Marriage and Family Therapists’ Use and Comfort with Online Communication with Clients

Despite the growth in computer and Internet use, marriage and family therapists’ (MFT) use of such technologies to communicate with clients has received limited attention. The purpose of the current research was to understand the frequency and ways in which MFTs are communicating online with clients and identify their level of comfort with online treatments. We administered a survey to practicing MFTs across the US to identify the frequency with which they used online communications with their clients, and the extent to which they felt comfortable using online communications in various treatment modalities. Implications for research, training, and practice are discussed.     

Religiosity and Adolescents’ Involvement with Both Drugs and Sex

Previous research has shown that religion reduces adolescents’ risk of substance use, while having little impact on sexual risk-taking. However, few studies have examined how religion might mitigate adolescents’ involvement with both drugs and sex. Using the Child Development Supplement (CDS) in combination with the Panel Study of Income Dynamics (PSID), we fill this gap by determining how adolescents’ involvement with both drugs and sex is related to religiosity. We find the statistically significant relationship between religiosity and adolescents’ involvement in both risk behaviors is accounted for by school attachment, but the relationship between religiosity and drugs is robust.     

Family Therapy with Couples and Individuals with Parkinson’s Disease

Family therapists are increasingly called upon to work with individuals and families with medical issues, but often do not have sufficient background on the issue to be most helpful. The purpose of this paper is to help family therapists understand Parkinson’s Disease (PD) and its impact on the individual and his or her family. PD is the second most prevalent neurodegenerative disorder in the United States, following Alzheimer’s disease (Hirtz et al., Neurology 68:326–337, 2007). According to the Parkinson’s Disease Foundation, approximately 60,000 individuals are diagnosed with PD every year, and approximately one million Americans are currently living with PD. In this paper, we provide an overview of PD based on research and the second author’s many years of providing services for individuals with PD, as well as offer specific recommendations for providing family therapy using narrative, solution-focused and emotionally focused therapy based on the first author’s work as a family therapist with individuals, groups, and couples dealing with PD.     

D. Z. Phillips’ problems with evil and with God

It is widely held that the logical problem of evil, which alleges an inconsistency between the existence of evil and that of an omnipotent and morally perfect God, has been solved. D. Z. Phillips thinks this is a mistake. In The Problem of Evil and the Problem of God, he argues that, within the generally assumed framework, “neither the proposition ’God is omnipotent’ nor the proposition ‘God is perfectly good’ can get off the ground.” Thus, the problem of evil leads to the problem of God. Phillips goes on to provide an alternative response to the problem of evil, expounded by means of his Wittgensteinian analyses of various concepts drawn from the Christian tradition. I argue that his criticisms of the traditional conception of God either fail outright or are at best inconclusive. I also point out that the religious concepts analyzed by Phillips are not and cannot be the same concepts as those employed in the Christian tradition from which they are supposedly drawn. For the concepts as traditionally employed presuppose the actual existence and activity of precisely the sort of being that, according to Phillips, “God cannot be.”     

Children with Asthma and Their Families’ Viewpoints on Spiritual and Psychological Resources in Adaptation with the Disease

Recognition of the spiritual and psychological needs of children and their families with chronic asthma disease may be helpful in a successful coping with their problems in order to control over the condition. In a qualitative content analysis study, nine children with moderate to severe asthma and 10 parents were studied in order to discover the resources of compatibility of them. The participants were chosen purposefully and they were asked some semi-structure questions about their experiences. The spiritual and psychological experiences of the participants were divided into two main categories as follows: (1) contrive to religious-belief consisting of three sub-categories known as “religious rituals, believe in a divine predestination, and Islamic-based patience,” and (2) psycho-intellectual management that includes the five sub-categories of “psycho-intellectual attention, maintaining family’s mental peace, reduction in negative burden of disease, satisfaction from optimal treatment, and matching internal desires with disease conditions.” It is recommended that heath care providers by reinforcing parent’s and children’s religious and spiritual backgrounds and according to child’s cognitive development at this age provide a suitable foreground through necessary instructions for children and their families in order to spiritual growth and suitable adaptation with disease.     

