Exercise as psychotherapy

The use of exercise as a psychotherapeutic agent is reviewed. The benefits of exercise are considered to impact both physiological processes and psychological factors such as self-esteem and more efficacious self-talk. The possibility of the use of exercise as an adjunct to both pharmacotherapy and psychotherapy is suggested.     

The Fallen and the Forgotten: Henry Brooks,Howard Thurman,and All Sheroes and Heroes of Long Ago

This article results from an invitation. It is a certain reflection upon a movement in pastoral care during the late 1960’s and early 1970’s. If it is the case that typically very little historical perspectives enter pastoral care analysis, then this article attempts a corrective. The picture above invites us to think in terms of a visual metaphor. There is evidence of a pathway through the terrain toward the sea, and various plant life, big and small size lava rocks. Some appear to be standing or fallen and covered by the rising tide of the sea. Still others may not be seen at all- even with a receding sea. All co-exist within a larger, yet changing environment of things, which include sky, sand, sea and all that is invisible. Therefore, pastoral care is encouraged to pay close attention to detail and gestalt. Nothing stands alone. This article features collective, systemic and reciprocal effects, an early, perhaps invisible or yet-to-be-recognized pastoral care influence upon Edward Powell Wimberly, a prolific African American pastoral theologian. In-order to appreciate E.P. Wimberly’s contribution and see things more clearly, one needs to situate them within an interpretive frame work or enlarged and still unfolding “picture”. I argue that it takes historical perspectives and a lot of people over a period of time, seen and unseen to influence a thought-shift in an entire paradigm. But, the collective efforts of many contributors to a paradigm shift may have been overlooked or ignored, fallen and forgotten.     

How do Relationship Stability and Quality Affect Wellbeing?: Romantic Relationship Trajectories,Depressive Symptoms,and Life Satisfaction across 30 Years

Lifecourse theory scholars focus on how individuals traverse social roles, such as marriage, parenthood, and employment, in similar and different ways across their lives. This study examined one specific role trajectory: romantic relationships. This study examined men’s and women’s (N?=?3617) relationship status and quality across approximately 30 years. Using second-order latent class analysis, results showed four predominant relationship role trajectories: (a) Multiple Transitions, (b) Stable Marriage with High Conflict, (c) Stable Marriage with High Satisfaction, and (d) Marriage to Divorce/cohabitation. These relationship role trajectories differed on two aspects of quality of life: life satisfaction and depressive symptoms. Individuals in the Multiple Transitions trajectory consistently reported poorest quality of life; however, those in the Multiple Transitions and Stable Marriage with High Conflict trajectories were the only that reported decreases in depressive symptoms over 30 years. Relationship satisfaction poorly differentiated the trajectories compared to relationship conflict and stability.     

Napping promotes inter-session habituation to emotional stimuli

The effects of a daytime nap on inter-session habituation to aversive visual stimuli were investigated. Healthy young adult volunteers viewed repeated presentations of highly negative and emotionally neutral (but equally arousing) International Affective Picture System (IAPS) photographs during two afternoon sessions separated by 2.5h. Half of the photographs were shown at both sessions (Repeated Sets) and half differed between sessions (Novel Sets). For each stimulus presentation, evoked skin conductance response (SCR), heart-rate deceleration (HRD) and corrugator supercilii EMG response (EMG), were computed and range corrected using respective maximum session-1 responses. Following each presentation, subjects rated each photograph on dimensions of pleasantness and arousability. During the inter-session interval, Nap subjects had a 120-min polysomnographically monitored sleep opportunity, whereas Wake subjects watched a non-stimulating video. Nap and Wake subjects did not differ in their subjective ratings of photographs. However, for Repeated-Set photographs, Nap subjects demonstrated greater inter-session habituation in SCR and EMG but a trend toward lesser inter-session habituation in HRD. These group differences were absent for Novel-Set photographs. Group differences across all measures were greater for negative stimuli. Occurrence of SWS during the nap was associated with greater inter-session habituation of EMG whereas occurrence of REM was associated with lesser inter-session habituation of SCR to negative stimuli. Sleep may therefore promote emotional adjustment at the level of somatic responses. Physiological but not subjective inter-session habituation to aversive images was enhanced by a daytime nap.     

