Evaluating Pastoral Effectiveness: To Measure or Not to Measure

Interviews were conducted with 101 senior pastoral leaders from a variety of denominations in order to identify the ways in which pastors and those in authority positions over senior pastoral leaders measure their own effectiveness. The findings of these interviews revealed 23 measures of effectiveness in five categories, including leader outcomes, congregational outcomes, and objective outcomes. Based on the effectiveness taxonomy described in the current study, a process is suggested for a preliminary discussion among church leadership teams, congregational boards, and denominations to identify their primary mission, constituencies served, and related effectiveness priorities.     

To Serve or Not to Serve: Ethical and Policy Implications

The Institute of Medicine (IOM) is one of the nation's more influential health‐related non‐profit organizations. It plays a large role in shaping health policy by commissioning panels to develop “white papers” describing research and recommendations on a variety of health topics. These white paper publications are often used to help make policy decisions at the legislative and executive levels. Such a prominent institution might seem like a natural ally for policy‐related collaborative efforts. As community psychologists, we strongly endorse efforts to positively influence public policy at the national level. However, while serving on influential panels and commissions like the IOM might seem to be very much part of the ethos of our discipline, there are occasions when such institutions are pursuing a mission that inadvertently has the potential to instigate divisive friction among community activists and organizations. A case study is presented whereby I describe my decision not to accept an invitation to serve on a controversial IOM panel. I explore the ethical challenges regarding maintaining my independence from this institution and its attempt to redefine chronic fatigue syndrome (CFS) and myalgic encephalomyelitis (ME), as well as the process of searching for alternative avenues for collaborating with community activists to influence policy related to these debilitating illnesses.     

To Act or Not to Act: Nonconsequentialism in Environmental Decision-Making

Research on environmental-decision making is usually based on utilitarian models, which imply that people's decisions are only influenced by the outcomes. This research provides evidence for values and moral positions that reflect nonconsequentialist rather than consequentialist views. In doing this, this article refers to “sacred values,” which are values that are seen as not-substitutable and nontradable. Two studies were designed to examine evidence for sacred values and their role on act versus omission choices within the environmental domain. The studies revealed that sacred values were closely associated with preferences for actions, trade-off reluctance, deontological focus, and position of moral universalism. The results suggest that it is important to account for sacred values and nonconsequentialist views in environmental decision-making research.     

To Use or Not to Use: The Prenatal Genetic Technology/Worry Conundrum

We conducted an exploratory, qualitative study investigating the factors influencing the use of genetic counseling and prenatal genetic testing for two groups: pregnant women 35 years of age and over (AMA) at the time of delivery and pregnant women with an abnormal maternal serum triple screen (MSAFP3). The convenience sample consisted of 25 semistructured interviews of women/couples and 50 observations of genetic counseling sessions. Worry turned out to be the most important variable influencing decision making about prenatal genetic testing and was greater in the MSAFP3 group than in the AMA group. The women in the AMA group appeared to assign the risk of having a child with Down syndrome to their age category rather than to themselves individually, whereas, the risk perception for women with an abnormal MSAFP3 appeared to have shifted from a general population risk for pregnant women to an individual, personal risk. There was a general lack of understanding and also more misinformation about the MSAFP3 screen compared to amniocentesis. Women in both groups were torn between fear of an invasive test and worry about the health of their fetus for the rest of their pregnancy if they did not undergo amniocentesis.     

To Cross or Not to Cross: The Effect of Locomotion on Street-Crossing Behavior

Perception of some affordances requires action scaling rather than simply body (size) scaling. Crossing a road safely is such an affordance. Perceiving accurately whether crossing in front of oncoming traffic is possible entails perceiving the relation between environmental properties (the to-be-crossed distance and the available time) and one's walking abilities. Only while walking is perceptual information about walking abilities available; hence, a more accurate perception of whether crossing is possible is expected than when stationary. We observed crossing behavior (stopping, staying, and crossing) at a crosswalk and related this behavior to the time that was available before the next vehicle arrived. The critical time gap that separated not crossing (stopping or staying) and crossing was smaller, that is, closer to the actual crossing time, when walking than when standing still. Thus, crossing from standstill entailed a larger safety margin. This suggests that information about ongoing action can yield more accurate perception of the affordance in question.     

