Book Review: Managing Mental Health in the Community: Chaos and Containment

Abstract

The British Association of Counselling first introduced a Code of Ethics and Practice for Counsellors in 1984. It has subse-quendy been revised three times. The codes have to be sufficiently broad to be accepted by the membership of BAC, who come from a wide range of theoretical backgrounds. Inevitably this means that the codes do not satisfy everyone nor do they resolve all ethical dilemmas. This paper focuses on sections of the codes which are unsatisfactory, or inadequate for psychodynamic counsellors. It also looks at the influence of psychodynamic counsellors in changes to the clauses on sexual exploitation. Finally the absence of any mention of dual and multiple relationships is discussed.     

The religioning of anthropology: New directions for the ethnographer‐pilgrim

Based on fieldwork in the state of Kerala, south India, Dempsey explores the ethnographical endeavour through the lens of religion. Applying religious categories such as pilgrimage and sainthood to examine the mechanics of ethnography, this essay investigates a spectrum of fieldwork motives and outcomes. Using the tourist and her quest as a comparative link between ethnographer and pilgrim, Dempsey proposes possible ‘religious’ motives in portraying the other as irretrievably exotic, in spite of evidence to the contrary, functioning as a kind of healing authenticity for modernity's banal existence. Dempsey notes that current trends in ethnography offer opportunities for an alternative kind of pilgrimage, based on attention to human intimacies that stem from extended fieldwork. These intimacies work to dash, sometimes begrudgingly, touristic ‘faith’ in unbreachable otherness, challenging the ethnographer to a conversion of sorts, and bringing her study back down to earth.     

Exploitation in Older Adults: Personal Competence Correlates of Social Vulnerability

ABSTRACT

Clinical assessment of older people at heightened risk of financial exploitation (also termed social vulnerability) is a difficult task. There are a number of previously untested domains of personal competence which could influence social vulnerability in later life. In this study, intellectual, cognitive, and social-cognitive functioning was assessed in a combined sample of dementia patients (n = 31) and neurologically healthy individuals (n = 68) aged 50 years or over. Informants provided assessments of participants' social functioning, personality, and social vulnerability. In the combined sample, multiple regression analyses revealed significant relationships between each personal competence domain and (lower) social vulnerability, apart from personality which was non-significant. General cognitive functioning and, in particular, executive functioning showed significant overlap with social vulnerability after controlling for memory and age. Social measures were also important correlates of vulnerability, indicating that both neurocognitive and social cognitive deficits may contribute to financial exploitation in later life.     

Out in the midday Sun: Risk behaviour and optimistic beliefs among residents and visitors on tenerife

Abstract

A questionnaire was distributed to 107 local residents on a beach on the island of Tenerife and to 108 visitors from Britain and continental Europe. Measures included perceived danger of sun exposure. environmental concern. value of a suntan, optimism regarding personal risk of skin damage relative to others of one's age and gender, amount of midday sun exposure, sunscreen use and skin type. Use of sunscreen protection was greatly below recommended levels, though higher for women (N = 103). Among visitors, the British (N = 54) showed the riskiest behaviour. Relationship between behaviour. beliefs and background variables varied between groups. Overall there was a significant optimistic bias. This was stronger for the British, and for men. The relationships between optimism and other measures varied between the different national groups. In particular, among the British. greater optimism was associated with placing a higher value on a suntan, with having a more sensitive skin type, with using less adequate sunscreen protection, and with spending a (nonsignificantly) greater proportion of time exposed to the sun in the middle of the day. Among locals and visitors from continental Europe, optimism was associated with less midday exposure. It is concluded that these data offer evidence for two complementary interpretations of the relationship between optimism and health behaviour. On the one hand, those who perceive themselves to be at greater risk may be motivated to take more precautions. while risk-taking may be greater among those regard themselves as less vulnerable. On the other hand. those who take more precautions may infer that their own relative risk is lower. It is argued that research should not assume a single process relating perceived risk to behaviour, but consider factors that might predict the relative importance of alternative processes.     

Why do right-wing adherents engage in more animal exploitation and meat consumption?

