Assessing Old Order Amish outpatients with the MCMI-III

In this study, we examined Millon Clinical Multiaxial Inventory-III (MCMI-III; Millon, 2009) characteristics in an Old Order Amish outpatient sample (n = 166), with a comparison group of Old Order Amish who were not receiving mental health treatment at the time of testing (n = 80). We also graphically compared the 2 Amish groups to a non-Amish psychiatric sample in the literature. Consistent with our hypotheses, the Old Order Amish outpatients scored significantly higher than the Old Order Amish comparison group on the majority of MCMI-III scales, with mostly medium effect sizes, suggesting that the MCMI-III is a useful personality instrument in discriminating between Old Order Amish clinical and nonclinical groups. In addition, the Amish outpatients scored similar to a non-Amish psychiatric sample in the literature on most personality scales. Future MCMI-III studies with the Amish are needed to replicate and generalize our findings.     

MMPI-2 characteristics of the Old Order Amish: a comparison of clinical, nonclinical, and United States normative samples

[Correction Notice: An erratum for this article was reported in Vol 23(4) of Psychological Assessment (see record 2011-12640-001). The article contains an error under the Participants and Procedure heading. This is addressed in the correction.] In the current study, we investigated Minnesota Multiphasic Personality Inventory-2 (MMPI-2) characteristics in an Old Order Amish nonclinical sample (N = 84), comparing these data with both the United States normative sample (N = 2,600) and a sample of Old Order Amish outpatients (N = 136). Consistent with our hypothesis, the Old Order Amish nonclinical group scored similarly to the United States normative sample and lower than the Old Order Amish outpatients on most scales. Thus, overall, the MMPI-2 appears to be sensitive to psychopathology, especially depression and psychosis, among Old Order Amish test takers. Still, several Validity, Clinical, Supplementary, Content, and Personality Psychopathology Five (PSY-5) scale score differences materialized between the Old Order Amish nonclinical group and the United States group, suggesting that certain MMPI-2 scales may need to be interpreted differently for Old Order Amish test takers. Further MMPI-2 research is needed with the Old Order Amish to replicate and generalize our findings. (PsycINFO Database Record (c) 2011 APA, all rights reserved).     

Practicing the Order of Widows: A New Call for an Old Vocation

This essay argues for a renewed institution of an ancient Christianpractice, the Order of Widows. Drawing on the Roman Catholictradition's recent writings on the elderly, particularly the1998 document from the Pontifical Council for the Laity entitled"The Dignity of Older People and their Mission in the Churchand in the World," I argue that we find within the Roman Catholictradition advocacy for a renewed understanding of the vocationof the elderly within the Church. Building on this, I then tracein the broadest of outlines some elements of what a renewalof the Order of Widows might look like. In doing so, it becomesclear how this new ecclesial practice addresses health issuesof older women (devaluation, marginalization, loss of voice,impoverishment, debilitation, loneliness, isolation, and euthanasia).More importantly, such a practice moves beyond principles todemonstrate a concrete alternative. As such it would providea powerful witness to the very culture the Church seeks to transform.     

A Meditation on Hell: Lessons from Dante

This essay borrows Dante's inspiration in the Inferno to explore a theology of hell. The usual apologies for hell either bank on a retributive paradigm of justice or are content to have hell introduce a note of tragedy into the history of redemption. The theology that is culled from Dante, and especially from his handling of Virgil's place and authority in hell, is neither retributive in its justice nor tragic in its vision. Dante shows us how to make some sense of the idea that hell is originally a part of the created order and as such expresses divine wisdom, justice, and love.     

护理执行用药医嘱的伦理学思考

护理人员在医疗机构推行临床合理用药的过程中承担着十分重要的任务.加强护理人员的道德教育,提高护理人员的素质,提高药物使用业务知识水平,提高与药物临床使用相关的护理技能,真正体现医疗机构推行的"以人为本"的护理理念,为患者的健康、康复负责.     

