Cosmopolitanism as Virtue

This paper explores cosmopolitanism, not as a position within political philosophy or international relations, but as a virtuous stance taken by individuals who see their responsibilities as extending globally. Taking as its cue some recent writing by Kwame Anthony Appiah, it argues for a number of virtues that are inherent in, and required by, such a stance. It is critical of what it sees as a limited scope in Appiah's conception and enriches it with Nigel Dower's concept of ‘global citizenship’. It then seeks to overcome a distinction that Appiah draws between a ‘thin’ moral conception of justice and a ‘thick’ ethical conception of our obligations to those with whom we have identity-forming relationships. It argues that a richer conception of the virtue of justice, as suggested by Raimond Gaita, can fully articulate the ideals of cosmopolitanism.     

Retrieval practice and elaborative encoding benefit memory in younger and older adults

Retrieval practice has been identified as a powerful tool for promoting retention. Few studies have examined whether retrieval practice enhances performance in older adults as it does in younger adults. Younger and older adults learned unrelated word pairs and were administered a test after a short (10 min) and long (2 day) delay. Encoding condition was manipulated between subjects, with participants studying the pairs twice, studying them once and taking an immediate test with feedback, or encoding them twice under different deep encoding conditions. In both age groups, equivalent benefits of testing relative to restudy were found. Deep processing also improved memory relative to restudy, suggesting that one factor that might benefit retention is varying the type of encoding task (either by testing or by providing a different instructional manipulation) to increase the accessibility of cues. Retrieval practice can support older adults’ memory and is a viable target for training.     

A New Conventionalist Theory of Promising

Conventionalists about promising believe that it is wrong to break a promise because the promisor takes advantage of a useful social convention only to fail to do his part in maintaining it. Anti-conventionalists claim that the wrong of breaking a promise has nothing essentially to do with a social convention. Anti-conventionalists are right that the social convention is not necessary to explain the wrong of breaking most promises. But conventionalists are right that the convention plays an essential role in any satisfactory account of promising. A new conventionalism can explain this by appealing to special features of social conventions. Two of these special features have important implications for any moral requirements they mediate, such as the requirement to keep one's promises and the moral requirements attached to social or occupational roles. First, these requirements will not depend on features of a situation that are inaccessible to typical participants in the convention. Second, these requirements often cannot be tailored to fit the overly unusual circumstances of participants.     

Effects of Practice Variability on Unimanual Arm Rotation

High variability practice has been found to lead to a higher rate of motor learning than low variability practice in sports tasks. The authors compared the effects of low and high levels of practice variability on a simple unimanual arm rotation task. Participants performed rhythmic unimanual internal-external arm rotation as smoothly as possible before and after 2 weeks of low (LV) or high (HV) variability practice and after a 2-week retention interval. Compared to the pretest, the HV group significantly decreased hand, radioulnar, and shoulder rotation jerk on the retention test and shoulder jerk on the posttest. After training the LV group had lower radioulnar and shoulder jerk on the posttest but not the retention test. The results supported the hypothesis that high variability practice would lead to greater learning and reminiscence than low variability practice and the theoretical prediction of a bifurcation in the motor learning dynamics.     

The development of an evidence-based treatment: Regulation-Focused Psychotherapy for Children with externalising behaviours (RFP-C)

There is a critical need for the development, evaluation and implementation of evidence-based psychodynamic treatments for children and adolescents. Currently, there are no empirically supported, manualised psychodynamic treatments for children and adolescents with disruptive behaviour problems. The field of manualised psychodynamic treatments with measurable equivalence or superiority to other established forms of psychotherapy is in its nascent stage. This paper details a novel, manualised, time-limited psychodynamic treatment approach for children who manifest disruptive behaviours and emotional dysregulation. Regulation-Focused Psychotherapy for Children (RFP-C) conceptualises children’s disruptive and acting out behaviours as expressions of maladaptive emotion regulation. Externalising symptoms are conceptualised as attempts to defend against painful emotions and thus protect the child from disturbing feelings such as sadness, shame and guilt. This paper provides the theoretical basis for the treatment approach and through the use of a clinical example demonstrates the systematic application of RFP-C in a single case.     

Next Steps in Validation

No abstract available for this article.     

Emergence of a Social Inquiry Group: A Story of Fractals and Networks

This article relates the emergence of a group of faculty researchers utilizing complexity science approaches. The narrative emerges from three projects combining research into complexity, communities, and technologies. Details of how the research was initiated, and the nature and quality of the conversational method, are provided. In addition, theoretical concepts that were consciously applied and others that arose through insights from the data as it was collected are discussed. Although this is like most real narratives, a never-ending story, it concludes with a presentation of some of the ideas that separate complexity-informed research from other paradigms.     

BOOK REVIEWS

Crisis resolution and home treatment teams (CRHT) are integral to acute psychiatric services. This survey quantifies staff burnout using the MBI-HSS (Maslach Burnout Inventory) and notes sources of stress and satisfaction before (2012) and after (2013) service transformation of a CRHT in Leeds into a single point of access, with home treatment devolved to community teams. Moderate to high Burnout scores were observed over the study period, with a rise in the mean depersonalisation score from 5.8 to 7.2 over the study period. Contact with colleagues; work with patients and variety of work emerged as rewarding while themes of suicide and violence were most linked with stress, with clinicians reporting self-doubt in the face of difficult clinical decisions. Clinicians positively rated a weekly psychoanalytic reflective practice group. A pictorial representation of qualitative results uses psychoanalytic theory inconceptualising ‘skins’ around various aspects of the clinical setting, which then become semipermeable in response to a patient in crisis when clinicians feel poorly supported by the changing organisation.     

Mirror mirror on the ward: who is the unfairest of them all? Reflections on reflective practice groups in acute psychiatric settings

Consultant psychiatrists in medical psychotherapy, adult psychotherapists, child and adolescent psychotherapists and clinical psychologists increasingly complement their direct therapeutic activity with applications of their psychotherapeutic thinking in acute mental health work through facilitating reflective practice groups for staff working in mental health teams. The authors offer their reflections on facilitating National Health Service reflective practice groups using the metaphor of a mirrored dialogue between patient and professional, and professional and institution as a basis for informing the development of reflective practice for colleagues. Their reflections are based on working on three acute in-patient wards, in a crisis resolution team and in community mental health teams. They describe the practicalities of setting up and facilitating reflective practice groups, and offer insights into some of the issues that arise in reflective practice groups. They conclude that these groups are mutually beneficial in forging links between psychotherapy professionals and professionals working in other disciplines and areas of mental health. Facilitating these groups often requires a challenging adaptation of technique, which will not suit all psychotherapists, as well as a wider understanding of organisational dynamics and the interplay between clinicians and management.     

Private Practice with a Social Conscience

Abstract

A clinician describes her involvement in a non-profit organization that provides low-cost psychotherapy using the volunteer services of clinical social workers in private practice.