The design and use of the Bioethics Consultation Form

The emergence of the ethics consultation as a means to resolve moral crises in clinical medicine has revealed the need for a worksheet that would facilitate intake and analysis. The author developed the Bioethics Consultation Form as an attempt to remedy this need. The form is arranged in an outline format and is a useful asset to ethics committee discussions and record keeping. The first section covers basic intake data concerning the patient's medical and personal information, advance directives, and values, as well as the values of the physician and family. After the intake section is completed with the above data, the ethics consultant then turns to the analysis section. This second section allows for (1) the discussion of conflicting values, (2) the identification of priorities, and (3) the elucidation of ethical norms relevant to the case.The Bioethics Consultation Form was adopted by the Patient Care Advisory committee of the Franklin Square Hospital Center in Baltimore, Maryland in 1986. The methodology in the use of the form will be discussed. Further, the potential spectrum of consultative cases that can be analyzed using the form will be highlighted.     

We're all in this together now: group performance feedback to increase classroom team data collection

This study's primary goal was to evaluate the use of performance feedback procedures delivered to a classroom team to increase daily data collection. Performance feedback (PFB) was delivered to four classroom teams responsible for the daily collection of data representing student performance during prescribed instructional activities. Using a multiple-baseline design, the effects of the team performance-feedback were evaluated for the target student, and for generalization to data collection for all classroom students. A secondary question evaluated if student on-task behavior correlated with increased data collection. Finally, social validity was investigated to evaluate team satisfaction with the PFB intervention. The results demonstrate improved data collection across all four classroom teams for the target student in each classroom and generalization within classrooms to all remaining students. Slight increases in student on-task behavior were observed in three of the four classrooms, and teacher satisfaction ratings were high.     

Understanding Hope. Persons in the Process of Dying

Changes both within the profession of psychoanalysis and in society as a whole have affected our psychoanalytic training programs and presented new ethical challenges. Whereas in earlier decades training programs needed to be concerned primarily about the inviolability of the training analysis and the choice of appropriate analytic candidates, today there is little support for psychoanalysis as a treatment modality. Institutes are experiencing greater competition in attracting quality candidates and in providing them with adequate training experiences. This strain encourages institutes to operate in unethical ways to attract candidates. On the other hand, within the profession itself we are experiencing much theoretical ferment and the increasing feminization of the profession. These changes are affecting our training institutes and our ethical values in both positive and negative ways.     

Author biographies

This paper describes how an application of psychodynamic principles and techniques in a school setting can open up perspectives and insights into aspects of loss and mourning, which result in the personal and professional growth of individuals. It discusses applied psychoanalytic work in relation to its clinical base in the consulting room, in particular family work, and exemplifies this with a variety of cases.     

Consistency of Mother-Child Interaction Using the Mediated Learning Experience (MLE) Scale

This investigation focused on stability of mother-child interactions in three consecutive situations, as rated by the Mediated Learning Experience (MLE) Scale. The Scale was devised to reflect components of parent interaction hypothesized to facilitate cognitive development of children, as described by Feuerstein. Twenty-two mothers were videotaped in interaction with their pre-school children in three consecutive situations: two structured teaching, and one free play. The Scale was found to have moderate internal consistency and moderate to high interrater reliability. Intersituational consistency of the parents varied with the components. The mediational component of Transcendence correlated significantly and positively with the Perceptual-Performance subscale score of the McCarthy Scales of Children's Abilities, and the component of Reciprocity correlated significantly, but negatively, with the McCarthy Perceptual-Performance score. Implications of the results for special practitioners and applied researchers are discussed.     

Pediatrician/Psychologist Collaboration: Opportunities for Clinical Child Psychologists

In the United States, pediatricians prescribe the majority of medications used to treat children with psychological disorders, such as ADHD. However, because pediatricians have limited background in psychology or psychiatry, opportunities exist for properly trained clinical child psychologists to assist pediatricians in assessing and treating youngsters with psychological disorders. Psychologists with additional training in psychopharmacology can make even greater contributions by helping pediatricians select and monitor appropriate medications. This paper reviews models of consultation that are especially relevant to psychologists who seek to expand their practice by consulting with pediatricians. Consultant-centered models seem most appropriate in private practice settings, but institutionally employed psychologists have opportunities to also utilize some system-centered approaches. Examples of methods in which pediatric clinical psychologists and child psychologists with psychopharmacology training can assist pediatricians in treating a child with ADHD are discussed.     

School Psychologist and Teacher Perceptions of Social Power in Consultation

Social power has been recognized as central to understanding aspects of school consultation. This study examined school psychologist and teacher perceptions of the effectiveness of 11 bases of social power that psychologists might use with initially resistant teachers. Results suggested that psychologists and teachers held similar views about power within consultation: Both groups rated expert and informational power as the most effective bases, ranked the 11 power bases in a similar way, and indicated that psychologists would be more effective using “soft” (i.e., subtle, positive, noncoercive) bases rather than “hard” bases. Findings also suggested that the groups held different views of social power: Psychologists rated impersonal and personal reward power as more effective than did teachers, and teachers rated psychologists' use of legitimate position, informational, and legitimate dependence power as more effective than did psychologists.     

Multicultural Issues in School-Based Consultation Conceptual and Research Considerations

In this article, we review literature relevant to multicultural issues in school-based consultation. Specifically, multicultural literature in the counseling and psychotherapy fields is presented as it relates to consultation. Ways in which culture may affect the consultant, consultee, and client are suggested. Because of the paucity of multicultural research in consultation and lack of major break-throughs in multicultural research as related to consultation, a conceptual framework related to the utility of multicultural issues is presented as a new paradigm for future investigations.