A naturalistic longitudinal evaluation of counselling in primary care

This study evaluated the effectiveness of generic counselling in a primary healthcare setting during three months of counselling and followed up the patients' progress after counselling had finished for the next twenty-one months. Questionnaires were completed by patients within the Dorset Primary Care counselling service on referral to counselling and at set points afterwards. A naturally occurring waiting-list group was compared with patients receiving counselling at baseline and three months. Measurements were taken of patients' psychiatric symptomatology, quality of life (QOL) and self-esteem. Patients who received counselling made highly significant improvements compared with those on the waiting list. These improvements were maintained throughout the long-term follow-up. This would indicate that generic counselling has positive effects that can be maintained for a long period of time after counselling has been completed.     

Innocence Without Naivete,Uprightness Without Stupidity: The Pedagogical Kavannah of Emmanuel Levinas

While it is impossible to transfigurephilosophical and Judaic thought of EmmanuelLevinas into a moral agenda for education orthe programmatic regularities of a pedagogicalmethodology, this paper argues for theimportance of his work for re-openingeducational questions. These questions engagethe problem of what it could mean to livehistorically, to live within an uprightattentiveness to traces of those who haveinhabited times and places other than one'sown. In this sense, I address the problem ofremembrance as a question of and for history,as a force of inhabitation, as an inheritance weare obligated to live within, that intertwineswith our sense of limits and possibilities,hopes and fears, identities and distinctions.Substantively, this problem is manifest in howone attends to the experiences of others: howone reads, how one views, and how one listens,always historically specific normalizedpractices that in any given epoch are ingrainedin what it means to live in consort withothers, to live as though the lives of otherpeople mattered. The paper seeks to display thefecundity of the thought of Levinas forre-thinking such issues.     

A study of families' satisfaction with a family interventions in psychosis service in Somerset

Although research has shown the efficacy of family interventions in psychosis, there has been little research into families' own experience of services in routine clinical settings. Fifteen of the first twenty-two referrals to a Somerset Family Interventions Service agreed to take part in semi-structured interviews regarding family satisfaction and clinical outcome. High levels of engagement and satisfaction with the service were reported in spite of initial apprehension regarding family sessions. Family members thought that the sessions had helped them deal more effectively with problems and relatives' symptoms. They valued the opportunity for open discussion, developing new perspectives and problem-solving, as well as liaison/closer working with mental health services. Positive therapeutic qualities/skills (e.g. empathic, non-judgemental approach; mutually agreed goals) were highlighted. This study also indicated that successful engagement in family work requires referral at an early stage. The findings of this study, particularly those relating to the therapeutic relationship, are discussed, including their relevance for future research.     

Executive Heads and the Role of Intergovernmental Organizations: Expansionist Leadership in the United Nations and the European Union

Despite considerable advances in methods to examine leaders' personal characteristics using at–a–distance assessment, few studies have applied such techniques outside of the national level. This study reveals that such approaches can provide analytical leverage for examining executive heads of intergovernmental organizations (IGOs). The personal characteristics of six United Nations Secretaries–General and four European Union Commission Presidents were measured via content analysis of their responses to questions. Separately, their behavior in office was measured via historical accounts and analyses. In general, executive heads with higher expansionist leadership style scores displayed a greater willingness to try to enhance the status of their organizations.     

THE THEOLOGICAL ETHICS OF HERBERT McCABE, OP: A REVIEW ESSAY

Herbert Mc Cabe, OP (d. 2001), was a significant theological figure in England in the last century. A scholar of Aquinas, he was also influenced by Wittgenstein and Marx, his reading of whom helped him articulate a distinctive Thomistic account of human embodiment that serves as a critique of other dominant approaches in ethics. This article shows McCabe's contribution to moral theology by placing his work in conversation with other important approaches, namely, situation ethics, proportionalism, and the New Natural Law Theory.     

MORAL DECISIONS ABOUT HUMAN GERM-LINE MODIFICATION

Technologies for human germ-line modification may soon enable humanity to create new types of human beings. Decisions about use of this power entail an unprecedented combination of difficulties: the stakes are immense, the unknowns are daunting, and moral principles are called into question. Evolved morality is not a sure basis for these decisions, both because of its inherent imperfections and because genetic engineering could eventually change humans’ innate cognitive mechanisms. Nevertheless, consensus is needed on moral values relevant to germ-line modification. These values could be based on characteristics of human beings that would remain constant regardless of revised genomes.