Despite the well-documented implications of right-wing ideological dispositions for human intergroup relations, surprisingly little is understood about the implications for human–animal relations. We investigate why right-wing ideologies – social dominance orientation (SDO) and right-wing authoritarianism (RWA) – positively predict attitudes toward animal exploitation and meat consumption. Two survey studies conducted in heterogeneous community samples (Study 1, N = 260; Study 2, N = 489) demonstrated that right-wing ideologies predict greater acceptance of animal exploitation and more meat consumption through two explaining mechanisms: (a) perceived threat from non-exploitive ideologies to the dominant carnist ideology (for both SDO and RWA) and (b) belief in human superiority over animals (for SDO). These findings hold after controlling for hedonistic pleasure from eating meat. Right-wing adherents do not simply consume more animals because they enjoy the taste of meat, but because doing so supports dominance ideologies and resistance to cultural change. Psychological parallels between human intergroup relations and human–animal relations are considered.     

A Social Interpolation Model of Group Problem-Solving

How do people use information from others to solve complex problems? Prior work has addressed this question by placing people in social learning situations where the problems they were asked to solve required varying degrees of exploration. This past work uncovered important interactions between groups' connectivity and the problem's complexity: the advantage of less connected networks over more connected networks increased as exploration was increasingly required for optimally solving the problem at hand. We propose the Social Interpolation Model (SIM), an agent-based model to explore the cognitive mechanisms that can underlie exploratory behavior in groups. Through results from simulation experiments, we conclude that “exploration” may not be a single cognitive property, but rather the emergent result of three distinct behavioral and cognitive mechanisms, namely, (a) breadth of generalization, (b) quality of prior expectation, and (c) relative valuation of self-obtained information. We formalize these mechanisms in the SIM, and explore their effects on group dynamics and success at solving different kinds of problems. Our main finding is that broad generalization and high quality of prior expectation facilitate successful search in environments where exploration is important, and hinder successful search in environments where exploitation alone is sufficient.     

MORAL COMMODITIES AND THE PRACTICE OF FREEDOM

This essay explores an increasingly popular genre of organized group travel in white mainline and emerging evangelical US Christianity I call “journeys to the margins”: trips centered on learning from marginalized persons for the traveler’s ethical formation. Drawing on ethnographic research with one case study, “Come and See Tours” to Israel/Palestine, I interrogate how the commodified form of these trips shape possibilities for ethical subjectivation. First, I demonstrate ways in which journeys to the margins market ethical transformation to American Christian consumers in the form of packaged moral narratives. Second, I focus on the paradoxical nature of journeys to the margins as simultaneously packaged commodities and ethical encounters. Finally, I use reformulations of freedom emerging from the anthropology of ethics to argue that possibilities for ethical subjectivation occur in moments when tour ideals come into tension with lived realities.     

Exploitation and Remedial Duties

The concept of exploitation and potentially exploitative real‐world practices are the subject of increasing philosophical attention. However, while philosophers have extensively debated what exploitation is and what makes it wrong, they have said surprisingly little about what might be required to remediate it. By asking how the consequences of exploitation should be addressed, this article seeks to contribute to filling this gap. We raise two questions. First, what are the victims of exploitation owed by way of remediation? Second, who ought to remediate? Our answers to these questions are connected by the idea that exploitation cannot be fully remediated by redistributing the exploiter's gain in order to repair or compensate the victim's loss. This is because exploitation causes not only distributive but also relational harm. Therefore, redistributive measures are necessary but not sufficient for adequate remediation. Moreover, this relational focus highlights the fact that exploitative real‐world practices commonly involve agents other than the exploiter who stand to benefit from the exploitation. Insofar as these third parties are implicated in the distributive and relational harms caused by exploitation, there is, we argue, good reason to assign part of the burden of remediation to them.     

Increased research literacy to facilitate community ownership of health research in low and middle income countries

ABSTRACT

The expansion of health research to low and middle income countries has increased the likelihood of exploitation and undue influence in economically vulnerable populations. In behavioral research, “reasonable availability”, which was originally developed for biomedical research and advocates for the equitable provision of any product developed during the research process, cannot always prevent exploitation. In such cases and settings, the informed consent process may lack cross-cultural validity and therapeutic misconceptions may arise. This article advocates for a mutual learning framework where international researchers can gain cultural competence while training and empowering local partners, increasing community ownership of health research.