A Review of: “Let's Talk About Taking Care of You:”

The purpose of this qualitative study was to explore how military wives’ coping mechanisms are related to their emotional connection with their deployed husbands. Conceptualizing the marital relationship as an attachment system, we explored how military wives adopted various coping mechanisms during their husbands’ deployment and identified two types of efforts toward independence: self-sufficient independence through emotional avoidance, and autonomous interdependence through emotional connection. These are consistent with those coping behaviors informed by secure and avoidant attachment styles. Clinical implications are offered based on the discussion of the results.     

What do Non-clergy Spiritual Care Providers Contribute to End of Life Care in Israel? A Qualitative Study

Spiritual care is an increasingly important component of end of life care. As it emerges in Israel, it is intentionally built on a nonclerical model. Based on interviews with spiritual care providers in Israel, we find that they help patients and families talk about death and say goodbyes. They encourage the wrapping up of unfinished business, offer diverse cultural resources that can provide meaning, and use presence and touch to produce connection. As spiritual care emerges in Israel, providers are working with patients at the end of life in ways they see as quite distinct from rabbis. They offer broad frames of meaning to which patients from a range of religious traditions can connect.     

A Comprehensive Review of Wraparound Care Coordination Research, 1986–2014

Wraparound is a team-based care coordination strategy for children and youth with complex behavioral health needs and their families. Despite widespread adoption, a review of the literature pertaining to Wraparound has not previously been conducted. To address this gap, we conducted a comprehensive review, ultimately identifying 206 unique Wraparound-related publications in peer-reviewed outlets. We then coded and analyzed the publications’ methods, main foci, measures, and findings. Eighty-three publications (40%) were non-empirical, most of which focused on defining Wraparound and advocating for its use, largely based on its alignment with the System of Care philosophy. Among empirical studies (n?=?123; 60%), 22 controlled studies were found, most finding positive or mixed evidence for Wraparound’s effectiveness. Other empirical studies examined implementation issues such as necessary system conditions and measurement and influence of fidelity. Major gaps include rigorous tests of Wraparound’s change mechanisms, workforce development models, peer support, and the use of specific treatments. We conclude that literature produced to date has provided useful information about Wraparound’s core components, program-level and system-level implementation supports, and applicability across systems and populations, as well as preliminary information about effectiveness and cost-effectiveness. The Wraparound research base would, however, benefit from additional studies of the model’s intervention and implementation components, as well as more rigorous effectiveness studies.     

Ministers’ Perceptions of Depression: A Model to Understand and Improve Care

While depression is a significant worldwide health problem, fewer than half of individuals seek care. Faith-based communities may play an important role in improving the knowledge of and linkage to depression care. Focus groups of Caucasian and African-American clergy were conducted to explore these issues. Using a grounded theory approach five themes emerged, including explanatory models of depression, barriers and facilitators to care, and recommendations for involving religious communities. A model of depression care pathways was constructed that integrates secular and spiritual approaches. The findings highlight the need for targeted interventions to build trust between clergy and mental health professionals. Teresa L. Kramer, Ph.D., is Chief Psychologist and Associate Professor of Psychiatry in the College of Medicine, University of Arkansas for Medical Sciences in Little Rock. She has conducted research in child, adolescent and adult mental health assessment, outcomes, and quality of care. Her current research on adolescent depression is funded through a Research Career Development Award from the National Institute of Mental Health. She is currently developing faith-based programs to educate ministers and their congregations about depression-related illness. Dean Blevins, Ph.D., teaches in the Department of Psychiatry, College of Medicine, at the university and is associated with the Center for Mental Health & Outcomes Research, Central Arkansas Veterans Healthcare System, and the South Central Mental Illness, Research, and Clinical Center in Little Rock. Terri L. Miller, Ph.D., also teaches in the Department of Psychiatry. Martha Phillips, Ph.D., is at the Department of Human Services in Little Rock. Vanessa Davis and Billy Burris are employed at the Division of Behavioral Health Services, also in Little Rock.     

Patočka and Foucault: Taking Care of the Soul and Taking Care of the Self

The paper deals with Jan Pato?ka’s and Michel Foucault’s influential interpretations of the ancient Greek approach to care (epimeleia). At first sight, it might seem that Foucault’s care of the self is opposed to Pato?ka’s care of the soul. On closer reading, however, it becomes clear that the two interpretations lead to similar conclusions, as exemplified by the way the two authors interpret Plato’s Laches: both of them see it in relation to the issue of how to live one’s life. Further on, the paper deals with the development of Pato?ka’s understanding of care of the self and his approach to the philosophy of history. It is revealed that Foucault’s approach to history is opposed to Pato?ka’s on a number of issues. Despite their diverging opinions, however, the two authors problematize the ancient Greek care of the self as an important issue in Western culture, emphasizing the therapeutic role of contemporary philosophy along the way.     

