Gender and Sexuality in the Pastoral Encounter

Abstract

At the ‘Embodied Ministry: Gender, Sexuality and Formation’ conference at which the articles in this special issue were delivered, three people in active ministry in different denominations — United Reformed Church, Metropolitan Community Church and Roman Catholic — were invited to take part in a panel discussion on gender and sexuality in the pastoral encounter. Their remarks were originally delivered in this conversational context. Martin Pendergast chaired this panel discussion.     

Love and Eschatology

Abstract : This article reflects on the connection between Christian hope for salvation and Christian praxis today. Following a discussion of Christian approaches to hope, salvation, and reconciliation, the eschatological potential of love is explored in conversation with significant theologies of love in Western Christianity. It is argued that love, properly understood, offers the most adequate and dynamic horizon for approaching God's coming reign and for being transformed in the process.     

Women and the Art of Peacemaking: Data from Israeli-Palestinian Interactive Problem-Solving Workshops

Are women “natural” peacemakers? If so, is this because of natural inclinations to avoid conflict or to engage in tough discussions? Are there particular skills in which women excel that make them more likely than their male counterparts to be able to build relational bridges, to facilitate negotiations, and to reduce tensions? After a review of the literature on gender differences in such skills, a systematic comparison of interaction quality is made between two Israeli-Palestinian interactive problem-solving workshops that differed only in gender composition. A third Israeli-Palestinian workshop that involved female political elites is also examined for subsequent changes in the conflict relationship or for changes in political activity. The implications of different repertoires of skills for altering political processes are discussed.     

Close Encounters in the Liminal Zone: Experiments in Imaginal Communication Part I

The phenomenology of the experience of being in psychic contact with another person was explored in a series of observations using a novel dyadic interaction in imaginal space. Research participants working in pairs with eyes closed received instructions to imagine being in mental contact with one another for three minutes while they observed their internal experiences. Their reports indicated that the imagined contact was experienced as real, as intimate, and aroused the ambivalences usually associated with intimacy as well as phenomena suggestive of projective identification effects. This first part demonstrated that the liminal zone, or the transitional space between individuals, can be experimentally observed through the imagination. Part II of this report will present evidence that the experienced psychic contact was more than 'just imagination', and involved transpersonal interactions, including suggestions of synchronicity and telepathy.     

Talking about Disability in Prenatal Genetic Counseling: A Report of Two Interactive Workshops

Women are commonly offered testing in pregnancy to determine the health of their baby. An important component of informed decision-making about prenatal testing is provision of relevant, accurate, meaningful information concerning the conditions that are being tested for—many of which, such as Down syndrome, are associated with a varying degree of physical and intellectual disability. A range of health professionals, including genetic counselors, may provide information and support throughout the testing process, but available data suggest that discussion of disability is frequently absent or limited. To investigate genetic counselors’ perceptions of this situation and identify potential barriers to discussion we facilitated interactive workshops at the 2007 National Society of Genetic Counselors Annual Education Conference (NSGC) and the 2008 European Meeting on Psychosocial Aspects of Genetics (EMPAG). Working groups identified relevant psychosocial issues and impediments to discussion (NSGC) or used a two-part scenario to promote discussion (EMPAG) and reported findings in notes and a closing plenary discussion. Inductive content analysis revealed that participants considered informed decision making to be a major reason for presenting information about disabilities in prenatal genetic counseling and endorsed the value of including information about daily life with Down syndrome and other disabilities. However, they identified three broad types of impediments to such discussion: counseling issues concerning the most appropriate manner to discuss disability under the complex circumstances of prenatal genetic counseling, less than optimal training and experience in addressing these issues, and perceived limitations in the participants’ knowledge and understanding of life with disability. Our analysis of the responses from the workshop participants and additional thoughts on these issues have led us to develop recommendations for further research, training and clinical practice.     

