Guidelines for Cognitive Behavioral Training Within Doctoral Psychology Programs in the United States: Report of the Inter-Organizational Task Force on Cognitive and Behavioral Psychology Doctoral Education

The Association for Behavioral and Cognitive Therapies initiated an interorganizational task force to develop guidelines for integrated education and training in cognitive and behavioral psychology at the doctoral level in the United States. Fifteen task force members representing 16 professional associations participated in a yearlong series of conferences, and developed a consensus on optimal doctoral education and training in cognitive and behavioral psychology. The recommendations assume solid foundational training that is typical within applied psychology areas such as clinical and counseling psychology programs located in the United States. This article details the background, assumptions, and resulting recommendations specific to doctoral education and training in cognitive and behavioral psychology, including competencies expected in the areas of ethics, research, and practice.     

Developing Guidelines for Domestic Violence Offender Programs

Summary

This article reviews research on domestic violence that can help inform the development of guidelines for programs for men who batter. It also illustrates some successes and problems in other fields that might be instructive for the domestic violence field. Firm conclusions about “best practice” guidelines for intervention seem to be premature because of flaws in evaluation studies. In addition, there is growing evidence of variability among men who batter on dimensions such as severity of violence, childhood traumas, generality of violence and personality traits. Programs also need to be able to respond to motivational and cultural difference among abusers. Existence of variability implies the need for multiple forms of interventions.     

Competence

Summary

Competence in mental health is explored in many roles, including that of researcher, author, teacher, supervisor, therapist, evaluator, consultant, forensic specialist, case manager, and administrator. It is viewed not only as a construct but also as an ongoing process within the individual. Five fundamental areas are examined: (1) Maintaining high standards of competence, (2) keeping within one's boundaries of competence and limitations of one's expertise, (3) maintaining competence in human diversity in practice and research, (4) engaging in continuing education in scientific and professional areas, and (5) protecting the welfare of others when standards are lacking. Guidance is also received from ethics codes, published standards of practice, federal and state laws, and institutional policies and regulations.     

“We Need to Make Action NOW,to Help Keep the Language Alive”: Navigating Tensions of Engaging Indigenous Educational Values in University Education

Despite centuries of contact and conquest, Indigenous communities persist in maintaining their cultures and psychologies. Key to this success in cultural survival is the maintenance of Indigenous languages, which contain distinct worldviews. However, Indigenous languages are at risk, with fewer and fewer fluent Elder speakers. Fortunately, there remain committed groups of community educators who carry out Indigenous language education. Current mainstream teacher education programs do not typically introduce the importance of Indigenous language education to teacher candidates, who are the next generation of K‐12 teachers. We view this as highly problematic, and thus carried out a proof‐of‐concept project in which one U.S. university's American Indian/Alaska Native teacher candidates collaborated with, and learned from, Indigenous language educators during a two‐week‐long summer institute at the university. In our article, we share three main findings, based on qualitative analyses of daily‐written student journals collected during the two‐week pilot project: (a) Indigenous language education supports the social justice vision in the American Psychological Association's Multicultural Guidelines; (b) intergenerational educational opportunities are invaluable for affirming Indigenous psychologies; and (c) Indigenous community language educators do important survivance work. Our findings provide insight into how Indigenous language education is crucial for advancing education that honors Indigenous community psychological well‐being.     

Priority setting in health care: on the relation between reasonable choices on the micro-level and the macro-level

There has been much discussion about how to obtain legitimacy at macro-level priority setting in health care by use of fair procedures, but how should we consider priority setting by individual clinicians or health workers at the micro-level? Despite the fact that just health care totally hinges upon their decisions, surprisingly little attention seems being paid to the legitimacy of these decisions. This paper addresses the following question: what are the conditions that have to be met in order to ensure that individual claims on health care are well aligned with an overall concept of just health care? Drawing upon a distinction between individual and aggregated needs, I argue that even though we assume the legitimacy of macro-level guidelines, this legitimacy is not directly transferable to decisions at micro-level simply by adherence to the guidelines’ recommendation. Further, I argue that individual claims are subject to the formal principle of equality and the demands of vertical and horizontal equity in a way that gives context- and patient-related equity concerns precedence over equity concerns captured at the macro-level. I conclude that if we aim to achieve just health care, we need to develop a complementary framework for legitimising individual judgment of patients’ claims on health care resources. Moreover, I suggest the basic structure of such a framework.     

规范美容医学临床技术--略谈《临床技术操作规范·美容医学》分册的编写体会

从现代医学模式转变出发,探讨了<临床技术操作规范·美容医学>分册的编写体会,阐明了该<规范>分册的指导思想、基本原则,介绍了美容医学临床技术实施效果评价的主要内容和要求.     

人类干细胞研究的伦理学争论

关于干细胞研究的伦理学争论越来越成为热门话题。2000年8月23日,美国卫生研究所颁布了涉及人类多能胚胎干细胞研究的指南。指南允许联邦政府资助的研究者进行干细胞研究,但是按照布什总统2001年8月9日的决定,政府只资助有限制的干细胞研究。而在英国、法国、日本、澳洲、以及其他国家,干细胞研究不仅在私人的实验室里而且也在政府的实验室里进行着。无论如何,人类干细胞研究应该按照一定规范谨慎进行。     

A probabilistic model of intensive designs

Without internal validity, experimental data are uninterpretable. With intensive designs, most methods presented to quantify a design's internal validity have been subject to criticism. A probabilistic model of intensive designs is presented that demonstrates the high degree of internal validity of these designs without relying on adaptations from traditional inferential statistics. Where the experimenter is able to conform to the restrictions of the model, the equations provide an estimation of internal validity for either reversal or multiple-baseline designs. More importantly, the model provides mathematical bases for some of the common recommendations and design considerations in intensive research (such as the desirability of within-subject replications and of four or more multiple baselines).     

What is Psychotherapy for? A Plausible Alternative to Empirically Supported Therapies,Therapy Relationships,and Practice Guidelines

Task forces come up with empirically supported therapies and therapist-client relationships. A careful study of their research provides an empirically supported answer to the long-standing question of what psychotherapy is for. Accordingly, if your way of doing therapy falls outside the empirically based boundary, (a) you can risk declining their practice guidelines; (b) you can develop your own practice guidelines; and (c) you can pursue some exciting implications from having an alternative set of guidelines for how to do psychotherapy. A strategy is proposed as a plausible alternative to the task forces empirically based strategy.