The Relationship between Medicine,Spirituality and Religion: Three Models for Integration

The integration of medicine and religion is challenging for historical, ethical, practical and conceptual reasons. In order to make more explicit the bases and goals of relating spirituality and medicine, we distinguish here three complementary perspectives: a whole-person care model that emphasizes teamwork among generalists and spiritual professionals; an existential functioning view that identifies a role for the clinician in promoting full health, including spiritual well-being; and an open pluralism view, which highlights the importance of differing spiritual and cultural traditions in shaping the relationship.     

Tackling Acute Cases of School Bullying in the KiVa Anti-Bullying Program: A Comparison of Two Approaches

Whether cases of bullying should be handled in a direct, condemning mode or in a manner that does not involve blaming the perpetrator is a controversial issue among school professionals. This study compares the effectiveness of a Confronting Approach where the bully is openly told that his behavior must cease immediately to a Non-Confronting Approach where the adult shares his concern about the victim with the bully and invites him to provide suggestions on what could improve the situation. We analysed 339 cases of bullying involving 314 children from grades 1 to 9 (mean age?=?11.95). Cases were handled in 65 schools as part of the implementation of the KiVa anti-bullying program. In each school, a team of three teachers addressed cases coming to their attention by organizing discussions with the bullies using either a Confronting or a Non-Confronting Approach; schools were randomly assigned to one of the two conditions. Victims reported that bullying stopped in 78 % of the cases. Logistic regression analyses indicated that neither approach was overall more effective than the other, controlling for grade level, duration of victimization and type of aggression. The Confronting Approach worked better than the Non-Confronting Approach in secondary school (grades 7 to 9), but not in primary school (grades 1 to 6). The Confronting Approach was more successful than the Non-Confronting Approach in cases of short-term victimization, but not in cases of long-term victimization. The type of aggression used did not moderate the effectiveness of either approach.     

A Bifactor Model of Anxiety Sensitivity: Analysis of the Anxiety Sensitivity Index-3

The purpose of the current study was to investigate the fit of a bifactor model of the Anxiety Sensitivity Index-3 (ASI-3; Taylor et al. Psychological Assessment, 19, 176–188, 2007) as well as to examine measurement invariance of the ASI-3 across gender. Participants were undergraduate students from the University of Cincinnati (n?=?954; 63 % female). Results indicated that the bifactor model was the best fit to the data, and that this model of AS is fully invariant in terms of gender. The current findings suggest that anxiety sensitivity consists of a general factor and three independent group factors (rather than a higher-order factor with three correlated lower-order factors). The ASI-3 subscales from the bifactor model however did not provide incremental predictive utility above and beyond the general AS factor with respect to an external anxiety criterion. Related research and clinical implications are discussed.     

判断与决策研究纵观:基于模糊痕迹理论的视角(英文)

模糊痕迹理论是用于解释记忆、判断与决策的综合性理论,该理论的提出和发展主要基于对信息存储、表征、提取和加工过程的研究。本文首先介绍了模糊痕迹理论的基本原则,在此基础上重点讨论了其要义(gist)如何发挥核心作用,使得模糊痕迹理论有别于其他传统的决策模型。该理论将高级直觉与原始冲动性进行了区分,并且预测决策误差来源于判断与决策的各种不同成分,如背景知识、信息表征、提取和加工过程等。模糊痕迹理论不仅可以解释诸如框架效应、合取谬误等传统决策与判断文献中常讨论的误差现象,同时基于该理论的研究还得到了一些与传统决策理论相悖的新发现。此外,对脑与行为如何发育性变化的研究为我们了解成人的认知过程提供了至关重要的新视角,这些对脑与行为的发育性研究和对特殊人群的研究结果也都支持了模糊痕迹理论对要义加工依赖的预测。     

The effects of a behavioral skills training and general‐case training package on caregiver implementation of a food selectivity intervention

We used behavioral skills training with general‐case training to teach 3 caregivers to implement a behavioral feeding intervention with their children. The percentage of correctly performed steps of the feeding intervention increased for all 3 caregivers and was maintained at follow‐up. For all 3 children, the number of bites consumed increased and the number of bites with inappropriate mealtime behavior decreased across treatment. Increases in bites consumed and bites without behavior problems were maintained for 2 participants at follow‐up.     

