Reflecting on self-care practices during clinical psychology training and beyond

In this paper, I will discuss the concept of self-care and its importance for clinical psychologists, both during training and post-qualification. I will review the pertinent literature in this area covering the concept of self-care and its meaning, the personal and professional impact of a lack of self-care for clinical psychologists, and discuss some of the barriers to implementing self-care practices. Throughout the discussion of barriers to self-care, I will intersperse three reflective pieces on my own experiences throughout clinical psychology training, which will allow for a more in-depth exploration of the issues. My conclusion will highlight the personal, professional and systemic barriers to self-care in clinical psychologists, and in other helping professionals, and suggest possible ways of tackling these barriers and promoting greater utilisation of self-care during clinical training and beyond and across different professional groups.     

The effect of stereotype threat on student-athlete math performance

ObjectivesTo assess whether a subtle stereotype threat of student-athletes would cause a decrease in both academic effort and performance.DesignA 2 (Male/Female) x 2 (Athlete Prime/No Athlete Prime) design was used to assess effort and performance on a math test.MethodA subtle threat manipulation was used to prime half of 60 NCAA Division III student-athletes with their athletic identity prior to taking a difficult math test.ResultsSupporting the hypotheses, student-athletes who were primed with their athletic identity attempted significantly fewer problems and received lower mean math scores than those who were not primed. Contrary to hypotheses, gender did not impact effort or performance, and there was no evidence of buffering effects of priming non-athlete identities.ConclusionsThe results of this experiment provide evidence for stereotype threat effects across genders and into Division III athletes, which potentially impact student-athlete academic performance.     

How are recent changes to primary care mental health provision within the NHS affecting psychodynamic counsellors’ construction and management of their professional identities? A Foucauldian perspective

The research used Foucauldian techniques to explore how counsellors currently working for the NHS construct and manage their professional identities in the face of changes imposed on them by the institution. Semi-structured interviews were carried out with four counsellors and one doctoral student, all with substantial experience working for the NHS. A Foucauldian Discourse Analysis revealed four main subjectivities that were made available; feeling like part of a process at times; the NHS imposes limitations on their practice; feeling able to retain their professional standards despite the limitations and lack of influence; feeling proud of, and satisfied with the work they do. Places in which the participants explored ways of constructing a professional identity were also explored.     

Enacted Identities of Immigrant-Origin Emerging Adult Women in Online Contexts: Capturing Multiple and Intersecting Identities Using Qualitative Strategies

Using a multiple intersecting identities enactment framework, and a qualitative methodology, this article examined the multiple and intersecting identities immigrant-origin emerging adult women enacted online and explored the meanings they ascribed to these identities (N = 14, M age ≈ 20; 57% = second-generation immigrant). Thematic analyses of 84 narratives revealed that the immigrant-origin emerging adult women enacted a range of identities online including: personal/individual, relational/social, gender, ethnic, civic, student, occupational, and athletic. Personal/individual and relational/social identities were enacted most frequently, and intersected most often. First-generation and second-generation immigrant women were somewhat similar in the rate with which they enacted their identities online. Results showed that second-generation immigrant women enacted their personal/individual, ethnic, and civic identities as well as their intersecting identities online most often. Findings have implications for theory and research about online enactment of multiple and intersecting identities among immigrant-origin youth.     

Does academic dishonesty relate to unethical behavior in professional practice? An exploratory study

Previous research indicates that students in engineering self-report cheating in college at higher rates than those in most other disciplines. Prior work also suggests that participation in one deviant behavior is a reasonable predictor of future deviant behavior. This combination of factors leads to a situation where engineering students who frequently participate in academic dishonesty are more likely to make unethical decisions in professional practice. To investigate this scenario, we propose the hypotheses that (1) there are similarities in the decision-making processes used by engineering students when considering whether or not to participate in academic and professional dishonesty, and (2) prior academic dishonesty by engineering students is an indicator of future decisions to act dishonestly. Our sample consisted of undergraduate engineering students from two technically-oriented private universities. As a group, the sample reported working full-time an average of six months per year as professionals in addition to attending classes during the remaining six months. This combination of both academic and professional experience provides a sample of students who are experienced in both settings. Responses to open-ended questions on an exploratory survey indicate that students identify common themes in describing both temptations to cheat or to violate workplace policies and factors which caused them to hesitate in acting unethically, thus supporting our first hypothesis and laying the foundation for future surveys having forced-choice responses. As indicated by the responses to forced-choice questions for the engineering students surveyed, there is a relationship between self-reported rates of cheating in high school and decisions to cheat in college and to violate workplace policies; supporting our second hypothesis. Thus, this exploratory study demonstrates connections between decision-making about both academic and professional dishonesty. If better understood, these connections could lead to practical approaches for encouraging ethical behavior in the academic setting, which might then influence future ethical decision-making in workplace settings. An earlier version of this paper was presented at the “Ethics and Social Responsibility in Engineering and Technology” meeting, New Orleans, 2003.     

