The church's response to the severely emotionally distressed

The clergy and church are deeply involved in aiding persons who have emotional problems. Many of those seeking help manifest psychotic symptoms. This paper addresses the issue of how organized religion can better understand and minister to the needs of those suffering severe emotional distress. Programs and models at national and local levels are discussed, with an emphasis upon the latter. Local level models include mental health promoting aspects of local church functions, pastoral counseling programs of the local church, the Wholistic Health Center (WHC), Community Organization for Personal Enrichment (COPE), Christian Action Ministry (CAM), and Mennonite Mental Health Services. Clinical vignettes illustrate the functioning of these models.This work was, in part, done at and supported by the Harvard University School of Public Health, Boston, Massachusetts.     

Pastoral care of the severely emotionally distressed: An overview of potential pastoral roles in the clinical setting

Evidence suggests that more people wanting help for emotional problems go to the clergy than to any other professional group. Many of these distressed persons manifest psychotic symptoms; yet little attention has been given to pastors' opportunity and responsibility in aiding persons suffering from psychoses. A model of pastoral care of the severely emotionally distressed is presented by describing five potential pastoral roles: availability, assessment (present episode and past history, mental status, specific symptoms), synthesis (hierarchy of probabilities), treatment (linkage, primary care [in collaboration], primary care [alone], support), and follow-up. Clinical vignettes illustrate these various roles.     

Handling greedy clergy roles: A dual clergy example

Striking changes have occurred in the number of women who have been ordained as clergy in the Protestant denominations in North America. With these changes has come a concomitant increase in the number of dual clergy couples. These couples are a new variant on the dual career theme. They share some of the same strains which have been identified for dual career couples in general; namely, identity issues, work and role overload, role cycling problems, social network dilemmas and discrepancies between personal and social norms. In addition, particular qualities of the clergy role create problems which these couples must address. One such problem is handling the ambivalent boundary between work and family roles. Two aspects of this issue are the absorptiveness of the role and the embeddedness of both work and family roles. The present paper discusses these boundary issues using data from a study of a population of dual clergy couples in two synods of the Lutheran church in two western Canadian provinces. Strategies for handling these issues are suggested for couples, church leaders and congregational representatives.Thanks are expressed to Les Vaala, Director of Student Life, Camrose Lutheran College, Camrose Alberta who was a cooperating researcher in the study.     

The clergy as advocates for the severely demented

The author sets forth the argument that pastoral caregivers ought to consider expanding their traditional role of ministering to dementia patients by pressing the issue of whether appropriate medication might significantly lessen the suffering of these persons. After discussing and documenting the current understanding regarding the nature of pain, the author outlines several advocacy, ethical, and procedural issues that could be included in providing pastoral care to this population, at the same time not miminizing more traditional faith-based activities.     

The clergy: a valuable resource for church members with alcohol problems

The role of the minister or pastor is pivotal in the development and operation of church-based services and programs and in the delivery of services. They can initiate changes and can equip the officers and members so that families troubled by substance abuse issues can find a climate of acceptance, understanding, and recovery in the local congregation. They can also serve as a referral source to members of the mental health professionals for assistance with alcohol and other substance abuse problems. For our purposes in this article, the term "clergy" refers to congregational and parish clergy. The focus of this discussion pertains to the role of clergy in providing assistance for members of their congregations with substance abuse problems. Implications and recommendations for collaborations and specific resources are also included that may increase the awareness of those issues and to increase effectiveness of service to those needing it.     

Coping with breast cancer: The roles of clergy and faith

This paper describes the experiences of 103 breast cancer patients with home pastors and hospital chaplains. Attention was directed at the activities of clergy, the degree to which religious and nonreligious interactions were satisfying to the women, and how these related to their personal faith orientation. Because of the issues of sexual identity and attractiveness entailed by breast cancer, the role of female clergy was also explored. It is evident that religion is an extremely important resource for the majority of these breast cancer patients, and an intrinsic religious orientation helps one cope with breast cancer.     

Sexually abusive clergymen: A conceptual framework for intervention and recovery

Effective intervention in cases of parishioner sexual exploitation by clergy can be better understood when placed in a meaningful conceptual framework. To improve our understanding, it is useful to compare clergy abuse to father/daughter incest. Within that context, it becomes more clear how this type of sexual exploitation originates and what intervention strategies are best suited to the situation. Borrowing from the field of sex offender treatment, clergy can also be helped most when a firm yet compassionate intervention is carefully planned and enacted. The experience of an intervention, while emotionally wrenching, can be a positive experience for all involved.Gerald Blanchard, M.A., A.C.P.S., is a clinical social worker in private practice residing in Sheridan, Wyoming. He is a faculty member with the Golden Valley Institute for Behavioral Medicine in Minneapolis and is the author of the recently published bookSex Offender Treatment: A Psychoeducational Model.     

A novel conceptual framework investigating the relationship between roadside advertising and road safety: The driver behaviour and roadside advertising conceptual framework

This paper proposes a conceptual framework to understand the relationship between roadside advertising signs, driver behaviour, and road safety outcomes. Roadside advertising signs are external distractions that may take a driver's attention away from safety-critical driving tasks, potentially increasing crash risk through driver distraction and inattention. Although studies report safety concerns, as a whole, the body of research in the field is inconclusive with inconsistent quality, making it difficult to draw firm conclusions. Definitive links between roadside advertising and road trauma are not yet evident, which has major consequences for road regulators' capacity to develop evidence-based policy to safely administer public roads. However, a lack of consistent evidence does not indicate an absence of risk but underscores its complexity. To address this problem, the Driver Behaviour and Roadside Advertising Conceptual Framework (DBRA framework) was developed to strategically investigate and conceptualise the phenomena of roadside advertising. A new term – “extended engagement” – has also been proposed to account for situations of prolonged attentional engagement with a roadside advertising sign. Further, it is posited that important variations in driving performance may be associated with a driver's extended engagement with a roadside advertising sign. Built on extant theories of driver behaviour and empirical research, the DBRA framework is designed to be a robust tool that encourages a common agenda for future roadside advertising research.     

