Are Residents Willing to Discuss Spirituality with Patients?

Family medicine is redefining itself in the wake of the Future of Family Medicine Project, the move to the Patient-Centered Medical Home, and the 2010 Patient Protection and Affordable Care Act’s emphasis on primary care. This effort has included representing family doctors as physicians who “care for the whole person” and who “specialize in you.” Many patients believe that whole person care involves attention to spirituality and wish to share their beliefs in the medical encounter. This national survey investigated whether a random sample of family medicine residents were willing to address spirituality upon patient request. With varying degrees of willingness, most doctors said that they would discuss patient beliefs if asked. Denominational preference, residency training in addressing spirituality, and self-rated spirituality were all predictive of the strength of reported willingness. These results indicate that training in addressing spirituality may create residents more likely to discuss the topic in clinical practice.     

Special People? An Exploratory Study into Re-entering Missionaries’ Identity and Resilience

Home country re-entry from cross-cultural missionary work abroad may be associated with psychological distress. Re-entrants experience multiple losses including loss of identity which may be associated with personal/relational identity gaps and depersonalization/dehumanization. However, research suggests that some re-entrants are resilient with good mental health, while others are fragile with poor mental health. The aims of this paper are to explore the nature and frequency of re-entering missionaries’ identity gaps and their depersonalization/dehumanization in resilient and fragile re-entrants. Fifteen re-entering adult Australian cross-cultural missionary workers from four interdenominational Australian mission organizations completed semi-structured interviews. Results were analysed using modified Consensual Qualitative Research methods. Links were established between personal/relational identity gaps, depersonalization/dehumanization and resilience on re-entry. Implications for re-entrants’ care are discussed with suggestions for further research.     

Gratitude when it is needed most: social functions of gratitude in women with metastatic breast cancer

Theory and evidence suggest that everyday positive emotions may be potent factors in resilience during periods of chronic stress, yet the body of evidence is scant. Even less research focuses on the adaptive functions of specific positive emotions in this critical context. In the current research, 54 women with metastatic breast cancer provided information about their emotional responses to benefits received to test hypotheses regarding the social functions of gratitude. One set of analyses provide support for the hypothesized role of ego-transcendence in feeling gratitude upon receipt of a benefit from another person. As predicted, in a second set of analyses, grateful responding to received benefits predicted an increase in perceived social support over three months only for women low in ambivalence over emotional expression. These findings add to evidence regarding the social causes and consequences of gratitude, supporting a view of gratitude as an other-focused positive emotion that functions to promote high-quality relationships. Discussion focuses on the chronically stressful context as an important testing ground for theory on gratitude and other positive emotions.     

Twelve-Month-Old Infants Generalize Novel Signed Labels,but Not Preferences Across Individuals

By the end of the 1st year, infants expect spoken labels to be extended across individuals and thus seem to understand words as shared conventional forms. However, it is unknown whether infants' willingness to extend labels across individuals is constrained to familiar forms, such as spoken words, or whether infants can identify a broader range of symbols as potential conventions. The present study tested whether 12-month-old infants will extend a novel sign label to a new person. Results indicate that 12-month-olds expect signed object–label relations to extend across agents but restrict object preferences to individuals. The results suggest that infants' expectations about conventional behaviors and linguistic forms are likely broad at 12 months. The implications of these findings for infants' early conceptions of conventional behaviors as well as our understanding of the initial state of the learner are considered.     

My Long Journey Home: How the Acadian Exile Shaped My Life as a Therapist

Although attachment patterns and early relational interactions are very important in creating implicit and procedural memories, I contend, along with many authors (Gentile, 2010; Sucharov, 2012), that the historical, cultural, political, and social contexts give them meanings. Grounding myself in a relational systems theory of trauma and therapeutic healing (Brothers, 2008), I attempt to capture how a historic traumatic event in my ancestors’ lives, the Acadian Deportation, has shaped and affected my life and work as a therapist. Different themes and meanings—for example, submission and surrender (Ghent, 1990), autonomy and liberation, and restorative efforts in the aftermath of trauma that involve the reduction of complexity (Brothers, 2008)—will be revealed as part of the legacy of the historical traumatic exile and return of my Acadian ancestors. After briefly describing the tragic history of the Acadian people, I retrace my own initiatory, and never completed, journey back home as an Acadian woman therapist, through traumatic submission and its active counterpart, the impulse to dominate. A brief vignette from my work with a patient serves to illustrate how my Acadian heritage is still an active and conflictual process for me.     

