The Needle in the Haystack

Summary

Despite the significant damages in sexual abuse cases, the plaintiff's ability to collect the money awarded in settlement or judgment is often precluded by the limited financial resources of the defendant(s). In this chapter, practicing attorney Julian Hubbard introduces the basics of individual and corporate insurance coverage and reviews the development of very limited coverage in sexual abuse cases in statutory and case law. While direct coverage for sexual abuse injuries is as rare as a “needle in a haystack,” indirect coverage can be found in some cases, especially those in which the acts of negligent individuals other than the perpetrator facilitated the abuse and thus the plaintiff's injuries. After an overview of relevant insurance issues and law, Mr. Hubbard delineates a practical model for research and legal strategies to ensure reaching any available insurance coverage, and explores the benefits and drawbacks of drawing on administrative resources to help pay for survivors' medical and mental health care.     

Toward the science‐informed practice of clinical supervision: The Australian context

Although supervision of clinical practice is mandatory for trainee psychologists, surprisingly little is known about the key ingredients of effective supervision and the relationship between supervision and patient outcomes. The purpose of this paper was to review current regulations that shape supervision in Australia and explore the links between these regulations and the components of effective supervision. Although recent developments including supervisor training and other quality control programs are an indication of progress, there are several empirical and conceptual issues in the supervision literature that require resolution. The second part of this paper identifies the gaps in the supervision literature and suggests steps to advance the development of a mature science of clinical supervision. The main areas requiring attention include the identification of the mechanisms by which supervision produces change in supervisees and their patients, the refinement of measurement methods and instrumentation, and the need to pursue collaborative research that maximises the generalisability of research findings.     

A Decade of Clinical Psychology in Medical Settings: The Short Longer View

The progress and accomplishments of psychology in medical settings over the past decade since the publication of the Handbook of Clinical Psychology in Medical Settings (J. J. Sweet, R. H. Rozensky, & S. M. Tovian, 1991) and the subsequent founding of the Journal of Clinical Psychology in Medical Settings (JCPMS) in 1994 are highlighted. Areas of progress and accomplishments reviewed include professional developments with our field, roles and services provided by psychologists, education, training and research issues, and program administration in medical settings. The current status of, and possible changes in, medical settings is identified. Future challenges and opportunities for the profession are discussed.     

Sensibiliser les filles à l'orientation vers les métiers scientifiques et techniques. Évaluation d'un dispositif

Girls’s diversification of career choices seem relatively resistant to training program. One explanation of this situation is the lack or even absence of procedures for evaluating this program. The article proposes an evaluation of a training program entitled “female engineer” designed exclusively for high school girls. The objective was to encourage female students guidance in this profession. The results are mixed and are interpreted in terms of cognitive dissonance and upward social comparison. The results also show the need to develop in the same time the training program and his evaluation.     

The Rational Teacher: Rational Emotive Behavior Therapy in Teacher Education

Rational Emotive Behavior Theory and Therapy (REBT; Ellis, 1973) is a form of humanistic psychology that helps individuals live happier, more productive, more self-actualizing and more creative existences. Under what has been called Rational Emotive Education (REE), some (see, e.g., Bernard, 2001, 2000, 1990, 1984; Bernard & Ellis, 1983; DeVoge, 1983; DiGiuseppe, 1983; DiGiuseppe & Bernard, 1990; Ellis, 1975, 1974, 1973, 1972, & 1971; Knaus, 1977; Knaus & Bokor, 1975; Knaus & Eyman 1974; Knaus & McKeever, 1977; Vernon, 1998, 1997, 1996, 1994, 1993, 1990, & 1989) have applied REBT in various educational settings. Having been successful in clinical settings and in reducing both undesirable student behavior and teachers' stress, additional innovative applications of REBT are now being explored and used. This paper describes the incorporation of REBT into yet another unexplored setting within REE: teacher education. Undergraduate Education majors, taking a psychological foundations course and prior to their Student Teaching Practicum, learned REBT principles and methodology and applied them in both learning and teaching contexts. The learning context included situations the Undergraduate Education majors encountered in their college lives. The teaching context included situations they encountered while participating in their preschool field placement. The application of REBT to both contexts allowed the Education majors to address their personal and professional development, including their effectiveness as teachers in training.     

