Working with unrealistic or unshared hope in the counselling session

Hope has long been identified as an important therapeutic factor in counselling. Further, research evidence for the importance of hope to counselling practice and outcome is abundant. However, the field is only beginning to explicitly consider how hope can be effectively and intentionally practised. One of the most challenging dilemmas encountered by counsellors committed to working with this important therapeutic factor is that of so-called unrealistic hope. In this paper, we outline two real-life counselling vignettes illustrating unrealistic hope, and consider these scenarios alongside relevant scholarship and practice experience. Guiding principles and practices for conceptualising and working with unrealistic hope are offered as a means of beginning the conversation about this complex aspect of working with client hope.     

Effect of inequality on cooperation: Heterogeneity and hegemony in public goods dilemma

We conducted two studies to explain inconsistent findings on the effect of resource inequality based on two properties of heterogeneity: (a) level of inequality and (b) asymmetry of resource distribution. We confirmed that symmetrically heterogeneous groups cooperated less than homogeneous groups did. We also found that larger resource inequality led to less cooperation. More importantly, the effect of inequality was different among groups with different distributions of resources – cooperation declined in groups with a symmetrical distribution of resources but did not decline in groups with a hegemonic distribution. Hegemonic distribution also affected psychological states as resource inequality changed. High endowment members reported higher self-efficacy when distribution was hegemonic than symmetric. However, they also reported more fear of being a sucker in hegemonic groups.     

Stereotype Threat and Attributional Ambiguity for Trans Women

In this paper I discuss the interrelated topics of stereotype threat and attributional ambiguity as they relate to gender and gender identity. The former has become an emerging topic in feminist philosophy and has spawned a tremendous amount of research in social psychology and elsewhere. But the discussion, at least in how it connects to gender, is incomplete: the focus is only on cisgender women and their experiences. By considering trans women's experiences of stereotype threat and attributional ambiguity, we gain a deeper understanding of the phenomena and their problematic effects. ¹      

“There is Something not Quite Right with Brad…”: The Ways in Which Families Construct ADHD Before Receiving a Diagnosis

This study explored how four families who were in the midst of the process of a potential diagnosis of ‘Attention Deficit Hyperactivity Disorder’ (ADHD) for their child negotiated competing explanations of the problems. The research drew on a social constructionist, systemic and attachment lens to understand; (a) the constellations of meanings that are constructed by the families to explain the difficulties and (b) how families use strategies in their talk to account for or contest these constellations of meaning. A discursive analysis revealed that the families in this study, following initial explorations, adopted a sequential and cumulative dismissal of psychosocial explanations. Hence, the thrust of the conversation implicitly added up to the only possibility, the inevitable conclusion that it was ADHD. The malleability and flexibility in which the families explored these explanations varied and for some families the process of closure towards ‘illness’ as a dominant explanation sealed alternative conversations more than in others. The findings also revealed a complexity for the parents in balancing the need to offer discipline versus another response and this has clinical implications and highlights the need for further research in this area.     

Infant imitation and the self—A response to Welsh

Talia Welsh (2006 Welsh, T. 2006. Do neonates display innate self-awareness? Why neonatal imitation fails to provide sufficient grounds for innate self and other awareness. Philosophical Psychology, 19: 221–238. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar]) argues that Shaun Gallagher and Andrew Meltzoff's (1996) application of neonatal imitation research is insufficient grounds for their claim that neonates are born with a primitive body image and thus an innate self-awareness. Drawing upon an understanding of the self that is founded upon a “theory of mind,” Welsh challenges the notion that neonates have the capacity for self-awareness and charges the supposition with an essentialism which threatens to disrupt more social constructionist understandings of the self. In this paper, I initially defend Gallagher and Meltzoff's (1996) application of infant imitation to understandings of neonatal self-awareness by explaining how body image schemas can be understood as non-representational embodied cognitive phenomena that challenge “theory of mind” theory. I then further develop the claim that neonates are born self-aware with reference to my own work in fetal development. I conclude that Welsh's political concerns are unfounded by showing how the conclusion that a neonate is self-aware does not signal a return to an essentialist understanding of self-awareness, but rather introduces into philosophical and psychological discourse possible alternate understandings of an embodied sense of self that are embedded within intersubjective contexts.     

