Narrative vignettes and online enquiry in researching therapist accounts of practice with children in schools: An analysis of the methodology

Aims: This article reviews a research methodology that uses an Internet mediated qualitative, narrative approach to provide in‐depth analysis of vignettes. The research sought to investigate the ways in which dramatherapists, based in different countries, understood the nature of therapeutic change in their work with children. Method: The article describes a qualitative approach to the generation of data by a combination of therapist‐authored vignettes, live, synchronous Internet mediated communication (aMSN Messenger) and email. Participants kept a diary of their response to the research and the article draws on this data within its analysis of the methodology. Findings: Samples of the data are used to analyse how such innovative, online methodology can develop effective access and relationships with geographically dispersed participants and as an effective way of investigating therapist practitioners' understanding of their practice.     

What Would It Take to Change Your Mind?

Most of us have settled views about various intellectual debates, and much of the activity of philosophers is devoted to giving arguments that are designed to convince one's opponents to change their minds about a certain issue. But, what might this process require? More pointedly, can you clearly imagine what it would take to make you change your mind about a position you currently hold? This article argues that the surprising answer to this question is no—you cannot imagine what would convince you to change your mind, since in doing so you would actually have to find those reasons compelling. The article then briefly looks at some implications of this conclusion.     

Client as expert: A Delphi poll of clients’ subjective experience of therapeutic alliance formation variables

This study extends prior research that identified client-derived variables believed to contribute to therapeutic alliance development. Forty-two clients participated in a three-round-modified Delphi poll in which the subjective importance of 74 client-derived, common alliance formation variables was rated using a six-point scale. Participants consensually identified 23 variables as highly important, five as moderately important and three as low in importance to the formation of a strong alliance. Variables related to validation and asking about parts of the client’s life other than the presenting concern were considered as most important by at least one-third of the sample. Limitations of the study are presented and implications for theory, measurement, practice and future research are briefly discussed.     

Guidelines to Integrate Spirituality and Spiritual Care in Occupational Therapy Education: A Modified Delphi Study

This modified Delphi study aimed to develop educational guidelines for integrating spirituality and spiritual care into occupational therapy education. The first round comprised a self-administered questionnaire, the second round used a face-to-face workshop, and last round reviewed the developed educational guidelines, which reached the highest agreement and median values greater than 3.25. A panel of 18 comprised occupational therapy educators, clinicians, and nursing experts were recruited. A total of 126 out of 142 items reached the highest agreements from the panel participants, categorized based on the content knowledge-based, importance, skills, ethics, pedagogical approaches, teaching and learning strategies, and assessment of student learning.     

On Quantitative and Qualitative Parsimony

The distinction between quantitative and qualitative parsimony is supposed to allow David Lewis to dismiss one of the charges against his modal realism: that is, the charge of bloated ontology. The aim of this paper is to undermine Lewis's response to this objection. In order to do this, a distinction between multipliable and nonmultipliable objects is introduced. Based on this it is argued that the acceptance of Lewis's response requires one to believe in modal realism in the first place—that is, one has to believe in the view that the existence of nonactual spatiotemporal worlds does not affect the quality of the ontological commitment. Although the paper focuses on the problem of the metaphysics of possible worlds, this should be regarded merely as a case study. Accordingly, the results of this analysis should find applications in other metaphysical debates as well.     

The Problem of Necessary and Sufficient Conditions and Conceptual Analysis

In this article the standard philosophical method involving intuition‐driven conceptual analysis is challenged in a new way. This orthodox approach to philosophy takes analysanda to be the specifications of the content of concepts in the form of sets of necessary and sufficient conditions. Here it is argued that there is no adequate account of what necessary and sufficient conditions are. So, the targets of applications of the standard philosophical method so understood are not sufficiently well understood for this method to be dependable.     

Ernest Gellner's Words and Things: A Case Study of Empirical Philosophy

This article considers how Ernest Gellner used sociology and anthropology to attack ordinary language philosophy in Words and Things. It argues that this attack can be seen as a part of the movement to make philosophy more empirical or “naturalized,” something that has not been generally noted. It also discusses what general lessons to draw from Words and Things regarding how empirical knowledge should be used in philosophy. Among other things, the article argues that one important lesson is that empirical philosophers should make more use of “soft” social sciences, such as sociology and anthropology, and not focus exclusively on “harder” disciplines, such as physics and experimental psychology. Another upshot of the discussion is that philosophers should draw on empirical knowledge not only when they solve problems but also when they formulate them.     

Reducing the risk of bias in health behaviour change trials: Improving trial design,reporting or bias assessment criteria? A review and case study

Objective: It has been suggested that randomised controlled trials (RCTs) of health behaviour change (HBC) interventions are less rigorously designed than – for example– drug trials. This study presents an approach to clarifying whether this is due to poor trial design, incomplete trial reporting and/or the inappropriateness of commonly applied risk of bias assessment criteria.

Design: First, a framework of key sources of bias and common strategies for reducing bias risk is developed based on a literature review. Second, we describe the design of a multi-site RCT evaluating the cost-effectiveness of an HIV-treatment adherence intervention (case study). The choices made by the multidisciplinary team trying to minimise the risk of bias are compared against the risk of bias framework.

Main outcome measures: Implementation of common strategies for reducing the risk of bias in the case study; alternative or additional strategies applied; a justification for each deviation from the risk of bias framework.

Results: Most of the common strategies for reducing the risk of bias could be implemented. Alternative strategies were developed for minimising the risk of performance bias and contamination. Several additional, domain-specific risk of bias strategies were implemented.

Conclusions: The literature provides useful guidance for reducing the risk of bias in HBC trials. Yet, the case study suggests that HBC trial designers may face specific challenges that require alternative/additional measures for reducing the risk of bias. Using the risk of bias justification table (RATIONALE) could lead to better-designed HBC trials, more comprehensive trial reports and the data necessary for evaluating the appropriateness of commonly applied risk of bias assessment criteria to HBC trials.     

What Not to Multiply Without Necessity

The Razor commands us not to multiply entities without necessity. I argue for an alternative principle—The Laser—which commands us not to multiply fundamental entities without necessity.     

A New Methodology for Reporting the Status of Community Health Improvement in the United States

Objective To assure that Healthy Communities are achieved, a tracking methodology is proposed using four health improvement categories. Methods Counties are classified as having met or not met nine HP2010 mortality targets and as improving or not improving, creating four categories of community health improvement – static, progressing, exemplary, and maintaining. Results Exemplary counties make up 1.7%32.7% of counties, counties have both improved and met the HP2010 target during the period. Across all indicators, a large proportion remains of counties that have neither met the HP2010 target nor improved (33.572.8%). Conclusions Understanding why, how, and in what ways communities move from static to maintaining categories is necessary to guiding every local public health system to community health improvement.