Professional Autonomy in Belgium

The Belgian health care system has a few features that may havecontributed to the rising costs of health care: patients' freechoice of physicians, large clinical freedom of physicians, essentiallya fee-for-service remuneration for medical specialists in which the feesare agreed between insurance funds and physicians. The increased medicalconsumption and costs have prompted the state and insurance companies totake measures that limit the professional autonomy of the physicians.Access to medical education, free until 1997, is now restricted. Themedical profession is organized in the Order of Physicians that hasestablished a code of professional ethics that has moral but not legalforce. So far, there is no special legislation for thepatient–physician relationship, though laws on specific issueslike organ transplantation contain duties for physicians. In recentyears a debate is taking place on patients' rights, of which informedconsent is central and gaining importance in medico-legal publications.An analysis of (ethical and legal) regulations concerning thewithholding or withdrawal of treatment by physicians demonstrate thatthe profession still enjoys a large clinical autonomy, though duediscussion with the patient has become more explicitly required. Therespect for professional autonomy is not primarily due to any formalpower that the Order of Physicians would have, but is rather grounded inthe generally high quality of the patient–physician relationshipthat in ethical terms is considered essentially as a confidencerelationship rather than a contractual relationship.     

Unique ethical problems in information technology

A distinction is made between moral indoctrination and instruction in ethics. It is argued that the legitimate and important field of computer ethics should not be permitted to become mere moral indoctrination. Computer ethics is an academic field in its own right with unique ethical issues that would not have existed if computer technology had not been invented. Several example issues are presented to illustrate this point. The failure to find satisfactory non-computer analogies testifies to the uniqueness of computer ethics. Lack of an effective analogy forces us to discover new moral values, formulate new moral principles, develop new policies, and find new ways to think about the issues presented to us. For all of these reasons, the kind of issues presented deserve to be addressed separately from others that might at first appear similar. At the very least, they have been so transformed by computing technology that their altered form demands special attention.     

Interdivisional Healthcare Committee: Speaking with One Voice on Cross-Cutting Issues in Health Care Psychology

One of the greatest challenges facing psychology in health settings today is the need for unification on critical issues of client access, workforce oversupply, education and training, and outcomes evalutions. Health care psychology specialty areas can no longer afford to operate in parallel. A unified vision is needed to overcome threats to the viability of the profession and to maximize the potential for achieving common goals. The current paper describes the formation of the Interdivisional Healthcare Committee (IHC), whose purpose is to establish a common agenda for promoting the professional, educational, and scientific goals of health care psychology. The IHC's initiative to develop new CPT codes for increasing access to psychologists' services in health care settings is outlined.     

大学生人格类型与专业认同间的关系研究

本研究对旅游管理专业大学生进行了MBTI人格测验,并采用问卷调查与内隐联想测验(IAT)两种方式了解被试的专业认同状况。研究发现样本的专业认同存在显著的外显—内隐分离,在内隐层面上缺乏足够认同。性别、人格类型与专业认同之间存在一定关联,部分人格维度可作为判断大学生专业认同状况的有效变量。     

临床实习生专业教育与医学伦理教育整合的探讨

当前有相当数量的临床学院、教学医院和临床教师仅重视医学生的专业教育而忽视医学伦理教育,专业教育与医学伦理教育严重脱节.应对临床实习生的专业教育与医学伦理教育的培养目标、教育内容、实践过程、教育路径、方式方法进行整合,使医学专业教育与医学伦理教育紧密结合、相互渗透、相互融合、实现整合.