The Use of Communication Technology in Private Practice: Ethical Implications and Boundary Dilemmas in Therapy

This study investigates the use of communication technology (CT) by therapists in private practice. CT has exploded in the last decade and therapists have begun to implement this technology in their work. It is important to understand better the types of technology therapists are using and how they decide which devices are most useful for clinical practice. Additionally, the availability of the therapist has long been debated and CT provides media to make therapists readily available. Results show that therapists have boundary concerns and ethical dilemmas regarding CT and often feel unprepared to handle inappropriate out-of-session contacts when they occur.     

The day the clock stopped. Primitive states of unintegration,multidimensional working through and the birth of the analytical subject

This paper is based on one idea and built around one clinical experience that helped me to broaden my comprehension of it. The idea, underlying the work of several authors, is that when the analytic field is saturated with primitive and unintegrated mental contents, the analyst’s somatic countertransference is a precious indicator of a deep, dissociated form of communication. The clinical experience concerns the difficult elaboration of a complex, multifaceted countertransference that took place during the early stages of the analysis of a sensitive patient who used to communicate in a very dissociated way and that I found hard to contain. This experience, closely described in the article, led me to formulate the clinical idea that the transference field may be made of distinct layers (psychoid, affective, verbal), and that each one of them may potentially convey dissociated, even contrasting bits of information. The corollary of this is that the analyst should be ready to accept contrasting sensations, feelings and thoughts at the same time, as they might be the basic ingredients of a complex reverie. The analyst could find himself/herself in front of his/her own internal unelaborated multiplicity before a symbolic image may emerge to link the scattered pieces of the experience. Nevertheless, the heart of this paper is not about suggesting an idea, but in the sharing of a complex working through, which fostered the birth of a new, more human relational perspective: the capacity of being together in time, in a transitional space where there is neither total separation nor fusion.     

A Safe Space for Healing: Boundaries,Power and Vulnerability in Pastoral Care

Abstract

This article is a theological reflection on issues of power and vulnerability in relation to pastoral boundaries. It starts with a reflection on my experience in training ordinands and pastoral carers, and an awareness that mandatory training in safeguarding often seems to focus on regulations and procedures, rather than power dynamics and self-awareness. The article goes on to summarize recent literature relating to pastoral boundaries, before exploring the underlying concepts of power and vulnerability, using theologians such as Moltmann and Bonhoeffer on the vulnerability of God, and the feminist writings of Carter Heyward and Mary Grey on mutuality. It concludes by arguing that boundaries provide a safe space for the delicate balancing of vulnerability, risk and power in the pastoral relationship.     

Ethical Considerations for Psychologists Taking a Public Stance on Controversial Issues: The Balance Between Personal and Professional Life

Previous literature has documented the general issues psychologists often face while balancing their personal and professional lives. The struggle stems from attempting to satisfy the need to maintain a life outside of work while having the professional obligation to follow the American Psychological Association’s (APA’s) Ethical Principles of Psychologists and Code of Conduct (Ethics Code) to prevent their personal lives from interfering with their professional roles and relationships. The present article analyzes the subject of psychologists taking a public position on controversial public issues. Although the APA Ethics Code does not restrict how psychologists conduct themselves during their personal time, taking a public stance on a controversial issue could potentially strain professional relationships and inadvertently reflect negatively on the profession. The present article examines ethical issues that (a) should be taken into account before psychologists take a public position on a controversial issue and (b) are in conflict with APA’s Ethics Code or current research.     

Predicting Driver's Intention Based on Own Vulnerability: A Social Interaction Process between Road Users at an Intersection in Japan

When road users predict the future movement of an approaching vehicle at an intersection, they need to consider not only the physical environment but also the predicted behavioral intention of the approaching driver. In the present experiments, we asked participants to imagine how a vehicle would approach in a natural traffic environment. In Experiment 1, participants estimated the time‐to‐contact with an approaching vehicle as longer when they were physically vulnerable. In Experiment 2, we confirmed that differences in participants’ eye height did not explain the findings of Experiment 1. In Experiment 3, we asked participants to indicate the last possible moment at which they could cross an intersection in front of an approaching vehicle. Participants left a shorter safety margin when they were more physically vulnerable than the approaching vehicle. The results indicate that road users’ perceived vulnerability is a cue for them to trust the approaching driver's intention to decelerate. This viewpoint is important for interventions to prevent unrealistic trust that an approaching vehicle will avoid an accident and subsequent trust‐based behaviors.     