Coping with Negative Emotions: Connections with Adolescents’ Academic Performance and Stress

The authors assessed connections among adolescents’ emotional dispositions, negative academic affect, coping strategies, academic stress, and overall grade point average (GPA). A total of 119 ninth through 12th-grade students completed assessments for (a) overall positive and negative moods, (b) GPA, and (c) academically related variables involving stress, negative emotions, and engaged and disengaged coping strategies. Greater negative academic affect and disengaged coping were related to lower GPAs, and disengaged coping mediated the connection between negative academic affect and GPA. By contrast, higher academic stress was related to students’ overall moods, negative academic affect, and disengaged coping; disengaged coping mediated the connection between academic stress and negative overall moods. Discussion focused on the especially problematic nature of disengaged academic coping.     

Is hostility linked with affiliation among males and with achievement among females? A critique of Pollak and Gilligan

This investigation attempted to replicate and to clarify methodologically an investigation by Pollak and Gilligan (1982). Those investigators reported sex differences in violence imagery to Thematic Apperception Test (TAT) pictures depicting affiliation and achievement situations. Pollak and Gilligan concluded that men perceive danger in situations of affiliation whereas women perceive danger in situations of achievement. It was demonstrated in the present study that Pollak and Gilligan incorrectly classified TAT cards into motivational categories, which may have resulted in incorrect inferences. In addition, their findings could not be replicated when using four different systems for classifying TAT cards into motivational categories. Other potential sources of error in their research, including a restrictive scoring scheme for hostility, unusual instructions, and failure to control for sex role in the TAT pictures, did not influence the pattern of results.     

Treating Patients with Symptoms—and Symptoms with Patience: Reflections on Shame,Dissociation, and Eating Disorders

I offer the view that the symptom picture found in most patients with eating disorders, as well as in the symptomatology of many other so-called difficult patients, is the end result of prolonged necessity in infancy to control traumatic dysregulation of affect. I propose that the central issue for an eating-disordered patient is that she is at the mercy of her own physiologic and affective states because she lacks an experience of human relatedness and its potential for reparation that mediates self-regulation. She is enslaved by her felt inability to contain desire as a regulatable affect and is thus unable to hold desire long enough to make choices without the loss of the thing not chosen leading to a dread of self-annihilation. Trauma compromises trust in the reparability of relationship, and for symptoms to be surrendered, trust in reparability must be simultaneously restored. Because felt desire is the mortal enemy of an eating-disordered patient, this fact becomes a central dynamic in the analytic field, leading analyst and patient into a struggle over who shall hold the desire and whether the issue of control over food is allowed to become a subject for negotiation. I discuss the inevitability of the analyst's own dissociative reactions in response to the patient's internal war over desire and control, and the different types of interpersonal enactments into which an analyst is drawn. In this tension, as illustrated through clinical vignettes, analyst and patient slip in and out of a constantly shifting array of self-states and thereby have an opportunity to coconstruct a transitional reality within which the patient's impaired faith in the reliability of human relatedness can be restored, and eating can become linked to appetite rather than to self-protection.     

Attitudes and behaviors associated with young drivers’ texting and app use

IntroductionDistracted driving is a major risk factor for motor vehicle crashes, especially for young drivers. This study examines factors that contribute to the exposure of young drivers to distracted driving behaviors.MethodsData from the 2015 National Survey on Distracted Driving Attitudes and Behaviors was used to determine the influence that perceived safety, likelihood to do or say something, social norms, and demographic variables have on self-reported cell phone distracted driving. Our population included 16–24-year old drivers. Dependent variables were texting (reading and sending a text/email) and smartphone app use while driving. Rao-Scott chi-squared tests and multivariate logistic regression models were applied. Sampling weights were applied to create nationally representative estimates and all statistical tests accounted for complex survey design.ResultsAmong young drivers who report cell phone use while driving, 42% reported reading a text, 33% reported sending a text, and 23% reported smartphone app use. Multivariate regression results showed that perceived safety had the strongest association with reporting texting and smartphone app use while driving. In addition, social norms and age-education were significantly associated with reporting sending a text/email and reading a text/email while driving, respectively.ConclusionsThe current study found significant relationships between attitudes and behaviors about cell phone use while driving and self-reported engagement in distracted driving.Practical applicationsInterventions with an emphasis on changing perceived safety and social norms for young drivers could be beneficial for reducing engagement in cell phone use while driving.     