The Effects of Social and Physical Functioning and Self-Management Abilities on Well-Being Among Patients with Cardiovascular Diseases,Chronic Obstructive Pulmonary Disease,and Diabetes

To increase our understanding of relationships between well-being and social/physical functioning and self-management abilities (SMAs) among chronically ill patients. The cross-sectional questionnaire-based study included 1,254 patients with cardiovascular diseases, 725 with chronic obstructive pulmonary disease, and 253 with diabetes (total, 2232/4200; 53 % response rate). Social and physical functioning correlated significantly with SMAs and well-being (all p?≤?0.001). After controlling for background characteristics, multiple regression showed that social and physical functioning were still related to SMAs (β?=?0.32–0.12; both p?≤?0.001) and well-being (β?=?0.39–0.14; both p?≤?0.001). The strengths of relationships between well-being and social (β?=?0.39 vs. 0.20) and physical (β?=?0.14 vs. 0.07) functioning declined significantly (both p?≤?0.001) when the SMA mediator was included in the equation. SMAs of chronically ill are related to their social and physical functioning. We found indications that chronically ill patients reporting lower levels of social and physical functioning are worse self-managers than are those with higher levels of functioning. Furthermore, SMAs may mediate the relationships between social and physical functioning and well-being. Self-management interventions aiming to enhance SMAs more broadly than traditional interventions aiming only to prevent functional decline are expected to improve SMAs and enhance well-being among chronically ill patients.     

How Patient-Perpetrated Workplace Violence Leads to Turnover Intention Among Nurses: The Mediating Mechanism of Occupational Stress and Burnout

This study looked into the impact of patient-perpetrated workplace violence on nurses’ turnover intention by examining the sequential mediation effect of occupational stress and burnout. Results were obtained by analyzing the data collected from 216 nurses working in four public hospitals of central Pakistan. Results provided full support to the research hypotheses, demonstrating that patient-inflicted violence negatively affects nurses’ turnover intention, and that occupational stress and burnout both individually mediate the patient violence–turnover intention relationship. Particularly, the results illustrated that patient violence is related to turnover intention through occupational stress first and then burnout. These results widen the focus of past research by demonstrating that the patient violence–turnover intention link is not as simple as previously believed. Future researchers can use these findings to further develop integrated models that explore the adverse consequences of workplace violence on nursing staff’s personal and professional well-being.     

Ensemble coding of faces occurs in children and develops dissociably from coding of individual faces

Ensemble coding allows adults to access useful information about average properties of groups, sometimes even in the absence of detailed representations of individual group members. This form of coding may emerge early in development with initial reports of ensemble coding for simple properties (size, numerosity) in young children and even infants. Here we demonstrate that ensemble coding of faces, which provides information about average properties of social groups, is already present in 6–8‐year‐old children. This access to average information increases with age from 6 to 18 years and its development is dissociable from age‐related improvements in the coding of individual face identities. This dissociation provides the first direct evidence that distinct processes underlie ensemble and individual coding of face identity, evidence that has been lacking from adult studies. More generally, our results add to the emerging evidence for impressively mature sensitivity to statistical properties of the visual environment in children. They indicate that children have access to gist information about social groups that may facilitate adaptive social behaviour.     

Cognitive,not physical,engagement in video gaming influences executive functioning

Physically active video games (i.e., exergames), which are a prevalent and popular childhood activity, may have benefits to executive-functioning (EF) skills, as they incorporate both cognitive engagement and physical activity. Acute EF change in 147 7- to 12-year-olds was assessed after participation in a 20-min activity. The between-subjects design had 4 conditions: exergame, sedentary video game, exercise, and nonplaying control. The varied level of physical and cognitive engagement examined whether the nature of the activity, such as physical movement or cognitive engagement in an enjoyable activity, differentially related to changes in different aspects of EF. Participants in the cognitively engaging conditions (i.e., the 2 video game conditions) improved their accuracy on the most complex EF test and their reaction time on the standard EF test more than participants in the other conditions. These findings suggest that the kind of cognitive engagement involved in video game play is the mechanism of acute effects on EF.     

Resolving Ethical Dilemmas in a Tertiary Care Veterinary Specialty Hospital: Adaptation of the Human Clinical Consultation Committee Model

Technological advances in veterinary medicine have produced considerable progress in the diagnosis and treatment of numerous diseases in animals. At the same time, veterinarians, veterinary technicians, and owners of animals face increasingly complex situations that raise questions about goals of care and correct or reasonable courses of action. These dilemmas are frequently controversial and can generate conflicts between clients and health care providers. In many ways they resemble the ethical challenges confronted by human medicine and that spawned the creation of clinical ethics committees as a mechanism to analyze, discuss, and resolve disagreements. The staff of the North Carolina State University Veterinary Hospital, a specialty academic teaching institution, wanted to investigate whether similar success could be achieved in the tertiary care veterinary setting. We discuss the background and rationale for this method, as well as the approach that was taken to create a clinical ethics committee.