Some Considerations for Enhancing Psychological Assessment

The field of psychological assessment appears to be bogged down in recent decades on refining existing measures and techniques to the detriment of real change. This article attempts to highlight some of the changes that need to take place in psychological assessment in the next few decades if real progress is to be achieved: (a) developing guidelines for psychological tests and measures; (b) establishing explicit criteria for training; (c) establishing guidelines for competencies; (d) recognizing the impact of marketing; (e) embracing electronic technology; and (f) implementing computer adaptive testing.     

Spiritual Wellness and Depression

With a growing appreciation for the holism of human functioning, interest in the spiritual dimension as it relates to depression has increased. In this article, I review medical wellness literature and counseling literature for insight into the nature of spirituality and propose 4 dimensions of spiritual wellness as a result of this review: a sense of meaning in life, a transcendent perspective, an intrinsic value system, and a sense of belonging to a spiritual community of shared values and support. These dimensions are examined as they relate to the clinical literature and empirical research on depression. Implications for research, counseling, and counselor education also are reviewed.     

Frequent Social Comparisons and Destructive Emotions and Behaviors: The Dark Side of Social Comparisons

Social comparisons may seem to serve several positive functions, including self-enhancement. Frequent social comparisons, however, have a dark side. Two studies examined the relationship between frequent social comparisons and destructive emotions and behaviors. In Study 1, people who said they made frequent social comparisons were more likely to experience envy, guilt, regret, and defensiveness, and to lie, blame others, and to have unmet cravings. In Study 2, police officers who said they made frequent social comparisons were more likely to show ingroup bias and to be less satisfied with their jobs. The dark side of frequent social comparisons was not associated with self-esteem. Results are discussed in terms of the role of individual differences in social comparison processes.     

Using the Developmental Counseling and Therapy Model to Work With a Client in Spiritual Bypass: Some Preliminary Considerations

At a time when attention to spirituality within the counseling profession is unparalleled, 1 potential problem is that clients who engage in spiritual bypass will be supported in this dysfunctional pattern by their counselor. The purpose of this article is to define and describe spiritual bypass and to discuss the use of the developmental counseling and therapy model to assess and intervene with a client who is in spiritual bypass.     

The Dark Night of the Soul: spiritual distress and its psychiatric implications

The Dark Night of the Soul is an expression describing phases in a person's spiritual life associated with a crisis of faith or spiritual concerns about the relationship with God, and which has intrinsic aspects of spiritual growth. This paper is concerned with the way in which those going through periods of angst and disillusionment do not see them as pathological phenomena. On the contrary, through a process of attribution of religious meaning they view them as opportunities for reflecting on their lives and as agents for beneficial change. Similarities and differences between the Dark Night and a depressive episode are discussed and illustrated using the accounts of five important religious figures. Their narratives have been constructed using original texts and their biographies. The Dark Night has clinical implications owing to the risk of its being pathologised, serving as a reminder of the importance of incorporating existential issues into clinical practice.     

Spiritual Distress and Depression in Bereavement: A Meaning-Oriented Contribution

One key focus of a meaning reconstruction model of bereavement concerns spiritual meanings attributed to the death, whether consoling or troubling. Specifically, previous studies in our research program suggest that religiously inclined violent death survivors are at risk for elevated levels of both bereavement distress and complicated spiritual grief, a crisis of faith following loss that refers to the erosion of the mourner’s relationship to God and/or the religious community. However, more research is needed to understand the convergence of depression and spiritual struggle in the context of violent and natural loss. In this study of a diverse sample of 59 American Christians bereaved less than 5 years, we sought to: (1) determine if individuals bereaved by homicide, suicide or fatal accident differed from those bereaved by natural causes in their levels of depression and spiritual coping; (2) investigate the relation between the latter constructs; and (3) ascertain if cause of death mediates the effect of religious coping on depression. We found that: (a) violently bereaved individuals endorsed more negative religious coping, and (b) depression was associated with greater spiritual struggle, particularly a sense of disrupted relationship with God. Contrary to expectations, positive religious coping was unrelated to post-loss depression, and cause of death did not mediate the relationship between spiritual coping and depressive symptomatology. A clinical case study concludes the article, illustrating the interweaving of spiritual and psychological distress in tragic bereavement, and their implications for a meaning-oriented grief therapy.     

The Psychological and Spiritual Efficacy of Confession

Several aspects of confession are discussed. A distinction is made between personal narrative and confession in the analytic setting, focusing on the emergence of the psychogenic secret: that secret which is hidden from the analysand's ego consciousness. Such an unconscious secret can lead to emotional and psychological guilt and distress. The transference is seen as an essential dynamic for psychologically efficacious confession.     

Including a Spiritual Dimension in Family Therapy: Ethical Considerations

The inclusion of a spiritual dimension in family therapy theory and clinical practice may well be viewed as an important professional challenge of the nineties. Following a working definition of terms, this paper explores the ethical complexities inherent in operationalizing a spiritual orientation in therapy in light of the following principles adopted from medical ethics: Respect for clients' autonomy, safeguarding clients' welfare, protecting them from harm, and treating them justly and honestly.     

In Search of a Paradigm for Psychological and Spiritual Growth: Implications for Psychotherapy and Spiritual Direction

This article presents categories, drawn from the work of Abraham Maslow and Paul Tillich, which can be used to explore the similarities and differences in psychological and spiritual growth. While both dimensions of growth are interrelated, they are neither synonymous as terms nor fused as processes. Models for psychological growth cannot be superimposed onto spiritual growth because of some significant differences in the way in which self-awareness, spirit, and self-transcendence are defined and used by psychology and theology. It follows that psychotherapy and spiritual direction make unique contributions to human growth and need not be perceived as synonymous or competitive. There is a point at which psyche and spirit, psychotherapy and spiritual direction, meet: the place of healing.     

