Accidental Truth and Accidental Justification

The presence of accidentality in a subject's holding a belief is generally thought to be incompatible with that belief7apos;s being an instance of know-ledge. Epistemologists have tended to focus on the accidentality of the truth of a belief. I argue (a) that it is also possible that there be accidentality in the justification of a belief, and (b) that the consequences of this type of accidentality are potentially much more harmful than accidentality only in the truth of a belief.     

Counselling in primary care: a systematic review of the research evidence

Counselling in primary care in the UK is expanding rapidly, and its evidence base needs to be established. We present the rationale for conducting controlled trials of counselling in primary care, and suggest that a systematic review of controlled trials of counselling in primary care is timely. We describe the process of conducting the review in accordance with Cochrane Collaboration guidelines. The review aimed to assess the effectiveness and cost-effectiveness of counselling in primary care, by systematically reviewing cost and outcome data from randomised controlled trials and controlled patient preference trials of counselling interventions, for patients with psychological and psychosocial problems considered suitable for counselling. The search strategy, inclusion and exclusion criteria, data collection and data analysis are described. The results of the review are presented. The review included only controlled trials of counselling in which counsellors accredited by the British Association for Counselling (or equivalent) provided non-directive counselling in primary care. Four trials met the inclusion criteria. Results indicated that patients who receive counselling show a modest but significant improvement in symptom levels compared with those who receive GP care. Levels of satisfaction with counselling are high. There is very tentative evidence to suggest that counselled patients are more likely to be considered recovered than usual GP care patients. There is limited information about the cost-effectiveness of counselling. We conclude by reflecting upon the results of the review and their implications for counselling research.     

Effect of schizotypy on responding maintained by free-operant schedules of reinforcement

Deviations from otherwise reliable patterns of responding in human performance on schedules of reinforcement could be associated with personality characteristics, such as psychometrically-measured schizotypy. The present study examined differences between high and low scorers on four schizotypy subscales (unusual experiences, cognitive disorganisation, introvertive anhedonia and impulsive non-conformity) on a random-ratio (RR) and random-interval (RI) schedule of reinforcement. Results showed a higher rate of responding on the RR than RI schedule, consistent with the differences in performance normally observed between these schedules. However, these differences were dependant on whether or not participants scored high or low on the schizotypy subscales, as well as the specific schedule parameters between the schedules. Specifically, high scorers on the unusual experiences (UE) subscale of the O-LIFE(B) were the only group in Experiment 1 not to show a difference in schedule performance, suggesting high scores on this subscale are linked to altered RR and RI performance. Experiment 2 explored this finding further using different schedule parameters, and confirmed that high scorers in UE did not differ in response rates between the two schedules.     

The Dynamics of a Genetic Counseling Peer Supervision Group

Supervision is a practice that is utilized by a variety of practitioners to hone their counseling skills. Genetic counselors have embraced the supervision process, and some seek out supervision in a group setting with peers. Researchers have described the structure and content of genetic counseling peer supervision groups, and provided evidence for the benefits of seeking peer supervision. This study aimed to describe the interpersonal aspects of one genetic counseling peer supervision group, including personality traits and group dynamics, and how those factors influenced our experiences within the group. We also describe how the process of evaluating these factors impacted us individually and collectively. There was consensus that the group was a safe and trusting one, which was united by similar goals and mutual respect. Members reported gaining insights about how their own personality functioned within the group milieu, and also how the group setting impacted them. Based on our experiences, we recommend that other peer supervision groups consider similar self-evaluations on a periodic basis, both to enhance group functioning and to allow for increased self-awareness and professional growth.     

