Faith-to-faith at the bedside: theological and ethical issues in ecumenical clinical chaplaincy.

Chaplains who serve in a clinical context often minister to patients representing a wide variety of faiths. In order to offer the best pastoral care possible, the chaplain should first possess a set of personal theological convictions as a foundation for ministry. Second, he or she needs to be sensitive to the beliefs and practices of the patients. Third, it is vital to develop a relationship of acceptance and trust not only with patients under their care, but also with family members and caregivers as well. At times, situations will arise that are purely religious or theological. In a clinical setting, however, the questions and problems that arise more often are both theological and ethical. It is beneficial for the chaplain to be involved in an ethics committee, where the specifics of each case can be discussed, and staff can offer counsel to patients and their families. This study examines issues that chaplains face at the bedside, such as terminal care, life-prolonging treatments, dementia, persistent vegetative state, and euthanasia-assisted suicide. We will discover that those who are involved in clinical pastoral ministry will be called upon to be a comforter, mediator, educator, ethicist, and counselor.     

Initial Reliability and Validity of the Life Satisfaction Scale for Problem Youth in a Sample of Drug Abusing and Conduct Disordered Youth

Responses to Life Satisfaction Scale for Problem Youth (LSSPY) items were examined in a sample of 193 substance abusing and conduct disordered adolescents. In responding to the LSSPY, youth endorse their percentage of happiness (0 to 100%) in twelve domains (i.e., friendships, family, school, employment/work, fun activities, appearance, sex life/dating, use of drugs, use of alcohol, money/material possessions, transportation, control of one's life). Results indicated that the LSSPY yielded three factor structures (i.e., Social Satisfaction, External Obligations Satisfaction, Substance Use Satisfaction), demonstrated good initial psychometric properties, and appears to be a useful instrument in the evaluation of treatment outcome in problem youth. Males were more satisfied in the Social and External Obligations domains than females, although no gender differences were indicated in Substance Use Satisfaction. Caucasian, African-American, and Hispanic youths responded to LSSPY items similarly. Future directions are discussed in light of these results.     

Book Reviews

Book Reviewed
The Politics of Cultural Differences. By David C. Leege, Kenneth D. Wald, Brian S. Krueger, and Paul D. Mueller. Princeton, NJ: Princeton University Press. 2002. 304 pp. $21.95 paper, $60 cloth.
The Psychological Assessment of Political Leaders. Edited by Jerrold M. Post, M.D. Ann Arbor, MI: University of Michigan Press. 2003. 412 pp.
FDR's Body Politics: The Rhetoric of Disability. By Davis W. Houck and Amos Kiewe. College Station, TX: Texas A&M University Press. 2003. 141 + xii pp.
The Power of Legitimacy: Assessing the Role of Norms in Crisis Bargaining. By Christopher Gelpi. Princeton, NJ: Princeton University Press. 2003. 232 pp. $39.50.     

Combining standardized mean differences using the method of maximum likelihood

A maximum likelihood procedure for combining standardized mean differences based on a noncentratt-distribution is proposed. With a proper data augmentation technique, an EM-algorithm is developed. Information and likelihood ratio statistics are discussed in detail for reliable inference. Simulation results favor the proposed procedure over both the existing normal theory maximum likelihood procedure and the commonly used generalized least squares procedure.     

Robust ANCOVA using a smoother with bootstrap bagging

Many robust analogs of the classic analysis of covariance (ANCOVA) method have been proposed, some of which are based on some type of regression smoother. A method that first appeared in this journal, which is relatively simple and performs well in simulations, is based on a running interval smoother combined with comparing medians or 20% trimmed means. It makes no parametric assumption about the regression lines and does not assume that the regression lines are parallel. A possible way of improving the efficiency of the running interval smoother is to use bootstrap bagging and a minor goal here is to report some results supporting this approach. The major goal is to consider how ANCOVA might be performed when bootstrap bagging is used. Simple extensions of extant approaches that use some type of bootstrap method were found to be unsatisfactory. However, a basic percentile bootstrap method was found to perform well in simulations. And a reanalysis of data dealing with teachers' expectations about the cognitive ability of students illustrates that bootstrap bagging can make a practical difference.     

