Comments on “A neurobiological model for near-death experiences”

the recipient of a National Service Research Award (Public Health Service Grant IF32 CAOF234) from the National Cancer Institute.     

Response to commentaries on “A neurobiological model for near-death experiences”

This work has received financial support from FONDECYT (Project 1111-88). The authors also acknowledge the helpful comments of Dr. Bruce Cassels.     

A grounded theory exploration of therapists’ experiences of somatic phenomena in the countertransference

Somatic phenomena in the countertransference have historically received minimal attention despite evidence of their occurrence in the therapeutic encounter. In the field of Counselling Psychology, there seems to be an apparent gap in the academic coverage and clinical utilisation of therapists’ somatic states. The purpose of this study was to explore therapists’ somatic experiences in the countertransference using a grounded theory methodology, based on a sample of 12 participants that was composed of psychotherapists, counselling and clinical psychologists. The results indicated that therapists made sense of their somatic experiences through a developmental process of ‘relating to the body’ that combined stages of defensive operations, intellectual reflections, attributions of somatic ownership and recognitions of various working patterns in the management of somatic experiences. This study addresses the factors that constituted therapists’ processing of the experience, and the findings suggest that therapeutic work may be affected when psychosomatic phenomena as such become undermined and ignored.     

Older adults’ experiences of internet-based vestibular rehabilitation for dizziness: A longitudinal study

Objective: Factors influencing engagement with self-managed rehabilitation are not well understood, but evidence suggests they may change over time. Despite increasing digitalisation of self-managed interventions, little is known about the role of internet-based interventions in patients’ experiences of self-directed rehabilitation. This longitudinal qualitative study investigated individuals’ ongoing experiences of internet-guided, self-managed rehabilitation within the context of rehabilitation for dizziness.

Methods: Eighteen adults aged fifty and over who experienced dizziness used the ‘Balance Retraining’ internet intervention for six weeks. Participants took part in semi-structured telephone interviews at two-week intervals to explore their experiences. Data were inductively thematically analysed.

Results: The internet intervention was reported to facilitate engagement with rehabilitation exercises, providing motivation to continue through symptom reduction and simple but helpful strategies. It was perceived as informative, reassuring, visually pleasing and easy to use. Barriers to engagement included practicalities, symptoms and doubts about exercise efficacy. Participants’ perceptions did not always remain consistent over time.

Conclusion: The internet intervention may be a feasible method of supporting self-managed vestibular rehabilitation. More generally, longitudinal findings suggest that appearance-related perceptions of online interventions may be especially important for initial engagement. Furthermore, intervention features targeting self-efficacy seem important in overcoming barriers to engagement.     

A phenomenologic investigation of pediatric residents’ experiences being parented and giving parenting advice

Factors surrounding pediatricians’ parenting advice and training on parenting during residency have not been well studied. The primary purpose of this study was to examine pediatric residents’ self-reported experiences giving parenting advice and explore the relationship between parenting advice given and types of parenting residents received as children. Thirteen OUHSC pediatric residents were individually interviewed to examine experiences being parented and giving parenting advice. Phenomenological methods were used to explicate themes and secondary analyses explored relationships of findings based upon Baumrind’s parenting styles (authoritative, authoritarian, permissive). While childhood experiences were not specifically correlated to the parenting advice style of pediatric residents interviewed, virtually all reported relying upon childhood experiences to generate their advice. Those describing authoritative parents reported giving more authoritative advice while others reported more variable advice. Core interview themes related to residents’ parenting advice included anxiety about not being a parent, varying advice based on families’ needs, and emphasis of positive interactions and consistency. Themes related to how residents were parented included discipline being a learning process for their parents and recalling that their parents always had expectations, yet always loved them. Pediatric residents interviewed reported giving family centered parenting advice with elements of positive interactions and consistency, but interviews highlighted many areas of apprehension residents have around giving parenting advice. Our study suggests that pediatric residents may benefit from more general educational opportunities to develop the content of their parenting advice, including reflecting on any impact from their own upbringing.     

Are color experiences representational?

The dominant view among philosophers of perception is that color experiences, like color judgments, are essentially representational: as part of their very nature color experiences possess representational contents which are either accurate or inaccurate. My starting point in assessing this view is Sydney Shoemaker’s familiar account of color perception. After providing a sympathetic reconstruction of his account, I show how plausible assumptions at the heart of Shoemaker’s theory make trouble for his claim that color experiences represent the colors of things. I consider various ways of trying to avoid the objection, and find all of the responses wanting. My conclusion is that we have reason to be skeptical of the orthodox view that color experiences are constitutively representational.     

What makes for a good break? A diary study on recovery experiences during lunch break

This study investigated the role of four recovery experiences during lunch break for employees’ afternoon well‐being. We hypothesized that lunch‐break recovery experiences (psychological detachment, relaxation, control, and relatedness) reduce afternoon exhaustion and enhance afternoon work engagement via replenished personal resources (i.e., state of being recovered immediately after break and subsequent self‐efficacy regarding the upcoming tasks in the afternoon). One hundred and nine employees provided daily survey data three times a day (i.e., start of work, after lunch break, end of work) over a period of two workweeks. Multilevel path analysis showed that relaxation, control, and relatedness during lunch break negatively predicted afternoon exhaustion and positively predicted afternoon work engagement via state of being recovered. For relaxation and relatedness, we additionally found positive serial indirect effects on afternoon work engagement via state of being recovered and self‐efficacy. Psychological detachment was not related to personal resources and afternoon well‐being. This study demonstrates that experiencing control over lunch break and using the lunch break to relax and to relate to others are indirectly associated with improved afternoon well‐being via replenished personal resources.

