Exploring the Promise of Eudaimonic Well-Being Within the Practice of Health Promotion: The “How” is as Important as the “What”

A brief historical and philosophical analysis suggests that the biomedical model and prevention have been the pillars of health promotion practices with the underlying assumption that these concepts provide answers to people’s health woes. Another observation resulting from this analysis is that biomedical, prevention, and more recently, wellness, do not differ much from each other paradigmatically (e.g., instrumental rationality) and, hence, are severely restricted in their short- and long-term effectiveness for helping people with healthy living and quality of life. It is proposed that eudaimonic well-being—if explored, understood, and implemented in a manner that holds true to the purity of the concept—offers significant promise for shifts in health promotion practices that may lead to transformative health experiences and enhanced quality of life.     

Understanding the “Why” as Well as the “How”: Service Performance is a Function of Prosocial Motives and Emotional Labor

Which employees tend to better perform with customers? We suggest a combination of individual differences; specifically, we consider both why employees are working (prosocial motivation) and how (emotional labor). Deep acting should enhance the positive relationship between prosocial motivation and performance, while surface acting should dampen this relationship. Using a field sample of 214 grocery clerks and supervisor ratings of interpersonal performance with customers, we did not find the amplifying effect of deep acting. We do find the dampening effect for surface acting, such that surface acting buffers those with low prosocial motives, presumably by allowing them to “act” like they want to help others. This helps to explain the weak relationship of prosocial motives with performance and suggests implications for research and practice.     

“Changing the Text”: Modeling Council Capacity to Produce Institutionalized Change

Collaboration is a ubiquitous approach to change, but is notoriously difficult and not definitively linked to desirable outcomes. Not surprisingly, the collaboration literature is replete with numerous facilitators and barriers to collaborative efforts. The current study aimed to develop a parsimonious model of factors influencing the success of collaborative efforts both internal and external to the council, including, (a) features of the council environment, (b) intermediate outcomes including the empowerment of members in the council context and the degree to which councils have generated social capital and (c) the extent to which collaborative efforts are occurring in a community context supportive of their aims. In particular, this study examines whether these factors affect the extent to which councils are positioned to achieve institutionalized change, or changes "in the text" that govern front line providers' (e.g., police, advocates) practices in the community response to intimate partner violence. Results suggest that perceived member empowerment, generation of social capital, and supportive community context are the most important predictors of the extent to which councils foster shifts in institutionalized change. Features of the council environment are only indirectly related to the degree to which institutionalized change is ultimately fostered as mediated by the generation of social capital. This suggests that the ability of members to act as change agents and the extent to which those in power support council efforts figure more prominently to facilitate or constrain council efforts than council functioning itself.     

Editors’ Overview: Topics in the Responsible Management of Research Data

Responsible data management is a multifaceted topic involving standards within the research community regarding research design and the sharing of data as well as the collection, selection, analysis and interpretation of data. Transparency in the manipulation of images is increasingly important in order to avoid misrepresentation of research findings, and research oversight is also critical in helping to assure the integrity of the research process. Intellectual property issues both unite and divide academe and industry in their approaches to data management. Central to the realization and promulgation of responsible data management is clear and careful communication of standards and expectations within the research community to trainees as well as among colleagues. These topics are examined and explored in depth in a special issue of Science and Engineering Ethics on responsible data management.     

Religion as Moderator of the Sense of Control–Health Connection: Gender Differences

ABSTRACT

Objectives. Sense of personal control is a key marker of successful aging, yet little is known about its relation to religiousness and personal adversity among older adults. This study investigated the relation between two different religious orientations, a church-centered religiousness and a non-church-based spiritual seeking, sense of control, physical health, and gender in late adulthood.

Methods. The participants consisted of a community sample of men and women (N = 156) in their late sixties and mid-seventies who were born in the San Francisco Bay Area. Three-way ANOVAs were used to test in separate analyses, the effects of religiousness and spiritual seeking on sense of control among men and women who were either in good or poor physical health.

Results. Both religiousness and spiritual seeking buffered women, but not men, against loss of sense of control due to poor physical health. The buffering effect of religiousness and spiritual seeking was associated with different psychological characteristics: high life satisfaction for religiousness and engagement in life review for spiritual seeking. For men, the absence of a buffering effect of either religiousness or spiritual seeking was associated with disengagement from involvement in daily activities.

