To Serve or Not to Serve: Ethical and Policy Implications

The Institute of Medicine (IOM) is one of the nation's more influential health‐related non‐profit organizations. It plays a large role in shaping health policy by commissioning panels to develop “white papers” describing research and recommendations on a variety of health topics. These white paper publications are often used to help make policy decisions at the legislative and executive levels. Such a prominent institution might seem like a natural ally for policy‐related collaborative efforts. As community psychologists, we strongly endorse efforts to positively influence public policy at the national level. However, while serving on influential panels and commissions like the IOM might seem to be very much part of the ethos of our discipline, there are occasions when such institutions are pursuing a mission that inadvertently has the potential to instigate divisive friction among community activists and organizations. A case study is presented whereby I describe my decision not to accept an invitation to serve on a controversial IOM panel. I explore the ethical challenges regarding maintaining my independence from this institution and its attempt to redefine chronic fatigue syndrome (CFS) and myalgic encephalomyelitis (ME), as well as the process of searching for alternative avenues for collaborating with community activists to influence policy related to these debilitating illnesses.     

To Belong or Not to Belong. Affective Self-Nationalization in Thailand

Through analyzing conflict narratives regarding Khao Phra Wihan, a territorial conflict important for nationalists in Thailand, this article aims to detangle how nationalization is experienced and performed on an individual level. In this article, the concept “affective self-nationalization” is proposed to analyze the emotional and embodied practices through which individuals fashion themselves into nationalized subjects. In Thailand, self-nationalization is instigated by the governing agency through repeated, regular, mandatory, public performances of loyalty through which individuals create the nation collectively. These performances create automatic feelings to the nation, establishes national others as fearsome, and rule through the basic human need of belonging. At the same time, individuals’ emotions shape the society through how they decide to perform nationalization. The concept of “affective self-nationalization” captures the connections between the official nationalizing program of “outside” society in a form of nationalist emotional socialization with individual experience of nationalizing.     

To be or not to be: an exploration of ethnic identity development in context

This qualitative study focused on the intersection of personal and ethnic identities among forty African American, Puerto Rican, Dominican, and Chinese American high school students. The patterns in content indicated that for the Puerto Ricans, the intersection of their personal and social identities was a series of accommodations to a positive peer climate and a resistance to being Dominican. For the other ethnic groups, the intersection of their personal and social identities consisted of a process of resistance and accommodation to negative stereotypes projected on them by their peers and, for African Americans, themselves.     

To be or not to be: Buddhist selves in Toronto

Buddhist identity: a Buddhist by any other name?When we talk about a ‘Buddhist’ or ‘Buddhists’ in Canada and the United States, what exactly is our referent—a label or category, an identity, or perhaps something more? Is the term ‘Buddhist’ signifying a reified object (or subject?), one that subsumes all sorts of practices, beliefs, philosophies, and preconceptions under its umbrella? Or can the term be used to signify choice, personal commitment, motivation, partiality, and perhaps even struggle? We have a great many labels and categorizations of the differences among and between Buddhists, but can we really assume that the term ‘Buddhist’ itself is unproblematic? Calling someone a Buddhist in the West, or ‘naming’ them as such, appears initially and on the surface a fairly straightforward undertaking. And yet, the very act of naming itself is a composite of assumptions and expectations. In much of the anthropological literature on initiation rituals, the act of naming has been construed as more-or-less a societal quest for order and control of the individual. Naming marks who is ‘in’ and who is ‘out’. Being named is an important marker of social identity, socialness, and social belonging (inter alia, Jell-Bahlsen 1989; Jacquemet 1992; Cohen 1994).     

To be me or not to be me: About alienation

This article is about the experiential side of the concept of alienation and its relations to the stress process in the context of work and organization. We distinguish two kinds of alienation: primary alienation, the experience or feeling that something is different from normal, and secondary alienation, the absence of an experience of or feeling about something abnormal. After having gone into everyday reality and how it can be so disturbed that alienation ensues, we go further into the experiences involved in both kinds of alienation and their positive and negative consequences. Secondary alienation is described as a common final path in the second stage of a human stress process. In the discussion, we pay attention to the social scientific tradition of alienation as result of an evil societal influence, which has turned out to be an unfortunate approach. Instead, we advocate an approach that conceives alienation as the outcome of a personal choice. Lastly we indicate shortly what can be done about secondary alienation.     

Authenticity as an aim of Psychoanalysis

This paper will present a series of predominantly clinical observations concerning the lengthy work a patient carries out, with the help of the analyst, in order to achieve greater personal authenticity. When this work is drawing to a close and the patient has gained a degree of authenticity, this authenticity remains within him, almost without his realizing it. The power of authenticity is instead revealed through the patient's most intimate and important relationships. In the long term, the patient's authenticity also alters his perception of himself and of his role in the world. He feels more alive and less overcome by a sense of futility, if earlier this had been the case.     

Evaluating Pastoral Effectiveness: To Measure or Not to Measure

Interviews were conducted with 101 senior pastoral leaders from a variety of denominations in order to identify the ways in which pastors and those in authority positions over senior pastoral leaders measure their own effectiveness. The findings of these interviews revealed 23 measures of effectiveness in five categories, including leader outcomes, congregational outcomes, and objective outcomes. Based on the effectiveness taxonomy described in the current study, a process is suggested for a preliminary discussion among church leadership teams, congregational boards, and denominations to identify their primary mission, constituencies served, and related effectiveness priorities.     

To Join or Not to Join: School Counselors as a Case Study in Professional Membership

School counselors were surveyed regarding their choice to join or not join their professional organization. Members and nonmembers differed on the following: whether participants' graduate program emphasized professional membership, membership status of colleagues, the belief that professional organizations advance the field, and the belief that being a professional means joining professional associations. A model is proposed that includes major themes in the decision‐making process identified in the qualitative comment data. Implications for professional counseling organizations are discussed.     

To be or not to be at risk: Spontaneous reactions to risk information

Rheumatoid arthritis (RA) is a chronic disease, which can lead to considerable psychological distress. The present study evaluated anxiety and depression symptoms for this chronic and painful illness within the framework of the conservation of resources (COR) theory. Coping strategies, coping self-efficacy, religiousness and social support are very important personal resources, which have been found to protect individuals from psychological distress. The aim of the present study was to examine the predictive values of socio-demographic and illness-related variables, perceived social support, ways of coping, religiousness, arthritis self-efficacy and resource loss for psychological distress in a sample of 117 RA patients from Turkey, a secular, Islamic, non-western developing country. The results revealed that RA patients experience considerable anxiety and depressive symptoms. The results of the regression analysis showed that gender, helplessness coping and resource loss are significant predictors of anxiety, whereas arthritis self-efficacy and resource loss are significant predictors of depression. Resource loss appeared as an important predictor for both anxiety and depression. This finding was consistent with the COR theory. The clinical implications of these findings are discussed.