A Review of: “Let's Talk About Taking Care of You:”

The purpose of this qualitative study was to explore how military wives’ coping mechanisms are related to their emotional connection with their deployed husbands. Conceptualizing the marital relationship as an attachment system, we explored how military wives adopted various coping mechanisms during their husbands’ deployment and identified two types of efforts toward independence: self-sufficient independence through emotional avoidance, and autonomous interdependence through emotional connection. These are consistent with those coping behaviors informed by secure and avoidant attachment styles. Clinical implications are offered based on the discussion of the results.     

Taking counselling and psychotherapy outside: Destruction or enrichment of the therapeutic frame?

This paper will explore emerging issues in the practice of counselling and psychotherapy in the outdoors, which the authors encountered when they took their clients outside of the traditional therapy room. The outdoors is defined as natural areas and spaces, such as woods and parks which have been termed ‘nearby nature’ (Kaplan &; Kaplan, 1989 Kaplan, R. Kaplan, S. (1989). The experience of nature a psychological perspective. New York: Cambridge University Press [Google Scholar]) and also more remote areas such as mountains and moors which are more isolated from civilisation, what some have termed wilderness (Mcfarlane, 2007). Particular emphasis will be given to the ‘frame’ of psychotherapy and how aspects of this are affected by moving outdoors, in particular contracting in relation to confidentiality and timing. The relationship in psychotherapy will be explored in relation to issues of mutuality and asymmetry alongside the role of nature in the therapeutic process. Lastly the challenges and therapeutic potential of psychotherapy in nature will be explored.     

Gender and social support: Taking the bad with the good?

In examining past research, a paradox can be found in the relationships between gender, social support, and depression. Although women report higher levels of depression than men, they also generally report more social support—a factor found to reduce depressive symptoms. In efforts to explain this seeming inconsistency, it was hypothesized that women report both more support and more depression because they are more likely than men to experience both positive and negative aspects of social relationships. Based on a community sample of predominantly Caucasian respondents, findings indicate that greater perceived support among women can be explained by more frequent contact with network members and a tendency to possess relationships characterized by greater intimacy, emotional disclosure, and empathy. However, women also report more frequent negative interactions with network members and are more adversely affected by marital conflict than are men. While negative interactions and conflict cannot account for gender differences in depression, they do help to explain how women can experience both more support and more depression. Among women, the health-enhancing effects of support on depression may be balanced by the detrimental effect of conflict.     

Facial gender confirmation surgery—review of the literature and recommendations for Version 8 of the WPATH Standards of Care

Facial gender confirmation surgery (FGCS), also popularly known and referred to in the scientific literature as facial feminization surgery (FFS), was previously treated as a collection of aesthetic procedures complementing other aspects of gender-confirming surgery. Recent literature on quality-of-life outcomes following FGCS has supported the substantial impact these procedures have on overall well-being and reduction of psychosocial sequelae in patients. The World Professional Association for Transgender Health Standards of Care, Version 7 (WPATH SOC 7), did not deem FGCS a medical necessity. Based on these new studies, increasing evidence points to the need to include FGCS among medically necessary gender-confirming surgeries, though more-prospective studies are needed. Updates to the WPATH SOC 8 are proposed based on available quality of life studies.     

Forever Young: Pastoral Care and the Experience of “Aging,” Reconsidered

As we age, we inevitably experience diminishment in our physical functioning yet this need not yield a diminished sense of self. Our personal interior life and our ability to find grace in the midst of challenges are not adequately defined by the psychological, medical, or theological understandings of aging that we have inherited. Rather, there is positive potential in aging, particularly if we hone our adaptive coping skills. Pastoral care providers can facilitate enrichment of individuals’ and faith communities’ capacity for adaptive coping and ability to view the aging process as filled with new adventures of grace.     

Beyond the Institutionalized Fetish of the “Neurosciences”: Taking Brain Seriously

In their book Kritik der Neuropsychologie (Giessen: Psychosozial Verlag, 2016, 123 pp. ISBN 978–3–8379-2563-0), Hans Werbik and Gerhard Benetka provide a thorough analysis of the modus operandi of our contemporary neurosciences and their success in promising the public and funding institutions great breakthroughs in understanding the human mind through the study of the brain. As the authors prove such promises are inadequate given the qualities of the human psyche that cannot be reduced to the complex mechanisms of the activation of brain circuits because there cannot be isomorphism between the brain and the ongoing dynamic relating of the mind with the flow of subjective experiencing. The authors provide a scenario for possible solutions coming from cultural psychology which need further advancement of psychology’s methodology.     

