Mental health counselling in the Black American Church: reflections and recommendations from counsellors serving in a counselling ministry

The goal of this study was to examine the relationship between “The Black Church”, the mental health needs of its members, and addressing those needs from the perspective of counsellors within the church. Four in-depth interviews were conducted with members of the mental health counselling team at one large, African American-serving church in the Midwest to explore their thoughts about their church pastor’s desire to expand their current ministry to a fully operating counselling centre. The findings suggest that “the Black Church” not only has a role and responsibility in addressing the mental health needs of African Americans within and outside of the church but can also use religiosity as a facilitator rather than a barrier to mental health service use among African Americans.     

A psychotic gynemimetic: I just had a pregnant thought.

Nomothetic and idiographic content analytic approaches to the Rorschach are used in complementary fashion to explore the psychotic personality structure and primitive interpersonal models in a 37-year-old biologically normal male, who was a gynemimetic, that is, a transvestite who aspired to have the genetalia of a woman. The Rorschach was riddled with psychotic verbalizations and imagery suggesting inadequate differentiation from the original symbiosis, inadequate symbiosis anxiety, and significant separation anxiety--a constellation culminating in the transsexual fantasy of fusion with the mother.     

An in-depth observational study of an acute psychiatric ward: combining the psychodynamic observational method with thematic analysis to develop understanding of ward culture

The question of how to create benign organisational cultures in health care is a topic of particular concern in the UK at the present time. The current study aimed to further understanding of complex health care cultures in the National Health Service (NHS), with a focus on an acute adult in-patient psychiatric ward. The psychoanalytic observational method was used for this purpose. The first author conducted six-hour long observation sessions on the ward at weekly intervals, writing detailed process recordings after each observation to take to a supervision group for discussion. The six presentations of observational material and the responses of the supervision group were audiotaped and transcribed. These data were then analysed thematically. The picture that emerged was of a fragile ward environment in which staff appeared fearful of engagement with patients, there was a sense of confusion regarding roles and decision-making processes, and the nursing team felt burdened by responsibility, isolated and anxious about criticism from outside. Contemporary developments within the social defence paradigm are applied to these findings in the context of the intense pressures currently facing staff in the NHS.     

Therapeutic and counter-therapeutic factors in acute ward settings

Summary

Recent reports suggest that many patients view their admission to a psychiatric acute unit as an unrewarding, distressing or undermining experience. Whilst it could become genuinely therapeutic, in the sense that it could be an opportunity for self-reflection, personal exploration or change, it is often endured as a traumatic event in one's life that should best be forgotten.

This paper explores a psychodynamic understanding of this multi-personal environment in which transference phenomena develop and are usually ‘acted out’. The admission process is examined, as well as the importance of understanding the support and attachment to fellow patients, staff-patient tensions, and relationships between staff and management. Issues about violence and fear, locked wards, and reflective interventions on a unit are discussed, focusing on how to maximise therapeutic opportunities. The multi-disciplinary ward-review is also scrutinised in this light.     

A psychotic (sexual) psychopath: "I just had a violent thought ...".

The case of a 33-year-old White male with a history of sexual assault is presented. His Rorschach is analyzed and interpreted using both psychostructural (Exner, 1986) and psychodynamic (Cooper & Arnow, 1986; Kwawer, 1980; Meloy & Gacono, in press-b) methodologies. Findings are used to understand the presence and interaction of both psychopathic character and psychotic personality organization in this mentally ill, sadistic, and sexually predatory young man.     

Continuous assessment in a new Testament survey course: Empirically informed reflections on an Australian trial

This article reports on a practitioner action research project focused on developing, trialing, and reflecting upon a continuous and formative‐assessment plan for a foundational New Testament survey course. Three pedagogical convictions are discussed and drive the design of the assessment. Seven to nine assessment items (depending on level of study) based on course learning outcomes and informed by Bloom's taxonomy of learning, were developed and implemented. Students provided feedback on the assessment through an anonymous online survey. The results demonstrate that students preferred continuous assessment to an exam and major essay, and that they better achieved the course learning outcomes. In conclusion, this style of assessment is effective in driving and assessing student learning and so provides a basis for further action reflection.     

Beginning thoughts on a theological method for ministry

There is an emerging consensus in theological education about the components of a method of practical theology. Some of these components are: experience in ministry, theological reflection, reflection in cognate disciplines (especially the human sciences), reflection on personal involvement, and planning for ministry. This article describes a nine-step method which can be used in local churches or seminaries to move from experience to reflection to planning for ministry.Dr. Poling is Assistant Professor of Pastoral Care and Counseling, Bethany Theological Seminary, Oak Brook, Illinois 60521.The author acknowledges that the method described in this article was developed in conversations with Donald E. Miller, Professor of Christian Ethics at Bethany Seminary.     

