Sorting Out Support for Democracy: A Q‐Method Study

Support for democracy is crucial to democratic stability. Yet the nature and range of democratic belief systems, and whether these belief systems are idiosyncratic to specific individuals and polities or are more general, remain largely unknown. Such unknowns complicate an already daunting measurement task. Extant survey‐based measures are fraught with validity problems and say little about the democratic beliefs individuals most strongly hold or reject. To address these problems, this study blends focus groups, interviews, and Q‐sort methodology to examine patterns of subjective, behavioral renderings of democratic support profiles. It finds seven shared profiles of beliefs concerning democracy, alternative regimes, and political and civil freedoms across Chile and Argentina. Their resemblance to democratic belief systems found with other methods bolsters their validity and generalizability. The analyses reveal the relative weight of each orientation within each belief profile and their intensity across profiles. In so doing, they identify which items are crucial for within‐ and across‐case comparisons. Altogether, these insights should inform survey‐based approaches to detecting and describing the democratic support profiles latent in the polity.     

Generalizability of Evidence-Based PTSD Psychotherapies to Suicidal Individuals: A Review of the Veterans Administration and Department of Defense Clinical Practice Guidelines

Posttraumatic stress disorder (PTSD) is strongly associated with suicide. The 2010 Department of Veterans Affairs/Department of Defense Clinical Practice Guidelines for PTSD (VA/DoD CPG) endorse cognitive therapy and its variants as empirically supported PTSD treatments. However, we lack an understanding about whether these treatments are generalizable to patients with suicidal ideation and/or behaviors. Randomized controlled trials (RCTs) cited in the VA/DoD CPGs were systematically reviewed for methodology, suicide-related content, and adverse event reporting. Thirty-eight RCTs were reviewed. Twenty-three reported suicide-related exclusion criteria, 15 made no mention of suicide-related inclusion/exclusion criteria. Thirty-six RCTs included depression assessments containing suicide-related items, but no suicide-relevant data were reported. Two RCTs outlined suicide risk monitoring procedures. Suicidal PTSD participants are underrepresented in PTSD RCTs and suicide risk assessment procedures were inconsistently reported. Standardized reporting of RCT methods pertaining to suicide risk to determine generalizability and safety of empirically supported PTSD treatments to this clinical population is needed.     

Attachment Mediates the Childhood Maltreatment–Daily Hassles Link in Low-Income,Suicidal African American Women

This study examined if attachment patterns mediated the link between childhood maltreatment and total daily and interpersonally oriented life hassles in 135 low-income, inner-city, suicidal African American women. Participants completed self-report measures of childhood maltreatment, attachment styles, and daily life hassles dimensions. Bootstrapping analyses revealed that (a) negative views of self mediated the relationship between childhood maltreatment and social and cultural difficulties and social acceptability; and (b) negative views of other mediated the relationship between childhood maltreatment and total daily life hassles, social victimization, and social and cultural difficulties. These findings can inform interventions for suicidal African American women with a history of childhood maltreatment and subsequent maladaptive attachment styles.     

A Religious Experience: A Psychological Interpretation of Kevin Kelly’s Conversion to Christianity

This paper, presented at the Group for New Directions in Pastoral Theology meeting in October 2012, uses the work of Sigmund Freud and Donald Capps to interpret a religious experience. The religious experience—a narrative about being born again—is recounted from the first story on the first episode of the radio program This American Life, which focuses on the religious conversion of Kevin Kelly, founder of Wired magazine. Using Freud’s “A Religious Experience” as a model for interpretation, I employ psychoanalytic ideas (such as the castration complex) to provide an initial reading of the experience, and I then use Capps’s work on male melancholia and on life cycle theory to further the interpretation. I argue that this young man’s religious experience is reflective of what Capps calls “the religion of honor” and “the religion of hope”; that the timing of his religious experience can be understood by means of life cycle theory; and that, theologically speaking, his experience can be understood using the language of the spirit and the soul.     

Preface

This article introduces the topic for this issue of the journal: “Social Justice and the Health Professions: Ethical and Experiential Issues.”     

God’s Gender Confusion: Some Polymorphously Perverse Pastoral Theology

This brief paper introduces the special edition of Pastoral Psychology on the psychology of religion at Rice University.     

Sigmund Freud and James Putnam: Friendship as a Form of Sublimation

This article focuses on Freud’s lectures at Clark University in 1909 and the correspondence that followed from Freud’s visit to America with the Boston neurologist James Jackson Putnam. Particular emphasis is given to the concept of sublimation, specifically to Putnam’s desire to make sublimation a goal of psychoanalysis and his view that sublimations should reflect the individual’s recognition of the interests of the community or desire for an ideal community. Against Putnam, we endorse Freud’s view that sublimation should not be a goal of psychoanalysis. However, we support Putnam’s emphasis on the social value of sublimations, but in a more limited sense than he proposes in his correspondence with Freud. We suggest that the correspondence between Putnam and Freud reflects the very fact that the lifting of sexual repressions makes possible the development of male friendships. Thus, we view the correspondence between Freud and Putnam as an instance of sublimation, and suggest that the friendship that this correspondence reflected and nurtured is an example of the ideal community to which we humans aspire but which often remains elusive and unrealized.     

Personality Characteristics Associated with Persistent ADHD in Late Adolescence

This study focused on the personality characteristics associated with Attention-deficit/Hyperactivity disorder (ADHD) in a longitudinal sample of youth, with a particular focus on differences between those with and without persisting ADHD symptoms. Participants with ADHD (n = 90) were initially evaluated when they were 7–11 years old, and re-assessed at 16–22 years of age. Matched control subjects (n = 80) were recruited at the time of the follow-up evaluation. At follow-up, the Kiddie-SADS-PL, a semi-structured psychiatric interview, and the NEO-PI, a self-report personality inventory, were administered. Data were analyzed using multivariate analyses of variance (MANOVA). Results indicate that childhood ADHD is associated with lower scores on the NEO Conscientiousness subscale in adolescents/young adults—irrespective of the degree of ADHD persistence. In contrast, ratings of Neuroticism and Agreeableness appear to be more closely linked to adolescent status; those with persisting symptoms only exhibited increased Neuroticism and decreased Agreeableness. These results suggest that ADHD, and the degree to which symptoms persist into adolescence, may be closely linked to personality structure.