A hermeneutic study of integrating psychotherapist competence in postnatal Child Health Care: Parents’ perspectives

A child's emotional and social development depends on the parents’ provision of optimal support. Many parents with perinatal distress experience difficulties in mastering parenthood and seek help from professionals within primary healthcare. A clinical project was launched in Stockholm, where psychodynamic psychotherapists provided short-term consultations at Child Health Centers. This study qualitatively explored parents’ experiences of perinatal distress and of receiving help by nurses and therapists in the project. Thirteen parents were interviewed, and their responses were analyzed with a hermeneutical method. Three main themes crystallized; accessibility of psychological help and detection of emotional problems; experiences of therapy at the Child Health Center; and the therapists’ technique. Parents were also clustered into three so-called ideal types: the insecure; parents in crisis; and parents with lifelong psychological problems. Parents experienced obstacles in accessing psychological care within primary healthcare. Psychotherapists with a holistic family perspective and who managed to oscillate between insight-promoting and supportive interventions were especially appreciated. Patient categories who benefitted from insight promotion and support, respectively, were identified.     

The Influence of Skill Development Training Program for Spiritual Care of Elderly Individual on Elderly Care Technician Students’ Perception of Spiritual Support

Spiritual care means helping an individual protect, maintain and gain all the dimensions of his/her existence. Elderly care technicians face numerous cases or crisis situations in which elderly individuals from different backgrounds question the meaning and value of life. Elderly care technicians must acknowledge that the spirituality is an important element in the way an elderly individual receives healthcare and they must be equipped for this matter. This study was conducted in order to examine the influence of “Skill Development Training Program for Spiritual Care of Elderly Individual,” which was carried out with students from elderly care program, on the perception of spirituality support in a pretest–posttest quasi-experimental study design with control group. As the data collection form, “Spiritual Support Perception” (SSP) scale was used. The mean scores of the intervention group after the training and after one month are 50.39 ± 5.34 and 51.13 ± 4.98, respectively, and those of the control group are 43.16 ± 4.83 and 42.72 ± 4.48. A statistically significant difference was found between the mean scores of the intervention group from the pretest and the posttests immediately after the training and one month after the training (f = 94.247, p = 0.001). In the control group, however, there was no significant change in the SSP mean scores (f = 0.269, p = 0.77). As a result, this study pointed out the necessity of such training programs for healthcare professionals to make a distinction between their professional duties and their own personalities in order to offer spiritual care to the elderly individual.     

Prenatal Treatment of Congenital Adrenal Hyperplasia—Not Standard of Care

Congenital adrenal hyperplasia (CAH) due to steroid 21-hydroxylase deficiency is a common autosomal recessive disorder due to mutations in the CYP21A2 gene. Since genetic counselors play a crucial role in educating families about inherited disorders, they need to have thorough knowledge regarding the pathophysiology of CAH especially the effects on the fetus, the complex genetics of this disorder, and the controversies surrounding experimental prenatal dexamethasone treatment. Affected female fetuses may have varying degree of virilization of the external genitalia. Starting in the 1980's, supraphysiologic glucocorticoid treatment was used to decrease the virilization of the external genitalia of affected female fetuses. However, recent clinical observations, animal studies and greater awareness of the details of human fetal adrenal physiology raise concerns regarding the safety of this prenatal treatment. We review the pathophysiology of CAH, the safety and ethical considerations of prenatal dexamethasone treatment and the views of multiple medical societies that conclude that this experimental therapy should only be done in prospective trials approved by ethical review boards.     

A Life with Roots: Narrative Pastoral Care and Communities of Identity in the Parable of the “Good Soil”

This article interprets the parable traditionally known as the parable of the sower by arguing that it is actually a parable focusing on good soil. It analyzes the parable??s placement next to Gospel narratives in which Jesus redefines his kin network and maintains that the good soil metaphor suggests ideal conditions of growth in which persons surround themselves with consciously chosen communities of support that help them to live out God??s purposes in their lives. Using Michael White??s re-membering conversations, I indicate how pastoral caregivers and psychotherapists can help persons use their previous mentorship relationships as a source of support and motivation. Finally, I argue, using Donald Capps??s psychological reconstructions based on historical Jesus scholarship, that Jesus?? emphasis on his new relationships in the Kingdom of God is best understood in relationship to his struggles with father absence.     