Discussion. Our findings highlight (1) the importance of employing multidimensional models of religion in studying its effect on psychosocial functioning in late adulthood and (2) the possibility that men and women who are high in religiousness and spiritual seeking regulate their sense of control using different adaptive strategies.     

A Review of: “Potency: Masculine Aggression as a Path to the Soul”

The wisdom of children's literature

The psychological symbiosis of child and adult merged together in a good story is the prima materia moment of the object relations theorist.

The root metaphor is one of finding a path whereby we can establish an ego in the world without developing violent body armor.

New fall releases

Omnibus review

Pushing at the boundaries of reality: the child and the dream

New books and magazines

M.a. and ph.d. programs with degree specialization in depth psychology

The secret world of drawings: healing through art. by gregg furth. boston: sigo press, 1988.

The chiron clinical series dreams in analysis

Spring 49-1989 a journal of archetype and culture

Jungian child psychotherapy: in-dividuation in childhood. edited by mara sidoli and miranda davies. London: karnac, 1988.

Children of psychiatrists and other psychotherapists. by thomas maeder. New york: harper &; row, 1989.

Analytical psychology notes of the seminar given in 1925

C. g. jung and the humanities toward a hermeneutics of culture

The father: mythology and changing roles. by arthur coleman and libby coleman. Wilmette, illinois: chiron publications, 1988.

When you're ready: a woman's healing from childhood physical and sexual abuse by her mother. by kathy evert. Walnut creek, ca: launch press, 1987.

Emotional child abuse: the family curse. by joel covitz. Boston: sigo press, 1986.

Inscapes of the child's world: jungian counseling hi schools and clinics. by john allan. Spring publications, 1988.

The plural psyche. by andrew samuels. London: routledge, 1989.     

A Review of “Relational Competence Theory: Research and Mental Health Applications”

Within the Couple and Family Therapy literature, there are few articles directly linking theory to treatment within the lesbian community. Utilizing contextual theory, the author presents a gay affirmative therapeutic approach to work with lesbian couples. The fundamental concepts of contextual therapy are uniquely suited for work with lesbian clients; particularly the four dimensions of individual psychology, relational ethics, systemic interaction, and facts. A case study is presented to highlight this therapeutic process. This article is one step in a larger systemic change related to the challenge of adapting theoretical methodology and gathering evidence for effective treatment of marginalized groups.     

Care of the Self and Patient Participation in Genetic Discourse: A Foucauldian Reading of the Surgeon General's “My Family Health Portrait” Program

Critics of genetic discourse are concerned that deterministic and discriminatory views of genetics are increasingly becoming adopted. These views argue that current genetic discourse becomes a source of power whereby powerful institutions harm people with so-called “bad” genes. This essay argues that current analyses of the power of genetics discourse are grounded in an improper reading that disempowers patients. Deploying Michel Foucault's concept “care of the self,” this essay claims that genetics discourse is better understood as a way that patients take on power through rhetoric rather than a force that has power over patients. Through a close reading of the “My Family Health Portrait” program, this paper argues that patients experience a process of “subjection” wherein they become agents of and objects of genetics discourse both. This alternative mode of analyzing the power of genetics discourse has implications for our collective understanding of the operations of the care of the self and the uses of genetic information that we propose.     

Qualitative Health Research and the IRB: Answering the “So What?” with Qualitative Inquiry

Qualitative inquiry is increasingly used to foster change in health policy and practice. Research ethics committees often misunderstand qualitative inquiry, assuming its design can be judged by criteria of quantitative science. Traditional health research uses scientific realist standards as a means-to-an-end, answering the question “So what?” to support the advancement of practice and policy. In contrast, qualitative inquiry often draws on constructivist paradigms, generating knowledge either as an end-in-itself or as a means to foster change. When reviewers inappropriately judge qualitative inquiry, it restricts the ways health phenomena can be understood. Qualitative inquiry is necessary because it enables an understanding not possible within scientific explanation. When such research illuminates, it can also shed light onto the “So what?” In order to ensure an appraisal of qualitative inquiry congruent with its paradigmatic premises, we suggest the “Illumination Test,” met when findings foster rich understanding of phenomena, resulting in a reflective “aha!”     

