Development of a spiritual screening tool for children and adolescents

A chaplain's ability to provide care where it is most needed depends upon some method of pastoral triage. Screening for spiritual needs of children and adolescents has been a largely neglected area. A Delphi panel developed elements to be included in a tool to screen 10-18 year olds' spiritual needs and resources. The Delphi panelists were informed of survey results of school-aged children and adolescents' opinions on spiritual issues important to them if they were hospitalized. A case study of the tool's use was conducted with a convenient sample of children and adolescents. Subsequent pilot use of the tool by five pediatric chaplains demonstrated the tool's utility in identifying patients' spiritual issues, ability to serve as a springboard to deeper discussion, and as a basis for initiating discussion of spiritual concerns with other disciplines on the healthcare team. Feedback indicates the potential clinical usefulness of this tool for hospitalized children and adolescents.     

Criteria for a comprehensive model of spiritual development in secular educative care

This paper argues that to fulfil what is required of a model of children's spiritual development in the context of secular educative care, six criteria must be met: the meaning of the terms and nature of the phenomenon must both be specified; the relationship to an underlying ontology must be clarified and the status of alternatives characterized; the sense in which spirituality is developmental and open to change through intervention must be identified and which specific developmental changes are 'spiritual' designated; there must be consistency with an accepted paradigm for the understanding and study of human development; the role and status of spiritual development within a secular system of educative care needs explanation; consequential practical implications must be specified. In suggesting this is an unfulfilled requirement, the challenges posed by each of these criteria are identified.     

Development and yearning: Cognitive aspects of spiritual development

Spirituality is important to humans but gets little attention in experimental studies of life span cognitive development. One way to integrate such studies is to examine cognitive aspects of spiritual development using complex postformal Piagetian models. Four possible points of interface within postformal models are: developmental stages; elements of emotion and will; multiperson cognition; and forms taken by the processes used. Testable hypotheses are outlined and some possible difficulties to be expected within such research are discussed.     

Comparative assessment of a coping model for school adolescents

Four brief, interpersonal coping courses were conducted in a junior high school setting for early adolescent students who volunteered for the experience. Two of the classes (N=24) consisted of students who regularly utilized school guidance personnel; the remaining two classes (N=19) consisted of adolescents from the general school population. Course objectives included higher self-esteem and increased ability to perceive, interpret, and express nonverbal communication and feeling. Session tape recordings provided verbal data for analysis by the Hill Interaction Matrix (HIM) procedure. Results showed that the intervention had significant impact on students' patterns of interaction: interactions were fewer, but longer; conventional interactions decreased, while speculative ones increased; and personal and relationship content increased. Generally, the two class types exhibited similar patterns and changes, although some specific differences were detected. Social class background, stressful life events, and the intensity of the problems experienced by the two types of student were postulated as the sources of this variability. When coupled with ancillary postcourse data, these results support the conclusion that students' interpersonal coping skills were improved by the experience.     

Godly play: an intervention for improving physical, emotional, and spiritual responses of chronically ill hospitalized children

An experimental two-group comparison pilot study of forty chronically ill hospitalized children was carried out at Wolfson Children's Hospital in Jacksonville, Florida. Three Godly Play interventions were given to participants in the experimental group. Children in the control group did not participate but received a fairy tale book as a control. The sample was evenly distributed with twenty (20) males and twenty (20) females. Ages ranged from six (6) to fifteen (15) years and all participants were chronically ill. Five (5) variables were studied. Of the five (5), three (3) showed significant differences before and after Godly Play: the Staic-Trait Anxiety Scale (p = .049), the Children's Depression Inventory (p = .011), and the McBride Spirituality Assessment (p = .033). A marginal difference in parent satisfaction with hospital care of children in the experimental and control groups was also determined (p = .058). Findings suggest that Godly Play had a significant effect on anxiety, depression, and spirituality of children and support the idea that the parents of children who participated in Godly Play were more satisfied with hospital care than those parents whose children did not engage in Godly Play.     

Self-mutilation: a spiritual endeavor

This article explores the phenomenon of self-mutilatory behaviors among practitioners both today and throughout history with the intent of exposing what the author finds to be a radical correlation between mental illness and spirituality. It is the author's belief that today's strong focus on the biology of mental illness, though essential, will extend us only so far in our comprehension of mental pathology; and that an investigation into the spiritual needs of humankind may serve to round out our understanding.     

