Fostering Feminist Principles in Our Community

SUMMARY

In a recent focus group discussion at the Feminist Therapy Institute conference participants outlined a vision for a future community based on feminist principles. It is built on five critical ideals, including more equitable distribution of resources, genuine respect for human diversity and varying world views, caring and compassionate members, increased connections and collaborations, and political/personal empowerment. While the challenges inherent to such vision must be acknowledged, greater attention will be placed on ways in which we can begin to foster environments and micro communities that are conducive to feminist practice and ideology.     

Mandatory personal therapy: does the evidence justify the practice? In debate

ABSTRACT

The article addresses the question of whether the practice of mandatory personal therapy, followed by several training organisations, is justified by existing research and evidence. In doing so, it discusses some implications of this training requirement from an ethical and ideological standpoint, raising questions of import for training organisations and highlighting avenues for further research.     

Women's views about intimate examinations and sexually inappropriate practices by their general practitioners

Abstract

The aim of this survey of 472 adult women was to assess women patients' feelings about intimate examinations and their perceptions and experiences of sexually inappropriate medical practice. Two-thirds of women preferred a women doctor for intimate examinations. Slightly more than two-thirds found intimate examinations embarrassing and stressful, and strongly expressed the need for information and on-task, health-related comments during these examinations. General personal comments or non-medical touching were not particularly welcomed, even for the purpose of comforting the patient. There was a range of views about patients' personal relationships with doctors, with the lines between acceptable and unacceptable behaviour somewhat ambiguous. A small but significant number of women perceived that they had been sexually harassed (5%) or abused (3%) by a doctor, with this experience more common for non-English speaking women. Results were discussed in terms of implications for improved doctor practice, particularly during intimate examinations and with vulnerable patients.     

Computer-Assisted Therapies: Examination of Therapist-Level Barriers to Their Use

Despite enthusiasm in the field for their potential ease of dissemination, little work has examined whether practicing clinicians are willing and able to use computer-assisted therapies (i.e., computerized treatments designed to be administered with therapist support). For therapists to use these tools, they require access to computer equipment, the skills needed to use the equipment, and willingness to adopt the technology in treatment. This study examined these three factors using survey data from a national sample of mental health clinicians (N = 1,067). Respondents reported on their access to technology and computer fluency, in addition to completing the Computer-Assisted Therapy Attitudes Scale (CATAS), a measure of therapist attitudes designed for this study. Overall, the majority of therapists (90.7%) reported access to at least one computer at work and self-reported computer fluency levels were high. On average, therapists held positive attitudes towards computer-assisted therapies, although expressed concern that these technologies might damage rapport and did not feel that these technologies would improve treatment outcomes. Predictors of positive attitudes included greater general openness toward new treatments, greater comfort with computers, and easier access to technology at work (all ps < .01). Results suggested that, on the whole, therapists may be likely to integrate computer-assisted therapies into their clinical practice. However, therapists vary both in their ability and willingness to use these tools. Implications for the dissemination of computer-assisted therapies are discussed.     

Voices of African Traditional Healers: Cultural Context and Implications for the Practice of Counselling in Sub-Saharan Africa

The healing paradigm implicit in many sub-Saharan African cultures is embedded in African cosmology, and thus the recognition of this is essential for understanding Traditional African Healing practices and implementing collaborative counselling practices. To this end, this article focuses on the cultural importance, or voice, of traditional healers in sub-Saharan Africa. The current article uses an ethnographic approach to analyse systematically the cultural context of indigenous healing practices in sub-Saharan Africa. The anthropological importance of Traditional Healing practitioners, the context of healing, and the changing legal and ethical status of Traditional Healers are addressed as pivotal in furthering the development of this crucial, yet under utilized resource. The authors propose that such cultural understanding is highly relevant to the work of professional counselors.     

