An approach to supervision in health care settings

This article describes a flexible approach to supervision which allows for the fact that integration may mean different things to different people under different circumstances. In the health contexts described the clinical mix which was found most helpful in the supervisory work combined psychodynamic, Jungian and humanistic perspectives. The application of this particular mix of clinical techniques is demonstrated with reference to the work with two supervisees. It is felt that the methods employed are consistent with the current notions of difference in counselling and psychotherapy.     

The Intrinsic Value of Sport: A Reply to Culbertson

Leon Culbertson's recent contribution, ‘Does Sport Have Intrinsic Value?’ objects to the account of the value of sport as intrinsic value I had developed in my Sport, Rules and Values; in particular, as this occurs in my argument that the value of some sports resided in the possibility of their functioning as a moral laboratory. He identifies two accounts of intrinsic value; and shows that neither would fit my purposes seamlessly. He urges that my account of the place of normative reasons cannot generate intrinsic value: rather, the person whose reasons they are somehow imports that value. Yet he has misunderstood my particularist conception of values; and the place occupied by my contextualism – these, rather than a residual commitment to essentialism, are what generates an apparent inconsistency he identifies. But they also explain it away. As a result, much of his concern to find some exact account of the term ‘intrinsic’ is misplaced: we need to look contextually. Further, the project of my discussion was limited to showing, first, how the moral laboratory idea might explain the value of some sport (on the assumption that sport had intrinsic value); and, second, how failures of realisation of that intrinsic value might be traced to the distinction between motivating reasons and normative ones.     

Local pragmatics: reply to Mandy Simons

In response to Mandy Simons’ defence of a classical Gricean approach to pragmatic enrichment in terms of conversational implicature, I emphasize the following contrast. Conversational implicatures are generated by a global inference which uses as a premise the fact that the speaker has said that p, but only the triggering inference is global in cases of pragmatic enrichment. What generates the correct interpretation is a process of reconstrual, which locally maps the literal meaning of a constituent to a modulated meaning and composes that meaning with that of the other constituents. That process is constrained by Gricean considerations (in the broad sense) but that is true of all pragmatic aspects of interpretation, whether pre-propositional or post-propositional. Just as indexical resolution, though pragmatic and constrained by Gricean considerations, does not fit the two-stage model through which Grice accounts for conversational implicatures, so pragmatic modulation can’t be accounted for in terms of that model despite the fact that, like conversational implicatures and unlike indexical resolution, modulation is pragmatically rather than semantically triggered.     

Stability and Change in Cognitive Behavior Therapy: Considering the Implications of ACT and RFT

Acceptance and Commitment Therapy (ACT) and Relational Frame Theory (RFT) are part of the new wave of treatments and analyses that seem to be emerging in cognitive behavior therapy. In this article, data in support of these new approaches are provided, and evidence that ACT works through different processes than traditional CBT are presented. The integrative proposals of Ciarrochi and Robb, and Ciarrochi, Robb, and Godsell are then considered. In the long run, whether such integrations are useful is an empirical matter, but concerns are raised about the effects of focusing on the content of beliefs, and the role of logical–empirical challenges to belief. Address correspondence to Steven C. Hayes, Department of Psychology/298, University of Nevada, Reno, NV 89557-0062, USA.     

Genomic Databases as Global Public Goods?

Recent discussions of genomics and international justice have adopted the concept of 'global public goods' to support both the view of genomics as a benefit and the sharing of genomics knowledge across nations. Such discussion relies on a particular interpretation of the global public goods argument, facilitated by the ambiguity of the concept itself. Our aim in this article is to demonstrate this by a close examination of the concept of global public goods with particular reference to its use in the context of genomic databases. We content that the argument for construing genomics as a global public good depends on seeing it as a natural good by focusing on features intrinsic to genomics knowledge. We shall argue that social and political arrangements are relevant and that recognising this opens the door to construing the use of global public goods language as a strategic one.     

Philosophy and Science Dialogue: Mental Causation

This paper is a dialogue between Thalia Wheatley and Terence Horgan. Horgan maintains that philosophy is a broadly empirical discipline, and that philosophical theorizing about how concepts work treats certain intuitions about proper concept-usage as empirical data. He holds that the possibility of strong multiple realizability undermines the psychophysical identity theory. He holds that the concept of causation is governed by implicit contextual parameters, and that this dissolves Kim’s problem of “causal exclusion.” He holds that the concept of free will is governed by implicit contextual parameters, and that free-will attributions are often true, in typical contexts, even if determinism is true. Thalia Wheatley holds that the concept of multiple realizability hinges on the level of abstraction discussed and that neuroscientific data does not yet support multiple realizability of mental states from specific, high resolution brain states. She also holds that compatibilism redefines the concept of free will in ways that bear little resemblance to the common understanding―that of being free to choose otherwise in the moment. She maintains that this folk understanding is incompatible with the brain as a physical system and is not rescued by concepts of context and capacity.     

The indexicality of ‘knowledge’

Epistemic contextualism—the view that the content of the predicate ‘know’ can change with the context of utterance—has fallen into considerable disrepute recently. Many theorists have raised doubts as to whether ‘know’ is context-sensitive, typically basing their arguments on data suggesting that ‘know’ behaves semantically and syntactically in a way quite different from recognised indexicals such as ‘I’ and ‘here’ or ‘flat’ and ‘empty’. This paper takes a closer look at three pertinent objections of this kind, viz. at what I call the Error-Theory Objection, the Gradability Objection and the Clarification-Technique Objection. The paper concludes that none of these objections can provide decisive evidence against contextualism.     

Creating a strategy for progress: a contextual behavioral science approach

Behavior analysis is a field dedicated to the development and application of behavioral principles to the understanding and modification of the psychological actions of organisms. As such, behavior analysis was committed from the beginning to a comprehensive account of behavior, stretching from animal learning to complex human behavior. Despite that lofty goal, basic behavior analysis is having a generally harder time finding academic support, and applied behavior analysis has narrowed its focus. In the present paper we argue that both of these trends relate to the challenge of human language and cognition, and that developments within clinical behavior analysis and the analysis of derived relational responding are providing a way forward. To take full advantage of these developments, however, we argue that behavior analysts need to articulate their unique approach to theory, to develop more flexible language systems for applied workers, and to expand their methodological flexibility. This approach, which we term contextual behavioral science, is meant as an evolutionary step that will allow behavior analysis to better capture the center of modern psychological concerns in both the basic and applied areas. Clinical behavior analysis is showing a way forward for behavior analysis to regain its vision as a comprehensive approach to behavior.     

Does an Appeal to the Common Good Justify Individual Sacrifices for Genomic Research?

In genomic research the ideal standard of free, informed, prior, and explicit consent is believed to restrict important research studies. For certain types of genomic research other forms of consent are therefore proposed which are ethically justified by an appeal to the common good. This notion is often used in a general sense and this forms a weak basis for the use of weaker forms of consent. Here we examine how the notion of the common good can be related to individual health, health care, and genomic research and we use this analysis to propose more precise criteria to justify forms of consent which diverge from the ideal standard.