To and from philosophy — Discussions with Gödel and Wittgenstein

I propose to sketch my views on several aspects of the philosophy of mathematics that I take to be especially relevant to philosophy as a whole. The relevance of my discussion would, I think, become more evident, if the reader keeps in mind the function of (the philosophy of) mathematics in philosophy in providing us with more transparent aspects of general issues. I shall consider: (1) three familiar examples; (2) logic and our conceptual frame; (3) communal agreement and objective certainty; (4) the transcommunal universality of mathematics; (5) the big jump to the potential infinite; (6) the reconciliation of local creation with the hypothesis of discovery; (7) Platonism as realism plus conceptualism; (8) foundational studies and mathematical practice; and (9) the decomposition of philosophical disagreements. The views of Gödel and Wittgenstein are emphasized in order to add specificity to the discussions.     

Explaining embodied emotions – with and without representations

Embodied accounts have offered a theoretical framework in which emotions are understood to be patterned embodied responses that are about core relational themes. Some authors argue that this intentionality should be understood in terms of some kind of non-conceptual representation format, while others suggest a radical enactivist framework that takes emotions to be intentional but not representational. In this paper I will argue that the abstract nature of the core relational themes emotions are about and the interrelatedness of emotions with each other and with other mental states speak in favor of emotions being representations.     

Synchronicity and “Being Endowed with Meaning”

Jung developed over 50?years a paradigmatic idea of an acausal principle, which he called synchronicity. His hypothesis on synchronicity states that, complementary to causality, there exists a further explanatory principle whose effects appear as acausal but meaningful events. Therewith Jung added to the triadic principles of space, time and causality a fourth principle: synchronicity. The experience of individual synchronicities points to a general acausal and meaningful orderedness in nature which apparently exists outside man. Jung published Answer to Job and Synchronicity at the same time, for he attempted to open up a new path to the “state of spiritualization” Beseeltheit of Matter by making the assumption that “being is endowed with meaning.” According to Jung there exists a latent meaning in the cosmos, which existed long before human consciousness developed. He believed that “on the organic level it might be possible to regard biological morphogenesis in the light of the synchronistic factor.” One of many examples in the biological evolution is a Cretaceous-Palaeogene worldwide catastrophe approx. 65 million years ago that resulted in the mass extinction of the dinosaurs. It is understood as the result of a meteorite impact. This catastrophe was a most meaningful chance from the point of view of the mammals, including modern man. We modern humans finally came into existence thanks to a series of cosmic happenings, which were based on causality and synchronicity. What is true for our personal individuation is also true for biological or historical developments: an acausal but meaningful principle is secretly at work.     

“Authoritarianism” and Agreement with Things Authoritative

The use of personality and attitudinal questionnaires in private executive and military samples is briefly reviewed. The need for evidence regarding the factor similarity of such questionnaires in comparative studies is noted. Such a comparative factorial study of an abbreviated version of the Shure-Meeker (11) Personality/Attitude Schedule (PAS) is reported. In terms of the general scales examined, three of the four scales emerge in both samples. The order of emergence, as well as the number and item content of the factors, differs slightly between the two samples. Caution is suggested in assuming factor similarity across samples in comparative studies utilizing the PAS and other personality and attitudinal instruments.     

Subjective shortening with filled and unfilled auditory and visual intervals in humans?

Two experiments tested humans on a memory for duration task based on the method of Wearden and Ferrara (1993), which had previously provided evidence for subjective shortening in memory for stimulus duration. Auditory stimuli were tones (filled) or click-defined intervals (unfilled). Filled visual stimuli were either squares or lines, with the unfilled interval being the time between two line presentations. In Experiment 1, good evidence for subjective shortening was found when filled and unfilled visual stimuli, or filled auditory stimuli, were used, but evidence for subjective shortening with unfilled auditory stimuli was more ambiguous. Experiment 2 used a simplified variant of the Wearden and Ferrara task, and evidence for subjective shortening was obtained from all four stimulus types.     

