“Being human”: A grounded theory approach to exploring how trainers on clinical psychology doctorate programmes decide whether or not to disclose personal experiences of psychological distress to clinical psychology doctorate trainees

Objective

Recent research and guidelines recommend that trainers on clinical psychology doctorate training programmes consider disclosing personal experiences of psychological distress to trainees. Disclosure is thought to promote cultures of openness, validate and normalise trainee distress, encourage trainee disclosure and help-seeking and challenge stigmatising narratives. However, little is known about how trainers decide whether, what or how to disclose. This study aims to address that gap by exploring the processes and factors involved in trainers deciding whether or not to disclose personal experiences of psychological distress to trainees, generating findings of relevance across counselling, psychotherapy and psychology training courses.

Methods

In-depth interviews were conducted with nine trainers on UK clinical psychology doctorate programmes from around the country and analysed in accordance with constructivist grounded theory methods.

Results

Findings indicated that participants valued disclosure personally and professionally but were wary of the dangers of disclosure. Disclosure decisions were made by judging the context against internally held criteria. If criteria were not met, then disclosures were not made. Outcomes, whether positive or negative, served to reinforce the value of disclosure and the importance of managing risks, creating a positive feedback loop.

Conclusions

The findings of this study suggest factors that are important for trainers to consider when deciding whether or not to disclose. The six-factor framework developed may be useful for trainers to consider within reflective practice, supervision or during guided self-reflection in order to make safe, helpful and ethical decisions.     

Locke and “ad”

In IV, xvii, 19–22 of his Essay, Locke employs Latin labels for four kinds of argument, of which one (ad hominem) was already in circulation and one (ad judicium) has never had much currency. The present proposal seeks to locate and clarify what Locke was aiming to describe, and to contrast what he says with some subsequent uses that have been made of these labels as if they named fallacies. Though three of the four kinds of argument that Locke picks out are often less than decisive, he casts no aspersion on the legitimacy of their use in debate.

     

Aggression as a reinforcer: operant behavior in the mouse-killing rat

Two experiments examined mouse killing as a reinforcer of key pressing by rats that killed mice. In Experiment I, mouse-killing rats performed the key-pressing response when each press was reinforced with presentation of a mouse. Offered a choice between a key that yielded presentation of mice and one that did not, the rats preferred the key that yielded mice. When the contingency was reversed, the rats preferred the other key and continued to kill mice. In Experiment II, mouse-killing rats that did not kill rat pups performed a key-pressing response reinforced with presentation of mice on a variable-interval schedule. In tests for responding reinforced on that schedule with presentation of normal mice, anesthetized mice, dead mice, or rat pups, these rats that killed mice but not rat pups exhibited a decline in response rate when rat pups were the reinforcer. Altering the condition of the mice did not significantly affect performance.     

Successive luminance difference thresholds and brightness as a function of the interstimulus interval and durations of successive flashes

Monocular,successive luminance difference thresholds (ΔI) and brightness matches (PSE) were obtained by the method of constant stimuli for two flashes successively presented to the same retinal area. Variations in interstimulus interval first-flash duration,and second-flash duration were the independent variables investigated. ΔI decreased as a function of ISI,while PSE remained relatively uninfluenced. An intensity-duration reciprocity was observed with increases in either first- or second-flash duration. Equal increases in duration of both flashes led to a constant value of ΔI. A Broca-Sulzer effect was also noted. In another study, a 10-msec, variable-luminance Standard was followed after 500 msec by either a 10-msec or a 320-msec test flash that was compared to the Standard. The results indicated that the rate of change of brightness with changes in luminance of the Standard was faster for the 10-msec flash than for the 320-msec flash. The rate-of-change hypothesis would predict that the 10-msec flash should have the smaller ΔI. The results for two Ss indicated the opposite: AI was smaller for 320-msec than for 10-msec flashes. A modification of the hypothesis was suggested such that it may be the energy increment (Δlt) required for detection that is related to the rate at which brightness changes with energy.     

Orientation of letters and errors in their recognition

Subjects named alphabetic characters that had been rotated, reflected, or inverted. Inversions induce more errors than mirror reflections and reflections induce more than rotations. In a significant number of mistakes a transformed character was assumed to be normally oriented, but in most a transformed character was confused with the mirror image of the original. The data suggest the existence of an “orientation set” in which the identiflcation of ambiguous characters depends largely on their anticipated orientation. The individuality of the data for the different orientations suggests that different transformations are compensated for in part by different mechanisms.     

Latency of different verbal responses to the same stimulus

A response of reading (letter O) or of naming (circle) can be given to the same sign O. The verbal reaction time is higher when naming than when reading (difference 100 millisec.). This fact verifies that naming is a longer process than reading, the difficulty of perceiving the stimulus being equal.

The response “zero” which may be given to the same sign is nearer to the reading-response time than the naming-response. These facts can be explained if we say that uncertainty for coding concrete signs is greater than for alphabetical or numerical signs.     

Cortical steady-potential shifts in conditioning

Cortical steady-potential shifts obtained from nonpolarizing electrodes chronically implanted in freely moving cats and rats reveal cortical activation related to urgency of response to unconditional and conditional stimuli. Such shifts appear relatively independent of activation in the rhythmic electrocorticogram and are related to higher levels of activation. Shifting is found to be modulated by drive and level of learning, suggesting a correlation with the proposed reaction potential of Hull. Both approach and avoidance “urgency” are reflected in the onset slope and amplitude of SP shifts in a manner suggesting modulation of cortical activation by the effects of behavioral regulation of stimulus conditions.