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.     

E-mail, decisional styles, and rest breaks.

E-mail is a common but problematic work application. A scale was created to measure tendencies to use e-mail to take breaks (e-breaking); and self-esteem and decisional style (vigilance, procrastination, buck-passing, hypervigilance) were used to predict the self-reported and actual e-mail behaviors of 133 participants (students and marketing employees). Individuals who were low in defensive avoidance (buck-passing) engaged in more e-mailing per week, both in time spent on e-mail and message volume. E-breakers were more likely to engage in behavioral procrastination and spent more time on personal e-mail.     

Alcohol consumption and handwriting: A kinematic analysis

Cerebellar dysfunction is associated with deficits in the control of movement extent, as well as changes in the amplitude and relative amounts of acceleration and deceleration and action tremor. The present study sought to identify whether cerebellar symptoms occur in the handwriting of intoxicated individuals. Twenty participants in two sub-groups (alcohol dependent and non-alcohol dependent) were asked to write four cursive letter ‘l’s on a Wacom SD420 graphics tablet before and after consumption of a dose of vodka and orange producing a peak blood alcohol concentration of 0.048%. There was a relationship between blood alcohol concentration and stroke length. Kinematic analysis of handwriting indicated increases in the relative proportions of time spent in acceleration and increases in spectral power around 4 Hz. It was found that alcohol intoxication causes symptoms of cerebellar dysfunction, and that alcohol dependent individuals had less ballistic handwriting compared to non-alcohol dependent participants.     

Individual differences in trait urgency moderate the role of the affect heuristic in adolescent binge drinking

This study investigated the roles of the affect heuristic and outcome beliefs in explaining the relationship between negative urgency and adolescent binge drinking behaviour. The sample consisted of 391 Australian high school students, who were selected to be low or high on urgency. We hypothesised that highly urgent adolescents would be more likely than adolescents low in urgency to utilise the affect heuristic (i.e., to rely upon affective input) when making alcohol-related decisions. Multiple-group path analysis supported this prediction. Adolescents high in urgency exhibited greater use of the affect heuristic by displaying a direct path from affective associations to binge drinking; whereas adolescents low in urgency exhibited greater reliance upon rational processing by displaying an indirect path via outcome beliefs.     

‘Unwilling’ versus ‘unable’: capuchin monkeys’ (Cebus apella) understanding of human intentional action

A sensitivity to the intentions behind human action is a crucial developmental achievement in infants. Is this intention reading ability a unique and relatively recent product of human evolution and culture, or does this capacity instead have roots in our non‐human primate ancestors? Recent work by Call and colleagues (2004) lends credence to the latter hypothesis, providing evidence that chimpanzees are also sensitive to human intentions. Specifically, chimpanzees remained in a testing area longer and exhibited fewer frustration behaviors when an experimenter behaved as if he intended to give food but was unable to do so, than when the experimenter behaved as if he had no intention of giving food. The present research builds on and extends this paradigm, providing some of the first evidence of intention reading in a more distant primate relative, the capuchin monkey (Cebus apella). Like chimpanzees, capuchin monkeys distinguish between different goal‐directed acts, vacating an enclosure sooner when an experimenter acts unwilling to give food than when she acts unable to give food. Additionally, we found that this pattern is specific to animate action, and does not obtain when the same actions are performed by inanimate rods instead of human hands (for a similar logic, see Woodward, 1998 ). Taken together with the previous evidence, the present research suggests that our own intention reading is not a wholly unique aspect of the human species, but rather is shared broadly across the primate order.     

Re-imagining the (Dis)Abled Body

Disability imagery, whether photographs, posters, or verbal or written discourse, comprises multiple viewpoints or gazes, ranging from the impaired physical body to the disabling social environment. In some instances, photographic image and accompanying text combine to reinforce the notion of persons with disabilities as helpless and needy people. These conceptualizations not only emphasize obvious prejudices and limited thinking about persons with disabilities, but also illustrate the consequences: persons with disabilities tend to assimilate the oppressive images constructed by society. In order to create positive images of, for example, persons with brain injury, epilepsy or hemiplegia, we need to develop a disability consciousness that allows us to re-imagine (dis)ability in ways that value individual identity. In so doing, we raise critical questions about self and other.     

Increasing volunteering at a residential facility: An experimental evaluation of a volunteer assistance program

A helpful component for comprehensive residential services for developmentally disabled persons is volunteer assistance. This investigation involved the evaluation of a program developed to increase the amount of volunteer assistance provided to a public residential facility. The program consisted of three types of related procedures: systematic volunteer recruitment steps, specific volunteer activities at the facility, and consequence/recognition for the volunteer assistance. The program was successively implemented to involve students as volunteers from two local universities, and resulted in an increase in new students volunteering from both universities. Additionally, the frequency with which the students volunteered at the residential facility increased substantially from both universities relative to control periods during which the volunteer program was not in effect. Results are discussed in terms of the benefits of volunteers and continued research to increase involvement of other prospective groups of volunteers.     

Predicting sales skills

The purpose of this study was to validate a selection process designed to predict sales skills for a telephone sales job. First, a job analysis was performed (n=213) to identify the major functions and behavioral requirements of the job. Next, the test, a situational judgment inventory, was developed, and a concurrent criterion related validation study was completed (n=236). The criterion measures were supervisory ratings of performance. Validity coefficients ranged from r=.16 (p<.01) to r=.24 (p<.001). In conclusion, the situational judgment inventory was found an effective vehicle for measuring telephone sales skills.Sincere thanks to Roz Lobus for her assistance in the earlier phases of this study.