A Conversation About the Intersection of Faith,Sexual Orientation,and Gender: Jewish,Christian, and Muslim Perspectives

Recent challenges to counselor education and the ACA Code of Ethics (American Counseling Association, 2005 ) provided impetus for this article, which is focused on how 3 major Western religions address counseling and counselor training with diverse clients. Jewish, Christian, and Muslim perspectives are highlighted as related to counseling and training issues across faith, sexual orientation, and gender issues.     

Alston's Anti‐Justificationism as a Strategy to Resolve the Conflict Between Internalism and Externalism

After a justificationist period, William P. Alston has tried to eliminate justification from the epistemology of belief. He introduced a list of epistemic desiderata all of which contribute to the positive status of beliefs and none of which has an exclusive and decisive role so that it could be isolated as the property of being justified. Careful examination reveals, however, that this list includes fewer desiderata than advertised. Truth‐conducive desiderata are most important for Alston, and these are five; during his discussion, however, Alston reduces these desiderata to only one, the reliability of process, which has an externalist character. Besides this desideratum, there is one other group of desiderata, all of which have an internalist character. What Alston has in fact done, then, through the presentation of his anti‐justificationist list, is to separate externalist and internalist elements for the positive status of belief and to give an independent role to each. Since Alston regards the truth‐conducive group as the most important, however, and since he has failed to show a real pluralism in this group, we may conclude that he continues to have a monistic approach to the evaluation of beliefs, which belies his alleged pluralism.     

The impact of a laryngectomy on the spouse: Who is better off?

Background: Diabetes self-care is a key element in the overall management of diabetes. However, the importance of psychosocial factors for successful disease management is under investigated. This study aimed at exploring the role of coping styles and social support in the relationship between self-care activities and glycated haemoglobin in patients with type 2 diabetes.

Methods: One hundred adults (60% female, aged 40–70 years) with type 2 diabetes completed questionnaires assessing self-care activities, coping styles and social support. In addition, a blood test was performed to obtain glycated haemoglobin levels.

Results: Result showed significant relationships of glycated haemoglobin with self-care activities, coping styles and social support. Regression analysis indicated that social support had a moderating role on the relationship between self-care activities and glycated haemoglobin, such that, at very high levels of social support the association, between Self-Care and HbA1c disappears.

Conclusions: Findings indicate that health care providers, within the context of the Iranian social and cultural situation, should pay more attention to psychosocial factors when addressing self-care activities. Delineation of the role of coping styles and social support might be useful for identifying patients in need of particular counselling and support for improving self-care activities and HbA1c levels.     

Latent Structure of the Wisconsin Card Sorting Test after Pediatric Traumatic Head Injury

The performance of 80 pediatric patients with traumatic head injury (THI) on the Wisconsin Card Sorting Test (WCST; Heaton, Chelune, Talley, Kay, & Curtiss, 1993) was examined to determine the underlying latent structure. Exploratory factor analysis with oblique rotation identified three factors: response accuracy, failure to self-monitor, and learning. The response accuracy factor was directly affected by both age and length of coma. Level of performance on this factor also covaried with post-injury psychometric intelligence. It is concluded that interpretation of the WCST results of children with THI should consider the multifactorial nature of the instrument in combination with injury severity characteristics and demographic variables.     

The impact of multiculturalism on immigrant helping

We examined how immigrants' acculturation style (multiculturalism versus assimilation) affects the host society's willingness to help immigrants. The results from this experiment supported our expectations in showing that multiculturalism triggered less immigrant helping than assimilation, but only among high national identifiers. In addition, immigrants pursuing multiculturalism were perceived as less warm than those pursuing assimilation, and perceived warmth mediated the interaction effect of identification and acculturation style on helping. Whereas help could improve immigrants' integration into the host society and reduce the degree to which the latter views immigrants as threatening, these results ironically demonstrate that immigrants who are viewed as most threatening receive the least amount of help.     

