ABSTRACT The emergence of the coronavirus disease 2019 pandemic has wide-ranging implications for the field of professional psychology. As clinical practice has rapidly adapted to ensure continuity of care, doctoral students have encountered unique opportunities for ethics-related competency development across practicum training settings. This article discusses the relevant American Psychological Association Ethics Code standards and additional ethical considerations facing trainees as they navigate their foundational clinical experiences and develop as professional psychologists in light of a pandemic.

In lieu of an abstract, here is a brief excerpt of the content:"I'd Love to go Off the Grid and Never Come Back"AlishaDisclaimers. The author has chosen to disclose only her first name. All other names have been changed to protect the privacy of the individuals mentioned.I have been a nurse for 18 years. I have dealt with death. I have performed CPR, closed eyes, called families, and bagged bodies. I have taken decedents to the morgue. I knew what I (...) signed up for when I became a nurse, but nothing prepared me for the 2020–2022 pandemic years, and the havoc wreaked on my mental, emotional, spiritual, and physical health. I was then in a managerial position. Patients' accounts of tragedy and families' sorrow, confusion, denial, anger, regret, and fear came across my desk daily at the hospital, nightly to my phone, and over the weekend while at home. In March of 2020, I took responsibility for managing the hospital's morgue, an experience that proved to me that death is no respecter of man.The morgue had the capacity to hold five decedents. It was my responsibility to ensure that we had space for the decedents that were coming in droves. Though our hospital was hit disproportionally by COVID-19, we were unable to secure a refrigerated truck for the overages. Instead, we had to transfer our overflow across town to another hospital no matter the time of day or night. The funeral homes were overwhelmed and could not meet the mass demands, which caused major delays in picking up decedents from the hospital. Most funeral homes took them in body bags straight to the crematory or the cemetery for burial. Many would not open the bags to confirm identities. Instead, they trusted the information I wrote on the [End Page 77] bag in black marker and information on the ID tag attached to the zipper.As the deaths increased and more transfers were made, my social work supervisor Audi and I could barely keep track of the decedents—let alone which families we had reached. We created a process and checklist that had to be signed off before any transfers were made. My director, who supported us, encouraged me to train others to help. However, I felt an intense duty to own this process because of how easy it could be to misidentify someone. Families were losing loved ones daily. They could not be by their side as they took their last breath. The next contact the family had was picking up the decedent's ashes or burying a closed casket. I refused to be responsible for causing additional suffering by losing a loved one's remains. When I made the decision to control the process, I never dreamed I would do this job for three years, nor did I realize the trauma it would cause.One day, a lady named Pam asked us if she could see her mother in the morgue. "Of course not!" I thought. We were not opening body bags for any reason. When I spoke with Pam, she explained that her son had been shot and killed and that her mother witnessed his death. Pam's mother suffered a fatal heart attack after witnessing her grandson's murder."Ma'am, give me a moment," I said. I reviewed the decedent's chart to verify the information and considered what to do. After discussing Pam's request with Audi and my director, we decided to make an exception for this extenuating circumstance and allow Pam to see her mother. Audi and I viewed the decedent to ensure she was presentable. I closed her eyes and cleaned her. When I closed her eyes, a little fluid came out. When we brought Pam in, she noticed and wiped away her mother's "tears," lovingly looking at her. When walking Pam to the front door, she told us about her other son, who had also passed away recently. Remember, we were not supposed to touch anyone at that time "out of an abundance of caution," but with her heart-wrenching situation, we hugged Pam anyway.By the end of April 2020, Audi and I had monitored nearly 100 deaths, coordinating with funeral homes to... (shrink)

An ethics primer for nurses and nursing students that advances a vision for a holistic Christian notion of health and explores what Christian faith means, on a practical level, for the practice of nursing.

