Training School Psychologists in Behavior Support Consultation

SUMMARY

Although school consultation began as a means of providing assistance to individual teachers on a voluntary basis, it has evolved into a stand-alone service regulated by state and federal law. In order to meet the demand for increased accountability in the services they provide, school psychologists and other prereferral intervention team members have expressed a need to develop skills in two key areas: (a) selecting interventions that are conceptually relevant and therefore likely to be effective in responding to children's behavior problems, and (b) providing teachers with the resources and support needed to ensure successful plan implementation. In this paper, we describe various strategies that have been shown to be effective at addressing each of these issues by drawing on recent research in school consultation and applied behavior analysis. Considerations surrounding the use of these strategies by school consultants are discussed, as are implications for increasing the effectiveness and accountability of school consultation services.     

Apologies: Levinas and Dialogue

Abstract

In his recent article ‘Speech and Sensibility: Levinas and Habermas on the Constitution of the Moral Point of View’, Steven Hendley argues that Levinas’s preoccupation with language as ‘exposure’ to the ‘other’ provides an important corrective to Habermas’s focus on the ‘procedural’ aspects of communication. Specifically, what concerns Hendley is the question of moral motivation, and how Levinas, unlike Habermas, responds to this question by stressing the dialogical relation as one of coming ‘into proximity to the face of the other’ who possesses ‘the authority to command my consideration’. Hendley’s thesis is bold and provocative. However, it relies on too partial a reading of Levinas’s work. In this paper I argue that the sense in which Levinas thinks of ‘justifying oneself’ cannot be adequately understood in terms of an ‘outstretched field of questions and answers’. Rather, Levinas’s primary concern is to show how, prior to dialogue, the ‘I’ is constituted in existential guilt: the violence of simply being‐there.     

Normative Impulsivity: Adorno on Ethics and the Body

Abstract

Adorno’s commitment to anti-foundationalism generates a concern over how his ethically normative appraisals of social phenomena can be founded. Drawing on both Kohlmann and Bernstein’s account, I produce a new reading which contends somatic impulses are capable of bearing intrinsically normative epistemic and moral content. This entails a new way of understanding Adorno’s contention that Auschwitz produced a new categorical imperative. Working with Bernstein’s account, I claim that Auschwitz makes manifest the hostility of the instrumentalization of reason to the somatic grounds of reason. One’s mimetic identification with the victims of Auschwitz arouses a self-preserving desire to intercede in and re-orient the progress of reason itself, for the sake of one’s own somatic integrity. In closing, I claim – contra Zuidervaart – that this reading allows us to place the ethical as primary in Adorno, without reducing the political to it.     

Linking Youth Internet and Conventional Problems

ABSTRACT

This article utilizes data from a clinical sample of 512 youth to examine whether various problematic Internet experiences are distinctly different from or extensions of the conventional adolescent mental and behavioral health problems seen by clinicians. A Two-step Cluster Analysis identified four mutually exclusive groups of youth, those with: (a) online victimization; (b) inappropriate sexual behavior online; (c) online isolation; and (d) online and offline problems. Results suggest support for the idea that problematic Internet experiences are often extensions of experiences and behaviors that clinicians were working with prior to the advent of the Internet. However, the Internet may be introducing something qualitatively or quantitatively new, such as an increased severity, an increased frequency, or some unique dynamic that requires new responses or 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.     

Trauma Recovery in Interprofessional Cross-Cultural Contexts: Application of an Ethical Framework

Research into the complex interactions of personal, professional, and interprofessional ethics is in its infancy. Where interprofessional decision making is made in cross-cultural contexts, ethical dilemmas multiply; inversely, research to guide judgments is sparse. This study sought to explore interprofessional ethical decision making within a project, which delivered Western trauma-recovery training to counselors in Palestine. A cross-cultural interprofessional ethical framework was adapted and later applied to project decision making. A case study is presented based on field note reflections. Researchers perceived the following to be important in addressing ethical decision-making dilemmas: defining interprofessional and cross-cultural language; long-standing relationships of trust; workers liberated from organizational agendas; democratized processes; and flexible structures. Recommendations are provided to help plan and evaluate interprofessional cross-cultural initiatives.     

Touch,enjoyment and health: In infancy

The paper explores Peter Lomas's influence on the author as a therapist, and in particular his idea that therapy is inescapably an ethical endeavour, however much we try to avoid this. Less persuasive, however, is Lomas's belief in therapy as a moral influence. The author sees it more as an ethical space (after Roger Poole) where people can feel free to explore, without judgement, the difficulties that have brought them there - despair, loss, inauthenticity, unfulfilled lives. The paper also explores R.D. Laing's idea of ‘fear of the soul’ which afflicts therapists (including those who do not hold much with ideas of technique) - despite our title - as well as many of those who come to see us. This fear is, it is argued, understandable as it takes us into uncharted waters, a minefield. In other words, therapy can be dangerous. The paper draws both on the author's work with individuals, and in the Philadelphia Association's community house, with which he has been involved for many years.     

胃部恶性肿瘤临床实践中的医疗艺术

医学是一门讲求艺术性的科学.随着社会的发展,医疗艺术在整个医学临床实践中的重要性越来越突出.医疗艺术体现了医生对生命的尊重和伦理的理解.讲求医疗艺术对于建立和谐的医患关系具有重要意义.因此,如何在过硬的现代医学技术基础上提高临床医疗的艺术性,是医学教育和临床实践领域都应该思考的问题.本文以胃部恶性肿瘤的临床实践为例,从态度、语言、表情以及医患互动等细节方面入手,探讨在初诊、术前、康复以及面对晚期临终患者的不同情况中应该如何提高医疗艺术.     

转化医学应用现状及其困境分析

转化医学的理念已经蓬勃发展起来,但对大多数处于临床一线的医生而言,却产生了较多困惑:基础医学与临床医学之间仍相互脱节,许多先进的基础医学研究难以为临床实践所用,基础医学的先进成果向临床的转化难以实现.因此,对于转化医学理念的提出,应有所反思,使转化医学的价值得以充分地发挥.     

“利润绩效”至上折射医德滑坡的启示

利益驱动是“利润绩效”至上折射从医人员对医德底线失去敬畏的根本因素;漠视患者的利益高于一切的服务根基是从医人员对医德底线失去敬畏的基本因素;“利润绩效”转嫁给患者是从医人员对医德底线失去敬畏的强化因素.“利润绩效”至上的利益机制昭示医学伦理缺陷,折射医德滑坡.