teaching techniques used by many faculties are on the same plane as the unethical practices of executives “cooking their books.” Ethical and unethical SET management techniques of professors are discussed herein, along with incentive and structural pander pollution of administrators and universities.     

A caregiver–child socioemotional and relationship rating scale

This article reports the construction and pilot reliability, validity, and psychometric properties of a new caregiver–child rating scale that emphasizes caregiver–child socioemotional interactions and relationships. While the scale was developed and studied in orphanages for young children, it potentially could be used in nonresidential early care and education settings as well as for parent–child interactions in the home. The intent was to assess a few dimensions that comprehensively cover the range of caregiver–child socioemotional interactions and relationships, by means of a scale that could be administered in a relatively short time period in a variety of situations and would not require extensive coder training, manuals, or materials. Results showed that the scale can be reliably administered even using observation periods as short as 5 min, that inter‐rater reliability was acceptable (based on data from two raters working in two orphanages, and five raters working in another), and that ratings of caregivers were similar across different types of caregiving activities (i.e., feeding, dressing/bathing, free play) and for caregivers attending to children birth to 4 and 4 to 8 years of age. In the orphanage context, factor analyses showed that the scale primarily reflects caregiver–child mutual engagement and relationship with subordinate components of caregiver punitiveness and caregiver‐ versus child‐directed behaviors and intrusiveness.