Applying Cases to Solve Ethical Problems: The Significance of Positive and Process-Oriented Reflection

This study examined the role of reflection on personal cases for making ethical decisions with regard to new ethical problems. Participants assumed the position of a business manager in a hypothetical organization and solved ethical problems that might be encountered. Prior to making a decision for the business problems, participants reflected on a relevant ethical experience. The findings revealed that application of material garnered from reflection on a personal experience was associated with decisions of higher ethicality. However, whether the case was viewed as positive or negative, and whether the outcomes, processes, or outcomes and processes embedded in the experience were examined, influenced the application of case material to the new problem. As expected, examining positive experiences and the processes involved in those positive experiences resulted in greater application of case material to new problems. Future directions and implications for understanding ethical decision making are discussed.     

Where the Whole Thing Fell Apart

Abstract

This article examines the intersection of societal prejudice and psychological trauma. In an instrumental case study created through a layered narrative analysis, the author highlights the potentially traumatic effects of racism and discrimination, while also exploring the phenomenon of resilience in a complex ecological system. The findings suggest that the enduring and continual strain of racial prejudice may cause significant psychological distress, particularly when those experiences reinforce early negative experiences within a family; and that assessments of resilience need to consider the contribution of ecological context to psychological outcomes as well as to an individual's ability to mobilize personal resources when such a context finally shifts.     

Ethics in Publication

Summary

This article highlights ethical issues in publication. It addresses the provenance of ideas, problems with joint authorship, plagiarism, and the practice of duplicate submission of material for publication. Confidentiality and privacy matters, and the protection of human subjects in publication of research and clinical case studies are also discussed. The article further examines biases in literature reviews, and in the biased selection of one's best results for publication, intentional misinterpretation of data and the slanting of discussion, summary, and conclusions. Finally, the article deals with ethical problems that can arise in the publication of sponsored research, and the ethical responsibilities of editors and readers.     

Application of the Within- and Between-Series Estimators to Non-normal Multiple-Baseline Data: Maximum Likelihood and Bayesian Approaches

In single-case research, multiple-baseline (MB) design provides the opportunity to estimate the treatment effect based on not only within-series comparisons of treatment phase to baseline phase observations, but also time-specific between-series comparisons of observations from those that have started treatment to those that are still in the baseline. For analyzing MB studies, two types of linear mixed modeling methods have been proposed: the within- and between-series models. In principle, those models were developed based on normality assumptions, however, normality may not always be found in practical settings. Therefore, this study aimed to investigate the robustness of the within- and between-series models when data were non-normal. A Monte Carlo study was conducted with four statistical approaches. The approaches were defined by the crossing of two analytic decisions: (a) whether to use a within- or between-series estimate of effect and (b) whether to use restricted maximum likelihood or Markov chain Monte Carlo estimations. The results showed the treatment effect estimates of the four approaches had minimal bias, that within-series estimates were more precise than between-series estimates, and that confidence interval coverage was frequently acceptable, but varied across conditions and methods of estimation. Applications and implications were discussed based on the findings.     

A Microanalytic Case Study of the Utilization of ‘Solution-Focused Problem Talk’ in Solution-Focused Brief Therapy

Abstract

Solution-focused therapy (SFBT) is a popular therapeutic approach among family therapists. However, disputes about SFBT still arise, especially on problems. This study examines the function of problem talk in SFBT by using a microanalytic case study method. As a result, three categories were found: Eliciting, clarifying, and acknowledging problems. The problem talks initiated by the SF therapist showed a pattern associated with the solution talk and served as preliminary steps to be connected to the following solution talks. The results indicate that solution building is constructed not only through solution talk, but also through ‘solution-focused problem talk.’     

Using Interdependent Group Contingencies with Randomly Selected Criteria and Paired Reading to Enhance Class-Wide Reading Performance

ABSTRACT

An intact second-grade class of 13 African-American students had completed few chapter-book reading assignments. A consultant worked with their teacher to develop an intervention that consisted of paired readings and two interdependent group contingencies. Following the implementation of the program, all students began reading chapter-books and the number of chapter-book quizzes passed increased from an average of less than 0.70 per week during baseline to 7.5 per week during the intervention phase. Discussion focuses on using interdependent group contingencies when targeting academic performance.     

Examining the Role of Similarity Coefficients and the Value of Behavioural Themes in Attempts to Link Serial Arson Offences

When relying on crime scene behaviours to link serial crimes, linking accuracy may be influenced by the measure used to assess across‐crime similarity and the types of behaviours included in the analysis. To examine these issues, the present study compared the level of linking accuracy achieved by using the simple matching index (S) to that of the commonly used Jaccard's coefficient (J) across themes of arson behaviour. The data consisted of 42 crime scene behaviours, separated into three behavioural themes, which were exhibited by 37 offenders across 114 solved arsons. The results of logistic regression and receiver operating characteristic analysis indicate that, with the exception of one theme where S was more effective than J at discriminating between linked and unlinked crimes, no significant differences emerged between the two similarity measures. In addition, our results suggest that thematically unrelated behaviours can be used to link crimes with the same degree of accuracy as thematically related behaviours, potentially calling into the question the importance of theme‐based approaches to behavioural linkage analysis. Copyright © 2012 John Wiley & Sons, Ltd.     

Dementia and Suffering in Nursing Homes

SUMMARY

This paper uses case studies of challenging behaviour associated with dementia to demonstrate, firstly, that disturbed behaviour is often a manifestation of suffering caused by multiple phenomena such as medical problems or the care environment. Addressing these causes instead of simplistically ‘treating the behaviour’ usually reduces the behaviour. Secondly, staff distress with a particular difficult resident is often caused by more general fundamental problems such as a lack of support or knowledge. Addressing these problems reduces staff distress. Finally, results from a Swedish intervention study are presented. They show that suffering for both staff and residents can be reduced, and quality of life improved, by providing increased autonomy for hands-on staff, systematic emotional support, and collaboratively developing care plans based on each resident's emotional and physical needs, rather than the problems they present.     

医鉴病案护理缺陷分析及防范措施

通过对太原市医学会2002年～2007年进行医疗事故技术鉴定的224例病案中存在护理缺陷的58例病案进行分析,了解护理缺陷发生的分布和原因,提出了一套提高护理人员护理缺陷防范意识和防范能力的训练方案,经临床初步使用认为切实可行。在此与护理同行进行交流,为进一步提高护理工作的安全性和正确维护护理人员的法律权益献计献策。