Close encounters in the liminal zone: experiments in imaginal communication Part II

The phenomenology of the experience of being in psychic contact with another person was explored in a series of observations using a novel dyadic interaction in imaginal space. Research participants working in pairs with eyes closed received instructions to imagine being in mental contact with one another for three minutes while they observed their internal experiences. Their reports indicated that the imagined contact was experienced as real, as intimate, and aroused the ambivalences usually associated with intimacy as well as phenomena suggestive of projective identification effects. This first part demonstrated that the liminal zone, or the transitional space between individuals, can be experimentally observed through the imagination. Part II of this report will present evidence that the experienced psychic contact was more than 'just imagination', and involved transpersonal interactions, including suggestions of synchronicity and telepathy.     

An emerging theory of apology

There is no consensus in the psychological literature regarding the operational definition of an apology, nor is there a comprehensive theory of apology. The object of this study was to use a hermeneutic phenomenological approach and grounded theory methodology to develop a theory of apology based on lay people's interpretation of apologetic responses. Data were methodically gathered by interviewing 23 people who had been wronged by an intimate partner. The analysis of the data suggests that there is not a single discrete definition of an apology, but that it is more appropriate to conceptualise apology as a process that consists of one or more of three components: affect, affirmation, and action. Each of these components has two categories; one that reflects a self‐focus on the part of the wrongdoer, and the other a self–other focus. What will be accepted as a good enough apology appears to depend on the severity of the consequences of the wrong, the level of responsibility attributed to the wrongdoer, and the perceived wrongfulness of the behaviour.     

Encounter with a traditional healer: Western and African therapeutic approaches in dialogue

The paper explores the extent to which cultural aspects contribute to the modalities of human relations and consequently to the qualities of the internal objects and the sense of identity. Therapeutic relationships and techniques, as well as the theories on which they are based, are seen as being equally embedded in their cultural context. An encounter with a traditional African healer offers the author, a western trained European analyst, an opportunity to think about similarities and differences in the therapeutic approach to mental distress, as well as in the training of therapists/healers in the two cultures. Special attention is given to the role of ancestor reverence in African culture. The notion of the ancestors is related to what psychoanalysis describes as internal objects. Cultural differences in the role and importance of verbal language in the therapeutic relationship are described, and the importance and meaning of non-verbal forms of communication are explored.     

Couple Relationship Distress and Observed Expression of Intimacy During Reminiscence About Positive Relationship Events

Satisfied couples report that positive, intimate communication is central to their relationship. We developed the positive reminiscence task, in which couples discuss positive relationship moments to assess communication of positive intimacy. The behavior and heart rate of 28 satisfied and 25 distressed couples were assessed during positive reminiscence and problem solving. As predicted, satisfied couples demonstrated higher rates of positive affect and dyadic intimacy than distressed couples during positive reminiscence, and these positive behaviors occurred at much lower rates during problem solving than positive reminiscence. However, the differences between distressed and satisfied couples were more marked on most assessed behaviors during problem solving rather than positive reminiscence. Two notable exceptions were that dyadic intimacy and sadness differed more between distressed and satisfied couples during positive reminiscence than problem solving. The positive reminiscence task assesses intimate behaviors in a manner likely to be useful in research and practice.     

The Contribution of Hope and Affectivity to Diabetes-Related Disability: An Exploratory Study

This study examined the relationships of the dispositional variables of hope, positive affectivity (PA), and negative affectivity (NA) with disease status and illness-related psychosocial functioning in a sample of 45 young adults with insulin-dependent diabetes mellitus (IDDM). Canonical analyses revealed one significant canonical function between the dispositional and psychosocial outcome variables. Primary contributors to the relationship were higher NA and lower PA and maladaptive emotional behavior. A linear multiple regression analysis using hope and affectivity as predictors failed to account for a significant proportion of variance in objective disease status as measured by hemoglobin A _1C (HbA_1C). The results support previous findings that affectivity may relate to self-reported, disease-related outcome, but not necessarily to objective measures of health status. Future studies of adaptation to chronic illness should consider including measures of illness-related behaviors (e.g., adherence), as well as subjective and objective measures of health status.     

