Values interpretation: A new model for hospital ministry

The importance of values in clinical settings is a topic of increasing discussion in the medical literature, but the nature of values and the process of interpreting them have received little attention. The hospital chaplain or religious professional is an underused resource in addressing values issues. This paper summarizes the current models of the hospital chaplaincy in historical context, and then develops a new model drawn from the disciplines of pastoral care and clinical medical ethics in order to address problems involving values in clinical settings. The model construes the chaplain as values interpreter who provides both consultation and liaison functions in clinical situations. We present a clinical case to illustrate the role of the values interpreter. We conclude that the religious professional can make an important contribution to both clinical decision making and medical education through such a model.The authors thank Don S. Browning, Ph.D., and Thomas H. Jobe, M.D., for their critical readings of earlier versions of this paper.     

Mysticism and psychedelics: The case of the dark night

This study uses a model of consciousness derived from LSD-assisted psychotherapy to illumine an enigmatic set of painful experiences that occur on the mystic's path known in Western circles as the dark night. It argues that the dark night experiences described in John of the Cross's classic workDark Night of the Soul can be conceptualized in terms of Stanislav Grofs category of perinatal experience. The discussion examines the implications of this reconceptualization in three areas: (1) our understanding and evaluation of mysticism, (2) assessing LSD's potential for fostering genuine spirituality, and (3) reassessing the ancient claim that the capacity to experience transcendental states of being is innate.     

Organizational and family systems factors in stress among ministers

Forty-one Protestant ministers completed measures of stress-related symptoms, family of origin contact, church governing body density, history of pastor-parish conflict in the church, and a measure of Bowen's (1959b/1985) concept of emotional triangles. A denominational executive provided ratings of each church's history of pastor-parish conflict. Path analysis using multiple regression showed support for a model in which governing body density and history of conflict predicted emotional triangles, and emotional triangles predicted stress symptoms. Contact with the pastor's family of origin moderated the relationship between emotional triangles and stress symptoms. Results suggest that the organizational and family ecology of the ministerial role can be important in understanding occupational stress among ministers.     

Conversational skills training with a chronically hospitalized psychiatric inpatient

While conversational skills training has been conducted with select psychiatric populations, it has rarely been used with severely debilitated inpatients. The purpose of this study was to use a multiple baseline design across conversational components to evaluate the effectiveness of a conversational skills training package to enhance the conversational repertoire of a severely impaired inpatient. Audiotaped conversations with a standard confederate were evaluated for the frequency of questions, self-disclosures, and reinforcing/acknowledging comments. Generalization probe conversations to novel partners were also obtained. Training effects were noted for the 3 conversational units. Mixed results were obtained for generalization and follow-up.     

The simultaneous and independent measurement of penile circumference and length

It has been recently shown that in the early stages of erection, the human penis undergoes a substantial length change that is not detected using circumferential measurement devices. The present report introduces a relatively simple device that can assess changes in both length and circumference. The device promises to provide a low-cost alternative to the precision and sensitivity associated with plethysmography.     

Duration discrimination in a series of rhythmic events

Duration discrimination of the last of a series of four clicks was investigated. Examination of psychophysical functions from eight subjects revealed evidence for a Weber’s law model relating discrimination to base interclick interval. Also, the point of subjective equality was seen to change reliably as a function of base rate.     

Selective perception of events

Two hundred and twelve subjects were given one of two interpretive sets prior to viewing an event. Following observation, the first interpretation was discredited, and subjects were asked to interpret the event they had seen under the contrasting set. Some subjects were only provided with the alternate interpretation, while others were also given an opportunity to view the event a second time. Both the perceptual segmentation and the subjects' impressions of the participants in the event were assessed. Results disclosed that (1) the two sets produced both differing perceptual organization and differing impressions of the participants; (2) reversing the sets produced a reversal of the impressions of the participants only when accompanied by a second viewing; and (3) the reversal of the impressions was accompanied by a shift in the perceptual organization of the event. It was concluded that observers may differ in their initial perception of an event as the result of differences in prior expectations, and that the resulting biased sample of information they acquire may limit their retrospective reinterpretation of the event.     

Psychoanalysis and systems in family therapy

This paper describes three frames of reference for understanding family function. The three frames are (1) The Life-cycle of the Family, (2) The Intergenerational, Historical Aspects of the Family, (3) The Interactional Structure of the Family. It is suggested that these three frames can provide a detailed formulation of family functioning and disturbance in order to plan rational foci, strategies, techniques and aims of family therapy.     

Children in family therapy

The distinctive skills of child psychotherapy can be utilized in the development of a form of conjoint family therapy especially applicable to the field of child psychiatry. It is suggested that the engagement of children in the process particularly enhances the specific characteristics and potentialities of this form of treatment.