The Consulting Process: A Multidimensional Approach

The consulting process seems to work similarly regardless of whether the consultant is internal or external or is doing individual or group consultation. Some differences may occur depending on whether the consultant is a process helper or content helper, although good content-focused consultants often possess excellent process skills and use them as a regular part of the consulting process. Several consultation processes were reviewed, and from this a six-step approach is presented.     

Case study: Noninvasive behavioral treatment of self-injurious hand stereotypy in a child with Rett syndrome

Treatment of stereotypic hand mouthing in a 3-year-old girl with Rett syndrome by differential reinforcement of competing functional responses plus response interruption is described and evaluated in this case study. A package of graduated guidance with social and edible reinforcers successfully established stable rates of functional hand movements to activate toys, gross motor responses to verbal prompts, palmar grasp and release, and some vocal imitation. Contingent response interruption virtually eliminated hand mouthing during instructional sessions. Instruction alone did not maintain hand mouthing suppression when interruption was withdrawn, and treatment gains appeared highly discriminated. Post-hoc comparison indicated differential reinforcement plus response interruption (DR1 + 1) to be superior to hand splints in reducing hand stereotypies, with approximately equivalent increases in collateral tongue thrusting.     

Well-being during the coronavirus pandemic: The effect of big five personality and COVID-19 beliefs and behaviors

This study examined the relationship between personality traits, COVID-specific beliefs and behaviors, and well-being during the COVID-19 pandemic. In July 2020, at the onset of a second major lockdown, Australian adults (n = 1453) completed measures of Big Five personality, COVID beliefs and behaviors (i.e., belief in a rapid recovery, perceived risk, compliance, change in exercise, and change in interpersonal conflict), subjective well-being and COVID-specific well-being. Personality correlates of COVID-specific well-being differed from those with general life satisfaction. The benefits of conscientiousness were elevated whereas the benefits of extraversion and agreeableness were reduced. Neuroticism was related to greater perceived risk from the pandemic, elevated interpersonal conflict during the pandemic, and more pessimistic views about the rate at which society would recover from the pandemic. In contrast, conscientiousness was notably related to greater compliance with directions from public health authorities. While regression models showed that general well-being was largely explained by personality, COVID factors provided incremental prediction, and this was greatest when predicting COVID-specific well-being and lowest for global evaluations of life satisfaction. The observed prediction by beliefs and behaviors on well-being beyond personality, provides potential opportunities for targeted interventions to support the management of future novel stressors.     

Vulnerability of facial attractiveness perception to early and multi-year visual deprivation

Judgments of facial attractiveness invariably accompany our perception of faces. Even neonates appear to be capable of making such judgments in a manner consistent with adults. This suggests that the processes supporting facial attractiveness require little, if any, visual experience to manifest. Here we investigate the resilience of these processes to several years of early-onset visual deprivation. Specifically, we study whether congenitally blind children treated several years after birth possess the ability to rate facial attractiveness in a manner congruent to normally sighted individuals. The data reveal significant individual variability in the way each newly sighted child perceives attractiveness. This is in marked contrast to data from normally sighted controls who exhibit strong across-subject agreement in facial attractiveness ratings. This variability may be attributable, in part, to atypical facial encoding strategies used by the newly sighted children. Overall, our results suggest that the development of facial attractiveness perception is likely to be vulnerable to early visual deprivation, pointing to the existence of a possible sensitive period early in the developmental trajectory.     

Gender Differences in Playful Aggression During Courtship in College Students

The current study explored gender differences in college students' definitions and enjoyment of playful force and aggression. Ninety-six female and 55 male college students who were predominantly White (96%) and heterosexual (97%) answered questions about playful force during sex and playful aggression at other times. A content analysis showed that the current definitions were very similar to those for children's rough-and-tumble play. However, a qualitative analysis found several potential gender differences. Physically aggressive men appeared to give aggressive definitions of playful force during sex. In addition, there was some disagreement among participants as to the acceptability of playful force during sex. Finally, there may be gender differences in the assumed agency of playful force and aggression.     

An educational intervention improves developmental progress of young children in a Romanian orphanage

From 1991 to 1994, a group of Romanian and American colleagues undertook an experimental and humanitarian effort to try to improve the quality of life, mental health, and developmental progress of young children in a Romanian orphanage. In the context of institutional care, we experimentally introduced stable adult–child relationships, small group size, and a protocol of enriched caregiving and educational activities. These procedures were adapted from an intervention in childcare centers in the United States that had been proven effective in reducing intellectual decline in at‐risk children. Developmental scores for orphanage children were derived from the Denver II (a revision of the Denver Developmental Screening Test; Frankenburg & Dodds, 1990), which was translated into Romanian and administered as a pre‐ and posttest to the experimental subjects and comparison groups in the same institution. Mixed models combining both within‐ and between‐subject heterogeneous variance‐covariance structures were utilized to analyze the impacts of time, intervention/control group assignment, child sex, child age, and interaction of Group × Time on the developmental scores. For the developmental outcome variables, the effects of group assignment (experimental vs. comparison) were highly significant. There also was a Group × Time interaction effect. We conclude that an educational intervention which includes the addition of resources and training can be initiated and sustained in an orphanage for young children as a way of improving institutional care. ©2005 Michigan Association for Infant Mental Health.     

Managed Mental Health Care: Intentional Misdiagnosis of Mental Disorders

Managed health care regulations affect the manner in which counselors provide and deliver services. Counselors are challenged by ethical and legal dilemmas when diagnostic codes in the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 2000) are not honored for insurance reimbursement. In this article, the authors examine violations of codes of ethics and legal statutes and the consequences related to intentional misdiagnosis of mental disorders for reimbursement. They explore implications for counselors and offer suggestions for professional conduct.     

Replies to Comesaña and Yablo

There are few indulgences academics can crave more than to have their work considered and addressed by leading researchers in their field. We have been fortunate to have two outstanding philosophers from whose work we have learned a great deal give ours their thoughtful attention. Grappling with Stephen Yablo’s, and Juan Comesaña’s comments and criticisms has helped us gain a better understanding of our ideas as well as their shortcomings. We are extremely grateful to them for the attentiveness and seriousness with which they have considered our arguments and to philosophical studies for giving us this opportunity. Given the substantive difference between the two response papers, there is not much beyond sincere gratitude that we can covey to them jointly. We will therefore address them in turn.