Childhood Predictors of Adulthood Antisocial Personality Disorder Symptomatology

The present study aimed to examine relationships between antisocial personality disorder (APD) symptoms in adulthood and retrospective reports of childhood maltreatment, parental bonding, and teasing, and while controlling for symptoms of depression and anxiety. Four hundred eleven non‐clinical participants (99 males, 312 females), aged 18–65 years, recruited from an Australian university and the general public, completed the questionnaire package. Findings indicated significant associations between childhood maltreatment, parental bonding, teasing, depression, and anxiety, and levels of APD symptomatology. Hierarchical regression analysis revealed that physical abuse, physical neglect, teasing, and level of father care made the largest unique contributions to the prediction of APD scores after statistically controlling for comorbid depression and anxiety. Analysis of variance revealed higher levels of APD symptoms were reported by males and younger participants. This research contributes importantly to our understanding of factors influencing APD symptomatology, with clinical and early intervention implications.     

Apes are intuitive statisticians

Inductive learning and reasoning, as we use it both in everyday life and in science, is characterized by flexible inferences based on statistical information: inferences from populations to samples and vice versa. Many forms of such statistical reasoning have been found to develop late in human ontogeny, depending on formal education and language, and to be fragile even in adults. New revolutionary research, however, suggests that even preverbal human infants make use of intuitive statistics. Here, we conducted the first investigation of such intuitive statistical reasoning with non-human primates. In a series of 7 experiments, Bonobos, Chimpanzees, Gorillas and Orangutans drew flexible statistical inferences from populations to samples. These inferences, furthermore, were truly based on statistical information regarding the relative frequency distributions in a population, and not on absolute frequencies. Intuitive statistics in its most basic form is thus an evolutionarily more ancient rather than a uniquely human capacity.     

Improving Experience in Personal Social Systems through Family Constellation Seminars: Results of a Randomized Controlled Trial

This study examined the efficacy of family constellation seminars (FCSs) on individuals' experience in their personal social systems, especially the experience of belonging, autonomy, accord, and confidence. We conducted a single‐blind, stratified and balanced, randomized controlled trial. Participants were 208 adults (M = 48 years, SD = 10, 79% women) who were randomly allocated either to the intervention group (3‐day FCSs; 64 active participants, 40 observing participants) or to the wait‐list group (64 active participants, 40 observing participants). Change was measured short‐term (2‐week and 4‐month follow‐up) using the Experience In Social Systems Questionnaire, personal domain (EXIS.pers). EXIS.pers is a new outcome measure being applied for the first time in evaluation research. In addition, we used interpersonal scales derived from established measures (Outcome Questionnaire, OQ‐45; Tool for the Evaluation of the Psychotherapeutic Progress, FEP). The average person in the intervention group showed improved experience in personal social systems, as compared with approximately 73% of the wait‐list group after 2 weeks (total score: Cohen's d = .61, p = .000) and 69% of the wait‐list group after 4 months (total score: d = .53, p = .000). The results were confirmed in per‐protocol analyses (n = 191) by the results of the EXIS.pers dimensions (Belonging, Autonomy, Accord, and Confidence) and the interpersonal scales derived from the OQ‐45 and FEP. No adverse events were reported. This RCT provides first evidence that FCSs tend to positively influence participants' experience in their social systems.     

Auditory habituation in the fetus and neonate: an fMEG study

Habituation – the most basic form of learning – is used to evaluate central nervous system (CNS) maturation and to detect abnormalities in fetal brain development. In the current study, habituation, stimulus specificity and dishabituation of auditory evoked responses were measured in fetuses and newborns using fetal magnetoencephalography (fMEG). An auditory habituation paradigm consisting of 100 trains of five 500 Hz tones, one 750 Hz tone (dishabituator) and two more 500 Hz tones, respectively, were presented to 41 fetuses (gestational age 30–39 weeks) and 22 newborns or babies (age 6–89 days). A response decrement between the first and fifth tones (habituation), an increment between the fifth tone and the dishabituator (stimulus specificity) and an increment between the fifth (last tone before the dishabituator) and seventh tones (first tone after the dishabituator) (dishabituation) were expected. Fetuses showed weak responses to the first tone. However, a significant response decrement between the second and fifth tones (habituation) and a significant increment between the fifth tone and the dishabituator (stimulus specificity) were found. No significant difference was found for dishabituation nor was a developmental trend found at the group level. From the neonatal data, significant values for stimulus specificity were found. Sensory fatigue or adaptation was ruled out as a reason for the response decrement due to the strong reactions to the dishabituator. Taken together, the current study used fMEG to directly show fetal habituation and provides evidence of fetal learning in the last trimester of pregnancy.