The implications of imperfect measurement for free-choice carry-over effects: Reply to M. Keith Chen’s (2008) “Rationalization and cognitive dissonance: Do choices affect or reflect preferences?”

Examinations of post-choice decision-making behavior often involve two successive choices. At time 1, participants choose between two equally attractive items. At time 2, participants choose between the unchosen item from time 1 and a new item that is roughly equal in attractiveness to the other two. The option rejected at time 1 will tend to again be rejected at time 2, a tendency often attributed to a psychological carry-over effect. Chen (2008) (Available from: http://cowles.econ.yale.edu/P/cd/d16b/d1669.pdf) discounts these psychological explanations. He argues that, given the time 1 choice, there is, in fact, a baserate probability of 66.7% that the initially unchosen item will be rejected again at time 2. However, Chen’s argument rests on the unwarranted assumption that the time 1 choice provides a perfectly reliable measure of subjects’ preference for the chosen item over the unchosen item. With more realistic estimates of the association between preference and choice, Chen’s statistical explanation cannot fully account for the carry-over effect. Alternative experimental methodologies that eliminate Chen’s statistical explanation are discussed.     

In pursuit of the proper null: Reply to

Chen argued that the proper null hypothesis for free-choice studies examining shifts in choice was 66.7%. Sagarin and Skowronki (2009) questioned the appropriateness of this value, noting that it was based on an unwarranted assumption that subjects always choose preferred options over less preferred options. In this paper, we respond to the points raised by Chen and Risen (2009), noting that: (a) violations of an additional unwarranted assumption (perfect transitivity) also move the proper null hypothesis towards 50%; (b) the validation of pretest measures would enable researchers to estimate an upper bound on the proper null; (c) the “blind” choice methodology proposed by Sagarin and Skowronski places the null unambiguously at 50%; and (d) Sagarin and Skowronski correctly call for null-hypothesis tests where needed. In the end, we again endorse the idea that this debate is best resolved empirically, but we believe the empirical avenues available are wider than those endorsed by Chen and Risen.     

The question shapes the answer: the neural correlates of task differences reveal dynamic semantic processing

Task effects in semantic processing were investigated by contrasting the neural activation associated with two semantic categorization tasks (SCT) using event-related fMRI. The two SCTs involved different decision categories: is it an animal? vs. is it a concrete thing? Participants completed both tasks and, across participants, the same core set of items were presented in both tasks. Results showed task differences in the neural activation associated with these items: in the animal SCT there was greater activation in a number of frontal and temporal regions, including left superior and middle temporal gyri, while in the concrete SCT there was greater activation in left medial frontal gyrus and bilaterally in the precentral gyri. These results are interpreted as evidence of top-down modulation of semantic processing; participants make adjustments to optimize performance in a given task and these adjustments have consequences for the activation observed.     

Investigating the link between liking versus wanting self-esteem and depression in a nationally representative sample of american adults

The self‐esteem movement has been around since the 1970s, and may have influenced how much value people place on self‐esteem. We predicted a negative relationship between age and the amount of value placed on self‐esteem boosts. We also investigated the correlates of liking versus wanting self‐esteem boosts (and other pleasant rewards) on depression. A nationally representative sample of American adults (N = 867) indicated how much they liked and wanted several pleasant rewards (i.e., sex, food, alcohol, money, friendship, self‐esteem boost). They also completed a standardized measure of depressive symptoms. As expected, there was a negative relationship between age and valuing self‐esteem boosts, sex, and alcohol. People with depressive symptoms wanted self‐esteem boosts, even though they did not like them very much. Similar effects were obtained for depressive symptoms and alcohol and friendship. This is the first research to show that self‐esteem boosts are more valued among a nationally representative sample of younger American adults. It also is the first research to explore the association between depression and the motivation to boost self‐esteem. People with depressive symptoms want self‐esteem, and may pursue it, but this pursuit may feel unrewarding because they do not derive pleasure from it.