Forming State Collaborations to Diversify the Nation’s Health Workforce: The Experience of the Sullivan Alliance to Transform the Health Professions

Diversifying the nation’s health professions is essential in order to maintain a vigorous health workforce, able to respond to the needs of all Americans. The inability of the health workforce to keep pace with the changing demographics of the nation is a major cause of the persistent inequities in access to quality health care for ethnic and racial minorities in the U.S. Ethnic and racial minorities have been underrepresented in the genetic counseling profession since its inception, despite vigorous professional initiatives to remedy this situation. Mittman and Downs published a critical review of these initiatives detailing recommendations for change in this journal in 2008. One of their major recommendations was the need to learn from, and join, efforts with other health professions in seeking to increase professional diversity in genetic counseling. This paper reviews new findings on issues impacting health workforce diversity in the nation, presents a case study of a national best practice to diversify the health workforce and illuminates actions that can be taken by the genetic counseling profession. The Sullivan Alliance to Diversify the Health Professions is a culmination of two historic initiatives for addressing the dearth of minority health professionals and is a national catalyst for increasing diversity within the health professions by forging state collaborations among institutions of higher education, health professions schools and other key stakeholders.     

Commentary on “Exploring the Sensitivity of Horn's Parallel Analysis to the Distributional Form of Random Data”

Bong (1998) extended the internal/external frame of reference (I/E) model by attempting to operationalize the internal and external comparison processes that are central to the model and expanding the range of academic self-concept domains. Bong concluded that the "I/E model failed to receive clear support" (p. 102) in relation to predictions that she derived from her extension of the original model. Our critical evaluation and reanalysis, however, reveals problems in the operationalization of the internal and external comparisons, the rationale for post hoc confirmatory factor analysis models and, thus, the original conclusions. Our reanalysis, however, provide strong support for the original I/E model, some support for the separation of the internal and external comparison processes, and good support for a new extension to incorporate a wider range of academic domains. In particular, for these largely Hispanic-American students, Spanish achievement and self-concept were very distinct from achievements and self-concepts in all other school subjects. Accomplishments in Spanish provided one basis for evaluating accomplishments in other school subjects. In contrast, achievements and self-concepts in these other school subjects could be explained in terms of higher-order Verbal achievement and self-concept factors and higher-order Math achievement and self-concept factors.     

“For They Knew Not What It Was”: Rethinking the Tacit Narrative History of Religion and Health Research

Over the past couple of decades, research on religion and health has grown into a thriving field. Misperceptions about the history and scope of this field, however, continue to exist, especially among new investigators and commentators on this research. Contrary to the tacit narrative, published research and writing date to the nineteenth century, programmatic research to the 1950s, and NIH funding to 1990; elite medical journals have embraced this topic for over 100 years; study populations are religiously and sociodemographically diverse; and published findings are mostly positive, consistent with psychosocial theories of health and confirmed by comprehensive reviews and expert panels.     

Humor Reconsidered: The Cultivation of “Accurate Perception” as a Contribution to the Care of Souls

Cultivating a sense of humor that has redemptive possibilities for the soul in a post-Christendom era is an important but nonetheless risky act of pastoral ministry. Humor, like the soul, involves ambiguity, incongruity and paradox. Insufficient appreciation of the paradoxical nature of humor contributes to views that are both overly suspicious as well as insufficiently cautious where humor is concerned. A redemptive sense of humor is explored as a virtue analogous to the Greek virtue of eutrapelia in tension with bomocholia (buffoonery/flippancy) and agroikia (boorishness/excessive seriousness). The work of Erik and Joan Erikson on the needed tension between the syntonic and dystonic further clarifies how humor best serves the soul. I conclude that the willingness to cultivate a sense of humor is an act of faith.     

“If You Want to Get Paid,You’ve Got to Do It”: A Qualitative Study on the Morality of Crime

Although many criminological studies do not make explicit references to morality, judgements around “right and wrong” are implicitly part of criminality. This article seeks to articulate the moral justifications offered by offenders, and to contrast these to the behavioral codes of wider society. Offenders (n = 75) involved in serious organized crime were interviewed in two regions (Glasgow and a county in the North of England), and findings indicate that offenders shared consensus around (a) the “morality of robbing,” where some individuals are deserving of victimization, (b) violence against women and children, which offenders believe as morally wrong, and (c) race-based offences.