Chaplain–Physician Consultancy: When Chaplains and Doctors Meet in the Clinical Context

This paper summarizes the perspectives of 327 Australian health care chaplains concerning their interaction with physicians within the clinical context. In general terms the findings indicated that nearly 90% of chaplains believed that it was part of their professional role to consult with physicians regarding patient/family issues. Differences of involvement between volunteer and staff chaplains, Catholic and Protestant, male and female chaplains and the type of chaplaincy training are noted, as are the perspectives of chaplaincy informants regarding their role in relation to physicians. Some implications of this study with respect to chaplaincy utility and training are noted.     

Neuropsychological functioning and social functioning of survivors of pediatric brain tumors: evidence of nonverbal learning disability.

The purpose of the study was to examine if survivors of pediatric brain tumors exhibit a pattern of performance consistent with nonverbal learning disability (NVLD) and to explore the relationship between neuropsychological and social functioning in these children. A comprehensive neuropsychological battery and objective measures of psychosocial function designed to assess NVLD were administered to 15 survivors of brain tumors, ages 8-12 years. Despite the small sample size, a trend for better verbal skills compared to nonverbal skills was found using composite scores. Parents reported significant social deficits and a tendency for greater internalizing behavior problems as expected in NVLD. Additionally, there was a trend for a positive association between nonverbal scores and social function. Further research is needed to determine if the NVLD pattern observed is attributable to white matter damage of the right hemisphere. Routine neuropsychological and psychosocial assessment and intervention are indicated.     

Towards a ‘Non‐Ideal’ Non‐Ideal Theory

This article explores the role that considerations about the feasibility of a political proposal should play at the levels of both ideal and non‐ideal theory. Drawing on recent work in the literature on political feasibility, I begin by describing a ‘constraint‐based’ view of ideal and non‐ideal theory, with feasibility considerations serving different functions depending on whether they are operating at the ideal or non‐ideal level. Taking feasibility seriously at either level presents us with at least two important challenges. Firstly, we need principles which enable us to weigh the value of a proposal's feasibility against its other normatively significant properties, and against those of alternative proposals. Secondly, we need the capacity to gauge the nature of the epistemic constraints which apply to our feasibility assessments themselves. In response to these problems, I propose a ‘narrowing‐down’ approach, focused on developing our capacities to make accurate and reliable judgements about the feasibility of political proposals.     

Tracking individuals via object-files: evidence from infants’ manual search

In two experiments, a manual search task explored 12- to 14-month-old infants’ representations of small sets of objects. In this paradigm, patterns of searching revealed the number of objects infants represented as hidden in an opaque box. In Experiment 1, we obtained the set-size signature of object-file representations: infants succeeded at representing precisely 1, precisely 2, and precisely 3 objects in the box, but failed at representing 4 (or even that 4 is greater than 2). In Experiment 2, we showed that infants’ expectations about the contents of the box were based on number of individual objects, and not on a continuous property such as total object volume. These findings support the hypothesis that infants maintained representations of individuals, that object-files were the underlying means of representing these individuals, and that object-file models can be compared via one-to-one correspondence to establish numerical equivalence.     

Therapiekonzeption für traumatisierte Patienten mit schweren Persönlichkeitsstörungen

Comorbidity between severe personality disorder and posttraumatic stress disorder is a frequent clinical problem. Severe personality disorders are characterized by an impaired regulation of emotions, a low mentalization capacity and deficits in personality integration. For severe personality disorders and posttraumatic stress disorder, a variety of evidence-based treatment approaches of psychodynamic and cognitive-behavioral origin are available. However, a closer inspection of these treatment concepts shows that they do not sufficiently take the respective comorbid condition into account. No single concept is able to cover all problem areas presented by patients with this comorbidity. Therefore, an attempt is made to present an integrative psychodynamically oriented therapy concept for traumatized patients with personality disorders which contains elements from psychodynamic, cognitive-behavioral and other concepts. The phase structure of the concept clarifies the sequence hierarchy of the therapeutic interventions. The content of the five phases are: (1) safety, holding and strengthening of coping capacities, (2) emotion regulation and self-care, (3) mentalization and development of stable representations, (4) gentle trauma processing and (5) conflict-oriented psychotherapy and treatment of maladaptive relationship patterns.