Exercise and Movement as an Adjunct to Group Therapy for Women with Chronic Mental Illness

Abstract

Feminist therapists value the empowerment of clients and the appropriate sharing of the therapist's institutionalized power. As therapists who are also “mandated reporters,” we are obligated under certain circumstances to use our power to warn potential victims of harm, to prevent clients from harm to self or others, or make reports to institutions which have a great impact on clients' lives. Using four case examples, this paper will present clinical situations where the use of the therapist's power interfaces with homophobia, racism, and paternalism in the lives of low-income clients.     

Ethical and Legal Considerations in the Training of Mental Health Professionals

Summary

A discussion is provided regarding ethical and legal considerations that relate to the training of mental health professionals. A training program which emphasizes a proactive approach to identifying and resolving potential ethical and legal problems, and their close connection with clinical issues is described, as are the responsibilities of supervisors and supervisees in such a program. For illustrative purposes, a training vignette and a clinical vignette conclude the article.     

How a Mental Health Professional Handles Referrals and Fees

Summary

The choice of referral and the relationship between referral sources can pose clinical and ethical dilemmas, due to the potential that the relationship between the psychologist and the referral source will interfere with the treatment relationship. Once the referral has been made, the referring psychologist must be sensitive to a second, and often a more problematic level of risk: conflicts that occur between the patient and the referral recipient. The situation becomes even more problematic when a psychologist is giving or receiving any form of compensation in connection with the referral. In addition to clouding the clinical relationship, the giving or receiving of such compensation, whether it is characterized as “referral fees” or otherwise, has important legal consequences, and may well result in license revocation proceedings or even criminal liability.     

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.     

Stories of crime,stories of suffering: A narrative perspective on ethical issues in criminal justice counselling

Counsellors working with prisoners often listen to stories that are both stories of crime and stories of suffering. From a criminal justice perspective, the suffering of offenders is deliberately inflicted as punishment. From a counselling perspective, however, responding to the suffering of a client and even trying to relieve it is a basic ethical concern. So counsellors, working with offenders, may face the ethical question of how to integrate a response to the suffering of offenders with a response to crime, especially when confronted with stories of cruel, violent crimes. In this paper, it is argued that a narrative perspective on counselling offers a framework in which these responses may be integrated. Here, the principle of recognizing privileged authorship of persons is crucial. The concepts of ‘double listening for implicit others’ and ‘relationally rich stories’ are developed, which are based on concepts and ideas from narrative therapy. These serve as a first step of translating the narrative ethical framework to counselling practice.     

Abuse and religious experience: A study of religiously committed evangelical adults

Two hypotheses were tested: (1) in a sample of religiously-committed evangelical adults, past experience of abuse is related to more frequent (a) religious behaviour such as prayer, church attendance and Bible reading, and (b) religious experiences, such as religious visions, healings and speaking in tongues; (2) abuse is also associated with evidence of alienation from God, as noted in more frequent reports of God as distant and more frequent religious doubting. Survey data from 3424 adults attending one of four new evangelical movement churches were analysed. Controlling for socio-economic and religious socialization variables, a series of regression equations were calculated looking at the relationship between the experience of abuse and the dependent variables of three factor scores representing conventional religious behaviour, transcendent religious experience and feelings of distance from God. Self-report of the frequency of abuse was positively associated with frequency of reported transcendent religious experiences and with feelings of distance from God. A significant relationship between abuse and more conventional religious behaviour was not found. The findings provide mixed support for the idea that abuse results in ambivalent responses toward religion and God in religiously committed adults. The lack of relationship between abuse and conventional religious behaviours is somewhat inconsistent with prior results, and likely represents a ceiling effect. The positive correlation with transcendent religious experiences and distance from God are consistent with prior studies, but may suggest alternative explanations.     

合理使用抗茵药物的伦理决策

中国是世界上滥用抗菌药物最为严重的国家之一,抗菌药物滥用会导致耐药菌株形成、不良反应发生、加重社会和患者经济负担三个主要问题。人类合理使用抗菌药物成为当今社会关注的热点问题,从临床角度阐述了合理使用抗茵药物中若干医学伦理问题,医疗政策、医院管理对抗菌药物合理使用影响的不可替代性;合理使用抗菌药物是良好医患关系的注释;合理使用抗菌药物是医患关系伦理要求。抗菌药物合理使用要求医生必须要有相应的伦理决策能力;抗菌药物合理使用要求医生要主动参与社会伦理讨论;抗菌药物合理使用是多方面共同努力的结果。     

医疗服务成本控制过程伦理范式的选择

不同伦理范式对医疗服务成本控制过程会产生不同的影响.运用经济伦理学及管理伦理学的原理和方法,结合医疗卫生服务机构的行业性质及特点,选择出现实可行的医疗服务成本控制过程的伦理范式.使医疗卫生服务机构在医疗服务成本控制过程中,从成本控制标准的确定、成本控制方法及途径的选择到成本控制结果的分析及考评等环节融入相关伦理内涵.使医疗服务成本控制更好地遵循恰当的伦理范式,更好地履行医疗卫生服务机构的宗旨和职责.     

Stress,Coping, and Emotions on the World Stage: The Experience of Participating in a Major Soccer Tournament Penalty Shootout

This study was designed to capture the first-hand experiences of stressors, coping, and emotions that elite professional soccer players have during a major soccer penalty shootout. Eight players who each took part in an important European Championships penalty shootout were interviewed. The results showed that the experience of stressors, coping, and emotions changed extensively throughout the event. Moreover, the participants experienced a series of different stressors, some of which were specific to the penalty shootout, and they employed a variety of coping strategies. Anxiety was the most common emotion. Practitioners can use these results to help design valid simulation protocols.