Multiple intelligences and the therapeutic alliance: Incorporating multiple intelligence theory and practice into counselling

Many of the main theoretical traditions in the sociology of the emotions have limitations in their explanations of the institutionalized styles of emotional work, of the menu of emotions available to be felt in particular settings, and of the causal processes by which particular emotions are elicited in those settings. A promising way forward is to apply neo-Durkheimian institutional theory, which also overcomes some of the limitations of Durkheim's own theory of the emotions. Central to this approach is the distinguishing of affect styles and the identification of styles of social organization that elicit these affect styles. The theory puts great weight on ritual, understood in the post-Goffman sense which encompasses quotidian everyday forms as well as grand public ceremonial, as the principal causal process by which forms of social organization produce certain emotions and styles of managing those emotions within ‘affect styles’. The latent social function, in this tradition, of the elicitation of affect is to be understood in terms of the conflictual and rival mobilization of accountability. The theory meets, the article argues, the four key criteria by which sociological theories of affect should be judged.     

护理专业“能力拓展人才培养模式”的研究与实践

通过分析传统护理教育培养模式存在的缺陷及根本原因,探索促进护理专业的教学改革的方法和途径,创新护理专业“能力拓展人才”模式.建立了一个平台、两个系列、三个循环、四个“融”为一体、五个教学模块的能力拓展人才的培养体系,从而使97％的学生认为增强了学生的学习积极性,95％的学生认为促进了理论知识的理解,86％的学生认为理论联系实际的能力明显增强,75％的学生与老师建立了良好的师生关系,100％的学生认为提高了动手能力和自主学习能力,提高就业率及毕业生双证持有率.经过7年的实践应用和经验总结证明,该模式能有效实现护理专业“能力拓展人才”的培养目标,提高毕业生的综合素质.     

关于内科临床技能培训教学课程设置的探讨

通过对参加内科临床技能培训的大连医科大学2007级、2009级五年制及七年制临床医学专业学生进行问卷调查及客观结构化临床考试（OSCE）,探讨内科临床技能培训课程的学时及课程内容等设置.100%的学生认为有开设临床技能培训课的必要,50%以上的学生认为在大学4年级开设本课程较合适,50%以上的学生认为12学时的设置较合理,80%以上的学生认为应每4人共用一名模拟人.OSCE证实毕业前12学时培训组成绩优于实习前8学时组.     

Science in Mental Health Training and Practice,With Special Reference to School Psychology

The first words in the inaugural version of the American Psychological Association Ethical Standards of Psychologists (1953) declared, “Psychology is a science” (p. v). Professional ethics for all of the mental health disciplines support science (and objectivity) for knowledge and practice. Using school psychology as an example, consideration is given to the presence of science and research in the scientist-practitioner, professional practitioner, and psychoeducational training and practice models. Although none of the three models truly ignores a commitment to science, the potential Achilles heel comes from the individual practitioner who fails to rely on science in planning, implementing, and evaluating interventions. Similarly, idiosyncratic preferences within training programs could lead to a diminution of science in the curriculum.     

Integrating Contextual Issues in Ethical Decision Making

Many issues in ethics arise in relation to the contexts in which psychologists work. However, most ethical decision-making models reproduce the way in which psychologists tend to approach ethics by focusing on ethical dilemmas and proposing a step-by-step response to deal with them. Although these models might be useful, their emphasis on reactive approaches and their lack of contextualization constitute significant limitations on their applicability. In this article, an approach to ethical decision making that highlights the importance of the context in developing proactive strategies to solve ethical issues is proposed. This approach is further explained through its application to medical and rural settings. The implications of these suggestions to the training in ethics are finally discussed.     

