Community Organization and Planning Consultation

This paper focuses upon the role of the occupational therapist as a health agent with resultant responsibilities for participation in health planning and preventative program development. Included is a discussion of community problem solving methods, an overview of community organization, and principles of preventative intervention. A community-wide assessment methodology upon which to base planning decisions is presented. The principles of prevention, community assessment, and occupational therapy program development are emphasized through a discussion of a mental health model which evolved in a military community.     

Homophobia in physical education and sport: The role of physical/sporting identity and attributes,authoritarian aggression,and social dominance orientation

We examined levels of, and reasons for, anti‐gay and anti‐lesbian prejudice (homophobia) in pre‐service physical education (PE) and non‐physical education (non‐PE) university students. Participants (N = 409; 66% female; N = 199 pre‐service physical educators) completed questionnaires assessing anti‐gay and lesbian prejudice, authoritarianism, social dominance orientation (SDO), physical/athletic identity and self‐concept, and physical attributes. ANCOVAs revealed that PE students had higher levels of anti‐gay (p = .004) and lesbian prejudice than non‐PE students (p = .008), respectively. Males reported greater anti‐gay prejudice (p < .001), but not anti‐lesbian prejudice, than females. Authoritarian aggression was positively associated with greater anti‐gay (β = .49) and lesbian prejudice (β = .37) among male participants. Among females, higher authoritarian aggression and SDO was associated with greater anti‐gay (β = .34 and β = .25, respectively) and lesbian (β = .26 and β = .16, respectively) prejudice. The physical identity‐related constructs of athletic self‐concept (β = .?15) and perceived upper body strength (β = .39) were associated with anti‐gay attitudes among male participants. Physical attractiveness (β = ?.29) and upper body strength (β = .29) were also associated with male participants’ anti‐lesbian prejudice. Regression analyses showed that the differences between PE and non‐PE students in anti‐gay and lesbian prejudice were largely mediated by authoritarianism and SDO. The present study is the first to examine the relationship between investment in physical/sporting identity and attributes and anti‐gay and lesbian prejudice in PE/sport participants. In the present sample, anti‐gay and lesbian prejudice was greater in pre‐service PE students than non‐PE students, but these differences appear to be explained by differences in conservative ideological traits. Additionally, physical identity and athletic attributes based around masculine ideals also appear to contribute to this prejudice in males.     

Does high educational level protect against intellectual decline in older adults?: A 10‐year longitudinal study

This study examined the relation between educational level and intellectual change in Japanese older adults. Participants (age = 65–79 years, n = 593) comprised the first‐wave participants of the National Institute for Longevity Sciences‐Longitudinal Study of Aging (NILS‐LSA). They were followed for 10 years and were tested six times. Educational levels were divided into two groups (low‐educated or high‐educated), and intellectual changes for the 10 years were assessed using the Japanese Wechsler Adult Intelligence Scale‐Revised Short Forms (JWAIS‐R‐SF); subtests included Information, Similarities, Picture Completion, and Digit Symbol. General linear mixed‐model analyses revealed that education had not affected 10‐year changes of the Information, Similarities, and Picture Completion subtest scores. In contrast, education was significantly associated with a change in the Digit Symbol subtest score; individuals with higher levels of education showed greater decline than those with less education, although they had higher ability at every time point. These findings suggest that higher education does not protect against intellectual decline in late life, although it is associated with long‐term individual differences in intelligence.     

Religion,Volunteering, and Educational Setting: The Effect of Youth Schooling Type on Civic Engagement

Research on civic engagement shows that volunteering rates decline as young people move from adolescence into emerging adulthood. Using panel data spanning this period of the life course, we examine the impact of secondary schooling type—public, Catholic, Protestant, private nonreligious, and homeschool—on sustaining volunteering into emerging adulthood. We apply a framework that posits pathways between secondary schooling and sets of opportunities to volunteer embedded in institutions and social networks. We also posit a link between schooling type and durable motivational dispositions to volunteer. Results indicate substantial differences by schooling type, although our measures of opportunity structure and motivation do not adequately account for these differences. Those educated in Protestant secondary schools are considerably more likely than other young people to continue to volunteer, even accounting for potential spurious influences. Those schooled at home or in private nonreligious settings are significantly less likely to continue volunteering. We conclude by discussing two alternative accounts that should be addressed in further research: one focused on the role of habituated social practices and the other focused on differences in organizational efforts to link adolescent volunteering to emerging adult volunteering.     