Insecure Attachment and Subclinical Depression,Anxiety, and Stress: A Three-Dimensional Model of Personality Self-Regulation As a Mediator

Although the effects of insecure attachment on vulnerability, incidence, and developing mental disorders have been confirmed by many studies, the mechanism of this effect is still unknown. Therefore, the main aim of this study was to investigate the mediating and moderating role of the three-dimensional model of personality self-regulation in the relationship between insecure attachment and subclinical depression, anxiety, and stress. Four hundred Iranian students at Shiraz University were recruited and completed the following scales: the Revised Adult Attachment, Depression Anxiety Stress, Integrative Self-Knowledge, Mindful Attention Awareness, Self-Control, and Self-Compassion. Results showed that there was a moderate correlation among all the variables under study in the expected directions. Multiple mediating models analyses indicated that regarding the relationship between insecure attachment and depression, the components of integrative self-knowledge, self-control, and self-compassion functioned as mediators. However, regarding the relationship between insecure attachment and anxiety and stress, the components of integrative self-knowledge, mindfulness, and self-compassion relatively functioned as mediators. Further, our results showed that only mindfulness and self-compassion were identified as moderators in the relationship between insecure attachment and depression. It is concluded that insecure attachment may cause psychological damage due to deficiency in the components of the three-dimensional model of personality self-regulation, and that mindfulness and self-compassion may play a protective role in the relationship between insecure attachment and depression.     

The Impact of Religious Connectedness on Health-Related Quality of Life in Patients with Diabetic Foot Ulcers

Religious connectedness is common phenomenon in Saudi Arabia and adjacent Gulf countries. An observational case control study was designed, enrolling 180 adult patients to report the association between religious connectedness and health-related quality of life (HRQL) in people with and without diabetes and foot ulcers. Sixty diabetic patients with foot ulcers (Group I) were compared with sixty diabetic patients without foot ulcer (Group II) and sixty healthy subjects (Group III) for assessment of their HRQL by using SF-36 questionnaire. The effect of religious connectedness was assessed using intrinsic/extrinsic religious connectedness scale. HRQL was found to be significantly lower in Group I compared with Group II and III as well as in group II compared with group III (P < 0.001). Group I patients showed a poorer HRQL with increased severity, duration and multiplicity of foot ulcers. There was a strong positive relationship between religious connectedness and HRQL as indicated by a positive correlation between religious connectedness scale and mental, physical component summary scores (r = 0.66 and 0.59 respectively and P < 0.001). While quality of life is generally poor in people with diabetic foot ulcers, there exists a strong positive relationship between religious connectedness and higher HRQL. These findings may have implications on improving outcomes.     

A Theory of the Temporal Asymmetry of Deliberation

Contemporary theories of the temporal asymmetry of deliberation seek the origins of the asymmetry either in the physics of the early universe or in the epistemic orientation of agents. An attempt is made in the following lines to consolidate the rival thesis that the temporal asymmetry of deliberation is rooted in an ontological divide between the past and the future. I argue that agents can deliberate about the future but not the past because while the past is in a sense real, the future is nothing at all. The argument for the thesis includes striking a connection between deliberation and truth on the one hand and truth and being on the other. The argument thus proceeds, via a modal principle, from the asymmetry of deliberation into the semantics of propositions about the past, the present, and the future and from there to the ontology of the past, the present, and the future. The ‘ticket’ for transition in the argument from semantics to ontology is a truth‐making principle, according to which propositions are true or false in virtue of an existing reality.     

Social problem‐solving,perceived stress,depression and life‐satisfaction in patients suffering from tension type and migraine headaches

This study aimed at investigating social problem solving, perceived stress, depression, and life‐satisfaction in patients with tension type and migraine headaches. Forty‐nine migraine and 42 tension type headache patients (n = 91) consenting to participate were compared to a total of 49 matched healthy control group. Participants filled in a questionnaire consisting self‐report measures of problem solving, perceived stress, depression and life satisfaction. They were also asked about headache duration, frequency, pain severity, psychiatric treatment and sense of control in one's life. T‐tests, chi‐square, analysis of variance, logistic regression analysis and Pearson product moment correlation coefficient procedures were used to analyze the data. Tension type headache patients reported having had more frequent headaches than the migraine patients but migraine patients reported having had more intense pain than the tension type headache patients. Instances of psychiatric treatment were more common among tension type headache patients than the migraine and the control group. Compared to the healthy controls, headache patients displayed a deficiency in problem solving, higher levels of perceived stress and depression. Levels of problem solving skills in headache patients were related inversely to depression, perceived stress and the number of negative life events but problem solving skills of headache patients was related positively to life‐satisfaction. The findings from this study suggested that cognitive behavioral problem solving therapy or training might be a viable option for reducing levels of stress and depression, and to increase life‐satisfaction in patients suffering from primary headache.