Longing,Dread and Care: Spengler’s Account of the Existential Structure of Human Experience

ABSTRACT

In The Decline of the West Spengler puts forward a type of philosophical anthropology, an account of the structures of human experiential consciousness and a method of “physiognomic” analysis, which I argue has dimensions that can be understood as akin to existential phenomenology. Humanity, for Spengler, is witness to the creative flux of “Becoming” and constructs a world of phenomena bounded by death, underpinned by the two prime feelings of dread and longing and structured by the two forms of Destiny (Time) and Direction (Space). Human existence, Spengler argues, is future-directed and open in the sense that there is a certain degree of freedom in the ways in which humanity can actualize its existential possibilities. In the course of elaborating the existential implications of this future-orientation, Spengler introduces the concept of care (Sorge), the fundamental experiential structure.     

What is the Role of the Arts in Medical Education and Patient Care? A Survey-based Qualitative Study

To inform medical education reform efforts, we systematically collected information on the level of arts and humanities engagement in our medical school community. Attitudes regarding incorporating arts and humanities-based teaching methods into medical education and patient care were also assessed. An IRB-approved survey was electronically distributed to all faculty, residents, fellows, and students at our medical school. Questions focused on personal practice of the arts and/or humanities, as well as perceptions of, and experience with formally incorporating these into medical teaching. Of 13,512 community members surveyed, 2,775 responded (21% overall response rate). A majority of respondents agreed or strongly agreed that medical education and patient care could be "enhanced" by the integration of the arts (67% and 74% respectively). There was enthusiastic support for the creation of a formal program in the arts at our medical school (72 %). Integration of the arts into medical education may have a role in improving the quality of medical training and would likely be well received by teachers and learners.     

An Exploration of Parents’ Experiences and Empowerment in the Care for Preterm Born Children

Because of improved survival rates and medical prospects, the emphasis in care for preterm infants has shifted in recent years to a focus on support for the wellbeing of children and their families. For the healthcare professionals the parents of these children are the main partners for improving the care of their children. In this context, referring to “patient empowerment” implies not only the infant but also the parents, in other words “parent empowerment”. We aimed to explore parents’ experiences with hospital and aftercare for their preterm children, and the implications for parent empowerment, by organizing face-to-face (n = 4 and n = 7) and online (n = 14) focus group interviews with parents of preterm children. These focus group interviews showed that these parents indicated a lack of support and recognition of parental worries in the care for their infant during two important periods: (1) the transfer to another hospital and (2) after discharge home. These group interviews showed that parents greatly value initiatives that support and empower them in their role as parents and that strengthens their involvement in the care for their children. Requirements for enhancing parent empowerment are proposed.     

Katie Hogan,Women Take Care – Gender,Race and the Culture of AIDS

Theoretical Medicine and Bioethics -     

Morningness–Eveningness and Risk Taking

ABSTRACT. Depending on individual differences in biological rhythms and diurnal preferences, people have long been described as either “larks” or “owls.” Larks and owls differ greatly in personality aspects, but from the behavioral perspective it is unclear whether they have significant differences in terms of risky behaviors. Whether morning types or evening types are consistently more risk-taking or risk-averse in different domains remains unknown. This study adopted a general American adult sample to systematically investigate the relationship between chronotype and individuals’ risky behaviors in different domains. By using different methods to measure risky behaviors in different domains, the current research obtained convergent results that morningness was negatively related only to financially risky behaviors for American adults. More specifically, by using the composite scale of morningness and the domain-specific risk attitude scale, Study 1 showed that for American adults, morning types were less likely than evening types to engage in financially risky behaviors (N = 212). In Study 2, after scenario-based methods were used to measure risky behavior, results showed that that participants engaged less in risky behaviors in the domains of gambling and investment (N = 187). A mediator test showed that the negative relationship between morningness and financially risky behaviors was partly mediated by individuals’ self-control ability (self-control scale, Study 1).     

A Life with Roots: Narrative Pastoral Care and Communities of Identity in the Parable of the “Good Soil”

This article interprets the parable traditionally known as the parable of the sower by arguing that it is actually a parable focusing on good soil. It analyzes the parable??s placement next to Gospel narratives in which Jesus redefines his kin network and maintains that the good soil metaphor suggests ideal conditions of growth in which persons surround themselves with consciously chosen communities of support that help them to live out God??s purposes in their lives. Using Michael White??s re-membering conversations, I indicate how pastoral caregivers and psychotherapists can help persons use their previous mentorship relationships as a source of support and motivation. Finally, I argue, using Donald Capps??s psychological reconstructions based on historical Jesus scholarship, that Jesus?? emphasis on his new relationships in the Kingdom of God is best understood in relationship to his struggles with father absence.     

Taking Care of Each Other: How Can We Increase Compliance with Personal Protective Measures During the COVID-19 Pandemic in Chile?

