Clinical Judgment and Clinical Significance in Psychotherapy Practice

The use of outcome measurement in psychotherapy practice is briefly discussed, as is Jacobson and Truax’s (J Consult Clin Psychol 59:12–19, 1991) conception of clinically significant change. A more flexible and user friendly application of clinically significant change compatible with clinical judgment is proposed for psychotherapy practice. Examples are given and a free Windows program is described for computing RC and estimating the probability associated with it.     

To Act or Not to Act: Nonconsequentialism in Environmental Decision-Making

Research on environmental-decision making is usually based on utilitarian models, which imply that people's decisions are only influenced by the outcomes. This research provides evidence for values and moral positions that reflect nonconsequentialist rather than consequentialist views. In doing this, this article refers to “sacred values,” which are values that are seen as not-substitutable and nontradable. Two studies were designed to examine evidence for sacred values and their role on act versus omission choices within the environmental domain. The studies revealed that sacred values were closely associated with preferences for actions, trade-off reluctance, deontological focus, and position of moral universalism. The results suggest that it is important to account for sacred values and nonconsequentialist views in environmental decision-making research.     

Clergy Who Experience Trauma as a Result of Forced Termination

Forced termination of clergy is a demeaning and psychologically distressing experience. Clergy who experience a forced termination are subjected to mobbing (psychological harassment) and other activities meant to publicly or privately demean a minister in such a way that they resign their ministry position. In a purposive convenience sample of 55 ministers who had been forcibly terminated, participants scored above the known cut-off score for post-traumatic stress disorder (PTSD) and scored high on a measure of burnout and generalized anxiety disorder (GAD). Forced termination has been anecdotally connected to PTSD and GAD, this project sought to empirically link PTSD and GAD to the forced termination of clergy. This study raises concern for the long-term mental health effects of ministers who have been forcibly terminated and provides implications for future clinical study on this group of clergy. Findings in this research indicate there may be a process to forced termination, which could be developed into a theory on forced termination of clergy.     

Great ape gestures: intentional communication with a rich set of innate signals

Great apes give gestures deliberately and voluntarily, in order to influence particular target audiences, whose direction of attention they take into account when choosing which type of gesture to use. These facts make the study of ape gesture directly relevant to understanding the evolutionary precursors of human language; here we present an assessment of ape gesture from that perspective, focusing on the work of the “St Andrews Group” of researchers. Intended meanings of ape gestures are relatively few and simple. As with human words, ape gestures often have several distinct meanings, which are effectively disambiguated by behavioural context. Compared to the signalling of most other animals, great ape gestural repertoires are large. Because of this, and the relatively small number of intended meanings they achieve, ape gestures are redundant, with extensive overlaps in meaning. The great majority of gestures are innate, in the sense that the species’ biological inheritance includes the potential to develop each gestural form and use it for a specific range of purposes. Moreover, the phylogenetic origin of many gestures is relatively old, since gestures are extensively shared between different genera in the great ape family. Acquisition of an adult repertoire is a process of first exploring the innate species potential for many gestures and then gradual restriction to a final (active) repertoire that is much smaller. No evidence of syntactic structure has yet been detected.