Honesty about God: Theological reflections on violence in an evolutionary universe

Theodicy has become problematic in light of scientific theories of evolution, and all theologies are doomed to failure unless and until they are “honest, and ever-vigilant against the temptation … to excise from [nature] … violence and indifference to suffering” simply because it does not suit our theological systems or political goals.1 1 B. Jill Carroll, The Savage Side: Reclaiming Violent Models of God (New York: Rowman & Littlefield, 2001), 116. View all notes In this theological attempt to deal directly with the violence inherent in the evolutionary process, I suggest a cautious retrieval of Martin Luther's God Hidden/God Revealed in order to allow for a more honest appraisal of suffering in this evolutionary universe.     

Keeping and sharing: confidentiality in ministry

What ethical norms regarding confidentiality are applied by ministers in their professional practice? In this essay conventional ethical assumptions about confidentiality in ministry, taken from the work of Gaylord Noyce, are compared with the experiences, attitudes, and expectations of ordered and lay members of the Anglican Church of Canada and the United Church of Canada in two Canadian regions. The similarities and differences are then compared and contrasted with more contemporary theories. The study concludes that most people in the two denominations studied borrowed their ethical norms from the counseling context. Most subjects thought of confidentiality in terms of the beneficial therapeutic effects of keeping the secrets but they also articulated alternative theological grounds for maintaining confidences. Different expectations about how information is to be handled also reveal deeper theological and ecclesiological conflicts over the appropriateness of debriefing with members of the congregation. Differences between rural and urban congregations were revealed in the example of public prayer as an occasion for the breaking of a confidence.     

Kinesthetic figural aftereffects in acute schizophrenia: a style of processing stimuli.

The Kinesthetic Figural Aftereffect test was administered to 106 psychiatric inpatients to assess styles of stimulus processing in schizophrenia. Three conditions were used: (1) standard stimulus conditions at the acute phase; (2) standard conditions, 7 wk. later, to evaluate stability over time; (3) reversed stimulus conditions to assess kinesthetic figural aftereffect generality under different stimulus conditions. Results indicated that: (1) schizophrenics reduced stimuli, but differences between patient groups were not significant. (2) Kinesthetic figural aftereffect stability over time was shown by nonschizophrenics (p less than .01) but not by schizophrenic and borderline patients. (3) All diagnostic groups reversed kinesthetic figural aftereffect responses under reversed stimulus conditions, e.g., former "augmenters" tended to reduce more under agumenting conditions, suggesting the importance of the specific stimulus conditions. (4) Acute schizophrenics showed a stimulus-governed style. (5) The results raise questions about kinesthetic figural aftereffects as a measure of response style.     

"If I had said it I would have remembered it": reducing false memories with a distinctiveness heuristic

We examined the contributions of decision processes to the rejection of false memories. In two experiments, people studied lists of semantically related words and then completed a recognition test containing studied words, unrelated lure words, and related lure words. People who said words aloud at study were less likely to falsely recognize related lures on the test than were those who heard words at study. We suggest that people who said words at study employed a distinctiveness heuristic during the test whereby they demanded access to distinctive say information in order to judge an item as old. Even when retrieving say information is not perfectly diagnostic of prior study, as in Experiment 2, in which participants both said and heard words at study, people persist in using the distinctiveness heuristic to reduce false memories.     

Teacher,I had a dream: a glimpse of the spiritual domain of children using project-based learning

Children’s dreams have the potential to awaken feelings, question attitudes and inspire new learning experiences to deepen awareness of spiritual development. Both guidance and spiritual environments created by nurturing educators and parents foster dreams that captivate and motivate children to increase their spiritual self-awareness, leading them to ask open-ended questions about what is real and what is make-believe. This paper offers a discussion of the importance of children’s dreams accompanied by teaching opportunities using project-based learning to channel creative thinking and interconnecting within a child’s culture and community, promoting balance, integrity and reciprocal relationships. Project-based learning has the capability to offer responsive and holistic support of the spiritual domain of children within a caring, welcoming community. Using project-based learning in classrooms shapes the agenda to stimulate wonder, ask inquiring questions and promotes creativity and encourages multiple ways to represent thinking in graphic, written and oral language.     

Like a bee on a windowpane: Heyting's reflections on solipsism

This paper presents the content of the unpublished notes that the Dutch mathematician Arend Heyting wrote in different periods of his life on solipsism and that are preserved in Heyting's archive at the University of Amsterdam. Most of the notes are quoted here and translated into English. Their study shows the originality of Heyting's reflections on a subject that was typical of his master, L. E. J. Brouwer, the father of intuitionism.     

brief reflections on a career in careers

The author shares some brief thoughts on 30 years of involvement in the area of career counseling and vocational behavior.