Cultural considerations in release of information

In most mental health professions, confidentiality is probably the most important ethical principle in psychology, aside from nonmalfeasance. However, confidentiality is embedded in the Western values of individuality and autonomy. This creates a moral and ethical dilemma for clinicians working with clients from other cultures. This article presents 3 cases to highlight the conflict that many clinicians are likely to face with regard to confidentiality when working with clients from South Asia and similar cultures. The importance of understanding how cultural values may contradict professional ethics and some ways in which the clinician can address them are also discussed.     

Relation of the Repeatable Battery for Assessment of Neuropsychological Status to measures of daily functioning in dementia

In the present study were examined relations of scores on the Repeatable Battery for the Assessment of Neuropsychological Status (Randolph, 1998) with measures of daily functioning in a sample with dementia. Participants (N=66) with various forms of dementia were seen at a dementia diagnostic clinic. All participants were administered the battery as part of a larger battery of neuropsychological measures. The participants' functional status was assessed by their primary caregivers, who completed the Physical Self-maintenance Scale and the Instrumental Activities of Daily Living scale (Lawton & Brody, 1969) as part of a social work interview. Analysis indicated that the Repeatable Battery for Assessment of Neuropsychological Status, particularly the Attention, Visuospatial/Constructional, and Immediate Memory indices, strongly correlated with measures of daily functioning. These results were supported by multiple regression analyses showing the RBANS Attention and Immediate Memory indices as significant predictors of functional abilities. One may conclude the RBANS should be favorably considered in understanding the functional problems of probable dementing patients.     

School readiness and later achievement

Using 6 longitudinal data sets, the authors estimate links between three key elements of school readiness--school-entry academic, attention, and socioemotional skills--and later school reading and math achievement. In an effort to isolate the effects of these school-entry skills, the authors ensured that most of their regression models control for cognitive, attention, and socioemotional skills measured prior to school entry, as well as a host of family background measures. Across all 6 studies, the strongest predictors of later achievement are school-entry math, reading, and attention skills. A meta-analysis of the results shows that early math skills have the greatest predictive power, followed by reading and then attention skills. By contrast, measures of socioemotional behaviors, including internalizing and externalizing problems and social skills, were generally insignificant predictors of later academic performance, even among children with relatively high levels of problem behavior. Patterns of association were similar for boys and girls and for children from high and low socioeconomic backgrounds.     

Do a Posteriori Physicalists Get Our Phenomenal Concepts Wrong?

A posteriori physicalism is the combination of two appealing views: physicalism (i.e. the view that all facts are either physical or entailed by the physical), and conceptual dualism (i.e. the view that phenomenal truths are not entailed a priori by physical truths). Recently, some philosophers such as Goff (2011), Levine (2007) and Nida‐Rümelin (2007), among others, have suggested that a posteriori physicalism cannot explain how phenomenal concepts can reveal the nature of phenomenal properties. In this paper, I wish to defend a posteriori physicalism from this new and interesting challenge, by arguing that a posteriori physicalists have the resources to explain how phenomenal concepts can reveal at least something of what it would take for the corresponding phenomenal property to be instantiated.     

Errors of Omission and Commission during Alternative Reinforcement of Compliance: The Effects of Varying Levels of Treatment Integrity

We conducted two experiments to evaluate the effects of errors of omission and commission during alternative reinforcement of compliance in young children. In Experiment 1, we evaluated errors of omission by examining two levels of integrity during alternative reinforcement (20 and 60 %) for child compliance following no treatment (baseline) versus treatment at full (i.e., 100 %) integrity. Results indicated that compliance varied according to the level of integrity in place. In addition, compliance in the 60 % integrity condition was high and stable when it followed baseline, but was substantially lower for one participant and slightly lower for a second participant when it followed the full integrity condition. In Experiment 2, we evaluated errors of commission. For three participants, we compared treatment at full integrity to a condition in which errors of commission were made on every trial (i.e., 0 % integrity). For one of these three participants, we also compared treatment at full integrity to baseline and to a condition in which errors of commission were made on 50 % of trials. Results of all four evaluations again indicate that compliance varied according to the level of integrity in place: compliance was low in both the 0 and 50 % integrity conditions, regardless of the preceding condition. These results suggest that during alternative reinforcement of compliance, the effect of occasional errors of omission may depend on the immediately preceding context but that errors of commission are more detrimental.     

The psychological process of reintegration following a nine month/260 day solo sailboat circumnavigation of the globe

The focus of this case report is on the psychological reintegration process following the achievement of a highly challenging long‐duration and solitary endeavor. The participant was a 29 year old male who successfully circumnavigated the globe during a 260 day solo sailing expedition. We assessed the psychological aftermath in terms of stability and change in personality characteristics and personal beliefs prior to, and at 180 and 360 days after the completion of the journey. Overall, the personality configuration reflected adaptive personality functioning. A belief in an internal locus of control was consistent throughout, as were perceptions of personal growth as a result of the circumnavigation experience. NEO PI‐R Neuroticism, Extraversion, Openness, and Triarchic Psychopathy Measure (Tri‐PM) Boldness scores remained stable. Positive personality change was reflected by an elevation in Conscientiousness; negative change by a decline in Agreeableness and an increase in Tri‐PM Disinhibition. While overall the participant exhibited positive change as a result of his journey, there were also some negative aspects of the reintegration phase in regard to interactions with other persons. This latter change may be related to the effects of isolation from usual social contacts over an extended period.