What is the Role of the Arts in Medical Education and Patient Care? A Survey-based Qualitative Study

To inform medical education reform efforts, we systematically collected information on the level of arts and humanities engagement in our medical school community. Attitudes regarding incorporating arts and humanities-based teaching methods into medical education and patient care were also assessed. An IRB-approved survey was electronically distributed to all faculty, residents, fellows, and students at our medical school. Questions focused on personal practice of the arts and/or humanities, as well as perceptions of, and experience with formally incorporating these into medical teaching. Of 13,512 community members surveyed, 2,775 responded (21% overall response rate). A majority of respondents agreed or strongly agreed that medical education and patient care could be "enhanced" by the integration of the arts (67% and 74% respectively). There was enthusiastic support for the creation of a formal program in the arts at our medical school (72 %). Integration of the arts into medical education may have a role in improving the quality of medical training and would likely be well received by teachers and learners.     

Staff and Administrators’ Perceptions of Music Therapy with Acute Care Mental Health Inpatients: A Qualitative Investigation

The purpose of this qualitative study is to understand staff members’ and administrators’ perceptions of group-based music therapy in an acute care mental health setting. The researcher conducted semi-structured interviews with six experienced administrators and unit staff who were familiar with music therapy. Using an inductive approach to thematic analysis, the author identified six themes: (a) music constitutes an important role in patients’ lives, (b) patient-centricity and competence of the music therapist, (c) music therapy uniquely engages the patient with music, the music therapist, and peers, (d) music therapy shifts patients’ focus from internal to external, (e) music therapy is a normalizing experience that facilitates interaction, and (f) music therapy provides optimal conditions for cognitive, affective, and behavioral change. Implications for clinical practice, suggestions for future research, and limitations of the study are provided.     

A Review of “A Dictionary of Philosophy of Religion”

ABSTRACT

HOLMAN OLD TESTAMENT COMMENTARY: EXODUS, LEVITICUS, NUMBERS. Glen S. Martin. Nashville, TN: Broadman &; Holman Publishers, 2002, 387 pp., $19.99. Reviewed by Gregg Watson.

THE WESTMINSTER DICTIONARY OF NEW TESTAMENT AND EARLY CHRISTIAN LITERATURE AND RHETORIC. David E. Aune. Louisville, KY: Westminster John Knox Press, 2003, xii, 595 pp., ISBN: 0-664-21917-9, $49.95. Reviewed by Iren L. Snavely, Jr.

ENCYCLOPEDIA OF RELIGION AND WAR, Routledge Encyclopedias of Religion and Society Series. Edited by Gabriel Palmer-Fernandez. New York &; London: Routledge, 2004, 512 pp., 33 b/w illustrations, ISBN: 0-415-94246-2, $125.00. Reviewed by Al Vara.

READING IS BELIEVING: THE CHRISTIAN FAITH THROUGH LITERATURE AND FILM. David S. Cunningham. Grand Rapids, MI: Brazos Press, 2002, 237 pp., $18.99. Reviewed by Robert F. Darden III.

UNDERSTANDING THE HADITH: THE SACRED TRADITIONS OF ISLAM. Ram Swarup. Amherst, NY: Prometheus Books, 2002, 258 pp., $22.00. Reviewed by Jeannie Colson.

AN INDEX TO ENGLISH PERIODICAL LITERATURE ON THE OLD TESTAMENT AND ANCIENT NEAR EASTERN STUDIES, Vol. VIII, ATLA Bibliography Series, 21. Compiled and edited by William G. Hupper. Lanham, MD and London: The American Theological Library Association, and The Scarecrow Press, 1999, 483 pp., $70.00. Reviewed by John Dickason.

BIOGRAPHICAL DICTIONARY OF EVANGELICALS. Editor: Timothy Larsen; Consulting Editors: David Bebbington and Mark Noll. Leicester, England and Downers Grove, IL: InterVarsity Press, 2003, 816 pp., $45.00. Reviewed by J. Michael Garrett.

LOGOS BIBLE SOFTWARE SERIES X-SCHOLAR'S LIBRARY (QB). Bellingham, WA: Logos Research Systems, 2004, $599.95, CDROM or DVD. Reviewed by Jason D. Baker.     

Rabbis and Health: A Half-Century Review of the Mental and Physical Health Care Literature:1950–1999

Electronic searches were conducted on PubMed and the American Psychological Association's database (PsycINFO) for articles that discussed the role of rabbis in relation to some aspect of healthcare. The two searches were conducted in each electronic database using the search-terms: (1) (rabbi OR rabbinical OR synagogue) OR (2) (Judaism OR Jewish) AND (clergy OR chaplain). Articles were classified by the year of their publication, professional discipline, type of journal (either religious or secular), and type of article: either research, or narrative and expositional. Rabbis were discussed most often in psychology, psychiatry, and behavior-related fields, and close to two-thirds of the articles dealt with mental health concerns. A statistically significant increase in articles across decades was found in the secular journals, r=.98, p≤.01, with over 70% of the articles about rabbis in the secular journals being published between 1980 and 1999. Many of the articles addressed collaboration between rabbis, psychiatrists, and other and mental health professionals and discussed previously identified themes related to professional collaboration and referral.     

