Editorial: Applications of Cognitive and Behavioral Therapy in Response to COVID-19

The corona virus (COVID-19) continues to have a devastating health, economic, and social impact on our local and international communities. Cognitive and Behavioral Therapies (CBTs), as a family of therapies that posit cognitive, behavioral, emotional, and interpersonal change processes in the understanding and successful treatment of mental health disorders, have risen to the challenge. This special issue represents contributions from CBT experts on the impact on psychopathology, new assessment methods, adaptations of integrated behavioral health, telehealth, psychology training, and discusses a public health framework. The issue includes a series of articles offering guidance for the clinician on interventions for those impacted by trauma, CBT for youth and families, and telehealth for psychotic spectrum disorders and group therapy for social anxiety.     

Paul and the Revisionists: Did Luther Really Get it All Wrong?

Abstract : After the advent of the “new perspective” on Paul as explicated in E. P. Sanders, Krister Stendahl, and N.T. Wright, we need to ask: did Luther get Paul right? In this essay, Donfried analyzes N.T. Wright along with David Brondos on whether Paul—and Luther—properly interpreted concepts such as “law” or “justification” in light of ancient Judaism(s). In contrast to the “new perspective,” Donfried argues that Paul got the Judaisms of his own era right and Luther got Paul right: we are justified or rightwised before God because of the presence of Jesus Christ in the faith of the one who believes.     

Helping Couples in the Shadow of COVID-19

The pandemic caused by the SARS-CoV-2 virus (coronavirus) and the associated illness, COVID-19, has caused a level of worldwide upheaval unlike any most people now living have seen in their lifetimes. This crisis affects people in their most important, committed, and intimate relationships. Although this crisis has damaged the health and well-being of individuals, crushed economies, and led to an extensive period of uncertainty about the future, there may also be positive outcomes in the motivation people have to protect their relationships. In this paper, we focus on strategies that therapists and relationship educators can use to help couples preserve and protect their relationships during such a time. We describe four foundations of safety that allow relationships to thrive: physical, emotional, commitment, and community. We then highlight three keys from our body of work that can help guide individuals and couples in protecting their relationships on a day-to-day and moment-to-moment basis: (1) decide, don’t slide; (2) make it safe to connect; (3) do your part.     

Spirit and truth: Reckoning with the crises of Covid-19 for the Church

The Covid-19 pandemic forces North American churches to reckon with long-standing crises and questions surrounding online community, access to worship, decline in membership, the struggle of small congregations, and the reality of our global communion. This article describes a response grounded in faith defined as confidence in our liberation from pride and despair through Jesus Christ. There is need for clarity of doctrine and spiritual courage to fulfill the church's twofold mission to sustain and grow the body of Christ; both these tasks require courage to approach and speak from the Gospel in ever-new contexts and ages.     

Divergent reactions to COVID-19 exhibited in grandiose and vulnerable narcissism

Grandiosity and vulnerability are distinct dimensions of narcissism that may exhibit differences regarding compliance with COVID-19 regulations and policies. Although both dimensions reflect entitlement and self-importance, motivational tendencies diverge. Narcissistic grandiosity reflects bold expressions consistent with approach motivation, whereas vulnerable narcissism reflects reactive expressions consistent with avoidance motivation. Therefore, the present cross-sectional investigation explored these relations between November 2020 and April 2021. Undergraduates (N = 487, M_age = 19.79, 87.1% women) completed online surveys that assessed grandiose and vulnerable narcissism, perceived severity of and susceptibility to COVID, attitudes and reactions toward COVID policies, as well as self-reported behavioral data including number of daily hours out in public, indoor bar/restaurant attendance, and whether they had ever received a positive COVID diagnosis. Consistent with theoretical distinctions between the two narcissistic dimensions, grandiosity generally predicted reduced behavioral compliance and extraverted tendencies that put them at risk for COVID exposure; however, both grandiosity and vulnerability predicted worse reactions and attitudes toward COVID-19 policies.     

