Physicians and clergy in dialogue

The goals and ends of contemporary medicine are often unclear. An explicit inquiry into the religious dimensions of healing offers an important perspective from which to evaluate the potential capabilities of the medical profession. This paper describes a course in which medical students joined divinity students to explore areas of mutual intellectual, professional, and personal interest. Students and faculty examined in depth three broad areas in which medicine and religion share common ground: concepts of health and illness from the religious perspective, approaches to the understanding of suffering and meaning, and the shared professional stresses of physician and clergy.This paper comes from the Department of Medicine, Beth Israel Hospital, and the Division on Aging and the Program for the Analysis of Clinical Strategies, Harvard Medical School, and the West Roxbury-Brockton Veterans Administration Geriatric Research, Education and Clinical Center, Boston.     

From page to program: Some typographical and temporal variables in radio homilies

Punctuation in 20 radio homilies by four speakers accounted for 76% of pause time and 64% of pause number. Pause duration varied systematically according to punctuation type. Commas accounted for 82% of punctuated positionsnot used for pausing.RRelevance for theories of text unitization is discussed. Both typographical and temporal measures are compared with a similar corpus of German homilies.     

The Rotter locus of control scale: The comparison of alternative response formats and implications for reliability, validity, and dimensionality

Participants completed the Rotter internal/external (IE) instrument using three different response formats before and after completion of the Outward Bound program, and were evaluated by external observers at the end of the intervention. Multitrait-multimethod analyses indicated that five specific IE facets identified in previous research were consistently distinguished with each of the response formats. While responses were substantially more internal after the intervention, effect sizes varied with the IE facet and with the response format. Observer responses were significantly correlated with self-responses, and provided additional support for the construct validity of responses to the Rotter instrument and the interpretation of the intervention effect. Nevertheless, problems with the Rotter instrument were identified, and the implications for further research were discussed.     

Assessing depression in community samples of children using self-report inventories: Ethical considerations

Although the methodological problems associated with the use of children's self-report depression inventories have previously been discussed in detail, the ethical problems related to the use of these instruments have been largely ignored. The primary purpose of this survey study was to determine how childhood depression researchers have prepared for and responded to children from community (i.e., nonclinic) samples whose nonanonymous scores on self-report depression inventories have indicated that they might be severely depressed or suicidal. Several recommendations, based upon (a) the results of this survey study, (b) the existing literature relevant to the ethical responsibilities of investigators who conduct research with children, and (c) our own experiences with these instruments and populations, are made to assist researchers in their attempts to use these inventories in an ethical manner.The authors would like to thank those childhood depression researchers who were kind enough to return completed surveys.     

Simulation study of a decision-making model of squash competition, phase two: Testing the model through the use of computer simulation

This study aims at verifying the inner validity and logic of a squash competition decision-making model through the use of computer simulation. The model defines the cognitive-decisional strategy of the defending player (D) when selecting a motor reaction in response to his opponent's shot. Computer simulation of the model was carried out on a PDP-10 computer using a recent version of UCI-LISP. Protocol analysis data pertaining to the nature of the information D processes when awaiting the attacking player's shot were fed into the simulation program in order to examine the extent to which the model can reproduce decisions reached in various defensive contexts. Simulation results reveal that the proposed model can account for a substantial part of the variation in the speed and accuracy of D's motor reaction in real sport situations. Several factors like time pressure, expectancies, uncertainty, recency and familiarity of the relationship between signal and response appear to affect D's motor response via the cognitive-decisional strategy employed by the defending player. Particular discrepancies observed between simulation results and decisions reached by expert players in specific defensive situations nevertheless indicate that the decision rule utilized within the present model needs to be refined. In this regard, several issues are discussed and suggestions for further simulation studies are put forward in order to account more precisely for the various features characterizing the defensive player's motor reaction in real sporting context.     

Psychopathology subtypes and symptom correlates among former prisoners of war

Psychopathology and symptom patterns were studied in 60 former prisoners-of-war (POWs) by administering standardized tests including the Minnesota Multiphasic Personality Inventory (MMPI), an adjustment problem checklist, and a structured clinical interview. Most POWs showed marked psychological impairment, but modal profile analysis identified two prototypic MMPI patterns, which differed in pervasiveness and type of psychopathology. Profile subtypes were defined by unique clusters of clinical symptoms and differed in confinement stress severity. The typology of symptoms argues against a homogeneous conceptualization of stress-induced disorders and suggests the need for definition of the severity and subtype of stress phenomena and individual difference factors in responding to trauma.     

Performance of disturbed hyperactive and nonhyperactive children on an objective measure of hyperactivity

Twenty hyperactive emotionally disturbed children (6–11 years) and a matched sample of nonhyperactive emotionally disturbed children were selected from the population of a therapeutic day treatment facility on the basis of teacher ratings. They were administered the Matching Familiar Figures Test-20 and were rated on several scales of impulsivity and/or hyperactivity. Each subject was required to perform on the Delay Task of the Gordon Diagnostic System, which required them to inhibit behavioral responding on a temporally based schedule (DRL-6) in order to win points. Children classified as hyperactive, whether by one or more criteria, were relatively unable to refrain from emitting a high number of nonreinforced responses. Moreover, these performance differences persisted regardless of age or IQ and were stable over the 8 minutes required to complete the test.The authors gratefully acknowledge the efforts of the following members of the Institute of Clinical Psychology, University of Virginia: Richard Abidin, Ann Loper, Ronald Reeve, and Sherry Kraft. Data analyses were conducted using STATMANAGER, Hayden Software Company, copyright 1983.     

Neurology,psychology, and extraordinary religious experiences

Temporal lobe epilepsy and certain personality disorders often result in experiences described as religious. TLE research suggests a possible neurological basis for such experiences. Immediately the question arises about the authenticity of these experiences as religious. An experience is authentic if it furthers the authentic growth of the subject, regardless of what triggered it. So pathology may occasion authentic religious experiences, even as history exemplifies. For practical purposes, the further question about God in religious experience is secondary. The exception, miraculous occurrences, should not be granted without sufficient reason. This approach dissolves all conflict between science and faith.     

Incarnation and pastoral care

This essay is an examination of the usefulness of incarnation as a theological metaphor for pastoral care and counseling. Understanding the incarnation as both an event and as a paradigm of God's relationship to the world provides a theological perspective for examining four interrelated questions about identity and the helping relationship frequently asked by the pastoral care-giver. The incarnation metaphor finally frees us to care in the confidence that in God the Incarnating One, all things, including our care for the sick, are held together.Dr. Anderson is Associate Professor of Pastoral Theology and Counseling at Wartburg Theological Seminary, 333 Wartburg Place, Dubuque, Iowa 52001.