Occupational Therapy Students' Development of Therapeutic Communication Skills During a Service-Learning Experience

This qualitative study examined the effect community-based service-learning experiences had upon occupational therapy students' therapeutic communication skills and their application of theoretical concepts. After their semester-long course was completed, six students de-identified and voluntarily submitted their weekly reflective journals for retrospective analysis in accordance with Giorgi's strategies (1985 Giorgi , A. ( 1985 ). Phenomenology and psychological research . Pittsburgh , PA : Duquesne University Press . [Google Scholar], 1997 Giorgi , A. ( 1997 ). The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure . Journal of Phenomenological Psychology , 28 , 235 – 261 .[Crossref] , [Google Scholar]). Two analysts identified eight themes: developing trust, establishing boundaries, communication, client-centered care, breakdown of preconceptions, increased self-awareness, power of pride, and power of occupation. Educators are urged to use service-learning experiences to facilitate student interpersonal skill development and integration of theoretical knowledge.     

Service User Perception of and Satisfaction with Programs Having Higher Education and Employment Goals for People Diagnosed with Mental Illness

This study examined quantitative and qualitative outcomes of service users’ perceptions of and satisfaction with a program having higher education and employment goals. In a one-group post-test design, 48 participants with various mental health diagnoses completed a quantitative questionnaire and 29 of those participated in qualitative focus groups. Participants identified positive and negative aspects of the program and provided recommendations for change. Results indicated that service users with higher education and employment goals benefit from a multi-faceted program that includes person-centered individualized care, concrete, goal-directed activities, practitioners who are compassionate and knowledgeable, and plans addressing setbacks and obstacles.     

Re-thinking necessity (al-Darūra) in al-Ghazālī's understanding of physical causation

The present article analyzes al-Ghazālī's (1058 – 1111) effort to reconcile the theological concept of a causally efficacious Creator with the idea of regularity, and thus, predictability, in physical nature. Al-Ghazālī reframed the necessity (al-darūra) of causal relationships in nature in order to achieve two goals: one, theological and the other, epistemological. His intellectual solution ultimately preserved both the human ability to know material causal relations as well as divine creative omnipotence, in particular, God's ability to perform miracles. The Muslim discussion thus indirectly contributed to Western speculative thinking on this problem. The balanced approach that al-Ghazālī took, nevertheless, fell by the wayside within the Islamic environment where it was either ignored, or only partially understood, or narrowly and imperfectly interpreted. In the purely Muslim context, it also is essential to underscore the importance of al-Ghazālī's epistemological discoveries in laying the groundwork for the establishment of a paradigm of natural scientific speculation in the medieval Islamic world.     

Reasonable People,Double Jeopardy,and Justice

The equipoise requirement in clinical research demands that, if patients are to be randomly assigned to one of two interventions in a clinical trial, there must be genuine doubt about which is better. This reflects the traditional view that physicians must never knowingly compromise the care of their patients, even for the sake of future patients. Equipoise has proven to be deeply problematic, especially in the Third World. Some recent critics have argued against equipoise on the grounds that clinical research is fundamentally distinct from clinical care, and thus should be governed by different norms. I argue against this “difference position,” and instead take issue with the traditional, exclusively patient-centered account of physicians' obligations that equipoise presupposes. In place of this traditional view, I propose a Kantian test for the reasonable partiality that physicians should show their patients, focusing on its application in clinical research and medical education.     

Introduction

Abstract

This article provides a beginning exploration of the pro cess involved in becoming an emotionally focused therapist. The under lying assumptions of emotionally focused therapy (EFT) are identified and examined in relation to how the theory affects therapeutic practice with couples and families. A number of themes are outlined including fit between the therapist and EFT, the challenges of working within this model and transference issues. The authors utilize examples from their supervisory experience in training therapisLs to illustrate common strug gles, pitfalls and the necessary clinical set required in becoming an emo tionally focused therapist.     

Strategies School Practitioners Report They Would Use to Resist Pressures to Practice Unethically

Abstract

This study focused on strategies school psychologists and special education teachers report they would use to resist administrative pressures to practice unethically. Data came from a national sample of 141 school psychologists and 130 special education teachers who responded to a survey by predicting how they and others would respond to four ethical dilemmas. Qualitative analysis of data revealed four strategies that were generalized across all dilemmas. These general strategies were: preventing dilemmas from occurring; educating and/or threatening others; involving others in solutions; and combining strategies into more comprehensive responses. Qualitative analysis also revealed three strategies that were suggested for only some of the dilemmas (dilemma-specific strategies). Both the general and dilemma-specific strategies appear potentially useful to practitioners seeking ways of resisting pressures to practice unethically.