Predictors of relationship satisfaction during the COVID-19 pandemic

Prior work and theory suggest many vulnerabilities, stressors, and adaptive processes shape relationship satisfaction. In the current research, we used machine learning to understand which constructs have greater predictive importance for perceived changes in satisfaction since the pandemic began and satisfaction over the prior week. In a large sample collected at the beginning of the pandemic (N = 1873; Study 1), relationship processes were most predictive, explaining up to 70% of variance in satisfaction. Feeling appreciative of one's partner and being satisfied with quality time spent with one's partner were consistently top predictors of satisfaction. We also examined whether these important predictors were associated with changes in relationship satisfaction across the first year of the pandemic in a longitudinal subsample (N = 618; Study 2). Appreciation and satisfaction with quality time were associated with high and relatively stable relationship satisfaction over time.     

Collective views of vaccination predict vaccine hesitancy and willingness to receive a COVID-19 vaccine

We examined the association between sociodemographic factors, views of vaccines as being an individual choice to protect oneself versus a collective choice to protect others, general vaccine hesitancy, and willingness to receive a COVID-19 vaccine. In a sample of adults (N = 619; 33% non-white), we showed that demographic factors explain significant variance in both vaccine hesitancy and willingness to receive a COVID-19 vaccine. Viewing vaccines as an individual choice to protect oneself explained additional variance in vaccine hesitancy. However, people who viewed vaccines as a collective choice to protect others showed both less vaccine hesitancy and greater willingness to receive a COVID-19 vaccine. These findings suggest that promoting prosocial attitudes about vaccinations may decrease vaccine hesitancy and increase vaccine uptake.     

The effects of COVID-19 stressors and family life on anxiety and depression one-year into the COVID-19 pandemic

The purpose of this study was to examine the effects of Coronavirus (COVID-19)-related stressors and family health on adult anxiety and depressive symptoms 1 year into the pandemic. The sample consisted of 442 adults living in the United States who were recruited via Amazon Mechanical Turk. Data were analyzed using multiple logistic regression. Results indicated that compared to a sample 1 month into the pandemic, participants in the current sample reported worse family health and increases in both positive and negative perceptions of the pandemic on family life and routines. COVID-19 stressors and perceived negative effects of the pandemic on family life increased the odds for moderate-to-severe depression and anxiety while having more family health resources decreased the odds for depression and anxiety symptoms. Participants reported lower odds for worse depression and anxiety since the beginning of the pandemic when they reported more positive family meaning due to the pandemic. The results suggest a need to consider the impact of family life on mental health in pandemics and other disasters.     

新冠肺炎疫情下科学家的社会责任问题研究

科学家的社会责任问题存在“科学价值中立说”与“科学家的普遍社会责任说”之争。新冠肺炎疫情下的风险社会中,科学家不能持有“事不关己”的“价值中立”态度,而应担负“普遍责任”,他们是疫情防治中的重要行动者。但是,在一些国家出现了科学研究不严谨、科学研究政治化等科学家社会责任缺失现象。需加强科学理性与价值理性的统一、建立重大疫情科学决策咨询制度、改革科技评价方式、精英决策与民主决策相结合、保持科学研究与政治之间的合理张力。     

Ethical challenges in the COVID-19 research context: a toolkit for supporting analysis and resolution

ABSTRACTCOVID-19 is compromising all aspects of society, with devastating impacts on health, political, social, economic and educational spheres. A premium is being placed on scientific research as the source of possible solutions, with a situational imperative to carry out investigations at an accelerated rate. There is a major challenge not to neglect ethical standards, in a context where doing so may mean the difference between life and death. In this paper we offer a rubric for considering the ethical challenges in COVID-19 related research, in the form of an ethics toolkit for global research developed at the University of Edinburgh in collaboration with more than 200 global researchers from around the world. This toolkit provides a framework to support confrontation of ethical conflicts through the integrated and iterative analysis of Place, People, Principles and Precedents, throughout the research journey. Two case analyses are offered to exemplify the utility of the toolkit as a flexible and dynamic tool to promote ethical research in the context of COVID-19.     