Mirroring patients – or not. A study of general practitioners and psychiatrists and their interactions with patients with depression

For mentalization theorists, implicit mentalization is a key component of all forms of therapy. However, it has been difficult to grasp and to describe precisely how implicit mentalization works. It is said to take place partly by mirroring others in posture, facial expression and vocal tone. Based on studies of imitative behaviour within linguistics and psychology, we argue that interactional mirroring is an important aspect of displaying implicit mentalization. We aimed to explore if, and in that case how, mirroring is displayed by general practitioners (GPs) and psychiatrists in consultations with patients with depression. We wanted to see how implicit mentalizing unfolds in physician–patient interactions. Consultations were video-recorded and analysed within the framework of conversation analysis. GPs and psychiatrists differed substantially in their propensity to mirror body movements and verbal and acoustic features of speech. GPs mirrored their patients more than psychiatrists in all modalities and were more flexible in their interactional behaviour. Psychiatrists seemed more static, regardless of the emotionality displayed by patients. Implicitly mirroring and attuning to patients could signify enactment of implicit mentalization, according to how it is described by mentalization theorists. We discuss reasons for the differences between GPs and psychiatrists, and their implications.     

Subjective shortening with filled and unfilled auditory and visual intervals in humans?

Two experiments tested humans on a memory for duration task based on the method of Wearden and Ferrara (1993) Wearden, J. H. and Ferrara, A. 1993. Subjective shortening in humans' memory for stimulus duration. Quarterly Journal of Experimental Psychology, 46B: 163–186.  [Google Scholar], which had previously provided evidence for subjective shortening in memory for stimulus duration. Auditory stimuli were tones (filled) or click-defined intervals (unfilled). Filled visual stimuli were either squares or lines, with the unfilled interval being the time between two line presentations. In Experiment 1, good evidence for subjective shortening was found when filled and unfilled visual stimuli, or filled auditory stimuli, were used, but evidence for subjective shortening with unfilled auditory stimuli was more ambiguous. Experiment 2 used a simplified variant of the Wearden and Ferrara task, and evidence for subjective shortening was obtained from all four stimulus types.     

Turkish Imams’ Experience with and Their Attitudes Toward Suicide and Suicidal Persons

This study investigated the experience with and attitudes toward suicide and suicidality in 70 consenting imams serving in mosques in the province of Aydin which is located at the southwest part of Turkey. A self-report questionnaire was used to collect the data. Attitudes of imams to suicide and suicidality were compared with attitudes of male university students. Only 4 imams (5.7 %) reported having had suicidal thoughts in past, and none reported having attempted suicide. Almost 50 % said that someone in communities they serve has commited suicide and nearly 40 % reported leading funeral ceremony for someone who committed suicide. Majority of imams (64.3 %) were of the opinion that a funeral ceremony should be arranged for people who suicide and 87.1 % were of the opinion that people who suicide can be buried in a common cemetery, but only 21.4 % said that someone who attempted suicide can be appointed as imam. Compared to male medical students, imams saw suicide as an unacceptable option and those engaging in suicidal behavior to be punished after death. But they displayed socially accepting and helping reactions to an imagined close friend who attempted suicide. Therefore, it was concluded that imams might exhibit preventive reactions to suicide when they offer counseling for persons from their congregations during times of suicidal crises.     

“‘Othering’ with Grace and Courage”

This essay considers the complexity and dynamic of seeking to balance an openness to the religious “other” and their beliefs with the honest acknowledgement of real and often deep incommensurability between one's own and the other's deepest convictions. This kind of hospitable and mutually edifying encounter is possible by putting into practice the method of comparative theology which, while urging the faithful in every tradition to establish their own religious identity, also facilitates learning from the other and makes room for sharing one's own testimony. Not only theological and confessional but also autobiographical and life narratives matter in this process.