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.     

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.     

Temporal control of behavior and the power law

The performance of rats and pigeons under fixed-interval schedules was studied in two experiments. The duration of postreinforcement pause was a declining proportion of fixed-interval duration. For pigeons this was true both when the duration of the reinforcer was fixed and when it was increased in direct proportion to increases in fixed-interval duration; the longer reinforcer durations did, however, lengthen the postreinforcement pause at higher schedule values. A quantitative analysis of data from Experiments 1 and 2 and from other studies showed that fractional exponent power functions described the relationship between postreinforcement pause and fixed-interval value; similar functions have previously been observed in studies of temporal differentiation. It was concluded that power functions reflect a direct causal, rather than artifactual, relationship between performance and the temporal requirements of reinforcement schedules.     

Gender-deviant boys compared with normal and clinical control boys

The physical movement and social characteristics of effeminate behavior-problem, referred boys (N=13)were compared with those of normal boys (N=25)and boys (N=12)referred for nongender problems. Parent reports, observer ratings, and videotapes were collected in a series of structured tasks. As expected, mothers described gender-problem sons as much more feminine than the other two groups in interests, activities, and mannerisms. Gender-problem sons were also seen as relatively inactive and introverted. Further, they were non-significantly lower than the clinical control boys in perceived behavior problems, but both groups had marginally more problems than the normal boys. Gender-problem and clinical control boys both showed more body constriction than normal boys in ratings of a videotaped interview. They also both showed less ideal ball-throw form than normal boys on a set of variables scored with slow-motion video. However, in a set of behaviors directly rated in the various tasks, the gender-problem boys gave a uniquely general impression of uncoordination. The groups did not differ on seven additional variables.The research was supported in part by USPHS Grant MH17072. The authors are indebted to the more than two dozen research staff members who contributed many essential services at various stages of the project, to the families who generously participated, to the clinicians who referred their clients to our project, and to Marion Hee for computational assistance.     

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.