How Stable is the Well-Being of Australian Mothers Who Care for Young Children with Special Health Care Needs?

Ninety-seven percent of children who have special health care needs are cared for by their mothers. These mothers cite that their informal care work can be intrinsically rewarding, however, the role is not without substantial difficulties and consequences. We investigated differences in the health and well-being of mothers whose young children do and do not have special health care needs. Quantitative data are drawn from Growing Up in Australia: The Longitudinal Study of Australian Children. This study employs a matched-case control methodology to compare the experiences of a group of 292 mothers whose children are identified as having long term special health care needs to those mothers whose children are typically developing at two time points; Wave 1 (2004) and Wave 3 (2008). The findings support previous research that mothers of children with special health care needs have poorer general health and mental health than mothers whose children do not have special needs. Mothers of children with special health care needs also perceived life as more difficult. Longitudinally, this study also shows that maternal well-being remains relatively stable during the years when children are transitioning to formal schooling. Implications for policy makers, practitioners and early childhood professionals are discussed.     

The Social Determinants of Health: Why Should We Care?

A growing body of empirical research examines the effects of the so-called “social determinants of health” (SDH) on health and health inequalities. Several high-profile publications have issued policy recommendations to reduce health inequalities based on a specific interpretation of this empirical research as well as a set of normative assumptions. This article questions the framework defined by these assumptions by focusing on two issues: first, the normative judgments about the (un)fairness of particular health inequalities; and second, the policy recommendations issued on this basis. We argue that the normative underpinnings of the approach are insufficiently supported and that the policy recommendations do not necessarily follow from the arguments provided. Furthermore, while many of the policies recommended—such as improving people's living conditions and reducing inequalities in wealth and power—are justified in their own right, the way these recommendations are tied to health is problematic.     

Caregivers’ Level of Trust in Their Children's Health Care Providers

Trust in healthcare providers is associated with clinical outcomes among adult patients. Children with disabilities have complex health needs that place stress on caregivers. Consequently, they are increasingly likely to rely on their children's health care providers to ensure children's health care needs are met. However, no studies have explored factors affecting caregivers’ trust in their children's providers. We assessed caregivers’ trust in their children's providers and identified predictive factors of trust. The results indicate that children's disability condition, functional status, age, the providers’ specialty, and the type of health care plan are significant predicators of caregiver's trust. Specifically, caregivers of children with emotional/behavioral disabilities and children with poor physical or emotional/behavioral functioning reported less trust in their children's providers compared to caregivers of children without physical disabilities or no disability and those having higher levels of physical or emotional/behavioral functioning. In addition, caregivers of younger children had more trust compared to caregivers of older children. Caregivers of children enrolled in a managed care plan for physical health care reported less trust compared to caregivers of children in other organizational arrangements. Finally, caregivers reported more trust in physical health providers compared to mental health providers.     

A Review of: “A Limbo of Shards”

The following interview began as a family conversation over the Christmas holidays in 1987 at the home of Jane and Joseph (Jo) Wheelwright on the Hollister Ranch in Santa Barbara County, California. Betty, the Wheelwrights' daughter-in-law and a writer and teacher, was curious about their thoughts on gender differences. With the tape recorder running, they agreed to answer some questions.

The Wheelwrights both worked personally with C. G. Jung and have been Jungian analysts for 50 years. They, with others, founded the C. G. Jung Institute of San Fmncisco in 1943. Dr. Joseph Wheelwright is Emeritus Clinical Professor of Psychiatry at the University of California at San Francisco and a former faculty member of the University of California in Berkeley. He has published about 50 articles in various psychological journals in the US. and abroad. Jane Hollister Wheelwright has written about gender issues in Women and Men (San Francisco Jung Institute, 1978) and in For Women Growing Older: The Animus (C. G. Jung Educational Center of Houston, Texas, 1984). She grew up in the wilderness, an experience that has influenced many of her preceptions.     

Perceptions of Chaplains’ Value and Impact Within Hospital Care Teams

Many scholars have written about the role of spirituality in health care. One mechanism for incorporating spirituality into the care of patients is to integrate clinically trained chaplains into hospital care teams. We examined in a mixed-methods fashion, the effects of this type of integrated care team within a teaching hospital setting. The quality and impact of chaplain involvement were studied from patient and physician-in-training perspectives, using data from more than 200 patients and physicians in training. Findings clearly show that clinically trained chaplains can contribute meaningful expertise and real value to the quality and comprehensiveness of patient and physician experiences.