Postpartum Food Traditions of Bhutanese Refugee Women: a Qualitative Study

Bhutanese refugees represent one of Canada’s most recent immigrant populations, and little is known about their dietary traditions and habits. The purpose of this study was to improve the wellbeing and health of re-settled refugee Bhutanese women by understanding how culturally informed postpartum food choices are practiced post-migration. As part of a larger community-based participatory research project, semi-structured interviews were conducted with 12 Bhutanese refugee women. The traditional dietary choices that Bhutanese women revealed to be important in the postpartum period were organized into five themes: (1) “foods consumed as part of a regular healthy diet,” (2) “foods to regain strength and heal the body,” (3) “foods to ward off back and joint pain,” (4) “foods to promote lactation,” (5) “foods avoided due to negative effects.” Traditional foods and culturally situated beliefs in the postpartum period play a significant role in the lives of Bhutanese women. Healthcare workers in countries of re-settlement should work with the traditional health and nutritional beliefs of women in this community in order to provide optimal dietary and health recommendations.     

Partner Support and Grandparent Support as Predictors of Change in Coparenting Quality

Young ethnic minority parents may lack psychological and financial resources to handle parenthood, increasing the risk of negative psychosocial and parenting outcomes. Partner support has been associated with positive coparenting, although findings have been mixed. Support from young parents’ own parents (“grandparents”) has been linked to adaptive family outcomes and may be particularly protective for African American and Latino parents whose cultures espouse interdependence. This study examined partner support and grandparent support as individual predictors of change in coparenting quality, and tested whether grandparent support moderated the relationship between partner support and change in coparenting quality over the first postpartum year. Participants were 136 African American and Latina adolescent mothers (age range?=?15–21 years) and their babies’ fathers (15–41 years). Partner and grandparent support were measured at 6 months postpartum. Coparenting quality was measured at 6 and 12 months postpartum, and change in coparenting quality was measured using latent change scores. Structural equation modeling was used to test the hypothesis that the relationship between partner support and change in coparenting quality would be moderated by grandparent support. Fit indices indicated a well-fitted model. Results demonstrated that the moderator term (partner support?×?grandparent support) significantly predicted change in coparenting quality. Specifically, partner support was positively associated with changes in coparenting quality when grandparent support was high; however, that association became weaker and changed direction for lower levels of grandparent support. Findings highlight the need to assess parents’ social support networks and grandparents’ impact on the coparenting quality of this at-risk population.     

Couple adjustment to a stressful life event: a dyadic investigation of the roles of positive reframing and perceived benefits

Background and Objectives: This study examines positive reframing (a form of meaning making), perceived benefits (a form of meanings made) and adjustment in couples who experienced a stressful life event in the past year. This study tested whether couple members’ scores were nonindependent and whether one’s own perceived benefits was predicted by their own positive reframing (actor effect) as well as their partner’s positive reframing (partner effect). Further, this study tested actor and partner effects for the link between perceived benefits and adjustment and whether positive reframing (the initial variable) works through perceived benefits (the mediator) to affect adjustment (the outcome) at the dyadic level.

Design: A standard dyadic design was used.

Methods: Eighty couples completed measures of positive reframing, perceived benefits, and adjustment (depression, anxiety, positive affect, life satisfaction, and relationship satisfaction).

Results: Partners’ scores on study variables were related, and although only actor effects were found for the path between positive reframing and perceived benefits, both actor and partner effects were found for the path between perceived benefits and adjustment. Mediation was found for actor–actor and actor-partner indirect effects.

Conclusions: Results indicate that a greater focus on interpersonal factors is needed to further meaning-making theory and inform practice.     

Self‐reported inner speech use in university students

Remarkably little is known regarding what people talk to themselves about (inner speech use) in their everyday lives. Existing self‐directed speech measures (e.g., thought sampling and questionnaires) either uniquely capture inner speech frequency and neglect its content or classify self‐reported thoughts instances in overly simplistic categories determined by the researchers. In the current study, we describe an open‐format thought listing procedure as well as a refined coding scheme and present detailed inner speech content self‐generated by 76 university students. The most frequently self‐reported inner speech activities were self‐regulation (e.g., planning and problem solving), self‐reflection (e.g., emotions, self‐motivation, appearance, behavior/performance, and autobiography), critical thinking (e.g., evaluating, judging, and criticizing), people in general, education, and current events. Inner speech occurred most commonly while studying and driving. These results are consistent with the self‐regulatory and self‐referential functions of inner speech often emphasized in the literature. Future research avenues using the open‐format inner speech listing procedure and coding scheme are proposed.