This article reviews key philosophical and legal underpinnings of mental health professionals' obligation to obtain informed consent from consumers of their services. The basic components of informed consent are described, and strategies for clinically and ethically appropriate methods of obtaining informed consent are discussed. Emerging issues in informed consent involving duty to assess and protect against client dangerousness, obligations to third parties, and issues of deception are considered as well. The article proposes that part of the process of obtaining informed (...) consent is the cultivation of a treatment environment that emphasizes beneficence and client autonomy. (shrink)

Les parlers poitevins nord-occidentaux (Noirmoutier, Marais nord vendéen) présentent une variation allophonique complexe du vocalisme. On peut distinguer plusieurs niveaux de diphtongaison qui rendent ces variétés particulièrement intéressantes pour l’analyse phonologique. L’étonnante diversité des formes phonétiques en surface peut cependant se réduire à deux grandes catégories de noyaux vocaliques, simples (monophtongues) et complexes (monophtongues longues et diphtongues sous-jacentes). Les premières sont sujettes à des contraintes d’expression liées à l’atérité, ou laxité, tandis que les deuxièmes alternent des voyelles tendues avec des (...) diphtongues décroissantes ou fermantes dans l’oral spontané. Cette contribution traite principalement de comment une enquête sur la structure phonologique d’une variété dialectale peut durer vingt ans, en faisant alterner diverses approches et divers angles de vue sur les données : transcription phonétique, spectrographie acoustique, analyse phonologique tendant à devenir une enquête phonologique amenée à remettre en cause ses prémisses et ses instruments d’observation des faits de parole pour aboutir à une description de la langue. (shrink)

Selected by the American Library Association's journal, Choice, as "one of the Outstanding Academic Books of the Year" "Leonard's book is a fine example of interdisciplinary studies.

In this sweeping revision of avant-garde history, John Cage takes his rightful place as Wordsworth's great and final heir. George Leonard traces a direct line back from Cage, Pop, and Conceptual Art through the Futurists to Whitman, Emerson, Ruskin, Carlyle, and Wordsworth, showing how the art of everyday objects, often thought an exclusively contemporary phenomenon, actually began as far back as 1800. In recovering the links between such seemingly disparate figures, Leonard transforms our understanding of modern culture. Selected (...) by the American Library Association's journal, _Choice_, as "one of the Outstanding Academic Books of the Year" "Leonard's book is a fine example of interdisciplinary studies. He shifts focus persuasively from art theory to literature to religious thought and biography, making his method seem the natural mode of inquiry into culture."—Kenneth Baker, _San Francisco Chronicle Book Review_ "Provocative and illuminating."—_Library Journal_ "Highly stimulating, impassioned."—_Publisher's Weekly_ "A rich and rewarding study written in a clear and accessible style with excellent references and a very useful index. Highly recommended."—_Choice_. (shrink)

This study investigates the ability of individuals with psychopathy to perform passive avoidance learning and whether this ability is modulated by level of reinforcement/punishment. Nineteen psychopathic and 21 comparison individuals, as defined by the Hare Psychopathy Checklist Revised (Hare, 1991), were given a passive avoidance task with a graded reinforcement schedule. Response to each rewarding number gained a point reward specific to that number (i.e., 1, 700, 1400 or 2000 points). Response to each punishing number lost a point punishment specific (...) to that number (i.e., the loss of 1, 700, 1400 or 2000 points). In line with predictions, individuals with psychopathy made more passive avoidance errors than the comparison individuals. In addition, while the performance of both groups was modulated by level of reward, only the performance of the comparison population was modulated by level of punishment. The results are interpreted with reference to a computational account of the emotional learning impairment in individuals with psychopathy. (shrink)

Mere possession of generic professional credentials cannot be used as justification of necessary and sufficient skill to perform in a forensic role. Case examples are used to illustrate problems of both competence and quality that sometimes accompany mental health clinicians to the witness stand.

In 1988, my book Morality After Auschwitz: The Radical Challenge of the Nazi Ethic first appeared. The book generated a variety of responses, some positive and enthusiastic and some quite negative. The reason for these responses, of course, was that in the book I staked out a discomforting, and so controversial, position. The overarching conviction which led to the writing of the book was that, like in so many other areas, the process of thinking about ethics and doing moral philosophy (...) in the post-Shoah world simply could not continue in the same way as it had up to that point. That is, for me, the events of the Holocaust represent, if I can borrow a concept from Emil Fackenheim, a kind of revelation, a radical challenge to the way we in the West must face and try to understand the human condition.Beginning from this perspective, I came to the conclusion, in brief, that one of the most disturbing implications of the Holocaust for moral theory is that we can no longer assume that there is a universal moral truth to which all normal people have access and to which all normal people will naturally respond. In other words, the optimistic assumption of Western modernity that human beings can know and act on the true and the right, can no longer be taken for granted. This, of course, seriously undermines the very basis for the modern enterprise of moral philosophy.As one engaged in the teaching of Western moral philosophy, I of course did not come to this position easily, nor am I fully comfortable with it. But that uncomfortableness is in the end also part of the point. I am the child of survivors and I live and work in a post-Shoah world, and that world is simply not a comfortable one to inhabit. It is not the optimistic world of Enlightenment thinking. For me, the implications of the Holocaust for what I am doing as a professor of religion and as a scholar of ethics must be taken seriously enough to radically affect the way I, and others, go about our business.Before moving forward, I should give a little bit of the intellectual background that led me to write the book in the way I did. I came to the study of the Holocaust rather late. In fact I only really entered into a systematic study of the Holocaust when I began teaching in 1980, that is after my university education and even after my graduate work. I came to the Holocaust then as a young scholar with little formal background in the field, but with the need to develop and teach a course to American undergraduates.Looking back, I think that coming to the study of the Holocaust relatively late in my professional development was actually a positive situation: I was not, after all, invested in the field, I did not have prior commitments to one view or the other, I did not feel I had a particular set of scholars to defend or uphold. When I began to teach the Holocaust, the only items on my agenda were to understand the events as best as I could and then devise a way of presenting them to the students in the clearest possible way. (shrink)

In this volume specialists of medieval music and philosophy put the medieval 'musica' into the context of ideas and institutions in which it existed. The significance of 'musica' cannot be understood from a modern point of view since 'music' does not match the medieval 'musica'.

This book presents a collection of contemporary discourses that reconsider the relationship of democracy as a political ideology and American ideal and education as the foundation of preparing democratic citizens in America.

This is the first full discussion of Philoponus' account of matter. It is shown here that philosophical problems in Neoplatonism motivated the definition of prime matter as three-dimensional extension, and that Plotinus, Syrianus, and Proclus prepared the way for Philoponus.