'To walk the last bit on my own' - narcissistic independence or identification with good objects: issues of loss for a 13-year-old who had an amputation

This paper describes two years of psychotherapy with Michael, a 13-year-old boy who had undergone a recent emergency amputation of his leg and hip for bone cancer. The work follows Michael's struggle with the enormity of the loss, in the face of his, as well as the system's, use of denial. The amputation as an 'attack' on his physical and emotional autonomy strikes at his early adolescent development. The therapeutic process is aided by his capacity 'to go back to the unhappiness'. The therapy develops from his initial shock, to despair and self-blame, as he struggles with a tendency - in the middle period of the therapy - to lose his mind as well as his leg in a retreat to withdrawal and mindlessness, or to mania. He struggles between an omnipotent, at times self-destructive, wish to 'go it alone', versus a capacity to feel sad and to value life. His capacity to think about the trauma and to find meaning emerges. The paper raises questions about whether some trauma can ever be fully assimilated, and whether, for Michael, the mourning process could lead to a reintegrated sense of self and of a 'psychic intactness', dependent on the survival of his good 'internal couple'. Hospital and ward-based child psychotherapy and its limitations are explored.     

Indero: Intergenerational Trauma and Resilience between Burundian Former Child Soldiers and Their Children

Since many former child soldiers are aging and having children of their own, this study aimed to understand how the effects of trauma are passed to the next generation. In this qualitative study, semistructured interviews, focus groups, and observations were conducted with 25 former child soldiers and 15 matched civilian parents. Analysis used a grounded‐theory approach. Trauma may be transmitted from former child soldiers to their offspring via (a) the effect on indero (how to raise a child); (b) severe parental emotional distress; and (c) community effects. Incorporating themes of indero values on how to raise children, the effects of parental posttraumatic stress and depressive symptoms on offspring, and the stigma associated with the families of former child soldiers may provide key areas of intervention in mental healing.     

Violence Exposure and PTSD: The Role of English Language Fluency in Latino Youth

Although Latinos have been a rapidly growing population in the US, little is known about how mental health symptoms may present in Latino children especially in the context of those living in poverty and exposed to violence. We explored the level of violence exposure and trauma symptoms in Latino youth and the relationship of these factors with English language fluency. During 2000–2002, 1,601, Latino students from seven middle schools participated in a school-based screening to identify students with exposure to community violence and symptoms of Posttraumatic Stress Disorder (PTSD). The students completed a self-report instrument, in either Spanish or English, that combined a modified version of the Life Events Scale and the Child PTSD Symptom Scale (CPSS). Bivariate analyses and multivariate regression models showed that youth with higher English language fluency reported greater violence exposure and PTSD symptoms than those with lower fluency. No difference was found in functioning by English language fluency. English language fluency appears to be related to violence exposure and PTSD symptoms in these Latino youth. We discuss the importance of school-based programs especially designed to serve Latino students of varying English language fluency.     

Childhood Adversity and the Continued Exposure to Trauma and Violence Among Adolescent Gang Members

This study investigates interfaith groups from across the United States to understand how these religious settings may serve as mediating structures to facilitate individual political action. Based on a multilevel modeling analysis with 169 individuals from 25 interfaith groups, we found that core activities of the group, such as group members sharing community information (e.g., announcing upcoming events, political meetings, community issues) or sharing religious information (e.g., educating members about their religion) positively and negatively predicted individual political action as a result of group participation, respectively. Moreover, a sense that the interfaith group served as a community to work for local change, but not trust within the group, predicted political action as a result of group participation. However, this effect for a sense the group served as a community to work for local change was stronger and more positive as the degree of community information sharing in the group increased. These results show that a core activity of sharing community information may enhance the ability of a group to mediate political action. Overall, these findings demonstrate the potential role of interfaith groups to mediate political action, and show the importance of considering both individual and group characteristics when understanding these religious settings. Limitations and directions for future research are also discussed.     

Training service providers working with traumatized children in South Africa: The navigations of a trainer

In South Africa, counselling training poses two related difficulties: working in a situation of ubiquitous, ongoing violence, and offering training to people who have minimal or no qualifications and are often overwhelmed by enormous workload. In this context, there is a temptation either to give up hope in the face of the enormity of the task, or defensively to package counselling as a set of techniques which can be taught without much self-reflection. In this article we discuss, by contrast, an intervention which used psychodynamic principles to develop learner-centred training drawing on trainees' own experiences. We consider the benefits of this approach even in a context of violence and meagre resources.     