Experiences of psychotherapists transitioning to private practice during COVID-19

The purpose of this qualitative phenomenological study was to gain insight into the lived experiences of psychotherapists transitioning to private practice during the COVID-19 pandemic. With an ever-expanding need for targeted and accessible mental health care, it is vital to understand this phenomenon and how it impacted patient access and care, and the providers themselves. Eighteen licensed psychotherapists were interviewed and their responses highlighted meaningful professional and clinical implications. As a result of the participant interviews, three major themes were identified: (1) the unknown related to COVID-19, (2) ease of transition and (3) work–life balance. Eleven additional subthemes emerged. Results suggested that psychotherapists had various personal and professional stressors exacerbated by the pandemic, along with a desire to balance work and life, manage the changes brought on by the pandemic, and gain or retain autonomy in their professional careers. Ultimately, the results of the study point to some shared experiences among psychotherapists, potential issues of access to psychotherapy, issues related to career satisfaction among psychotherapists, as well as some important areas for future research.     

Rituals in the Time of COVID-19: Imagination,Responsiveness, and the Human Spirit

Following the format put forth by Imber-Black and Roberts, I examine daily rituals, family traditions, holidays, and life cycle rituals during the pandemic of COVID-19. Marked by symbols capable of carrying multiple meanings, symbolic actions, special time and special place, and newly invented and adapted rituals are illustrated through stories of couples, families, and communities.     

Followership at a distance: Follower adjustment to distal leadership during COVID-19

Leader distance theory has received scant empirical attention in the extant literature; however, the “work from home” orders associated with COVID-19 have made this theory and its empirical findings highly relevant for organizations. Our study integrates leader distance theory and followership theory to understand how follower role beliefs affect follower effort, performance, and withdrawal under physical leader distance and varying conditions of leader interaction frequency. Using a three-wave survey methodology with 260 adults working remotely, our study finds that followers' levels of effort, performance, and withdrawal were contingent on leader interaction frequency. Specifically, followers with a coproduction role orientation, who see their role as more collaborative, reported higher levels of effort under conditions of high leader interaction. Furthermore, the indirect effect of coproduction on follower performance and withdrawal via effort was moderated by leader interaction frequency. The results for followers with passive role orientations, however, were in the opposite direction. These followers reported less effort when leader interaction was high, and the mediational chain predicting performance and withdrawal was contingent on leader interaction frequency. Our study contributes to the ongoing conversation about the positive and negative effects of leader distance and positions followership characteristics as important boundary conditions of distal leadership.     

Rising to the Occasion of This COVID-19-Impacted Nation: Development,Implementation, and Feasibility of the Brief Assessment-Informed Skills Intervention for COVID-19 (BASIC)

The COVID-19 pandemic has had a profound impact on the global economy, physical health, and mental health. This pandemic, like previous viral outbreaks, has resulted in spikes in anxiety, depression, and stress. Even though millions of individuals face the physical health consequences of infection by COVID-19, even more individuals are confronted with the mental health consequences of this pandemic. This significantly increased demand for mental health services cannot be easily met by existing mental health systems, which often rely on courses of therapy to be delivered over months. Single session interventions (SSIs) may be one important approach to meeting this increased demand, as they are treatments designed to be delivered over the course of a single meeting. SSIs have been found to be effective for a range of mental health challenges, with durable effects lasting months to years later. Here, we describe an SSI designed for the COVID-19 pandemic. This Brief Assessment-informed Skills Intervention for COVID-19 (BASIC) program draws upon therapeutic skills from existing empirically supported treatments to target common presenting complaints due to this pandemic. We discuss the process of developing and implementing this intervention, as well as explore feasibility and initial clinical insights. In short, BASIC is an easy-to-adopt intervention that is designed to be effective in a single session, making it well-suited for handling the increased demand for mental health services due to COVID-19.     