To See or Not to See: Blinded by Guilt: Reply to Commentary

In response to Annabella Bushra's discussion and her focus on what is missing in the clinical material, the author speculates about the repetition of the historical trauma of purifying mixed race in the face of its complexity—trying to neatly package race despite it not so neatly fitting into any one category—and losing the individual by overly focusing on skin color. The author considers the silence, secrecy, and transgression in the treatment and, in this context, a few of Bushra's key points are addressed—sorting out the nature of hate in relation to Susan, passing as transgression, and White guilt. A distinction is made between a malevolent, destructive hate and a loving hate, and White guilt is considered as a defense against recognition of the other.     

To Analyze or Not to Analyze: The Treatment of a Severely Disturbed Four-Year-Old Boy

This article summarizes the treatment of a severely disturbed four-year-old boy who represents the widening scope of child analysis—a boy whose exposure to an array of traumas undermined his ego development, distorted his object relations, and interfered with his developmental progression. Earlier generations of analysts would have viewed such a child as possessing too many ego deviations or deficits to be considered analyzable. Such traditional ideas about analyzability are at odds with more recent research, however. Thus, Fonagy's and Target's (1996 Fonagy, P.. and Target, M. 1996. Predictors of outcome in child psychoanalysis: A retrospective study of 763 cases at the Anna Freud centre. J. Amer. Psychoanal. Assn., 44: 27–77. [PubMed], [Web of Science ®] , [Google Scholar]) research found child analysis to be the optimal treatment for children with severe and complex psychopathology. This article presents analytic material that supports this research and demonstrates (1) that severely disturbed children are analyzable and capable of deep and meaningful change, (2) that early intervention is imperative, (3) that an analytic framework involving four or more sessions per week is essential in containing and regulating affect, (4) how functioning as a developmental object helps build the necessary mental structures to experience conflict, (5) that serving as a developmental object does not have to preclude the development of transference or a psychoanalytic process, and (6) that the analyst's gender can play an important role in promoting development and facilitating treatment.     

To Tell or Not to Tell: Disclosure and the Narrative Self

ABSTRACT Drawing from a narrative identity framework, we present the results of three studies examining the nature of what people do and do not disclose about their life experiences. Across three studies, our findings indicate that (1) the major difference in what people do and do not disclose concerns the emotionality of the events and whether or not the events are transgressions; (2) for everyday memorable events, increased negative emotion is associated with greater likelihood of disclosure; but (3) for more important and/or longer retained events, increased negative and decreased positive emotion were associated with lower likelihoods of disclosure. We also found that socioemotional consequences are an important reason for nondisclosure of important past experiences and are predictably related to the extent to which events induce positive and negative emotions. Findings are considered in terms of their implications for narrative identity.     

To Forget or Not to Forget: The Effect of Probability of Test on Directed Forgetting

Two experiments investigated how individuals use explicit memory cues that designate different probabilities of test. As in typical directed forgetting studies, subjects received words explicitly cued as having either a 0% or a 100% chance of being on a subsequent memory test (i.e. forget and remember cues, respectively). In addition, some words were explicitly cued as having the potential to be either forgotten or remembered (i.e. a 50% cue). Recall of 50% words was between that of 0% and 100% words. In addition, the presence of 50% words lowered recall of the 100% words compared to that of a control group that did not receive the 50% words, but received the same number of 100% words. A think-aloud task indicated that these results were due to the 50% words being treated like either 100% or 0% words at encoding. The results are discussed in terms of the effect of different probabilities of test on the strategic processing and representation of information.