Practitioner points

• Relaxation, control, and relatedness constitute lunch‐break recovery experiences that indirectly foster feeling confident, replenished, and engaged in the afternoon.
• Employees should strive to spend their lunch breaks in ways that help them feel relaxed, related, and in control.
• Organizations should provide their employees with sufficient break control and offer environments that facilitate relaxation and socializing during lunch break.

     

First-time mothers’ experiences of meaningfulness during their third trimester of pregnancy: A focus on spirituality

This study sought to gain in-depth understanding of the lived experiences of first-time mothers during their third trimester of pregnancy. The non-probability, purposive sample were Afrikaans speaking first-time mothers aged between 22 and 40 years. Data on their experiences of meaningfulness during their pregnancy were collected using the Mmogo-Method® and reflective journals. The data were thematically analyzed combining textual data and visual depictions. This group of first-time mothers expressed a very personal relationship with a Divine reality that they rely on and derive meaningfulness from their pregnancy and birthing experiences. They perceived a Divine reality as the giver of life and that they were given a responsibility to carry new life. Sense of meaningfulness during pregnancy was strongly associated with spirituality.     

Australian speech-language pathologists’ experiences and perceptions of working with children who stutter: A qualitative study

PurposeEffective early intervention is recommended to ameliorate the potential long term negative effects of stuttering. Efficacious treatments are available, but speech-language pathologists (SLPs) report finding implementation to be challenging due to a range of clinician, client and clinical context factors. Previous survey-based research has found that SLPs lack self-efficacy working with CWS, however the reasons contributing to this are not well understood. This study presents the first in-depth analysis of the current practices and perceptions of SLPs working with children who stutter (CWS).MethodsIn this qualitative study 18 Australian SLPs who provide services to CWS were interviewed using a semi-structured interview approach. Data were analysed using reflexive thematic analysis.ResultsThe thematic analysis identified four themes: (1) A stronger sense of self-efficacy is needed in stuttering management compared to other areas of clinical practice; 2) SLPs’ sense of self-efficacy in stuttering management is influenced by early career experiences, client factors and the practice context; 3) Professional development and collaboration strengthen self-efficacy; and 4) Parental involvement and engagement are crucial to treatment success.ConclusionSLP self-efficacy for working with CWS appears a critical factor in the provision of effective management for this population. This study provides an in-depth analysis of the role of SLP self-efficacy and the factors that influence it.     

‘A preparation for practice?’ Students experiences of counselling training within departments of higher education

The literature has identified a gap between the education and practice in the education and training for the practice based professions based within traditional Departments of Higher Education. In the education and training in counselling it is suggested that this gap is primarily between those who view practice as the rigorous application of formal ‘science’ and those who see it as more holistically embedded in ‘tacit knowledge’ and artistry of the practitioner. This paper reports on a small scale qualitative study (Scanlon, 1993) which investigated the experience of students undertaking Counsellor training courses within Departments of Higher Education. Analysis of interview data revealed three main categories of concern. The first categoy describes the adverse effects of the theory-practice gap on the students. The second catego y describes the importance of clinical supervision in acquiring practice skills and the third catego y describes the participants' concerns about the quality of outcome for such training, particularly in relation to the perceived lack of ngour in the assessment of clinical competence. In the light of these findings a number of suggestions about how the professional education and training of counsellors could be better integrated into a more ‘practice led’ curriculum model are discussed.     

Prospective teachers’ beliefs about students’ goal orientations: A carry-over effect of prior schooling experiences?

This study examined the relationship between prospective teachers’ (N = 166) retrospective perceptions of their own past achievement goals and their current beliefs about students’ goal orientations and achievement behaviors. Results of hierarchical regression analysis provide correlation evidence in support of a “carry-over effect” of prospective teachers’ past goal orientations on their current beliefs about students. Specifically, prospective teachers’ were found to believe that their future students will pursue goal orientations analogous to their own past goal orientations. In addition, prospective teachers’ explanations for why students might engage in or avoid achievement-directed behaviors were examined. Regardless of past goal orientation, “internal motives” (e.g., improvement and self-satisfaction) represented the most frequent explanation offered by prospective teachers for why students engage in achievement behaviors. Prospective teachers with past performance-approach goals were significantly more likely to view avoidance as a sign of “laziness,” whereas those with past performance-avoidant goals were more likely to view avoidance as resulting from a “lack of confidence and support.” Implications for subsequent research are discussed.     

Are all ostracism experiences equal? A comparison of the autobiographical recall,Cyberball, and O-Cam paradigms

In the present study, we aimed to compare the primary-need depletion elicited by three common ostracism paradigms: autobiographical recall (e.g., Zhong & Leonardelli in Psychological Science 19:838–842, 2008), Cyberball (Williams, Cheung, & Choi in Journal of Personality and Social Psychology 79:748–762, 2000), and O-Cam (Goodacre & Zadro in Behavior Research Methods 42:768–774, 2010). A total of 152 participants (52 males) were randomly allocated to one of the three paradigms, and their subsequent primary needs were measured (belonging, control, self-esteem, and meaningful existence). O-Cam was found to induce greater total primary-need depletion than did Cyberball and recall, which did not differ significantly from each other. Moreover, when examining the pattern of individual need depletion elicited by each paradigm, O-Cam was found to induce significantly greater depletion of belonging, control, and meaningful existence than did the recall paradigm, and significantly greater depletion of control and self-esteem than did Cyberball. No other comparisons were found to be significant, including the comparisons between the recall and Cyberball paradigms for each individual primary need. Collectively, the findings will assist ostracism researchers in making informed choices regarding (a)?which paradigm is appropriate to implement with respect to their research aims, and (b)?whether the interchangeable use of paradigms within a program of research is appropriate practice.