Collectivizing Rescue Obligations in Bioethics

Bioethicists invoke a duty to rescue in a wide range of cases. Indeed, arguably, there exists an entire medical paradigm whereby vast numbers of medical encounters are treated as rescue cases. The intuitive power of the rescue paradigm is considerable, but much of this power stems from the problematic way that rescue cases are conceptualized—namely, as random, unanticipated, unavoidable, interpersonal events for which context is irrelevant and beneficence is the paramount value. In this article, I critique the basic assumptions of the rescue paradigm, reframe the ethical landscape in which rescue obligations are understood, and defend the necessity and value of a wider social and institutional view. Along the way, I move back and forth between ethical theory and a concrete case where the duty to rescue has been problematically applied: the purported duty to regularly return incidental findings and individual research results in genomic and genetic research.     

A Comparison of Homeless Male Veterans in Metropolitan and Micropolitan Areas in Nebraska: A Methodological Caveat

This study explored differences between homeless male veterans in metropolitan and micropolitan cities in Nebraska on sociodemographic, housing, clinical, and psychosocial characteristics as well as health service use. A convenience sample of 151 homeless male veterans (112 metropolitan, 39 micropolitan) were recruited from Veterans Affairs facilities and area shelters in Omaha, Lincoln, Grand Island, and Hastings in Nebraska. Research staff conducted structured interviews with homeless veterans. Results showed that compared to homeless veterans in metropolitans, those in micropolitans were more likely to be White, unmarried, living in transitional settings, and were far more transient but reported greater social support and housing satisfaction. Veterans in micropolitans also reported more medical problems, diagnoses of anxiety and personality disorders, and unexpectedly, were more likely to report using various health services and less travel time for services. Together, these findings suggest access to homeless and health services for veterans in micropolitan areas may be facilitated through Veterans Affairs facilities and community providers that work in close proximity to one another. Many homeless veterans in these areas are transient, making them a difficult population to study and serve. Innovative ways to provide outreach to homeless veterans in micropolitan and more rural areas are needed.     

Community-Based Arts Initiatives: Exploring the Science of the Arts

In this introduction to the special issue, we describe some of the rewards and challenges of community‐based arts initiatives for our discipline. We explore the inherent tensions between art and science that are reflected in community‐based arts activities. We pose larger questions about researching community‐based arts activities and defining the arts as a means of promoting social change. The diversity of populations, settings, and issues represented by the papers in the special issue are described and a common set of values, methods of inquiry and action are discussed.     

A Cross‐Cultural Exploration of Perceptions of Altruism of Counselors‐in‐Training

This study explored altruistic development as perceived by counselors‐in‐training from diverse cultures. Twenty‐two counselors‐in‐training from 4 countries participated in semistructured interviews about altruism. Using consensual qualitative research methodology, the authors identified 6 domains: biological, cognitive, social learning, religious/spiritual, counseling, and empathy. Findings and implications for counselor education are discussed.     

The Importance of Context in the Genetic Transmission of U.S. Party Identification

In this study, we discuss one example where behavior genetic findings vary greatly across political contexts. We present original findings on how party identification is heritable around the 2008 election on a sample of twins from Minnesota. As this is in contrast with findings from the late 1980s and with how a mid‐2000 study interpreted their results, we explain how the increasing partisan ideological polarization could be responsible for these seemingly contradictory findings. In the Minnesota sample, we show a genetic correlation between party identification and ideology, a finding consistent in the political science literature. We highlight how heritability of political characteristics, like all others, is population specific and highly context dependent stressing its nondeterministic nature.     

Cognitive,emotional, and motivational factors related to procrastination: A cluster analytic approach

Procrastination is a widespread phenomenon that has been associated with a host of cognitive, emotional, and motivational factors but about which a clear and integrated picture is still lacking. The aim of this study was to use primary established psychological procrastination-related factors in the literature to examine whether reliable subgroups of procrastinators can be identified through cluster analysis. To this end, 180 French-speaking students were asked to complete a measure of procrastination and four questionnaires assessing impulsivity, cognitive emotion regulation, self-esteem, and global motivation. Four clusters were identified: two with the lowest scores of procrastination (“High regulated” and “Regulated/low motivated”), one with higher scores of procrastination (“Emotional”), and another with even higher scores (“Unregulated”). The findings provide insights into the dynamic relationships between key procrastination-related factors and the mechanisms linked to the self-regulation difficulties that characterize trait procrastination.     

The Situational Test of Emotional Management – Brief (STEM-B): Development and validation using item response theory and latent class analysis

This study uses a 3-Parameter Logistic item response theory (IRT) model to develop an 18-item short-form of the Situational Test of Emotion Management (STEM). In a sample of 900 people, the short form showed acceptable reliability (reliability index = .87; Cronbach’s alpha = .84) and a meaningful correlation with another indicator of emotional intelligence (i.e., r = .30 with the Situational Test of Emotional Understanding). Latent class analysis of the short-form detected two classes. For all items, participants in Class 2 had a higher probability of selecting the best option than Class 1. When response options were coded to represent different emotion regulation strategies, Class 2 had a higher probability of endorsing “situation modification” and Class 1 had a higher probability of endorsing “no regulation”. These results provide validity evidence for the STEM-B as an assessment of emotion regulation.     

Patterns of psychotherapy development: A mixed-method analysis using assimilation indices

Understanding how assimilation develops is essential in promoting personal change. By attending to signs or indices of assimilation in the speech of clients, therapists can use this process to assess how the therapy is developing and to tailor intervention. The system of assimilation indices was developed to use assimilation to understand the process of change. This system signals five sub-processes of assimilation: external distress, pain, noticing, decentring, and action. This study consisted of a longitudinal mixed-method analysis, following a multiple cases embedded design. The system of assimilation indices was applied to the recordings of nine psychotherapies and contrasted with both the outcome of the therapy and the perspectives of the therapists and clients about their therapy process. The results show that the system of indices is useful in understanding multiple pathways for assimilation. The system of indices is seen as a useful tool for understanding assimilation and as having clinical value in anticipating challenges to the success of the therapy. This study also shows how the indices are sensitive to the nuances in the change process observed in clinical settings.