A conceptual framework for understanding self-regulation in adults

Multiple models of self-regulation have been posited, yet despite the apparent overlap between them, there is no common theoretical framework to unite the many theories. Authors in the area of self-regulation research have noted the lack of cross-field communication due to the absence of a conceptual framework and of common terms to describe self-regulatory processes ( [Bandura, 2005], [Boekaerts et?al., 2005] and [Karoly et?al., 2005]). The objective of the current review is to propose a common lexicon and a comprehensive model to integrate and organize the extant self-regulation research, thereby facilitating the understanding of self-regulation. The proposed model revisits classic cybernetic theory (Wiener, 1948), and is composed of a reference, input, comparator, and output. Each of these components is represented in current self-regulation theory, and is discussed as it relates to self-regulation models and ongoing empirical research.     

A conceptual and psychometric framework for distinguishing categories and dimensions

An important, sometimes controversial feature of all psychological phenomena is whether they are categorical or dimensional. A conceptual and psychometric framework is described for distinguishing whether the latent structure behind manifest categories (e.g., psychiatric diagnoses, attitude groups, or stages of development) is category-like or dimension-like. Being dimension-like requires (a) within-category heterogeneity and (b) between-category quantitative differences. Being category-like requires (a) within-category homogeneity and (b) between-category qualitative differences. The relation between this classification and abrupt versus smooth differences is discussed. Hybrid structures are possible. Being category-like is itself a matter of degree; the authors offer a formalized framework to determine this degree. Empirical applications to personality disorders, attitudes toward capital punishment, and stages of cognitive development illustrate the approach.     

The phenomenology of action: a conceptual framework

After a long period of neglect, the phenomenology of action has recently regained its place in the agenda of philosophers and scientists alike. The recent explosion of interest in the topic highlights its complexity. The purpose of this paper is to propose a conceptual framework allowing for a more precise characterization of the many facets of the phenomenology of agency, of how they are related and of their possible sources. The key assumption guiding this attempt is that the processes through which the phenomenology of action is generated and the processes involved in the specification and control of action are strongly interconnected. I argue in favor of a three-tiered dynamic model of intention, link it to an expanded version of the internal model theory of action control and specification, and use this theoretical framework to guide an analysis of the contents, possible sources and temporal course of complementary aspects of the phenomenology of action.     

A conceptual metaphor framework for the teaching of mathematics

Word problems in mathematics seem to constantly pose learning difficulties for all kinds of students. Recent work in math education (for example, [Lakoff, G. &; Nuñez, R. E. (2000). Where mathematics comes from: How the embodied mind brings mathematics into being. New York: Basic Books]) suggests that the difficulties stem from an inability on the part of students to decipher the metaphorical properties of the language in which such problems are cast. A 2003 pilot study [Danesi, M. (2003a). Semiotica, 145, 71–83] confirmed this hypothesis in an anecdotal way. This paper reviews the implications of that study and of a follow-up one that is described here as well, in the light of how the metaphorical analysis of word problems allows learners to overcome typical difficulties in word problem-solving by teaching them how to flesh out the underlying concepts and convert them into appropriate representations.     

A conceptual framework for identifying various types of confessions

Considerable attention has been given to the psychology of confession evidence in recent years. While various factors have been used to define the types of confessions possible, most classification frameworks have focused on the various types of false confessions. An expanded framework is outlined using a decision-tree model in which confessions are defined according to a number of dimensions, including whether or not a confession is retracted, veracity or truthfulness, legal culpability of the suspect, voluntariness, and specific nature of the coercion that might produce a confession. A proposal is made for a new subtype of false confession, the coerced–reactive type, to supplement current theoretical approaches. The paper concludes with a brief discussion of the implications of this conceptual model for providing consultation and expert testimony in cases involving disputed confessions. © 1998 John Wiley & Sons, Ltd.     

Linking clergy psychological type profile and church growth in the Diocese of Chester: a pilot study

Two recent studies (one in England and one in Australia) have linked church growth and church decline with the psychological type profile of church leaders. The present study, conducted within the Diocese of Chester, compares the psychological type profile of two groups of clergy who had served in the same parishes for five years or more: 29 leading declining churches and 19 leading growing churches. The data found a significantly higher preference for perceiving among those leading growing churches, although there were no significant differences in terms of the orientations, the perceiving process, or the judging process.     

The anatomy of credibility: A conceptual framework of valued career helper attributes

Research on the qualities and characteristics that individuals value in those from whom they seek “career help” is very limited. Existing studies provide little insight into the meaning behind the labels individuals use to identify valued qualities and characteristics. We address this neglected area using qualitative interviews based on life story method whereby individuals identified informal and professional career helpers and the qualities and characteristics they valued in these helpers. Meanings are explored, qualities and characteristics conceptualized and a new conceptual framework showing the relationship between concepts is developed. Findings give rise to a discussion about the value and meaning of knowledge, impartiality, power and influence from the perspective of individuals in receipt of career help, and in so doing we challenge some commonly accepted discourse about these concepts in the academic and professional careers literature.