Pastoral care for the head-injured: A biopsychosocial/spiritual perspective

This article discusses the pastoral role in the individual and family crisis of a head injury. A case study illustrates the nature and consequences of this widespread but little-understood injury. Physical, emotional, and spiritual consequences of this injury are discussed. Finally, this article describes four pastoral responses to head-injured victims and their families: helping the victim to speak the unspeakable, facilitating prayerful imagination, connecting therapeutic efforts among professionals, and advocating for the family with national and community head injury resources.Private Practice, 1542D Honey Grove Dr., Richmond, VA 23229.     

The effect of verbal elaborations on memory in young and older adults

The Stein paradigm was used to examine the circumstances under which verbal elaborations enhance memory in young and older adults. Subjects studied target adjectives that were embedded in one of three sentence contexts that varied in elaboration of the subject-adjective relationship: (1) nonelaborated base sentences; (2) base sentences with semantically consistent, but arbitrary verbal, elaborations; and (3) base sentences with explanatory verbal elaborations that clarified the significance of the subject-adjective relationship. The presence of the elaborations was varied at encoding and retrieval, and cued recall of the target adjectives was tested with incidental and intentional learning procedures. In Experiments 1A and 1B, explanatory elaborations at encoding and retrieval yielded the largest memorial facilitation for both young and older adults, and the benefit was comparable for the incidental and intentional learning measures. In Experiment 2, age-related differences in recall were minimal with explanatory elaborations at encoding and retrieval, but larger age differences occurred in the nonelaborated comparison conditions. In Experiment 3, explanatory elaborations present at encoding but not at retrieval enhanced recall when the original Stein stimuli were used, but not with the present stimuli. The implications of these results with regard to the mnemonic efficacy of verbal elaborations for young and older adults are discussed.     

Social skills training for young adolescents

A systematic assertiveness training program was developed for adolescents, based on Albert Bandura's social cognitive theory. The program, which focused on peer interactions and social responsibility, consisted of six 40-minute semi-weekly sessions and was presented to a class of 22 sixth-grade social studies students in a middle school. Cognitive acquisition of the information was measured with multiple-choice tests administered immediately after training and at a 6-month follow-up. Trained students performed significantly better than a control group on the posttest (p less than .01) and on the 6-month follow-up (p less than .02), demonstrating that young adolescents can acquire and retain the symbolic information that forms a basis for assertive behavior.     

A Report on a Four-Year Longitudinal Study of Intellectual Development of Engineering Undergraduates

As part of an investigation into the effects of curricular reforms in the undergraduate program in the College of Engineering, a series of Perry-style interviews were conducted over a 4-year period. The study was undertaken in an attempt to assess the impact of collaborative design-based engineering courses that were being implemented. Students who completed the collaborative design course in their first year were higher on the Perry scale than their peers who did not. However, this effect was not sustained through the rest of the curriculum, as more traditional courses dominated. No statistically significant change in Perry position was observed for students in their 1st and 3rd years; however, a growth of approximately one Perry position was observed between the 3rd and 4th years. The relationship of current curricula to this pattern of intellectual development is discussed, and arguments for altering the curriculum to support intellectual development are made.     

Teaching a simple meal preparation skill to adults with moderate and severe mental retardation using video modeling

We evaluated whether adults with mental retardation in the moderate or severe range would acquire simple meal preparation skills via video modeling. Training was conducted in the kitchen of the participants' day treatment setting. The intervention consisted of (i) watching a video of an adult with a developmental disability making a peanut butter and jelly sandwich and (ii) receiving verbal praise for each step of the task that was performed correctly. All three participants mastered the task and demonstrated generalization across settings. All three participants also demonstrated maintenance of the skill one month following mastery. Copyright © 2003 John Wiley & Sons, Ltd.     

Traditional Christian Norms and the Shaping of Public Moral Life: How Should Christians Engage in Bioethical Debate within the Public Forum?

The TRUTH is announced to creation by the Holy Spirit, the Spiritof Truth. Here, when the consciousness rises above "the doublebound of space and time" and enters into eternity, here at thismoment of annunciation, the One Who announces the Truth andthe Truth Announced coincide completely. In the appearance ofthe Spirit of Truth, i.e., in the light of Tabor, the form andthe content of the Truth are one (Florensky, 1997, p. 106).     

The functional neuroanatomy of prelexical processing in speech perception

In this paper we attempt to relate the prelexical processing of speech, with particular emphasis on functional neuroimaging studies, to the study of auditory perceptual systems by disciplines in the speech and hearing sciences. The elaboration of the sound-to-meaning pathways in the human brain enables their integration into models of the human language system and the definition of potential auditory processing differences between the two cerebral hemispheres. Further, it facilitates comparison with recent developments in the study of the anatomy of non-human primate auditory cortex, which has very precisely revealed architectonically distinct regions, connectivity, and functional specialization.     

Effectiveness of intensive outpatient programming in private practice: integrating practice, outcomes, and business

The development of a model for treating acutely depressed patients on a frequent basis in an independent practice setting is described. Strategies to collaborate with managed care organizations, employee assistance programs, and local provider networks to recruit these patients are outlined. The patients treated in the intensive outpatient program described in this article were primarily depressed, were more acutely distressed than national and local inpatient samples, were often in suicidal crises, and had multiple comorbidities. Nonetheless, they demonstrated significant pre- and posttest improvements on a variety of client- and clinician-rated measures. A dose-response curve further illustrated that significant improvement in depressive symptoms was predictable. Private practitioners can expand their services through the development, implementation, delivery, management, and evaluation of mental health services that respond to market dynamics.