Health Care Chaplains and their Role on Institutional Ethics Committees: An Australia Study

This paper presents the results of the largest Australian pastoral study concerning the perceptions of health care chaplains about their involvement on hospital research ethics committees (also known in some contexts as institutional ethics committees). Survey results from over 300 Australian health care chaplains indicated that nearly 90% of chaplains believed there was merit in chaplains serving on hospital research ethics committees, yet only a minority (22.7%) had ever participated on such committees. Data from in-depth interviews is also presented exploring the reasons for the lack of participation and the varying opinions regarding the role, appropriateness, and value of chaplains on ethics committees. Some implications of this study with respect to chaplaincy, hospital research ethics committees, health care institutions, ecclesiastical institutions, and government responsibilities are discussed.     

Existential Beliefs,Social Satisfaction,and Well-Being Among Catholic,Jewish, and Protestant Older Adults

Religiousness, spirituality, and existential beliefs are important sources of well-being yet neither their specific effects nor group variation in them is well understood. In a sample of more than 1,000 older adults, we found that certain existential beliefs or concerns (fear of God, death anxiety, belief in life after death, concerns about being mourned) are correlates of well-being in older adults and differed across religious groups. Protestants reported better well-being than Catholics and Jews. Differences in social satisfaction and existential concerns partially explained these differences, which were not explained by demographics. These results suggest the importance of studying well-being and religion in a way that appreciates the differences among religious groups and further of looking at the specific beliefs of different groups.     

Right‐wing authoritarianism and social dominance orientation differentially predict biased evaluations of media reports

This study tested the dual‐process motivational (DPM) model, which posits that right‐wing authoritarianism (RWA) and social dominance orientation (SDO) differentially predict attitudes toward socially threatening or subordinate groups, respectively. Participants read articles on same‐sex relationships and affirmative action and evaluated the article content and the biases of the article authors. The article conclusions (i.e., pro‐ or anti‐same‐sex relationships and affirmative action) were varied between subjects. As expected, only RWA predicted evaluations of the same‐sex relationships articles and authors, whereas only SDO predicted evaluations of the affirmative action articles and authors. These results extend applications of the dual‐process model by demonstrating that RWA and SDO differentially predict evaluations of political information that pertains to socially threatening or subordinate groups, respectively.     

The Effects of Subject-and Experimenter-Induced Defensive Response Sets on Picture-Frustration Test Reactions

Thirty male college students, half scoring high and half low on the MMPI K-scale, were administered a multiple-choice (M-C) modification of the Rosenzweig P-F Study under three instructional sets. Two of these sets were induced by E and compared with the third which represented S's normal test-taking set. The two induced sets included (1) a “should” set in which concern for the social consequences of behavior was accentuated, and (2) a “wish” set in which concern for social consequences was minimized, and freedom of self-expression was accentuated.

It was hypothesized that Ss making extremely high or low scores on the K-scale would likewise score differently on the M-C, P-F test. High K, defined by its authors as a measure of test defensiveness, and low K, as test-taking candidness, would be associated with P-F score patterns reflecting these test-taking attitudes: High K Ss showing Impunitive (M) dominant reaction patterns and low K showing Extrapunitive (E) or Intropunitive (I) dominant patterns. These hypothèses were confirmed except that intropunitive responses were extremely rare in the entire subject sample.

It was further hypothesized that the typical high K pattern would be induced in low K Ss under the “should” instructional set and the low K pattern would be elicited from high K Ss under “wish” instructions. This expectation was confirmed. It was suggested that the technique of manipulating responses via test taking instructions can generate correction factors useful in projective as well as structured personality tests.     

The Role of Defense Mechanisms in Borderline and Antisocial Personalities

Fifty-eight adult male felons were given the Minnesota Multiphasic Personality Inventory (MMPI), the Buss-Durkee Hostility Inventory (BDHI), and the Draw-a-Person Test (DAP) to test the relative sensitivity of subtlety or obviousness of items to response Sets. The inmates were randomly assigned to three response set groups: a fake-aggressive group, a fake-nonaggressive group, and a standard-instruction control group. The MMPIs were scored for five obvious and five subtle aggression or hostility research scales. The BDHI is a totally obvious test, whereas the DAP is a very subtle measure. A paradoxical relationship between response set and subtlety of the scales was hypothesized, such that the obvious scales could be successfully faked, hut the subtle scales would show scores in the opposite from the intended direction. It was found that the inmates did correctly manipulate the obvious scales, but the subtle scales did not consistently show the hypothesized trend. Possible reasons for this are discussed, including the nature of the scales used and characteristics of the population.     

Sensuality and venality in Bangkok: The dynamics of cross‐cultural mapping of prostitution

The dynamics of cross‐cultural cognitive mapping is examined, from a Schuetzian perspective, on the example of the changing images formed by farangs (white foreigners) of Thai girls engaged in “open‐ended” tourist‐oriented prostitution, a vaguely‐defined, gray area lying between “full‐fledged prostitution” and “straight” sexuality. The newcomer farang, unable to grasp this culture‐specific category, initially tends to refuse to label the girls as “prostitutes,” but, with growing experience, tends to apply that label to them, without, however, thereby resetting the boundaries of his cognitive map. He thus fails to make the transition from strangeness to familiarity with the host culture, as conceived by Schuetz—since he continues to impose the crisp categorizations prevalent in his culture of origin, on a situation which is fuzzily conceived in different categories by the hosts. The case study exemplifies the difficulties of a cross‐cultural definition and identification of prostitution.     

Conjoint Community Resiliency Assessment Measure-28/10 Items (CCRAM28 and CCRAM10): A Self-report Tool for Assessing Community Resilience

Community resilience is used to describe a community’s ability to deal with crises or disruptions. The Conjoint Community Resiliency Assessment Measure (CCRAM) was developed in order to attain an integrated, multidimensional instrument for the measurement of community resiliency. The tool was developed using an inductive, exploratory, sequential mixed methods design. The objective of the present study was to portray and evaluate the CCRAM’s psychometric features. A large community sample (N = 1,052) were assessed by the CCRAM tool, and the data was subjected to exploratory and confirmatory factor analysis. A Five factor model (21 items) was obtained, explaining 67.67 % of the variance. This scale was later reduced to 10-item brief instrument. Both scales showed good internal consistency coefficients (α = .92 and α = .85 respectively), and acceptable fit indices to the data. Seven additional items correspond to information requested by leaders, forming the CCRAM28. The CCRAM has been shown to be an acceptable practical tool for assessing community resilience. Both internal and external validity have been demonstrated, as all factors obtained in the factor analytical process, were tightly linked to previous literature on community resilience. The CCRAM facilitates the estimation of an overall community resiliency score but furthermore, it detects the strength of five important constructs of community function following disaster: Leadership, Collective Efficacy, Preparedness, Place Attachment and Social Trust. Consequently, the CCRAM can serve as an aid for community leaders to assess, monitor, and focus actions to enhance and restore community resilience for crisis situations.     

Premature twins on a neonatal intensive care unit

This paper presents observations of boy and girl twins on a neonatal intensive care unit, following them through from 10 days old to return home. The observer hypothesizes about the experience of the twins as they progress, based on detailed notes of their actions. The preoccupations of the parents are incorporated, as are reactions and interventions of staff. The place and possible functions of such observation by a child psychotherapist attached to such a unit are elaborated in the concluding section.