Development of a Brief Group CBT Intervention to Reduce COVID-19 Related Distress Among School-Age Youth

School-aged youth have been significantly impacted by the COVID-19 pandemic. The effects of the pandemic will likely have long-standing effects on the well-being of youth, and access to mental health care is even more critical during this time. For the past 5 years, TRAILS (Transforming Research into Action to Improve the Lives of Students) has been working throughout the state to increase utilization of evidence-based mental health practices among K-12 school mental health professionals (SMHPs). By leveraging SMHPs who are widely accessible to students, TRAILS seeks to improve youth access to effective mental health care and reduce current mental health inequities. In March 2020, TRAILS responded to the COVID-19 pandemic by developing a group manual designed to be delivered virtually by SMHPs to help students develop effective coping skills to mitigate the impact of COVID-19. TRAILS focuses on promoting use of CBT and mindfulness, as these skills are ideally suited for school-based delivery, and thus the new manual, Coping with COVID-19 (CC-19), was grounded in these modalities. This article will describe the design, development, and deployment of the CC-19 program to address the mental health needs of students in the context of the pandemic. Early acceptability and penetration data will also be discussed.     

Psychological implications of the COVID-19 pandemic around the world: Introduction to the special issue

Although psychological researchers have long studied the implications of major crises, the outbreak and spread of the COVID-19 pandemic have confronted the global community of psychologists and psychological researchers with new challenges. This special issue contributes to the growing empirical literature on the immediate psychological implications of the COVID-19 pandemic. We present and discuss diverse work from authors that followed our call for papers in May 2020, shortly after the World Health Organisation declared COVID-19 a global pandemic. The studies focus on the early phases of the pandemic by addressing (a) implications of the pandemic for psychological well-being and mental health, (b) psychological effects of lockdown scenarios as well as (c) individual compliance with COVID-19 prevention and intervention measures. We conclude by highlighting the need for new research efforts, with a special focus on low- and middle-income regions, international research collaborations and cross-cultural research designs.     

Predictors of COVID-19 precautionary behaviors to protect people with disabilities

Disability is conceptualized using one of two major frameworks: the medical and the social model of disability. The medical model of disability describes disability as an individual issue in which the appropriate intervention is to remove the disability. The social model of disability describes disability as a social construction in which the appropriate intervention is societal change to increase accessibility. This study drew on models of disability to understand predictors of engagement in COVID-precautionary behavior prior to the vaccine to protect people with disabilities (PWD) from contracting COVID-19. Participants (n = 720) with and without disabilities (n = 77 and n = 633, respectively) completed an online questionnaire measuring disability beliefs, attitudes toward PWD, concerns about PWD contracting COVID-19, and engagement in behavior protecting PWD from contracting COVID-19. Medical model beliefs were negatively associated with behavior. In addition, negative attitudes toward PWD and low concern about PWD contracting COVID-19 fully accounted for the relationship. Social model beliefs were positively associated with behavior. In addition, positive attitudes toward PWD and greater concern about PWD contracting COVID-19 partially explained the relationship. These findings suggest that framing disability as a social construction rather than a medical issue could promote greater public health behavior to protect PWD from contracting COVID.     

“Lest we become beasts who devour each other”: A Lutheran Calling to Higher Education in Multi‐Religious Settings1

Abstract : Lagerquist argues that in view of growing American religious diversity and awareness of religious diversity worldwide, Lutheran theology provides warrants for revising educational practice at Lutheran colleges to better serve the students and in the hope of a transformation of church and theology. American Lutheran colleges and universities are suited to this task by their theological heritage, by their educational experience, and by their place within the ecology of their churches.     

COVID-19, Virtual Engagement and the Psychoid Imagination1

The impact of the COVID-19 pandemic on analytic training and the delivery of educational content is explored here. The proliferation of Zoom therapy and teaching is creating a post-human platform to which nearly everyone in contemporary society has had to adapt. Looking at the possible meanings of the pandemic, a psychoid factor (the virus) engaging the imagination has come to the fore as a response to climate change. The striking similarity to the H1N1 viral pandemic (“Spanish flu”) is noted, especially in the context of C. G. Jung having had a case in 1919 during which he experienced a number of visions and dreams. The imagery produced can be seen as an implicit attempt at “re-enchanting the world” found in The red book. Finally, a reconsideration of pedagogy in response to the pandemic is discussed with an eye to the archetypal aspects of internet communications.