Informed consent and parish clergy

Pastors are given permission by others to extend care and to practice ministry. This permission may be given in denominational policy, congregational expectations, or individual requests for pastoral care. At the individual level, permission for pastoral care can be understood as analogous to the notion of informed consent in health care ethics. Informed consent is a compound concept involving: (1) the sharing and clarifying of relevant information, and (2) the respect for a person's consent for care or refusal of care. It functions as a guard both against harm and against unwanted beneficence. Because many expectations for pastoral care are not explicitly stated, ministers need to develop sensitivity to hear both requests for help and requests for privacy.     

Understanding the social costs of narcissism: the case of the tragedy of the commons

Two studies examined narcissism and behavior in a commons dilemma. Study 1 used a four-person, laboratory-based task and Study 2 used a dyadic task. Participants were told that they represented one of four (Study 1) or two (Study 2) forestry companies and then were asked to harvest timber from a renewable forest. Narcissism was found to be positively related to acquisitive goals and harvesting more timber in the initial round. The more narcissists harvesting in the competitive group of four (Study 1) or dyad (Study 2), the less timber was harvested overall and the more rapidly the forest was depleted. Within competitive groups and dyads, however, narcissists harvested more than the nonnarcissists competing with them. In all, narcissism provided a benefit to the self, but at a long-term cost to other individuals and to the commons.     

Exposure to Interpersonal Violence and Socioemotional Adjustment in Economically Disadvantaged Preschoolers

Focusing specifically on the experiences of economically disadvantaged preschoolers, the relations between interpersonal violence exposure, behavior problems, and social skills were examined in both the home and school settings. In this racially and ethnically diverse sample of preschoolers from poor, urban households (N = 64; 3–6 years old; 56% female), many children (33%) had been exposed to at least 1 type of interpersonal violence, and even more (70%) had been exposed to any type of potentially traumatic event (PTE). Although exposure to interpersonal violence was not directly associated with parent- or teacher-reported behavior problems or social skills, a significant interaction effect was observed between exposure to interpersonal violence and teacher-reported internalizing problems in predicting teacher-reported social skills; specifically, for children with the highest levels of internalizing problems, a positive relation between interpersonal violence exposure and social skills was observed. This indirect effect was observed only in the school setting, whereas children in this high-risk sample appeared to demonstrate resilience in the home setting. Given these high rates of exposure, additional, clinically relevant research is needed to inform interventions for this vulnerable population.     

Should supportive measures and relational variables be considered a part of psychoanalytic technique? Some empirical considerations

This article presents some quantitative findings from a survey of 89 psychoanalysts (all members of the American Psychoanalytic Association or the International Psychoanalytical Association) about their own experiences in analysis. A comprehensive questionnaire was used to collect retrospective data about (1) how participants felt they benefited from their analyses and (2) how they remembered their analysts’ technique, personality, and style of relating. A correlational analysis found that, according to our participants’ ratings, the most beneficial analyses were associated with having a caring and emotionally engaged analyst who possessed positive relational and personality qualities, used supportive techniques in addition to classical techniques, and pursued therapeutic as well as analytic goals. Outcomes rated as successful were also associated with experiencing a good ‘fit’, a good working relationship, and a positive therapeutic alliance. Our results support the call for an expanded view of acceptable analytic technique (e.g. Schacter and Kächele, 2007) .     

The association between self-concealment from one's partner and relationship well-being

In two studies the authors examined whether self-concealment from one's partner is associated with lower relationship well-being. In Study 1, participants who were in a romantic relationship (N = 165) completed an online survey. Self-concealment from one's partner was associated with lower relationship satisfaction and commitment. Furthermore, results were consistent with this relationship being mediated by autonomy and relatedness needs. In Study 2, couples (N = 50) completed daily records for 14 consecutive days. Multilevel analyses indicated that daily self-concealment from one's partner was associated with daily relationship satisfaction, commitment, and conflict. Lagged analyses also showed that self-concealment from one's partner predicted lower relationship well-being on the following day. Moreover, results supported that thwarted basic needs mediated the association between daily self-concealment and relationship well-being. Finally, actor-partner interdependence model over time analyses indicated that, apart from one's own self-concealment, one's partner's self-concealment was associated negatively with one's own relationship well-being.     

Information integration in judgements of time to contact

Time to contact (TTC) is specified optically by tau, and studies suggest that observers are sensitive to this information. However, TTC judgements also are influenced by other sources of information, including pictorial depth cues. Therefore, it is useful to identify these sources of information and to determine whether and how their effects combine when multiple sources are available. We evaluated the effect of five depth cues on TTC judgements. Results indicate that relative size, height in field, occlusion, and motion parallax influence TTC judgements. When multiple cues are available, an integration (rather than selection) strategy is used. Finally, the combined effects of multiple cues are not always consistent with a strict additive model and may be task dependent.     

GEORGES BATAILLE'S MYSTICAL CRUELTY

In this reply to Kent Brintnall's response to my essay on Georges Bataille and the ethics of ecstasy, I explore two primary questions: whether instrumentalization is inherently violent and non‐instrumentalization is inherently non‐violent, and whether there is a way to intervene in the world that avoids both “apathetic disengagement” and domination. I endorse the view that instrumentalization can be good as well as bad, and I suggest that it is possible to strive to intervene in the world without striving to master it. I make reference to Sarah Coakley as a Christian theologian who advances particular practices that aim for non‐dominating intervention in theworld.     

A Virtual Hope Box Smartphone App as an Accessory to Therapy: Proof‐of‐Concept in a Clinical Sample of Veterans

A “Hope Box” is a therapeutic tool employed by clinicians with patients who are having difficulty coping with negative thoughts and stress, including patients who may be at risk of suicide or nonsuicidal self‐harm. We conducted a proof‐of‐concept test of a “Virtual” Hope Box (VHB)—a smartphone app that delivers patient‐tailored coping tools. Compared with a conventional hope box integrated into VA behavioral health treatment, high‐risk patients and their clinicians used the VHB more regularly and found the VHB beneficial, useful, easy to set up, and said they were likely to use the VHB in the future and recommend the VHB to peers.