Infant assessment as intervention and parent education

The importance of involving parents as active participants in the process of infant assessment is discussed. Presented are techniques for facilitating this involvement which can maximize the possibility that parents will follow through on educational plans. Use of this type of assessment is a form of intervention.     

Theological foundations for spiritual care

Five theological tenets are described which may undergird the integration of religious awareness and spiritual care into nursing curricula. The five all emphasize addressing the articulated needs of the patient within the context of the nursing process. These tenets, while Wesleyan in emphasis, suggest ways in which any nurse may engage in the common ministry of all Christians without usurping the role of clergy or chaplains.This article is a revision of a chapter of Dr. Brittain's doctoral dissertation from St. Mary's Seminary and University.     

Surveying the extent of, and attitudes towards, the use of prayer as a spiritual intervention among British mainstream counsellors

A questionnaire was sent to 578 BACP Accredited Counsellors and 122 CMCS Approved Counsellors to survey the use, and attitudes to the use, of prayer as a spiritual intervention in British mainstream counselling. The data reveal that prayer influences the practice of a significant number of mainstream counsellors at a philosophical, a covert and an overt level. More research needs to be conducted into the value and limitations of this phenomenon.     

A nine-parameter model for psychological assessment

This paper presents a model for viewing assessment from nine vantage points simultaneously. Each of these dimensions or 'parameters' is divided into sublevels. The power and usefulness of the resultant model stems from the variety of possible unique interactions among these dimensions and their sublevels. The model has the following useful properties: (a) it provides a multidimensional definition of several aspects of psychological assessment, (b) it serves as a checklist and guide for the criticism of existing psychological tests and measures, (c) it has potential heuristic value in the generation of new measures and tests, (d) it is flexible, in that new parameters may be added and sublevels changed to suit specific needs, and (e) it is presented visually as a spatial model, thus allowing the viewer a more 'concrete' appreciation of what are really theoretical interactions.     

Psychological investigation of genital herpes recurrence: prospective assessment and cognitive-behavioral intervention for a chronic physical disorder

Previous studies suggest that anxiety and/or depressed mood are associated with recurrence of genital herpes lesions. The present study sought to extend the assessment of factors associated with genital herpes and to investigate the impact of psychological therapy on features of the disorder. Sixteen genital herpes patients received 5 weeks of either structured discussion or cognitive restructuring (CR) therapy in a group format. Measures of attitude about herpes, global coping, distress, loneliness, health locus of control, and recurrence frequency were administered at pretreatment, posttreatment, and 3 months follow-up. Patients also made daily reports during the 5 weeks of treatment from which information was extracted regarding their herpes symptoms, dysphoria, anxiety, and ongoing coping process. Therapy did not produce the expected reductions in reported distress or loneliness. The CR procedure, however, was associated with reduced frequency of lesion recurrence at follow-up. Avoidant coping was associated with lower recurrence rates, and loneliness scores were associated with higher recurrence rates. Prospective data indicated that recurrences were preceded by elevated anxiety that was independent of prodromal symptoms. These results provide support for the general proposals that psychological factors influence health status and that psychological intervention may reduce disease recurrence.     

Attachment, assessment, and psychological intervention: a case study of anorexia

Attachment patterns and personality dimensions have always been considered important to the development and adaptation of the individual. The first aim of this article was to address some basic questions about the place of attachment in a multimethod assessment when compiling a complete picture of the patient's personality functioning. The second aim was to present the Adult Attachment Projective Picture System (AAP; George & West, 2001) as a valid and productive assessment measure. Based on a single case study of an anorexic young woman, the article demonstrates how the AAP is integrated with the Rorschach Comprehensive System (Exner, 1991, 1993) and other assessment tools in both the assessment and in developing a treatment plan.     

Development of a telephone-based intervention for support persons to help smokers quit

This study represents the first step toward systematic behavioral treatment development and pilot testing of a novel approach to smoking cessation that utilizes adults interested in helping someone to stop smoking (i.e., support persons) as the agent of change. The counselor manual for a telephone-based intervention for support persons was developed based on a previous clinic-based intervention. Social cognitive theory served as the conceptual basis for the intervention. Ten adult non-smoking females completed the treatment protocol, consisting of six 20 - 30-min sessions and written materials. The support person was the sole recipient of the professional intervention. Feedback was obtained from 8 of the 10 participants and all 4 telephone counselors 1 week post-treatment (week 10). Results indicate that the telephone-based intervention was feasible and acceptable to participants. The intervention was refined based on participant and counselor feedback and will be subsequently tested in a randomized pilot trial.