Predictive Testing of Eighteen Year Olds: Counseling Challenges

Genetic counseling of teenagers is challenging and complex. The ability to think abstractly, a sense of self and independence from family all develop during adolescence. Predictive genetic testing counseling protocols presuppose that these qualities exist, requiring the at-risk individual to consider the short and long term consequences of testing as well as their motivations. Eighteen year olds are in transition from adolescence to adulthood; eligible for predictive genetic testing, they may not yet be independent of their family or able to articulate their feelings. This paper presents case studies from the authors' clinical practice to illustrate some of the difficulties faced by genetic counselors when 18 year olds request predictive testing for Hereditary Non-Polyposis Colorectal Cancer. By reflecting upon their experiences with these young adults and their families, the authors' intention is to generate discussion about genetic counseling strategies, particularly for predictive genetic testing, that are both age-appropriate and family-sensitive.     

Establishing a causal chain: why experiments are often more effective than mediational analyses in examining psychological processes

The authors propose that experiments that utilize mediational analyses as suggested by R. M. Baron and D. A. Kenny (1986) are overused and sometimes improperly held up as necessary for a good social psychological paper. The authors argue that when it is easy to manipulate and measure a proposed psychological process that a series of experiments that demonstrates the proposed causal chain is superior. They further argue that when it is easy to manipulate a proposed psychological process but difficult to measure it that designs that examine underlying process by utilizing moderation can be effective. It is only when measurement of a proposed psychological process is easy and manipulation of it is difficult that designs that rely on mediational analyses should be preferred, and even in these situations careful consideration should be given to the limiting factors of such designs.     

An evaluation of the minimal constraining information during observation for movement reproduction

An important question in the field of imitation is what information is used for movement reproduction. While it is argued that relative motion information is perceived and minimised, direct evidence is lacking. In this experiment relative motion was manipulated to convey a novel kicking action. Twenty-four adults were assigned to one of the three impoverished relative motion display groups showing only the TOE, FOOT or LEG. After practise with partial information, participants watched a full-body display and in a final condition performed the action with an additional context constraint (i.e., a ball). Movement kinematics were collected and difference scores between participants and the model were analysed. The groups did not differ in terms of knee-ankle coordination. For hip-knee, the TOE group performed more like the model than the FOOT and LEG group. When transferred to the full-body display, there were no significant improvements. End-point trajectory information can provide sufficient information to reproduce key characteristics of the movement form.     

Clients' treatment expectations at a community mental health center

Clients' expectations about mental health care, particularly differences in these expectations as a function of social class, and the relationship of discrepancies between expectations and perceptions to treatment outcome, is examined in this study with 317 Caucasian clients. In contrast to the majority of studies, no differences in treatment expectations relating to clients' social class, sex, or marital status were found. Nor were discrepancies related to course or outcome of therapy. Discussion focuses around explanation and interpretation of these findings. Particularly relevant is the need to determine the extent to which nonusers in the community share the attitudes and expectations of clients.     

Religion and mental health among blacks

The positive role of religion in the mental health of black Americans is a much neglected theme in the literature. This paper considers religion as one of the important retained black cultural traits, which continues to play a vital role in the mental health and survival strategies of black Americans. The paper examines Grier and Cobbs's appraisal of the religion-mental health connection in black communities and identifies different ways for mental health practitioners to think about religious phenomena and the primal partnership between religion and mental health. The paper concludes with a challenge to keep awareness of the religion-mental health partnership together in the treatment of black Americans.This paper was originally presented at a two-day conference on Some Dynamics and Psychotherapeutic Methods in Rendering Treatment to Blacks, March 15 and 16, 1980, in Oakland, California. This particular paper discussed religion as one of the important retained black cultural trains.