Forgiveness in adolescents, young, middle-aged, and older adults

The evolution of the propensity to forgive an offense was studied in a sample of 236 people from various age groups. The effect of a number of circumstances connected with the offense was considered: intent to harm, severity of consequences, cancellation of consequences, social proximity to the offender, apologies from the offender, and the attitude of others. The method was an application of information integration theory. A global increase in the propensity to forgive from adolescence to old age was observed. Several interactions between age and circumstances were found: (a) The effect of the cancellation factor was higher in young adolescents and in the very old than in the middle-aged, (b) the attitude of others and the restoration of harmony factors were important only in adolescents. Finally, the structure of the Forgiveness schema was shown to be an additive one, regardless of the age of the participants.     

Emotional memory processing in post-traumatic stress disorder affected Colombian youth

Post-traumatic stress disorder (PTSD) is a neuropsychological condition caused by exposure to chronic stressors and extreme trauma. In past decades, Colombia (South America) has experienced high levels of armed conflict, which created an environment of chronic stress, resulting in an increased incidence of PTSD in children. Limited research exists on the effects of PTSD on emotional memory functioning of these Colombian youth living in chronically stressful environments. In the present study, 23 PTSD affected youth and 26 controls were asked to recall items from a memorised word list, as well as remembering details from a short emotional story. Although no significant differences were found for word list memory, deficits for emotional story content were found in the PTSD youth, particularly for facts involving negative emotional details. The latter may suggest a deficit in executive functioning for the integration of emotionally laden stimuli, perhaps induced as a by-product of their traumatic experiences.     

Forgiveness is an emotion-focused coping strategy that can reduce health risks and promote health resilience: theory,review, and hypotheses

Experimental evidence suggests that when people are transgressed against interpersonally, they often react by experiencing unforgiveness. Unforgiveness is conceptualized as a stress reaction. Forgiveness is one (of many) ways people reduce unforgiveness. Forgiveness is conceptualized as an emotional juxtaposition of positive emotions (i.e., empathy, sympathy, compassion, or love) against the negative emotions of unforgiveness. Forgiveness can thus be used as an emotion-focused coping strategy to reduce a stressful reaction to a transgression. Direct empirical research suggests that forgiveness is related to health outcomes and to mediating physiological processes in such a way as to support the conceptualization that forgiveness is an emotion-focused coping strategy. Indirect mechanisms might also affect the forgiveness-health relationship. Namely, forgiveness might affect health by working through social support, relationship quality, and religion.     

Rumination: Bridging a gap between forgivingness, vengefulness, and psychological health

It was argued in the present investigation that dispositional forgiveness and vengeance would be differentially related to components of rumination, and thus the mediating role of rumination in their relations with psychological health would also vary. Male and female undergraduates (N = 183) completed questionnaires assessing predispositions toward forgiveness, vengefulness, rumination, depressive affect, and life satisfaction. Regression analyses revealed that higher forgiveness and lower vengefulness were associated with greater psychological health (lower depressive affect; higher life satisfaction). Moreover, the relations between forgiveness (but not vengefulness) and psychological health were partially mediated by the decreased propensity of high forgivers to endorse ruminative brooding. These findings suggest that, although forgiveness and vengeance may be related, their impacts on psychological health reflect distinct ruminative tendencies.     

Pathways between attachment and marital satisfaction: The mediating roles of rumination,empathy, and forgiveness

This study explored a path to marital satisfaction based on attachment theory. For this purpose, a sample of 208 Korean married teachers completed a survey on adult attachment, rumination, empathy, forgiveness, and marital satisfaction. Through structural equation modeling (SEM), a path in which adult attachment leads to marital satisfaction, mediated by dispositional forgiveness, was found. I also found a distinctive path by which anxious and avoidant attachment negatively affect forgiveness and marital satisfaction through excessive rumination and lack of empathy. These results suggest that the most accurate model of the relation between attachment, rumination, empathy, forgiveness, and marital satisfaction involves analyzing direct, indirect, and gender effects. Marriage counselors and therapists can use these results to gain a deeper understanding of the underpinnings of marital life and, ultimately, help reduce the very high divorce rate in Korea.     