From state church to faith community: an analysis of worldly and spiritual power in the Church of Sweden

The aim of this article is to discuss the current legislation, and power structures in and between different levels of the Church of Sweden in terms of church–state relations and secularisation, with the help of theories from sociology of religion and ecclesiology drawn from José Casanova, Grace Davie and Avery Dulles. With themes from Lutheran theology, including the two regiments and the common priesthood of all believers, we analyse the current legislation and power structures from the perspective of the so-called ‘dual line of responsibility’. The underlying hypothesis is that the structures of the former state church are still deciding the power structures in the Church of Sweden. This creates obscurity concerning the role of the church in public society and negatively affects the ecclesiastical development of the church now that it has lost its earlier status as a state church.     

The Second Vatican Council 50th anniversary: visions and re-visions

On 21 November 2014, the 50th anniversary of the solemn promulgation of Lumen Gentium and Unitatis Redintegratio was celebrated. Between ‘aggiornamento’ and ‘ressourcement’ the Catholic Church had been striving to understand itself and its Tradition more precisely, in order to be newly relevant, lastingly true and authoritative in the future ? an indispensible task, if the gospel were to be proclaimed to the contemporary world, but not an easy one. It is little wonder that this completion of the Council's endeavours was preceded by its so-called ‘black week’. Questions remain as to the outcome of it all, and the articles assembled in this issue assess the reception of these two conciliar texts after 50 years. Where do the achievements lie? Where are the shortcomings? Where do questions need to be asked today that reach beyond the horizon of Vatican II?     

Learning and teaching (briefly)

This paper was given as the Annual Ellen Noonan Counselling Lecture on July 2012 and retains some of the spoken style of the lecture. It uses examples of Ellen Noonan’s work to examine aspects of the process of teaching and learning psychodynamic practice. The difficulties of how to embed theoretical knowledge with its clinical application are discussed and the question of what are the key skills of the self-reflective practitioner is raised with reference to whether, and how, they can be taught or learnt. It is suggested that part of this process consists in helping students, and their teachers, to be more comfortable with not knowing, a concept that is both counter intuitive and counter cultural. From this aspects of contemporary therapeutic practice, with specific reference to psychodynamic short-term therapy, are addressed. The paper looks at the ambivalence felt by many psychodynamic clinicians towards working within a short-term paradigm in current workplace settings and how this might be addressed. The paper discusses the intrinsic qualities of a psychodynamic short-term approach and its relation to contemporary therapeutic modalities. It is suggested that the increasing managerial culture, leading to the ascendance of protocol driven, manualised and structured therapies, represents an attack on the relational and must be challenged.     

‘I download my prayer schedule’: exploring the technological mediation of Islamic religious practice at work

The practice of daily prayers in Islam and how observances such as Ramadan fall each year follow specific solar or lunar calendars different from the Gregorian calendar of UK work places. Identifying the time for daily prayers and finding a place to practise is a skilled activity requiring ways to ascertain the correct (and changing) time and a place in which prayer can take place. In the absence of traditional mediation such as the call to prayer broadcast from a local mosque, new, often technologically innovative, approaches are being adopted. This paper reports on a study of how Muslims practise and negotiate the difficulties of performing daily prayers in a UK university. Though technological mediation is a significant aspect of daily prayers, it is but one part of a complex practice which often involves multiple technologies and multiple ways of working.     

ADHD Assessment

Abstract

This study examined effects of negative versus positive symptom formats on the assessment and subsequent classification of ADHD in children in public schools. Symptoms associated with the disorder based on the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) were presented to parents and teachers of referred children according to both types of formats. Informants were then asked to indicate whether the symptoms described the child's behavior over the last six months. Overall, the negatively phrased symptoms appeared to generate response bias which resulted in an increased percentage of children meeting the DSM-IV criteria for ADHD. Additionally, the decision reliability or classification agreement between the two formats was low, suggesting the possibility of confirmation bias in the assessment process. Implications for practice and future research are discussed.