Changes in adolescent and parent hopefulness in psychotherapy: effects on adolescent outcomes as evaluated by adolescents,parents, and therapists

We examined the role of hope in the behavioral and socioemotional outcomes of adolescents referred to psychotherapy. Adolescents (n = 3517), aged 12–17 years, and their parents rated adolescents’ behavior problems, adolescents’ adaptive behavior, and their own subjective experience of hopefulness at intake and at 3-month follow-up. Therapists also rated adolescents’ behavior problems and adaptive behavior at intake and follow-up. Adolescents who reported increased hopefulness during treatment showed significantly fewer problems and significantly greater adaptive behavior at follow-up than adolescents who reported stable or decreased hopefulness. Similarly, adolescents’ outcomes were significantly associated with parents’ change in hopefulness during treatment. Results were consistent for adolescent, parent, and therapist ratings of outcomes. Our findings provide some of the first empirical evidence for the importance of hopefulness in the psychosocial treatment of adolescents and highlight the need to attend to hopefulness in both youths and their parents.     

Deception,Catholicism, and Hope: Understanding Problems in the Communication of Unfavorable Prognoses in Traditionally-Catholic Countries

The doctor's use of deception in appropriate circumstances has commonly been considered a necessity of the medical art. Resistance to full and frank communication is typical of many traditionally Catholic countries, and particularly of Italy, a western country where Catholicism remains particularly influential. The Catholic teaching on truth and lies, and the problem of telling the truth to a severely ill patient is discussed. It is suggested that the contemporary Catholic model of gradually telling a terminal patient the truth, which looks reasonable and feasible in theory, is rarely followed in practice, as in the majority of cases the truth is not told tout court. Problems stem from the way in which medicine is currently practiced in Italy; from the synergism between Catholicism and the medical tradition's grounded paternalism; and from the ambiguity of the term ‘hope’. Catholic ethics in fact recommends that the truth must be told without destroying hope, but the Catholic meaning of ‘hope’ is very different from its meaning in current language.     

Gratitude predicts hope and happiness: A two-study assessment of traits and states

Abstract

Gratitude is the appreciation of a gift received; happiness is the enjoyment of a present good; and hope is the desire for a valued future. Two studies investigated gratitude as a predictor of hope and happiness. In Study 1, hierarchical regressions (N = 181) revealed that trait gratitude exceeded other constructs (forgivingness, patience, self-control) in predicting trait hope and happiness. In Study 2, we experimentally tested the impact of a gratitude-related writing intervention on state hope and happiness. Participants (N = 153) first wrote about a current, meaningful, hoped-for outcome and completed state hope and happiness measures. Participants were randomly assigned to either (a) gratefully remember a past hope that had been fulfilled or (b) a control condition. The grateful remembering condition (vs. control) prompted significant increases in state hope and happiness, commending grateful remembering as a practice that can bolster present happiness and hope for the future.     

Patient Adherence With Medical Treatment Regimens: An Interactive Approach

Inadequate patient adherence to treatment regimens is a ubiquitous problem in health care and carries a profound personal, societal, and economic cost. This article illustrates a general theoretical framework we believe to be useful for the interpretation, conception, and design of adherence research. The core tenet of this framework is that factors that influence adherence can be better understood by considering the interactive effects of patients' characteristics, type of adherence intervention, and characteristics of the illness and medical treatment context. This framework represents an extension and application of previous theory and research from personality, social, and clinical psychology concerning the value of an interactionalist perspective. We illustrate the framework using some of our past work involving treatment adherence among patients with chronic renal failure.     