Responsible Conduct of Research Training and Trust Between Research Postgraduate Students and Supervisors

The federal regulations of human research were written to permit the use of discretion so that research can fit the circumstances under which it is conducted. For example, the researcher and institutional review board (IRB) could waive or alter some informed consent elements if they deem this the morally and scientifically best way to conduct the research. To do so, however, researchers and IRBs would first have to use mature moral and scientific judgment. They might also have to rely on empirical research to discover the most effective way to act on their moral sense (e.g., to discover how best to approach potential research participants and explain the nature and purpose of the research participation for which they are being recruited, to ensure comprehension and competent decision making). On discovering the most ethical way to proceed, they would then need to look to the federal regulations of human research to discover how to document their decision and justify it within that somewhat flexible regulatory structure. Unfortunately, many IRBs and researchers fail to take these sensible steps to solve ethical problems and proceed immediately to a default requirement of the regulations that places science at odds with the regulations and, ostensibly, with ethics. The following articles in this special issue are about the process of learning to engage in ethical problem solving and using the flexibility permitted by the federal regulations. These articles extricate researchers from the mindset that has gotten them into trouble, and, ideally, provoke them to use mature common sense and moral judgment.     

How Psychotherapists Address Hypothetical Multiple Relationships Dilemmas with Asian American Clients: A National Survey

This study examined how psychotherapists address hypothetical nonsexual multiple relationships dilemmas with Asian American clients and identified predictors of conservative decisions and the use of culture-based rationales. This survey of 787 Asian American and non-Asian American psychotherapists revealed that clinicians rely on mostly their personal policies and seldom focus on the clients' cultural backgrounds. Psychotherapists who consider their clients' Asian culture have more cultural knowledge and awareness, have been mental health providers longer, and are Asian American and female. Clinicians who avoid multiple relationships tend to cite formal policies as justification and are less likely to consider clients' cultural worldviews, the therapeutic relationship, or their own values. The results are discussed in terms of specific revisions needed in the American Psychological Association Ethics Code, the benefits of more frequent consultation with colleagues and supervisors about ethical dilemmas, and recommendations for psychotherapists.     

Medical Students' Views on the White Coat: A South African Perspective on Ethical Issues

There is a debate regarding the use of the white coat, a traditional symbol of the medical profession, by students. In a study evaluating final-year South African medical students' perceptions, the white coat was associated with traditional symbolic values (e.g., trust) and had practical uses (e.g., identification). The coat was generally perceived to evoke positive emotions in patients, but some recognized that it may cause anxiety or mistrust. Donning a white coat generally implied a responsibility to the profession. For a few, without the coat, patients would not cooperate, resulting in some perceiving no need to be distinguished from qualified practitioners. There was thus some evidence of entitled (vs. earned) respect. In the light of the underresourced health care setting in which these students learn clinical medicine, we recommend that students be able to recognize the potential for unprofessional or unethical behavior. Students should also be able to identify role models.     

Modern Advances in Genetic Testing: Ethical Challenges and Training Implications for Current and Future Psychologists

The ethical implications for psychological practice of genetic testing are largely unexplored. Predictive testing can have a significant impact on health and well-being, and increasing numbers of individuals with knowledge of their risk for various disorders are likely to present for psychotherapy. In addition, more people will struggle with the decision of whether to obtain information regarding their genetic material. Psychologists will need to have the appropriate knowledge and clinical skills to effectively counsel this population. This article highlights the relevant ethical issues surrounding psychological treatment of individuals pursuing or considering undergoing genetic testing. These issues are extended to psychologists working in research, education, and policy domains. Recommendations for graduate training programs to facilitate current and future practitioner competence are also discussed.     

Influences on life aspirations among adolescents in a low-income community in Cape Town,South Africa

The aim of this study was to determine the influences on adolescents’ aspirations from a low-income community in Cape Town. A sequential mixed method exploratory design was used following two distinct phases. The qualitative phase comprised focus group interviews with 118 grade 12 learners attending a school in a low-income community (age range: 16–19 years) and focused on identifying factors influencing life aspirations. The quantitative phase with 191 adolescents (males?=?54.45 %, females?=?45.55 %); age range: 14–18 years) from the same community aimed to ascertain the influences of personal attributes on self-aspirations. Participants completed the Expectations/Aspirations measure, the New General Self-Efficacy Scale, the Rosenberg Self-Esteem Scale and the Multidimensional Scale of Perceived Social Support. Qualitative data were thematically analysed. Quantitative data were analysed using multiple regression. The findings revealed that self-efficacy, self-esteem and social support were the most critical factors influencing adolescents’ aspirations. Self-efficacy was a major determinant of life aspirations among the adolescents. Life skills programmes with youth from disadvantaged communities should seek to incorporate training aimed at developing adolescents’ self-efficacy.