Violence against women: Mental health effects. Part II. Conceptualizations of posttraumatic stress

A broad range of psychological aftereffects have been noted among women who have experienced male-perpetrated violence. These symptoms vary considerably among individuals, across social contexts, and across different types of violent encounters (Coley & Beckett, 1988; Goodman, Koss, & Russo, 1992; Koss, 1988; Straus, Gelles, & Steinmetz, 1980). Nevertheless, a remarkably consistent picture of the psychological sequelae of violence—particularly sexual and physical assault—emerges from the empirical and clinical literature (Koss, 1988). In this article, we use the posttraumatic stress disorder diagnosis—a frame that captures many of the disparate symptoms described by researchers—as a basis for exploring several conceptual models that have been developed to explain women's responses to violence.     

Narcissism and lack of interpersonal forgiveness: The mediating role of state anger,state rumination,and state empathy

The present study investigated the unique contributions of two distinct dimensions of narcissism – admiration and rivalry – to two facets of unforgiveness: revenge and avoidance. In addition, we examined whether state anger, state rumination, and state empathy mediate this relationship. Using a large sample (N = 1040), we found that admiration was negatively related to revenge and avoidance via higher empathy for the transgressor. By contrast, rivalry was positively related to revenge and avoidance via greater anger and rumination and less empathy. Findings suggest that the mechanisms through which narcissism and lack of forgiveness are associated are better understood if we disentangle admiration and rivalry and consider both cognitive and affective antecedents of narcissists’ unforgiving motivations.     

Retributive justice, restorative justice, and forgiveness: An experimental psychophysiology analysis

This experiment assessed the emotional self-reports and physiology of justice outcomes and forgiveness responses to a common crime, using a three Justice (retributive, restorative, no justice) × 2 Forgiveness (forgiveness, none) repeated-measures design. Participants (27 males, 29 females) imagined their residence was burglarized, followed by six counterbalanced justice-forgiveness outcomes. Imagery of justice—especially restorative—and forgiveness each reduced unforgiving motivations and negative emotion (anger, fear), and increased prosocial and positive emotion (empathy, gratitude). Imagery of granting forgiveness (versus not) was associated with less heart rate reactivity and better recovery; less negative emotion expression at the brow (corrugator EMG); and less aroused expression at the eye (lower orbicularis oculi EMG when justice was absent). When forgiveness was not imagined, justice-physiology effects emerged: signs of cardiovascular stress (rate pressure products) were lower for retributive versus no justice; and sympathetic nervous system responding (skin conductance) was calmer for restorative versus retributive justice.     

Religious involvement and self-forgiveness

The purpose of this study is to examine the interface between involvement in religion and self-forgiveness. The data come from a recent nationwide survey of adults age 18 and older (N?=?1774). A conceptual model was developed that contains the following hypotheses: (1) Evangelicals will attend worship services more frequently than members of other faith traditions; (2) people who go to church services more often will be more likely to get spiritual support from fellow church members; (3) individuals who receive more spiritual support from religious others will be more likely to believe that they have been forgiven by God; (4) people who believe that they have been forgiven by God will have a greater sense of self-worth; and (5) individuals who have a stronger sense of self-worth will be more likely to forgive themselves for the things they have done wrong. The data provide support for each hypothesis.     

The effects of brief prayer on the experience of forgiveness: An American and Indian comparison

The present study offers a cross‐cultural examination of the effect of prayer on forgiveness. American (n = 51) and Indian (n = 100) participants either prayed for their romantic partner (prayer condition) or described their romantic partner's physical attributes (control condition). Prayers were self‐guided and lasted 3 minutes. Pre‐test and post‐test measures of retaliation were completed. Results showed that participants in the prayer group showed statistically significant decreases in retaliation motives from pre‐test to post‐test and the magnitude of this change was not different across cultures. Control groups in both cultures showed no change. Because of the religious diversity present in the Indian sample, the robustness of the effect of prayer on forgiveness was tested across Christian, Hindu and Muslim Indians. Religious affiliation did not moderate the effect of prayer on forgiveness in this sample. Results suggest that a brief prayer is capable of producing real change in forgiveness and this change is consistent across American and Indian cultures and across three different religious groups in India. Brief prayer for others that enhances forgiveness may be useful for individuals in close relationships, in certain counselling settings and for people in many different walks of life.     

Responsibility, Control, and Omissions

Previously, I have argued that moral responsibility for actions is associated with guidance control. This sort of control does not necessarily involve the freedom to do otherwise. In this paper I extend the view to apply to omissions. That is, moral responsibility for an omission is associated with guidance control of that omission. This helps to provide a systematic, unified account of moral responsibility.