Mapping the terrain of pastoral psychology

Pastoral psychology has, over the course of the past century, undergone substantial transformation. Changes in the territory warrant, if not require, a thoroughly revised map. This essay approaches pastoral psychology as an interdisciplinary enterprise, a bridge discipline unifying three diverse, integrally related angles of vision: as a specialized field of theology (or theological studies), a specialized field or kind of psychology (or psychological studies), and a practical-clinical enterprise. The need to systematize the field as well as demonstrate its complex relations with cognate areas recommends approaching pastoral psychology, ultimately, as theological: as a dimension of pastoral theology, a kind of practical theology, which integrates practice-theory (praxis) and research; involves religious-theological and psychological domains of experiences, patterns of behavior, and forms of reflection; and maintains a focus on the understanding and care of persons across intrapsychic, familial, community, and cultural levels.     

An individual differences approach to the halo-accuracy paradox

In performance appraisal, the halo-accuracy paradox describes the surprising result that rater accuracy can be positively correlated with the halo rating error. Fisicaro (1988) provided an explanation for this unlikely relationship by proposing an inverse V function as the relationship between accuracy and invalid halo in which maximum accuracy is located at zero invalid halo. This paper develops the model by proposing that maximum accuracy does not have to be at zero invalid (Hypothesis 1). As the cognitive difficulty of a rating task increases, a negative monotonie relationship between maximum achievable accuracy and associated value of absolute invalid halo is specified (Hypothesis 2). The hypotheses were tested in two different experimental situations. Results from both studies supported Hypothesis 1 but, whilst a distinct pattern between accuracy and absolute invalid halo was noted, only a weak version of Hypothesis 2 could be supported. The evidence from this paper demonstrates that the halo-accuracy paradox is not an artefact as some recent reviewers have proposed (Balzer & Sulsky, 1992; Murphy & Balzer, 1989; Murphy & Cleveland, 1991).     

Sex differences in coping with depression

A Depression Coping Questionnaire (DCQ) was devised to compare strategies for coping with depression reported by male and female college students. Discriminant analysis showed that females were significantly more likely than males to report crying, eating, smoking cigarettes, becoming irritable, and confronting their feelings when depressed. Males were significantly more likely than females to report becoming aggressive and engaging in sexual behavior when depressed. Discriminant analysis data from students in Massachusetts showed significant cross-validation with discriminant analysis data from students in California. Comparison of depressed males and females indicated that depressed males reported behaviors of withdrawal such as spending time alone and using stimulating and tranquilizing drugs. Depressed females reported self-blame. Significant multiple correlations between DCQ questions and depression scores on the Beck Depression Inventory (BDI) showed that high BDI scores were associated with isolation and escape in males, and with self-blame and acting out in females. It is concluded that depressed females might benefit most from alleviation of self-blame and adaptive relabeling of depressive symptoms, and depressed males might benefit most from increased self-awareness and active coping.The authors are indebted to Colleen F. Surber, John R. Surber, and Frederick B. Meeker.     

Preference relations

Various principles about preferences between sets of options are presented and considered with respect to several familiar decision rules. Necessary and sufficient (or minimally sufficient) preference principles are given for each rule. The paper concludes with an example of how easy it is to misjudge the reasonableness of preference principles.     

Personality characteristics of fetishists, transvestites and sadomasochists

Many theorists have suggested that sexual deviates adopt impersonal outlets because of difficulties in social interaction, particularly with adult members of the opposite sex. In order to investigate the personality and mental health of non-clinical fetishists, transvestites and sadomasochists, the Eysenck Personality Questionnaire was distributed to the members of clubs catering to these predilections. Completed questionnaires were obtained from 125 fetishists (mainly rubber and leather), 285 transvestites and transsexuals, and 133 sadomasochists. Comparison of personality scores with male controls revealed that these groups of men are relatively introverted, neurotic and slightly higher on psychoticism. However, their levels of neuroticism and psychoticism were not so high as to be comparable with clinical samples of neurotics, psychotics or even patients with sex problems. Analysis of individual items in the EPQ showed that the deviant groups were more shy, lonely, sensitive and depressed than controls and were less likely to enjoy telling jokes, all of which suggests some difficulty with social skills. Other questions concerning their social background and upbringing revealed that the deviant groups were more likely to be without a steady partner, to have perceived their upbringing as restrictive and to have disliked their mother. However, it was not possible to implicate the experience of corporal punishment in childhood with any of these sexual preferences.     

Voices from the Front Lines: An Analysis of Physicians’ Reflective Narratives about Flaws with the ‘System’

Physicians often express frustration with the ‘system’ in which they work. Over time, this frustration may put them at risk of burnout and disengagement, which may impact patient care. In this study, we aimed to understand the nature of the system flaws that physicians identified in their published narratives and to explore their self-representation as agents of change. We reviewed all reflective narratives published in four medical journals (NEJM, JAMA, CMAJ, Annals IM) between January 2015 and December 2017 (n?=?282). By consensus, we identified those that addressed system flaws (n?=?87). Using content and narrative analysis, we analyzed the types of flaws and the physicians’ orientation to the flawed system. We identified seven recurring system flaws—five related to medical culture: failures of communication, erosive impact of the hidden curriculum, inadequate health advocacy, frenzied pace of work, and experience of stigma. Less frequently, physicians’ narratives also exposed limited and disparate healthcare resources and restrictive institutional practices as impeding patient-centered care. Physicians expressed agency to create change foremost when writing about flaws related to medical culture. While physicians are challenged by system flaws, they strive to practice in ways that do not succumb to them. We saw tension between the elements outside the physician’s control and those within it. This tension becomes a source of distress when the compromises that emerge from system flaws move physicians away from the values that define their professional identity.