Faking Good: An Investigation of Social Desirability and Defensiveness in an Inpatient Sample With Personality Disorder Traits

Accurate interpretations of psychological assessments rely heavily on forthright reporting. However, researchers and practitioners recognize that examinees can easily invalidate their test results by underreporting symptoms or overstating positive attributes. Rogers (2008) delineated two distinct but related forms of positive impression management (PIM): defensiveness (denying symptoms and psychological impairment) and social desirability (putting forth an exaggeratedly positive image). Although these two have often been combined in past research, this study sought to investigate each separately via a mixed within- and between-subjects simulation design. Simulation scenarios included a special rehabilitation program for the defensiveness (DF) condition and a competitive job for social desirability (SD). The study used the Personality Inventory for DSM–5 (PID–5; Krueger, Derringer, Markon, Watson, & Skodol, 2012) and recruited 106 inpatients from a psychiatric hospital. As expected, inpatients with prominent personality traits substantially suppressed them under both PIM conditions. Having shown the susceptibility of the PID–5 to intentional distortion, two empirically derived and conceptually based validity scales were next developed to address this important concern. Pending further validation, they might contribute to screening PIM presentations, thus promoting the PID–5's clinical utility. Continued research is needed across multiscale inventories for differentiating PIM presentations.     

“Get Off My Property”: A Personal Narrative Addressing Violence Against African Americans by Law Enforcement Post–Hurricane Katrina

Thousands of African American New Orleanians were displaced in the aftermath of Hurricane Katrina. It appeared that every African American suddenly became a suspect, “fair game” to be hunted, especially by the police. This autoethnography chronicles the author's personal background, experiences, and resulting emotions of her father's encounter with law enforcement post–Hurricane Katrina. Law enforcement–initiated interventions are explored. The article concludes with recommendations for members of the counseling profession and law enforcement. Miles de personas afroamericanas de Nueva Orleans perdieron sus hogares como consecuencia del huracán Katrina. Y de repente, cada persona afroamericana pareció convertirse en sospechosa, “presa legítima” para la caza, especialmente por parte de la policía. Esta autoetnografía documenta los orígenes personales y experiencias de la autora, así como las emociones resultantes de la interacción de su padre con las fuerzas policiales tras el huracán Katrina. Se exploran las intervenciones iniciadas por las fuerzas policiales. El artículo concluye con una serie de recomendaciones para los profesionales de la consejería y las fuerzas policiales.     

Together towards Life,Missional Formation,and Transforming Discipleship

Adoption of Together towards Life as a new mission statement of the World Council of Churches was a moment pregnant with possibility. Will this ground‐breaking document have a transformative impact on individual lives, on community life, on national life, on international life? The answer, to a great extent, will depend on how far it comes to be used as a resource in education and formation. For it to be used in a relevant and effective way, it will need to be considered contextually. A project has been under way to create a pedagogical guidebook to support the deployment of Together towards Life in missional education and formation. This will promote academic rigour, but will also go further to engage the spiritual level and the challenge of discipleship.     

Developmental trajectories to heroin dependence: Theoretical and clinical issues

We have built up a great deal of insight into the early developmental trajectories that lead to heroin use. These cluster under five domains: social disadvantage, parental drug use/psychopathology, childhood abuse and neglect, early onset psychopathology and antisocial behaviors, and a developmental sequence of drug onsets. While not all heroin users have these risk factors, the broad clinical picture shows these early correlates to be the predominant presentation. We discuss each of the early psychosocial correlates of heroin dependence, as well as possible early interventions. Given the chronicity of heroin dependence, interventions to prevent heroin use emerging would reduce the considerable burden of disease associated with the disorder.     

Meta‐Analysis of Counseling Outcomes for Youth With Conduct Disorders

Twenty‐one clinical trials were synthesized using a random‐effects model, which substantiated that counseling generally produces a medium effect in treating conduct disorder in youth at termination (d + = 0.30 to 0.57; k = 28). However, the lasting effects at follow‐up were unclear because few follow‐up studies (k = 13) have been conducted (d + = ?0.53 to 0.58), and only 2 randomized controlled follow‐up studies were located. No effects of moderating variables were evident. Implications for counseling practice and outcome research are addressed.     

Between Luxury and Need: The Idea of Distance in Philosophical Anthropology

Abstract

This paper offers a critical analysis of the use of the idea of distance in philosophical anthropology. Distance is generally presented in works of philosophical anthropology as the ideal coping strategy, which rests in turn on the thesis of the instinct deficiency of the human species. Some of the features of species life, such as its sophisticated use of symbolic forms, come to be seen as necessary parts of this general coping strategy, rather than a merely expressive outlet, incidental to the ultimate goal of life preservation. The paper analyses the arguments used in support of the thesis of instinct deficiency in Hans Blumenberg and considers their implications for the status of symbolic expression in species life. It contrasts the approach this thesis involves with one that proceeds by presenting and arguing from biological evolutionary evidence. The contrast is used to examine the questions: in what sense instinct deficiency is specifically anthropological, and in what precise sense philosophical anthropology is ‘philosophical’.     

Genetic Counseling Assistants: an Integral Piece of the Evolving Genetic Counseling Service Delivery Model

This study explores the potential impact of the genetic counseling assistant (GCA) position on the efficiency of the genetic counseling field, evaluates attitudes regarding expansion of the genetic counseling field to include the GCA, and presents data on GCA endeavors and GCA job tasks as reported by GCAs, certified genetic counselors (CGCs), and program directors (PDs). Data on GCA roles and attitudes toward different aspects of the GCA position were collected via surveys of CGCs who have worked with GCAs, PDs who have and have not had experience with GCAs in their programs, and GCAs. We analyzed responses from 63 individuals: 27 PDs, 22 CGCs, and 14 GCAs. GCAs’ impact on efficiency was calculated via internal analysis of genetic patient volume per genetic counselor within the University of Texas Southwestern (UTSW) patient database prior to, and since the addition of, a GCA to the practice. The response rates for PDs, CGCs, and GCAs were 27 %, 79 %, and 61 %, respectively. Every CGC stated the GCA increased their efficiency. CGCs with a GCA reported a 60 % average increase in patient volume. This figure was congruent with internal data from the UTSW cancer genetics program (58.5 % increase). Appropriate responsibilities for GCAs as reported by CGCs and PDs (>90 %) include: data entry, shipping tests, administrative tasks, research, and ordering supplies. Regarding GCAs delivering test results, there was response variation whether this should be a job duty: 42 % of CGCs agreed to GCAs delivering negative results to patients, compared to 22 % of program directors. Twenty-two percent of PDs expressed concern about the job title “Genetic Counseling Assistant.” Ninety percent of CGCs felt that GCA was a career path to becoming a CGC, compared to 42 % of PDs. Eighty-three percent of GCAs who decided to apply to CGC graduate programs were accepted. We conclude the addition of a GCA to a genetic counseling practice contributes to increased efficiency and is one way to expand the reach of the profession.