Emerging Christianity and Religious Identity

The issue of religious identity is important for understanding the Emerging Church movement (ECM), which is in our view a religious orientation adopted by individuals and groups with a variety of religious identities. ECM participants are often resistant to religious identity labels, even to the point of being reluctant to identify as part of the ECM itself. Coupling this resistance with the growing millennial embrace of the category “religious none,” we use identity theory to argue that the kind of religious change we see with millennials and the Emerging Church is the product of identity change. Using the results of focus groups with millennials in the southern United States, we argue that the potential for religious change around Emerging Church identities lies in a process of shifting. We also identify the potential for religious change among different Emerging Christian identities, taking Peter Rollins as an example of someone who proposes a concept of Christian identity more radical than those espoused by other Emerging Church figures.     

The Child Thought Long Dead Sings through Dylan Thomas in “Poem in October”

Was Dylan Thomas's reunion with the child he had been—the child he had thought long dead who sings through him in “Poem in October”—the catalyst of a former student's recovery from depression? Inspiring this question is this student who had suffered recurring autumnal depression, who shared with Thomas a birthday in October, and who claimed sustained recovery in late November after having studied this poem with his peers in October—a claim supported by his remarkably animated glow, without regressions in subsequent years. In other words, had the student identified with the poem's epiphany—the poet's mysterious reunion with the child he had been and the amazing rebirth of the child's voice from whispering to singing through him—what Jung called the “gift of love”? In response, this study examines the poem's epiphany and its effects upon Thomas's creative vision relative to what Stephen Rojcewicz finds so vital to self-transformation: the created metaphor, translation, transport, and transference that not only evoke the presence of divinity in nature, but also, according to C. G. Jung, participate in a divine creative process. The study concludes with a tentative “yes” to the question, a “yes” resonant with the student's claim in early December, “I have never felt so creative!”     

Dating and Sexual Violence Research in the Schools: Balancing Protection of Confidentiality with Supporting the Welfare of Survivors

Rigorous research and program evaluation are needed to understand the experience of dating and sexual violence among youth and the impact of prevention and intervention efforts. Our dilemma in doing this work occurred when youth disclosed dating and sexual violence on a research survey. What responsibility do researchers have to protect survivors’ confidentiality as a research participant versus taking steps to ensure the student has the opportunity to access help? In our evaluation of a pilot dating violence prevention program, our protocols employed widely used procedures for providing resources to participants upon their completion of the survey and de‐identifying survey data. Upon reviewing preliminary survey results, we became concerned that these established procedures were not sufficient to support research participants who were adolescent survivors of dating and sexual violence. We followed a structured ethical decision‐making process to examine legal and ethical considerations, consult with colleagues, consider impacts and alternative solutions, and ultimately find a solution. Through this process, we developed procedures that balance participant confidentiality and the desire to support the welfare of survivors, which other researchers may want to employ when conducting youth sexual and dating violence research in school and community settings.     

Post-discharge outcomes for mothers and the mother–infant relationship following admission to a psychiatric Mother–Baby Unit

Mother–Baby Unit research has focussed on maternal psychopathology over the course of an admission. Less is known about the baby's well-being, the shared relationship, or the mother's recovery. In an initial sample of 45 women, we describe discharge and post-discharge outcomes for maternal psychopathology (using maternal report and the Global Assessment of Function, GAF) and the mother–infant relationship (using the Child and Adult Relational Experimental Index, CARE Index). Three months post-discharge, one third of women described themselves as “completely recovered,” one third were experiencing significant deterioration and 17% were readmitted to inpatient care. Poorer GAF scores were associated with a clinical diagnosis of comorbid personality disorder, antenatal presence of the index illness, partner illicit substance use, maternal perception of her bond, infant social withdrawal, and child protection concern. Post-discharge, the mother–infant relationship results were concerning. Only 17% were regarded as adequate. Improvement was observed across this period in 56% but relational deterioration occurred for 35%. Maternal and relational outcomes were weakly correlated at discharge (r² = 0.29, p = 0.07) but this was lost post-discharge (r² = 0.03, p = 0.89). The shared relationship and infant mental health should both be targets for intervention; both during MBU admission, and post-discharge.