In the context of the COVID-19 pandemic, personal protective measures (e.g., social distancing, handwashing, and mask wearing) have been adopted as a cornerstone to limit the spread of the disease. Yet, the effectiveness of these measures depends on people's levels of adherence. In this article, we apply social-psychological research to the study of compliance with personal protective measures during the COVID-19 pandemic in Chile. We consider three possible models underlying adherence: (1) sociodemographic and socioeconomic factors, (2) instrumental factors, and (3) normative factors. We draw on data from a longitudinal nonrepresentative panel study (Study 1, n = 32,304) and a cross-sectional representative survey (Study 2, n = 1,078) to explore the impact of these different factors on personal protective measures compliance. Findings show the strongest support for the role of instrumental and normative factors, in that people who comply with protective measures report to a greater extent that relatives and friends comply too and tend to perceive high risk of COVID-19. We finish by proposing policy recommendations to promote effective strategies to contain the spread of the virus.     

The Relationship Between Flexible Perspective Taking and Emotional Well-Being: A Systematic Review of the “Self-as-Context” Component of Acceptance and Commitment Therapy

One of the core processes of acceptance and commitment therapy (ACT) is “self-as-context” (SAC). SAC is conventionally taught as an extension of mindfulness, which enables individuals to focus on a stable, grounded, and enduring sense of self that is able to have a flexible perspective. There has been a growing number of studies that have evaluated the effects of the SAC component in improving emotional well-being in various samples. The objective of this systematic review was twofold: (a) to evaluate whether SAC can be effectively taught and assessed in component analyses, and (b) to evaluate whether SAC improves emotional well-being. The electronic databases of PsycInfo and Medline were searched to identify relevant studies with the final search completed in August 2019. All studies that examined SAC as a stand-alone construct were considered. A total of 20 studies (published in 14 papers) met inclusion criteria for this review. Seven studies were based on a single-session lab trial, two studies were based on intervention trials, and 11 studies utilized cross-sectional assessment designs. On the basis of four identified studies, there is only provisional but very limited evidence to suggest that SAC can be effectively taught and implemented as a stand-alone process to manage emotional well-being. Mixed findings emerged in relation to SAC improving emotional well-being. The methodological quality of the studies was variable, which contributed to the mixed outcomes. There is limited evidence to support the use of the SAC component as a stand-alone process in ACT-based interventions, and research recommendations are discussed.     

Do Confucians Really Care? A Defense of the Distinctiveness of Care Ethics: A Reply to Chenyang Li

Chenyang Li argues, in an article originally published in Hypatia, that the ethics of care and Confucian ethics constitute similar approaches to ethics. The present paper takes issue with this claim. It is more accurate to view Confucian ethics as a kind of virtue ethics, rather than as a kind of care ethics. In the process of criticizing Li's claim, the distinctiveness of care ethics is defended, against attempts to assimilate it to virtue ethics.     

Rabbis and Health: A Half-Century Review of the Mental and Physical Health Care Literature:1950–1999

Electronic searches were conducted on PubMed and the American Psychological Association's database (PsycINFO) for articles that discussed the role of rabbis in relation to some aspect of healthcare. The two searches were conducted in each electronic database using the search-terms: (1) (rabbi OR rabbinical OR synagogue) OR (2) (Judaism OR Jewish) AND (clergy OR chaplain). Articles were classified by the year of their publication, professional discipline, type of journal (either religious or secular), and type of article: either research, or narrative and expositional. Rabbis were discussed most often in psychology, psychiatry, and behavior-related fields, and close to two-thirds of the articles dealt with mental health concerns. A statistically significant increase in articles across decades was found in the secular journals, r=.98, p≤.01, with over 70% of the articles about rabbis in the secular journals being published between 1980 and 1999. Many of the articles addressed collaboration between rabbis, psychiatrists, and other and mental health professionals and discussed previously identified themes related to professional collaboration and referral.     

Taking the “text” out of context effects in repetition priming of word identification

Repetition priming of masked word identification is reduced when initial exposure to target words is in a text rather than in a word list. We demonstrate that there is nothing special about the text context that reduces priming. In Experiment 1, target words read in normal text or in rapid serial visual presentation (RSVP) text--either coherent or scrambled--produced similarly reduced priming, relative to the same words read aloud in a list. In Experiment 2, the delay was decreased between study and test for words presented in text, but they still displayed less priming than did words presented in a study list and tested after an equivalent delay. In Experiment 3, presenting study list words in RSVP to prevent reading each word aloud diminished priming to the same level as that in the text context. We conclude that presenting a target in context prevents it from being encoded and responded to as distinctively as when presented in isolation.     

Providing Care for the “Whole Patient” in the Cancer Setting: The Psycho-Oncology Consultation Model of Patient Care

This paper describes a psycho-oncology consultation model of care (POCM) that provides a framework for psychosocial clinical work with cancer patients. Goals for care are addressed that follow the recommendations of the Institute of Medicine report advocating care for the “whole patient.” Specific goals include reducing distress and symptoms, building on the patient’s existing strengths, enhancing self-efficacy, expanding the patient’s repertoire of healthy coping strategies, and addressing informational needs. Specific interventions are described that clinicians can implement in order to address the above goals. The paper also addresses the unique challenges encountered in working with cancer patients, as well as programmatic difficulties that are inherent in providing mental health care in a medical setting.