Examining the efficacy of improved traffic signs and markings at flashing-light-controlled grade crossings based on driving simulation and eye tracking systems

The majority of the collisions at grade crossings occurred at flashing-light-controlled grade crossings. Understanding drivers’ behaviors and visual performances in the process of approaching the crossings is the foundation of improving crossing safety. This study aims at utilizing driving simulation and eye tracking systems to investigate the efficacy of improved traffic signs and pavement markings (PSM) at flashing-light-controlled grade crossings. The improved signs and markings were modeled in a driving simulation system and tested with a series of flashing light trigger time (FLTT) ranging from 2 s to 6 s with 1 s interval increment. Foggy conditions and drivers’ genders and vocations were considered in experiment design. Thirty-six fully-licensed drivers between 30 and 48 years participated in the experiment. Several eye-movement and behavioral measures were adopted as reflections of the subjects’ performances, including the first fixation time on signs and signals and distance to stop line, total fixation duration, compliance rate, stop position, average speed at the stop line, maximum deceleration rate and brake response time. Results showed that compared with traditional grade crossings signs and pavement markings, drivers could perceive signs timelier and fixate on the flashing-light signal earlier in PSM, especially in the scenarios of earlier FLTTs. The improvement in fixation performance and sign design contributed to a higher stop compliance rate. Importantly, it was found that drivers would hesitate to decide whether to stop or cross facing with flashing red lights, which is similar to the dilemma zone of roadway intersections. Drivers were more likely to fall into the dilemma zones when FLTT was <4 s. When FLTT was 2 s, it was particularly difficult to stop in front of the stop line. Moreover, under a foggy condition, drivers had a difficulty in searching signs and had a longer brake response time compared with a clear condition. For the characteristics of drivers, male drivers had longer fixation duration on signs than females. Professional drivers had a higher maximum deceleration rate compared with non-professional drivers. Above findings implied that improved traffic signs and markings would have a potential to improve traffic safety and deserve a field implementation in the future.     

The effect of drivers’ eye contact on pedestrians’ perceived safety

Many fatal accidents that involve pedestrians occur at road crossings, and are attributed to a breakdown of communication between pedestrians and drivers. Thus, it is important to investigate how forms of communication in traffic, such as eye contact, influence crossing decisions. Thus far, there is little information about the effect of drivers’ eye contact on pedestrians’ perceived safety to cross the road. Existing studies treat eye contact as immutable, i.e., it is either present or absent in the whole interaction, an approach that overlooks the effect of the timing of eye contact. We present an online crowdsourced study that addresses this research gap. 1835 participants viewed 13 videos of an approaching car twice, in random order, and held a key whenever they felt safe to cross. The videos differed in terms of whether the car yielded or not, whether the car driver made eye contact or not, and the times when the driver made eye contact. Participants also answered questions about their perceived intuitiveness of the driver’s eye contact behavior. The results showed that eye contact made people feel considerably safer to cross compared to no eye contact (an increase in keypress percentage from 31% to 50% was observed). In addition, the initiation and termination of eye contact affected perceived safety to cross more strongly than continuous eye contact and a lack of it, respectively. The car’s motion, however, was a more dominant factor. Additionally, the driver’s eye contact when the car braked was considered intuitive, and when it drove off, counterintuitive. In summary, this study demonstrates for the first time how drivers’ eye contact affects pedestrians’ perceived safety as a function of time in a dynamic scenario and questions the notion in recent literature that eye contact in road interactions is dispensable. These findings may be of interest in the development of automated vehicles (AVs), where the driver of the AV might not always be paying attention to the environment.     

Tensile behaviour of submicrocrystalline ferritic steel processed by large-strain deformation

Mechanical tests have been carried out on Fe–15%Cr ferritic stainless steel with various microstructures. Ultrafine-grained microstructures with grain sizes of 0.2–0.3 µm were developed by large-strain cold-working and light annealing. The effects of severe deformation on the mechanical behaviour of as-processed and recovered steel were evaluated with reference to the same material having conventional work-hardened and recrystallised microstructures. Despite the low dislocation density in the fine grain interiors in the as-processed state, the samples with strain-induced submicrocrystalline structure were characterised by high internal stresses that resulted in a higher strength than could be expected from simple grain-size strengthening. These internal stresses were associated with a non-equilibrium state of strain-induced grain boundaries after severe deformation.     

We are human,they are not: Driving forces behind outgroup dehumanisation and the humanisation of the ingroup

Mostly invigorated by infrahumanisation theory, our knowledge on processes of dehumanisation in intergroup relations has grown considerably in the last decade. Building on these earlier endeavours, the present chapter reviews some recent empirical extensions that highlight the importance of differentiating between ingroup humanisation and outgroup dehumanisation because they are often moderated by specific variables. The role of these separate processes is discussed as a function of the main structural elements that define intergroup behaviour; that is, the defining boundaries of the groups, the relation between the groups at hand, and the ideologies of its members. Finally, the role of the different senses of humanness is discussed, suggesting that the folk conception of humanness differs between cultures.     

Is the Critical Point for Aperture Crossing Adapted to the Person-Plus-Object System?

When passing through apertures, individuals scale their actions to their shoulder width and rotate their shoulders or avoid apertures that are deemed too small for straight passage. Carrying objects wider than the body produces a person-plus-object system that individuals must account for in order to pass through apertures safely. The present study aimed to determine whether individuals scale their critical point to the widest horizontal dimension (shoulder or object width). Two responses emerged: Fast adapters adapted to the person-plus-object system by maintaining a consistent critical point regardless of whether the object was carried while slow adapters initially increased their critical point (overestimated) before adapting back to their original critical point. The results suggest that individuals can account for increases in body width by scaling actions to the size of the object width but people adapt at different rates.