Veganic agriculture, often described as farming that is free of synthetic and animal-based inputs, represents an alternative to chemical-based industrial agriculture and the prevailing alternative, organic agriculture, respectively. Despite the promise of veganic methods in diverse realms such as food safety, environmental sustainability, and animal liberation, it has a small literature base. This article draws primarily on interviews conducted in 2018 with 25 veganic farmers from 19 farms in the United States to establish some baseline empirical research on this farming (...) community. Its qualitative perspectives illuminate farmer perceptions of and experiences with veganic growing, including definitions, knowledge acquisition, values, and challenges. Results highlight a lack of agreement about the meaning of veganic agriculture in terms of allowable inputs and scope. Participants have drawn on a wide array of veganic and non-veganic resources to ascend their veganic production learning curves, also relying on experimentation and trial-and-error. Their farming is motivated by a diversity of real and perceived benefits, most notably consistency with veganism, food safety advantages, and plant and soil health benefits. Veganic product sourcing and the dearth of veganic agriculture-specific resources present considerable challenges to farmers. The article briefly discusses possibilities for developing veganic agriculture in the United States, such as through a US-based certification system and farmers’ associations, based on considerations of the trajectory of the US organic farming movement and veganic developments in Europe. Finally, the article suggests the importance of expanded research into soil health and fertility in plant-based systems to support practicing and potential veganic farmers. (shrink)

This discussion seeks to highlight the ability of poetry to combat loneliness, a growing public health problem with significant negative health outcomes that potentially impact millions of Americans. We argue that poetry can play a very relevant role and have an impact in medicine. Through a brief literature review of previous studies on poetry in medicine, we demonstrate that poetry can not only combat loneliness but can also play important roles in helping patients, physicians, and other healthcare professionals/providers. Because of (...) the COVID-19 pandemic, we believe now is the perfect opportunity to utilize poetry because the benefits can be experienced even in solitude, which is why this is such a timely and pertinent issue today. (shrink)

All ethnographies, perhaps, contain some mystery: of how humans understand each other, or the way that words and glances, observations and encounters are turned into insights about what it means to be human at a given moment in history. But Sareeta Amrute’s Encoding Race, Encoding Class: Indian IT Workers in Berlin begins with a proper mystery, a person who has disappeared, and this literally missing body adroitly stages the subsequent exploration of IT workers’ missing bodies in scholarship on cognitive labor. (...) -/- Global software and service is often thought of as “immaterial,” a traffic of ideas in which effort is a matter of the mind, rather than a muscled arm. Without collapsing cognitive and manual labor, Amrute argues that both are nonetheless embodied ––and formidably marked by social difference, in particular post-genomic notions of race, and class. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Full Collection of Personal NarrativesJake Beery, Neethi Pinto, Marcia King, Laura Wachsmuth, Alisha, Katie L. Gholson, T.S. Moran, Calvin R. Gross, Joanne Alfred, Cindy Bitter, Jenna Bennett, Nadia Khan, Clarice Douille, Kristen Carey Rock, Adrienne Feller Novick, Andrea Eisenberg, Japmehr Sandhu, Katherine Bakke, Heer Hendry, Karan K. Mirpuri, and Katerina V. Liong• Being the Difference• Grieving One More Time• Echoes of Grief: Tales from an Emergency Medicine and (...) Critical Care Nurse• Searching for Peace in Death• “I’d Love to go Off the Grid and Never Come Back”• “A Mother’s Love”• Tiny Person, Big Impact• Night Shift• Cracked Armor• Who Tells the Story• Navigating Hard Situations that Medical School Cannot Prepare You For• The Wish• Break• Five More Minutes• I Saw My Reflection• The Aftermath• Where the Journey Begins• Lessons Learned in Room 208• Joint and Grief Aches• My First Loss: Carrying His Legacy• Grieving the Loss of What Medicine Was Supposed to BeCopyright © 2024 Johns Hopkins University Press... (shrink)

We report the identification of a recurrent, 520-kb 16p12.1 microdeletion associated with childhood developmental delay. The microdeletion was detected in 20 of 11,873 cases compared with 2 of 8,540 controls and replicated in a second series of 22 of 9,254 cases compared with 6 of 6,299 controls. Most deletions were inherited, with carrier parents likely to manifest neuropsychiatric phenotypes compared to non-carrier parents. Probands were more likely to carry an additional large copy-number variant when compared to matched controls. The clinical (...) features of individuals with two mutations were distinct from and/or more severe than those of individuals carrying only the co-occurring mutation. Our data support a two-hit model in which the 16p12.1 microdeletion both predisposes to neuropsychiatric phenotypes as a single event and exacerbates neurodevelopmental phenotypes in association with other large deletions or duplications. Analysis of other microdeletions with variable expressivity indicates that this two-hit model might be more generally applicable to neuropsychiatric disease. © 2010 Nature America, Inc. All rights reserved. (shrink)