ELI: An Interactive Elicitation Technique for Subjective Probability Distributions

Uncertain knowledge about continuous quantities is usually formalized through subjective probability distributions (SPD′s). However, results from past experimental research have often pointed to the rather poor quality of SPD′s. Moreover, previous attempts to improve SPD quality frequently appeared to be only partly successful; overconfidence especially proved to be an exceptionally persistent phenomenon. In the present study, method-induced biases in particular are considered to be responsible for the poor quality of SPD′s, and an alternative means for eliciting uncertain knowledge was designed to meet fundamental quality criteria to a more satisfactory degree. The direct realization of a proper scoring rule in a graphically oriented interactive computer program is one of the central features of this new elicitation technique, ELI. An experiment with 48 subjects was carried out to evaluate ELI performance and to compare it with the performance of (a) an existing elicitation technique and (b) a simple technique that only asks for a best guess and a lower and upper bound. The three techniques were evaluated and compared with respect to their contribution to reliable and valid SPD′s and with respect to their practical usefulness. The results indicated that for ELI the fundamental requirements were realized to a great extent. Furthermore, compared with the two other techniques, ELI performance appeared to be superior. In particular, only with the support of ELI did overconfidence appear to be almost absent.     

The Marital Communication Rating Schedule: An instrument for clinical assessment

The Marital Communication Rating Schedule (MCRaS) is presented as an observationally based clinical rating system for assessing verbal behavior in marital communication. Data from 35 response display discussions lasting from 20 to 30 min each, which took place between 11 married couples, were used to examine aspects of the reliability and validity of the instrument. Three raters made independent ratings of 37 MCRaS categories for each husband and wife for each discussion period. Reliability among the raters was shown to be high when calculated within one scale point. Concurrent validity was assessed by comparing MCRaS ratings for four categories with observationally based validation criteria independently coded and measured. Results indicated that for three categories — negative statements, overgeneralizations, and amount of talk — ratings produced results that were similar to those yielded by laborious coding of audiotapes. For one category, opinions requested, a relationship between the ratings and coded data was not found. The validation results were discussed in terms of possible differences in the basis of ratings for the categories subjected to validation. Although further research is needed, it was concluded that MCRaS has many of the desirable qualities needed in a clinically useful, observationally based rating system.This investigation was conducted in connection with the Sociobehavioral Research Project at The University of Michigan when Joyce Borkin and Claude L. Walter were affiliated with the project.     

Increasing Marital Intimacy: Lessons from Marital Enrichment

Both marriage and family therapists and family life educators work to increase marital intimacy. In this study the effectiveness of two marriage enrichment programs was assessed with implications for practicing therapists. Participants were randomly assigned to an Adventure or ACME (Association for Couples in Marriage Enrichment) treatment group or to a control group. Marital intimacy was assessed before and after treatment. Findings demonstrated that both enrichment groups had a statistically significant increase in marital enrichment. Suggestions for adopting adventure-based interventions for traditional therapy are discussed.     

StopPulling.com: An Interactive, Self-Help Program for Trichotillomania

Despite the widespread nature and significant impact of trichotillomania (TTM), relatively few controlled studies have evaluated treatment options for people with this disorder. Pharmacological treatment and behavior therapy are the two most widely accepted approaches to treating TTM, but few mental health professionals with appropriate expertise are available to provide care. The cost of treatment also is prohibitive in some cases. A number of self-help books are available for people with TTM, but no empirical data have documented associated outcomes. This paper describes the development and two phases of program evaluation for an alternative, Internet-based self-help treatment strategy for repetitive hair pulling. StopPulling.com is an on-line, interactive self-help approach derived from evidence-based cognitive behavioral models of treatment for TTM. Following program development, an initial test phase elicited feedback from individuals with repetitive hair pulling and professionals with expertise in the treatment of TTM or Web site development. StopPulling.com was modified in accordance with feedback from this initial test phase, and a revised version was made available to the public in January 2003. Preliminary data from 265 users of the program during the first year of public availability suggested significant improvement in symptoms, with some evidence that duration of program use accounted for reductions in symptom severity. Response rates were comparable to long-term follow-up after more intense cognitive behavioral treatment. StopPulling.com may provide a potentially useful self-help alternative or adjunctive strategy for repetitive hair pulling.