The travails of Martin Orne: On privacy,public disclosure,and confidentiality in psychotherapy

The experiences of one psychotherapist have brought to the fore the entire issue of privacy and confidentiality and the responsibilities of mental health professionals. In a computer driven culture, where data about patients become subject to public scrutiny, how does the mental health professional practice, guided by the concept of confidentiality? Where does confidentiality begin and end? What about the patient's right to self-disclose? What about patient autonomy? In this paper, illustrated by one particular case where the rule of absolute confidentiality, an intrinsic part of the practice of psychotherapy, was questioned, our current confusion comes to the surface. The reader is urged to re-think the concept of confidentiality and patient self-disclosure.     

Reconstructing the professional at the end of modernity

Faced with incidents of sexual misconduct within the professional ministry, some would have us return to a construct of the professional from the past and some would reject the construct altogether. Both those approaches may perpetuate systemic factors that contribute to injustice. This article explores the history of the professional construct and its challenges, and offers a reconstruction that could support a more just relationship between ministers and members of congregations.     

The ecological context of family ministry: the cambridge model revisited

Family ministry in the local church occurs in an ecological context characterized by a diversity of family types. A viable ministry to families must be able to address this diversity at different levels within the social system: the types of nuclear and extended families within the congregation; the type of congregation itself considered as a family; and the minister's own family type. A comprehensive family typology is needed to conceptualize this notion. The Cambridge model of closed, open, and random families, created by David Kantor and William Lehr, is summarized and then applied to an understanding of the ecology of family ministry.     

Latent Structure of the Sources of Mathematics Self-Efficacy

General social cognitive theory and its career-specific elaborations posit four primary sources through which self-efficacy beliefs are acquired and modified: personal performance accomplishments, vicarious learning, social persuasion, and physiological states and reactions. We present two studies exploring the dimensionality of these sources within the context of career-relevant mathematics activities. In Study 1, 295 college students completed measures of the source variables. Testing two- through five-factor models, we found strongest support for a four-factor latent structure of the efficacy sources. In Study 2, involving 481 high school students, a five-factor model fit the data well. We also found evidence of a higher order factor structure in both samples. Several directions for further research on the sources of efficacy information are considered, along with implications for career and academic interventions.     

Intuitive Perceptions of Decision-making Strategy: Naive Assessors' Concepts of Integrative Complexity

Although there are measurable differences in integrative complexity among solutions that individuals generate in dealing with problems, it is uncertain to what extent people comprehend, recognize, and have preferences among different levels of complexity. Integrative complexity is a function of differentiation (the perception of several attributes within, or perspectives about, a topic) and integration (combining the differentiated characteristics in an interactive or synthesizing solution). The current paper reports two experiments dealing with how university students perceive, interpret, and choose among solutions differing in complexity. Experiment 1 showed that subjects accurately rated the complexity of described solutions differing along the continuum, but that their assessment of their own responses differed from the results of expert scoring. Their self-estimated complexity was highly correlated with their preferences, and preferred complexity was reliably higher than either expert- or self-assessed complexity of subject-generated solutions. Subjects were able to hypothesize quite accurately about environmental and endogenous factors likely to affect complexity. Experiment 2 found that in response to problem scenarios, solutions selected as being potentially most effective were consistently more complex than solutions that participants considered themselves most likely to use. The idea of complexity seems to be intuitively recognizable and understandable by untrained subjects: They can and do distinguish among problem solutions (self-generated or presented) that vary on that dimension, and are able to assess accurately the effects of relevant variables. Such subjects also share the bias shown by experts in favour of the superiority of more complex approaches.