The <Emphasis Type="Italic">Not Unreasonable</Emphasis> Standard for Assessment of Surrogates and Surrogate Decisions

Standard views on surrogate decision making present alternative ideal models of what ideal surrogates should consider in rendering a decision. They do not, however, explain the physician's responsibility to a patient who lacks decisional capacity or how a physician should regard surrogates and surrogate decisions. The authors argue that it is critical to recognize the moral difference between a patient's decisions and a surrogate's and the professional responsibilities implied by that distinction. In every case involving a patient who lacks decisional capacity, physicians and the treatment team have to make judgments about the appropriateness of both the surrogate and the surrogate's decision. They have to assess the surrogate's decisional capacity and attitude toward the patient as well as the reasons that support the surrogate's decision. This paper provides a model for acceptable surrogate decisions and a standard for blocking inappropriate surrogates. Only decisions based on widely shared reasons are allowable for surrogate refusal of highly beneficial treatment.     

Lessons Learned in Developing a Research Partnership with the Transgender Community

The challenge facing the authors was to develop a relationship with members of the Transgender community in a large urban city in order to develop research that would benefit this group. The situation is presented from the differing perspectives of the three women involved (one Transgender woman and two biological women); they provide their accounts of a meeting with key members of the Transgender community where the challenge became apparent. During the meeting, the issue of representation arose resulting in a discussion of whether the research agenda should be focused on a specific subgroup under the Transgender umbrella or be open to all members of this diverse and underserved group. Reflections on what was learned about the diversity of individuals under the Transgender umbrella and the lessons that helped them respond to the challenge are discussed.     

Roles for scientific societies in promoting integrity in publication ethics

Scientific societies can have a powerful influence on the professional lives of scientists. Using this influence, they have a responsibility to make long-term commitments and investments in promoting integrity in publication, just as in other areas of research ethics. Concepts that can inform the thinking and activities of scientific societies with regard to publication ethics are: the “hidden curriculum” (the message of actions rather than formal statements), a fresh look at the components of acting with integrity, deviancy as a normally occurring phenomenon in human society, and the scientific community as an actual community. A society’s first step is to decide what values it will promote, within the framework of present-day standards of good conduct of science and given the society’s history and traditions. The society then must create educational programs that serve members across their careers. Scientific societies must take seriously the implications of the problem; set policies and standards for publication ethics for their members; educate about and enforce the standards; bring the issues before the members early and often; and maintain continuing dialogue with editors. An earlier version of this paper was presented at the AAAS-Office of Research Integrity (ORI) meeting in Washington DC on the theme: “The Role and Activities of Scientific Societies in Promoting Research Integrity” held on April 10–11, 2000.     

The use of moral dilemmas for teaching agricultural engineers

Agricultural engineers’ jobs are especially related to sustainability and earth life issues. They usually work with plants or animals, and the aim of their work is often linked to producing food to allow people to improve their quality of life. Taking into account this dual function, the moral requirements of their day-to-day professional practice are arguably greater than those of other professions. Agricultural engineers can develop their ability to live up to this professional responsibility by receiving ethical training during their university studies, not only by taking courses specifically devoted to ethics, but also by having to deal with moral questions that are integrated into their technical courses through a program of Ethics Across the Curriculum (EAC). The authors feel that a suitable pedagogical technique for achieving this goal is the use of moral dilemmas, following Kohlberg’s theory of levels of morality (1981), with the final objective of attaining a post-conventional level. This paper examines the possibilities and limitations of using moral dilemmas as a pedagogical technique for training agricultural engineers. The cases, discussions, and evaluation used in the Agricultural Engineering Department of the Technical University of Valencia (Spain) are also presented. An earlier version of this paper was presented at the 2005 conference, Ethics and Social Responsibility in Engineering and Technology, Linking Workplace Ethics and Education, co-hosted by Gonzaga University and Loyola Marymount University, Los Angeles, CA, USA, 9–10 June 2005.     

Informatics and professional responsibility

Many problems in software development can be traced to a narrow understanding of professional responsibility. The author examines ways in which software developers have tried to avoid accepting responsibility for their work. After cataloguing various types of responsibility avoidance, the author introduces an expanded concept of positive responsibility. It is argued that the adoption of this sense of positive responsibility will reduce many problems in software development. An earlier version of this paper was written for inclusion in S. Rogerson and T. W. Bynum, eds., Computer Ethics and Professional Responsibility, Blackwell, (in press). Prepublished here with permission from the author and the editors.