Interdependence of Child Care Resources and the Progress of Women in Society

The development of child care resources on a wide scale has crucial and direct relevance to the progess of women. Child care needs are increasing as growing numbers of women enter the labor force and choose higher educational goals. Identifiable groups of women in different living arrangements who are in need of child care and the availability of various kinds of child care are discussed. The development of need-based alternative child care resources that would facilitate the progress of women is considered in terms of social, economic and political issues. Feasible alternatives for incorporating child care into education and industry are presented. The special advantage of these alternatives is that they would associate child care with work and education rather than with welfare. Because the institutions of work and education are central to society they could provide a broad foundation for the future development of child care on a wide scale.     

Military Moral Injury: An Evidence-Based and Intercultural Approach to Spiritual Care

How can spiritual care help veterans struggling with military moral injury? An evidence-based, intercultural approach to spiritual care is proposed. Evidence-based care uses research on military moral injury and religious and spiritual struggles to understand when religious and spiritual practices, beliefs, and values are helping or harming veterans. Intercultural spiritual care recognizes the complex, distinctive ways veterans’ values, beliefs, coping, and spiritual practices are shaped by interacting cultural systems, especially military training and cultures. Pastoral theologian Larry Graham’s (Sacred Spaces: The E-Journal of the American Association of Pastoral Counselors 5, 146–171, 2017) writing on moral injury and lamentation is used to develop two spiritual care strategies: sharing anguish and interrogating suffering. Spiritual care begins with lamenting the shared anguish of moral injury using intrinsically meaningful spiritual practices to help veterans compassionately accept the emotions arising from moral injury so intensely felt in their bodies. The second strategy is sharing the lament of interrogating suffering through exploring values, beliefs, and coping arising from moral injury. A literary case study of a young female veteran based on Cara Hoffman’s (2014) novel Be Safe, I Love You illustrates this evidence-based intercultural approach to spiritual care of military moral injury.

     

Reproductive Symptoms: Interrelations and Determinants

This study investigated the interrelation of women's symptomatic reports during menstruation and pregnancy, the association of these reports with the general tendency to report somatic and psychological symptoms, and the role of social stress in intensifying symptom complaints. The sample consisted of 196 women who were either pregnant or who had had at least one pregnancy in the past. The pattern of results varied with current reproductive status. Past menstrual symptom reports had a significant relation to current pregnancy symptoms, but the converse was not found. Women who reported a high level of general health complaints also reported more intense reproductive symptoms. Social stress, however, did not significantly affect reproductive symptom reports. The use of multivariate techniques was found to improve the explanation bf the ways in which social and somatic factors interact to determine women's psychological responses to reproductive experiences.     

A Minority Stress Model for Suicidal Ideation in Gay Men

There is a dearth of research on mechanisms underlying higher rates of suicidal ideation among gay men compared to heterosexual men. The purpose of this study was to establish the link between social/psychological predictor variables and suicidal ideation by testing a hypothesized minority stress model. Structural equation modeling was used to assess the relationships posited in the model using data from a community sample of 167 gay men. Model fit was adequate and hypothesized relationships were partially supported. Also, depressive symptoms partially mediated the relationship between (less) outness predicting suicidal ideation. These findings imply that therapeutic approaches targeting the coming out process may be more effective than approaches targeting internalized homophobia when suicidal ideation is indicated in the clinical presentation of gay and bisexual men.