护理执行用药医嘱的伦理学思考

护理人员在医疗机构推行临床合理用药的过程中承担着十分重要的任务。加强护理人员的道德教育,提高护理人员的素质,提高药物使用业务知识水平,提高与药物临床使用相关的护理技能,真正体现医疗机构推行的"以人为本"的护理理念,为患者的健康、康复负责。     

Biopolitics: Lessons from history

Biopolitics is an emerging subdiscipline within the field of political science. The essay examines historical antecedents and delineates three categories of such works: 1) metaphor, 2) evolutionary/genetic influences on behavior, and 3) public policy implications. A number of problems with these works are noted. Finally, suggestions for the current interest in biopolitics are outlined, based upon the historical analysis.     

Evaluating research institutions: Lessons from the CGIAR

Investing in research is a long-term, risky proposition. In agriculture, it could take fifteen years or more for a research finding to show an improvement in a farmer’s field. Yet, research institutions, like other organizations it needs to be evaluated. For more than twenty years, independent panels of outside experts have evaluated each of the international research centers that the Consultative Group of International Agricultural Research (CGIAR) supports. This paper examines the evolution of this review system, outlines the key methodological challenges faced, and draws lessons for others engaged in evaluating research institutions. It notes that the scope of the CGIAR reviews have been broadened over time in response to users’ concerns. Reviews now cover four dimensions of performance: research results, quality and relevance of research, vision and strategic directions, and management efficiency. The methodological challenges faced in measurement, valuation, and attribution are reviewed, along with practices found to be helpful in addressing these concerns. The paper concludes that the panel approach to institutional evaluation has served CGIAR’s needs well, and recommends it as an evaluation technique for integrating quantitative and qualitative dimensions of institutional performance. His recent work has concentrated on the governance and management of the CGIAR and the individual research centers it supports, including questions of evaluating management effectiveness. Prior to joining the World Bank in 1979, he was Assistant Professor of Political Science at Bogazici University (Istanbul) and Senior Research Director of Systems Research Incorporated (Lansing, Michigan).     

Evolution of language: Lessons from the genome

The post-genomic era is an exciting time for researchers interested in the biology of speech and language. Substantive advances in molecular methodologies have opened up entire vistas of investigation that were not previously possible, or in some cases even imagined. Speculations concerning the origins of human cognitive traits are being transformed into empirically addressable questions, generating specific hypotheses that can be explicitly tested using data collected from both the natural world and experimental settings. In this article, I discuss a number of promising lines of research in this area. For example, the field has begun to identify genes implicated in speech and language skills, including not just disorders but also the normal range of abilities. Such genes provide powerful entry points for gaining insights into neural bases and evolutionary origins, using sophisticated experimental tools from molecular neuroscience and developmental neurobiology. At the same time, sequencing of ancient hominin genomes is giving us an unprecedented view of the molecular genetic changes that have occurred during the evolution of our species. Synthesis of data from these complementary sources offers an opportunity to robustly evaluate alternative accounts of language evolution. Of course, this endeavour remains challenging on many fronts, as I also highlight in the article. Nonetheless, such an integrated approach holds great potential for untangling the complexities of the capacities that make us human.     

Debunking Morality: Lessons from the EAAN Literature

This article explores evolutionary debunking arguments as they arise in metaethics against moral realism and in philosophy of religion against naturalism. Both literatures have independently grappled with the question of which beliefs one may use to respond to a potential defeater. In this article, I show how the literature on the argument against naturalism can help clarify and bring progress to the literature on moral realism with respect to this question. Of note, it will become clear that the objection that the moral realist begs the question, when appealing to the truth of some of her moral beliefs, is unsuccessful.     

Practicing the Disseminary: Technology Lessons from Napster

Whatever will happen in the way of the confluence of pedagogy and technology, it will not so much perpetuate past models in more efficient ways as it will reflect a stronger element of (for example) the unanticipated success of Napster. The author suggests a fivefold interpretation of Napster's implications as a guideline of what cybermedia do well, and how theological educators can use cybermedia to enrich their classroom teaching by distinguishing online from in‐class education. Cybermedia serve best when they do not duplicate or usurp functions best accomplished in person, and personal interaction thrives when not burdened with information‐transmission that might as well take place online.     

