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Because of the likely presence of suggestibility, mediators must take care not to lead parties with mental retardation into misrepresentative statements about past or present behaviors, feelings, and attitudes. The same dynamics that defense attorneys are concerned will impair an offender s ability to provide a valid waiver (or confession) may also burden mediation participants with bogus information and attributions that will frustrate attempts at meaningful, truly interactive dialogue (Dattilo, Hoge and Malley, 1996; Elias, Sigelman and Danker-Brown, 1980; Sigelman et al., 1981). These and other conditions may have a considerable impact on the ability of victims, offenders, and other related parties to participate validly in mediation as a function of Restorative Justice. Impairment of the mediation process cannot help but have a deleterious effect upon the overall results of such interventions (Umbreidt, 1994). For this reason, the effects of the diagnostic component of psychological science directly contribute to just outcomes in this regard (Bradford, 1995; Cohen and Dvoskin, 1992; Gurevich, 1991).

It is important to remember the availability of communication aids for patients with severe dysarthria. These may be quite simple picture or symbol charts, alphabet cards or word charts. More high tech portable communication aids that incorporate keyboards and speech synthesizers are also very valuable for some patients.

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46 Loughlin, M (1994) The poverty of management Health Care Analysis 2(2), 135 9 47 New Zealand Ministry of Health (1998) A Travel Guide for People on the Journeys Towards Equality Respect and Rights of People who Experience Mental Illness wwwmohgovtnz (accessed 11 July 2008) 48 Satz, AB (1996) Do we really want doctors to be managers Health Care Analysis 4(1), 80 4 49 Green, JA et al (1996) Fair and effective resource allocation in cancer care: uncharted territory Health Care Analysis 4(1), 19 44 50 Smith, RS (1998) All changed, changed utterly British Medical Journal 316, 1917 18 51 Seedhouse, DF (1997) Recovered memory: con ict, confusion and the need to think things through Health Care Analysis 5(2), 93 7 52 Seedhouse, DF (1998) Compulsory in-service training in ethical analysis Hospital Doctor 53 Kuhn, TS (1970).

Exhibit 2.2 HR Departments That Currently Use Automation, Overall and by Number of Employees and Industry

The Structure of Scienti c Revolutions University of Chicago Press 54 Kuhn, TS (1977) The Essential Tension: Selected Studies in Scienti c Tradition and Change University of Chicago Press 55 Lakatos, I, Musgrove, A (1970) Criticism and the Growth of Knowledge Cambridge University Press 56 Wolf, FA (1981) Taking the Quantum Leap Harper and Row 57 Ellis, WD (ed) (1938) A Source Book of Gestalt Psychology Routledge & Kegan Paul, London 58 Williams, A (1995) Economics, QALYs and medical ethics a health economist s perspective Health Care Analysis 3(3), 221 34 59 Aristotle (1976) Ethics (Trans Thomson, JAK Introduction by Barnes, J) Penguin 60 http://wwwarchive2of cial-documentscouk/document/reps/iraq/iraqdossierpdf (accessed 19 March 2008) 61 McKeown, T (1979) The Role of Medicine: Dream, Mirage or Nemesis Basil Blackwell, Oxford 62 Rogers, A, Pilgrim, D, Gust, I, Stone, D.

ETHICS TRAINING AND COMPETENCIES Prior to the late 1970s, many applied psychology graduate programs (clinical, school) required little formal coursework in professional ethics Ethics was often taught in the context of supervised practica and internship experiences, a practice Handelsman labeled ethics training by osmosis (1986a, p 371) Handelsman (1986a, 1986b) and others have argued persuasively that a number of problems exist with this unsystematic approach to ethics training Student learning is limited by the supervisor s awareness and knowledge of ethical issues (Dalton, 1984) and the range of issues that arise by chance in the course of supervision (Handelsman, 1986b) Results of a survey of practicing psychotherapists found that respondents gave only moderate ratings to their internship experience as a source of ethics education (Haas et al, 1986).

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