Causality and Contingency: Some Conceptual Considerations

The Psychological Record - The logical features of causality (necessary connection, succession, and contiguity) are examined in regard to respondent and operant behaviors. It is emphasized that...     

Actions and Events: Some Semantical Considerations

Since the publication of Davidson's influential article 'The Logical Form of Action Sentences', semantical considerations are widely thought to support the doctrine that actions are events. I shall argue that the semantics of action sentences do not imply that actions are events. This will involve defending a negative claim and a positive claim, as well as a proposal for how to formalize action sentences. The negative claim is that the semantics of action sentences do not require that we think of actions as events, even if these sentences are best formalized in the manner that Davidson himself favours . The positive claim is that the simplest way of formalizing actions sentences which captures all and only licit inferences requires quantification only , over the results of actions. If this is right, then the argument from semantics evaporates, and the claim that actions are events needs to be freshly argued for – or against.     

Lesbianism: Some Developmental and Psychodynamic Considerations

In order to further our understanding of lesbianism the newer ideas of female development and of sexual object choice must be integrated into psychoanalytic theory. This includes such concepts as primary femininity, the girl's primary wish for a baby, and female genital sensations leading to a gradual understanding of female anatomy. Ties to each parent develop in tandem, not sequentially. Boys and girls have different attachment and separation experiences. Genital release, a major organizer of male psychological development, may not be as important as intimacy in the girl's development. Multitudes of environmental influences play a role in establishing gender identity, gender role and sexual object choice. Nature and nurture interact. Homosexuality and psychopathology are not connected and psychodynamics is not the same as etiology. A case presentation focuses on the role of aggression in female development. The importance of ambivalence is considered in its impact on maternal identification and sexual object choice.     

Income Volatility and Psychological Depression

Income volatility appears to be increasing especially among lower income workers. Such volatility may reflect the ongoing shift of economic risk from employers to employees as marked by decreasing job security and employer-provided benefits. This study tests whether absolute volatility or downward volatility in income predict depression controlling for prior depression. A sample (n = 4,493) from the National Longitudinal Survey of Youth (NLSY79) with depression (CESD) measured at age 40 and prior depression measured eight to 10 years earlier was utilized. Downward volatility (frequency of income loss) was positively associated with depression; adjusting for downward volatility and other covariates, absolute volatility was negatively associated with depression. An interaction indicated a positive association between downward volatility and depression only when absolute volatility was high. These findings apply to respondents in a narrow age range (30 s) and the results warrant replication to identify the mediators linking absolute volatility and income loss to depression.     

Depression: Psychological Referrals in Nursing Homes

Studies in nursing homes have consistently shown the presence of mental health disorders. We assessed 300 nursing home residents (referred for psychological testing) to provide preliminary data on referral patterns, assess the cognitive and affective patterns of residents with different diagnoses, and present psychometric data on depression measures, including the Beck Depression Scale (BDI) (as a bivariate index) and the Mood Scale (a shortened version of the Geriatric Depression Scale). Results show that the referrals involved a compromised group of residents, both cognitively and affectively. Despite obvious mean differences, a MANOVA revealed that Major Depressive Disorder did not differ significantly from the Adjustment Disorder and Dementia groups on the bivariate BDI and Mood Scale; the dementia group was lower than the depression and adjustment groups on the MMSE. Patterns on depression inventories also identified a correct classification score of 4 on the BDI (89%) and 3 on the Mood Scale (79%). Discussion endorsed use of the bivariate BDI and addressed depression in these facilities.     

Police and Citizen Value Systems: Some Cross-sectional Comparisons

Rokeach, Miller, and Snyder (1971) have reported evidence for a "value gap" between samples of police and citizens in the midwest. The objectives of the present study were: (1) to examine the generality of this finding for another section of the country, the southeast; (2) to extend the analysis from the comparisons of individual values to the comparison of configurations of values between police and citizens; and (3) to compare the police sample from the Rokeach et al. study with the police sample from this study. The Rokeach Value Survey was administered to 104 South Carolina police officers and to 316 citizens sampled in a variety of South Carolina community settings. Group comparisons were made on the rank ordered individual values using the median test. In addition, group median rank orders were compared using the Spearman correlation. The results for the individual values generally supported the findings of Rokeach et al. (1971). For the value configurations, the police-community correlations were uniformly high, indicating general agreement on the relative order of most values. Results of the cross-sectional comparison of police samples revealed a very high degree of correspondance for both individual values and configurations.     

Counseling the Aging: Some Practical Considerations

Although counseling older individuals requires the use of basic helping skills, other complementary phases of working with this special population must be addressed. This article outlines the multiple-loss aspect of the aging individual's environment and suggests some specific strategies for assisting these persons to realize their ongoing potential and residual personal strength.     

Three Approaches to the Disjunction Between Psychological Measurement and Psychological Persons: Methodological and Ethical Considerations

In this paper, we take forward Schwarz’s (2009) disjunction between measurement-apparatus-questionnaire and measurement-apparatus-man to examine how the crisis in contemporary psychology is related to assumptions about two sets of connections in research: connections between research tools, research behaviours, and psychological phenomena; and connections between researchers and researchees. By setting up a research problem with methodological and ethical implications, we describe three approaches that involve different assumptions and research activities in relation to the ways each makes these connections: Disassociated, Conventionally Connected and Persons in Dialogue Approaches. We argue that a Persons in Dialogue Approach is the most appropriate approach for a 21st Century psychology in crisis.