Feasibility and impact of a school-based intervention for families of urban adolescents with asthma: results from a randomized pilot trial

The purpose of this study was to test the feasibility and short-term outcomes of Asthma: It's a Family Affair!, a school-based intervention for adolescents with asthma and their caregivers. Twenty-four ethnic minority families with a middle school student with asthma were randomized to immediate intervention or no-treatment control. Intervention students received six group sessions on prevention and management of asthma. Caregivers received five group sessions teaching child-rearing skills to support the youth's autonomy and asthma self-management. All students attended all sessions; caregivers attended an average of three. Two months post-intervention, relative to controls, intervention caregivers reported better problem-solving with children. Intervention students were more responsible for carrying medication, took more prevention steps, and woke fewer nights from asthma. The intervention resulted in positive short-term changes in family relations, asthma management by students, and health status.     

D. Z. Phillips and reasonable belief

As an illustration of what Phillips called the “heterogeneity of sense,” this essay concentrates on differences in what is meant by a “reason for belief.” Sometimes saying that a belief is reasonable simply commends the belief’s unquestioned acceptance as a part of what we understand as a sensible outlook. Here the standard picture of justifying truth claims on evidential grounds breaks down; and it also breaks down in cases of fundamental moral and religious disagreement, where the basic beliefs that we hold affect our conception of what counts as a reliable ground of judgment. Phillips accepts the resultant variations in our conceptions of rational judgment as a part of logic, just as Wittgenstein did. All objective means of determining the truth or falsity of an assertion presume some underlying conceptual agreement about what counts as good judgment. This means that the possibility of objective justification is limited. But no pernicious relativism results from this view, for as Wittgenstein said, “After reason comes persuasion.” There is, moreover, a non-objective criterion of sorts in the moral and religious requirement that one be able to live with one’s commitments. In such cases, good judgment is still possible, but it differs markedly from the standard model of making rational inferences.     

We will hunt them down: How social dominance orientation and right-wing authoritarianism fuel ethnic persecution of immigrants in fundamentally different ways

Despite the fact that SDO and RWA are correlated with one another and both predict support for ethnic persecution of immigrants, it is argued that this aggression is provoked for very different reasons. For authoritarians, outgroup aggression against immigrants should primarily be provoked by immigrant refusal to assimilate into the dominant culture because this violates ingroup conformity. In contrast, SDO should be associated with aggression against immigrants who do assimilate into the dominant culture because this blurs existing status boundaries between groups. Using samples of American and Swiss college students, the data were consistent with this status boundary enforcement hypothesis regarding social dominators and largely consistent with the ingroup conformity hypothesis regarding authoritarians. National and ethnic identification did not account for these results. The results further support the argument that outgroup prejudice and discrimination is most fruitfully seen as an interactive function of individual differences and situational constraints.     

Cultural diversity: Mapping the experiences of students on an international counsellor training programme

This research study explores one part of a diverse counselling training landscape in the shape of an international postgraduate education and training programme for counsellors. The research sample includes participants from Tanzania, the Gambia, Ghana, Nigeria, Indonesia, China, Taiwan, Iceland, Japan, Greece, Portugal, Lebanon and Saudi Arabia. Cultural diversity is examined in relation to the learning and development of international counselling students. Qualitative analysis of interview data is used to identify issues related to student expectations, the process of becoming a counsellor and student learning outcomes. Some issues in counsellor training appear to be shared across all international students, while other issues arise from specific cultural backgrounds of students. The implications of these findings are discussed.     

Book reviews

Books reviewed:
Hauke, Christopher and Alister, Ian (eds.) Jung and Film: Post-Jungian Takes on the Moving Image
Meador, Betty de Shong Inanna Lady of Largest Heart: Poems of the Sumerian High Priestess Enheduanna
Barnes, Fiona Palmer and Murdin, Lesley (eds.) Values and Ethics in the Practice of Psychotherapy and Counselling
Mitrani, Judith L. A Framework for the Imaginary: Clinical Explorations in Primitive States of Being
Mitrani, Judith L. Ordinary People and Extra-Ordinary Protections: A Post-Kleinian Approach to the Treatment of Primitive Mental States
Aulagnier, Piera The Violence of Interpretation: From Pictogram to Statement     

Internet Discussion Forum Summary

Article Discussed in this forum:
'Memories, fantasies, archetypes: an exploration of some connections between cognitive science and analytical psychology' by Jean M. Knox ( JAP , October 2001, 46:4)     

Serving Culturally Diverse Children with Serious Emotional Disturbance and Their Families

Over the coming decades, we can expect that cultural diversity will abound within the U.S. population and the imagery of an American melting pot will long be discarded. One significance of this trend will be the imperative to account for cultural diversity in assessing the needs of children with serious emotional disturbance (SED), to ensure that assessments, diagnoses, and treatments are accurate, fair, and meaningful. To achieve that end, however, will first require that all persons in the fields of education, mental health, social services, and juvenile justice become fully prepared to support children with SED and their families, prepared to bring to the process a sophisticated understanding of the interplay between culture and social behaviors. Nothing less than that level of preparedness will enable practitioners to develop unbiased interventions that competently and sensitively weigh cultural influences and target the needs of diverse students with emotional and behavioral difficulties. In this paper, we present the need for culturally competent practitioners in the area of SED, ways in which service providers can increase their cultural knowledge, and strategies for more effective service with this population.     

医学伦理学——欧洲与中国的桥

跨文化医学伦理学研究,要求我们以理智的方式去应对全球化。既要维护多样性,又要明确共同利益、亦要追求共同目标。任何文化都不能强行提出一些标准去规范国际间的生物医学。自主权应坚持义务论的解释,否则一个强势风气将会支配利益的选择解释,将文化多样性在伦理学中铸成一个统一的模式,形成自主权的“通货膨胀倾向”。