Evidence-based jury selection is a critical need because of historical and ongoing racial biases that impede a just process and outcome. As norms about bias, how to measure it, and mitigating its effects have progressed over time, new tools to help carry out this work have become available. This article synergizes the latest relevant psychological literature with the combined wisdom and experience of an interdisciplinary group of experts in racism, law, psychology, mental health, and biomedical science to provide a framework to advance the jury selection process. We describe and provide examples of how jurors should be asked direct questions about their behaviors rather than simply their attitudes. Further, we suggest that racial justice allies should be identified as potential jurors because such individuals will be best able to approach their jury duty in an impartial, antiracist manner.
A s the United States becomes increasingly diverse racially, ethnically, and culturally, clinicians can expect to see increases in clients of color. These include people who may identify as African American, Hispanic American, Asian American, Native American, non-White internationals, or multiethnic individuals. People of color deserve care that is of equal quality to the care White clients receive, and it is an ethical duty as mental health providers to uphold this standard and put it into practice. Indeed, diversity is one of the principal domains of competence in supervisory skills as outlined by the American Psychological Association (APA; 2014) in its Guidelines for Clinical Supervision in Health Service Psychology, where diversity includes "race, ethnicity, culture, [and] national origin" (p. 11). Likewise, the APA (2017) Multicultural Guidelines exhort supervisors to model of culturally competent practices, as this plays a key role in helping students develop cultural competence.At the same time, however, trainees of any ethnicity may have difficulty delivering proper treatment to diverse clients due to having learned cognitive behavior therapy (CBT) from a Western, White, Eurocentric perspective that may not always meet the needs of people of color (Leong & Kalibatseva, 2011). All therapists at some point will encounter clients who do not share their race, ethnicity, or culture. Yet many people know little to nothing about those who
Although general cognitive behavioural therapy (CBT) can help alleviate distress associated with obsessive-compulsive disorder (OCD), strategies tailored to targeting specific cognitions, feelings, and behaviours associated with OCD such as exposure and ritual prevention (Ex/RP) and cognitive therapy (CT) have been shown to be a significantly more effective form of treatment. Treatment of individuals with unacceptable/taboo obsessions requires its own specific guidelines due to the stigmatizing and often misunderstood nature of accompanying thoughts and behaviours. In this article, OCD expert practitioners describe best practices surrounding two of the longest standing evidence-based treatment paradigms for OCD, CT and Ex/RP, tailored specifically to unacceptable and taboo obsessions, so that clients may experience the best possible outcomes that are sustained once treatment ends. In addition, CT specifically targets obsessions while Ex/RP addresses compulsions, allowing the two to be highly effective when combined together. A wide range of clinical recommendations on clinical competencies is offered, including essential knowledge, psychoeducation, designing fear hierarchies and exposures, instructing the client through behavioural experiments, and relapse prevention skills. Key learning aims (1) To learn about the theoretical underpinnings of specialized approaches to treating taboo/unacceptable thoughts subtype of OCD with gold-standard CBT treatments, cognitive therapy (CT) and exposure and ritual prevention (Ex/RP). (2) To learn about recognizing and identifying commonly missed covert cognitive symptoms in OCD such as rumination and mental compulsions. (3) To learn how to assess commonly unrecognized behavioural symptoms in OCD such as concealment, reassurance seeking, searching on online forums, etc. (4) To gain a nuanced understanding of the phenomenology of the taboo/unacceptable thoughts OCD subtype and the cycles that maintain symptoms and impairment. (5) To learn about in-session techniques such as thought experiments, worksheets, fear hierarchies, and different types of exposures.
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