Religion and Cardiovascular Disease Risk

Objectives: To determine whether cardiovascular-disease risk-factor profiles of majority-church members differ from those of non-church members we examined a large population-based random sample. Methods: Data from the two cross-sectional surveys of the Pawtucket Heart Health Program conducted in 1981–82 (n = 2442) and 1983–84 (n = 2799) were evaluated. Trained interviewers collected physiological measures including height, weight, systolic and diastolic blood pressure, and a small blood sample (for total cholesterol and high-density lipoprotein). Smoking, exercise, sociodemographics, and church membership were determined by self-report. Results: Church members were older, more likely to be female, Portuguese, married, have more people living in their households, and were also more likely to be greater than 20% overweight. Forty-eight percent of church members reported never having smoked cigarettes compared to 35.4% of non-church members. Differences in systolic blood pressure and total cholesterol were attributable to age, sex, and ethnicity. Conclusions: Aside from cigarette-smoking status and body-mass index, the risk profile of the two groups was not different, indicating that health-promotion interventions geared to the general population may not need to be tailored too extensively for members of religious organizations based on health status. On the other hand, the demographic differences and easy access to entire families may require more attention.     

Effective Procedures for Conducting Genetic Prevalence Studies With Children1

In this study, the effectiveness of genetic screening study procedures was examined. One analysis was designed to explore whether having a genetic screening study simply introduced by a physician who had just completed a child's evaluation (vs. introduced by an unfamiliar individual) influenced whether the child's parent enrolled the child in the study. Also examined were explanations for nonenrollment and final enrollment decisions among individuals initially uncertain about enrollment. The primary finding was that a physician's introduction to the genetic screening study was associated with a 17% increase in enrollment, and with a 9.9% greater rate of enrollment overall. The rate of increase was greatest among physicians who were most consistent with introducing the screening study. Initially undecided individuals comprised 14% of the final sample. Many parents who chose not to participate felt that the research study was not important. A smaller percentage of parents chose not to enroll in the genetic study because of discomfort with genetic testing. The findings have important implications for designing effective procedures for prevalence research.     

Systems measures of word use and differential diagnosis

This paper presents findings on the power of two systems measures of word use to discriminate four patient groups. The first is the slope of accumulated entropy or complexity of the sample (known to be logarithmic over time). The other is the average Poisson rate for the use of new words (known to be a Poisson process). The four groups consisted of cancer, depressed, paranoid, and somatization patients. The two word measures discriminate the first three groups from the fourth. There is evidence that larger samples will identify a similar discriminator for each of the first three groups from one another. The results are discussed in terms of how these methods may offer fresh insight into the relationship between language use and psychopathology.     

The Church: Intransit and Intransigent

In this essay, I revisit James E. Dittes' first book, The Church in the Way, and discuss its most salient points. Of particular interest is the view that parish ministers should adapt concepts from psychoanalysis for their ministry, especially as concerns the phenomenon of resistant behavior on the part of parishioners. Dittes' central claim is that resistance is a sign of vitality and thus should be embraced and exploited as a resource for ministry. Evaluating that claim alongside the enduring value of the book as a whole, I suggest three ways the work remains contemporarily relevant.     

Respect for the Dignity of People: What Does This Principle Mean in Practice?

Researchers have found that disrespectful behaviour can have a notable psychological impact on victims and observers thereof. It is not surprising, therefore, that law and all the major psychology codes of ethics acknowledge the principle of respect for the dignity of persons. The practical implications of this principle, however, are not clear. In this article we argue, with reference to the philosophical roots of the principle, that there are rules of manners in all societies that describe how people should demonstrate respect for persons. Generally, the profession cannot require psychologists to adhere to the rules of manners, not even those that demonstrate respect for persons, but it can, and does, prescribe to psychologists how they should act while they practice as psychologists. We proceed to examine the principles and standards of the Australian Psychology Society's Code of Ethics (2007) that require psychologists to demonstrate respect for persons while acting as psychologists.     

Duns Scotus on the metaphysics of virtue and conformity to right reason

For Duns Scotus, facts about moral psychology are ultimately reducible to facts about ontology. The created agent has a soul which includes as formal “parts” the intellect and will; the intellect and will, of course, are the seat of qualities (e.g. thoughts and volitions, respectively) and habits (e.g. virtues) that are related to one another in various ways. One of these ways is the conformity relation. From a metaphysical base of categorical being – whether Substance, Quality/Habit, or Relation – Scotus constructs an ethical theory which complements, though in some interesting ways departs from, the Aristotelian tradition of which he is a part. In this essay, our aim is twofold: first, to reconstruct the ontological status of virtue within Scotus's overall metaphysical framework. Second, we attend to the ways in which this metaphysic of virtue places constraints on how one is to understand the conformity relation that, according to Scotus, must exist between an agent's will and right reason whenever a morally good action results.     

Applying Research Findings to Enhance Pre-Practicum Ethics Training

Professions have a social obligation to ensure that their members’ professional behavior is morally appropriate. The psychology profession in most jurisdictions delegates the responsibility of ensuring that psychologists entering the profession are ethically competent to pre-practicum training programs. Educators responsible for teaching the ethics courses in these programs often base them on Rest’s (1984, 1994) theory that does not take into account a vast amount of contemporary psychological and neuroscientific research data on moral decision making. My aim with this article is therefore to summarize the psychological and neuroscience research findings relevant to moral decision making and consider how educators who teach ethics courses can apply them in developing ethics courses grounded in research.     

Anxiety sensitivity cognitive concerns drive the relation between anxiety sensitivity and symptoms of depression

Depression is typically treated as a homogeneous construct despite evidence for distinct cognitive, affective, and somatic symptom dimensions. Anxiety sensitivity (AS; the fear of consequences of anxiety symptoms) is a cognitive risk factor implicated in the development of depressive symptoms. However, it is unclear how lower order AS dimensions (i.e. physical, cognitive, and social concerns) relate to depressive symptom factors. Confirmatory factor analysis, followed by structural equation modeling, were conducted to examine the factor structure of depression and to then examine the relations between these factors and the lower order factors of AS. This study was conducted in a sample of 374 adults (M age = 35.5, 54.3% female) with elevated levels of psychopathology (89.2% meeting criteria for at least one DSM-5 diagnosis, 25.6% primary depressive disorder). In this study a two-factor model of depression, composed of Cognitive and Affective/Somatic factors, was superior to one- and three-factor solutions. AS cognitive concerns were related to both cognitive and affective/somatic symptoms of depression. Neither of the other AS dimensions was related to depression symptom dimensions. These findings provide a better understanding of the relations between AS and depression symptoms.     

Is Physical Alteration a Sufficient Reason to Prohibit Ritual Infant Circumcision?

Journal of Religion and Health - European culture and thought have long disfavored ritual child circumcision, which is obligatory to Jews and Muslims. Much opposition to this practice hinges on the...