Safer sex: Lessons from the male sex industry

Discerning the complex factors influencing male sex work is an important element of understanding HIV transmission. The present study examines a sample of London-based masseurs and street workers' ideas concerning their sexual encounters, their partners and their role in society. Unsafe sex is associated with (1) a lack of perception of control in the sexual encounter, (2) attractive clients, and (3) loving relationships with non-clients. The ways in which personal needs and stigma influence sexual practices and the men's sense of identity are considered. For some of the men, unsafe sex demarcates a sphere containing a type of intimacy that is absent from their working life. Since working life is associated with negative social judgements, the importance of this separate sphere is heightened. The findings call into question models of health behaviour that are built on individualist, reason-based tenets and highlight the importance of social and emotional factors in safer sexual behaviour. The implications of the findings for prevention programmes and future research are discussed.     

Validity of the SF-12 in a Canadian Old Order Mennonite Community

To assess the validity of the Physical and Mental Component Summary scores (PCS-12 and MCS-12) of the SF-12 Health Survey (SF-12) in an Old Order Mennonite (OOM) community in Ontario, Canada. Most SF-12 validation studies have focused on general populations or clinical groups. This paper adds to the SF-12 literature by validating the instrument in a minority population. Sixty percent of the adult OOM population (n?=?1,171) completed a survey which had the SF-12 embedded within it. The survey also included questions on health determinants and the prevalence of chronic conditions. Factor analysis was used to confirm the two-factor structure of the SF-12. Item-scale correlations were calculated to assess convergent and discriminant validity. PCS-12 and MCS-12 variability by known subgroups were also explored. Factor analysis confirmed the two-factor structure and hypothesized loadings on the latent physical and mental health factors. Item-scale correlations demonstrated satisfactory convergent and discriminant validity. SF-12 summary scores distinguished well, and in the expected manner, between groups of respondents for gender, age, income adequacy, marital status, self-reported health measures, and other health determinants such as coping, trust, social interaction, and spirituality. PCS-12 and MCS-12 scores were lower in those with various chronic conditions compared to those without.The SF-12 appears to be a valid instrument for measuring health status in this minority population. Future SF-12 studies in OOMs and other populations may benefit from using Version 2 of the SF-12, where the dichotomous questions have been replaced by questions offering respondents more choice.     

Betrayals of Therapist Trust: Lessons from the Field

This article explores violations of therapist trust in the practice of psychotherapy and how they can be understood from an experiential personal construct psychology (EPCP) perspective. Case examples are used to highlight the ways in which therapists, sometimes naïvely or unknowingly, place a great deal of trust in clients, and thus are vulnerable to injury. The examples also demonstrate how EPCP can be a powerful perspective from which to anticipate potential injuries, as well as to understand and heal from them. Based on the lessons learned from these examples, suggestions for clinical training are offered.     

Assimilation and Heritage Identity: Lessons from the Coptic Diaspora

Many first generation immigrants share a concern for retaining their heritage culture, though they still aspire to successfully assimilate into the country of residence society. Assimilation theories suggest facilitating factors for positive assimilation but differ in terms of whether the loss of heritage culture is inevitable. The Coptic diaspora illustrates that upward mobility can be achieved without loss of heritage identity. Religious structures can play an important role not only in sustaining heritage identity but also facilitating positive assimilation. A review of the Coptic Orthodox Church’s ministry in diaspora, along with findings of a Coptic diaspora survey may offer lessons for other immigrant groups. The study affirms some theoretical findings and raises questions for future research.     

人类基因组研究与遗传学的历史教训

第１８届国际遗传学大会达成的八点共识对于人类基因组的研究及其应用具有重要意义,也指明了在遗传学及其应用问题上不同文化之间如何解决它们之间分歧的最佳途径。纳粹德国的优生实践和前苏联李森科学派的兴衰都给我们留下了不可忘记的教训。围绕中国母婴保健法的争论反映了科学、伦理和政策的交叉。我们的基因组研究和遗传服务是为了增进个人的健康和促进家庭的幸福,而不能也不应以减少残疾人口为目标。在基因组研究和遗传服务中