The Nearing Death Process and Pastoral Counseling

Philosophic concepts of death are pervasive throughout all societies as shared values, differing in particulars, but similar in general. So, too, is the prospect of a death a consideration for every person, an eventual reality brought most forcefully to mind as it nears. This article explores various mindsets those who provide pastoral counseling will encounter among clients and suggest effective approaches to providing the mental and spiritual solace sought. Further, consideration is given to the psychological and spiritual mein of the pastoral counselor, and how this can affect both client and counselor.     

Central auditory processing : II. Effects of anterior temporal lobectomy

Ear dominance for the pitch of dichotically presented tonal stimuli was measured in nine patients before and after a unilateral anterior temporal lobectomy. Four subjects had a left and five had a right lobectomy. Every patient exhibited a change of ear dominance consistent with the hypothesis that a unilateral lobectomy decreases the perceptual salience of the tone presented to the ear contralateral to the lesion. Depending on the direction and magnitude of the subject's preoperative ear dominance and the side of the lobectomy, the postoperative results either increased or decreased the strength of ear dominance in a predictable fashion. The results support the idea that within each temporal lobe lie physiological mechanisms which can enhance the perceptual salience of the acoustic signal emitted by one sound source when other, concurrent, spatially separated sound sources are present. It is also argued that the same mechanism operates on speech, melodic, and tonal signals.     

The Near-Death Experience: An Integration of Cultural, Spiritual, and Physical Perspectives

The near-death experience (NDE) has been studied extensively from two conflicting perspectives: that the NDE is a glimpse into an after-death state and that it is the result of a dying brain. Of late a third perspective has emerged, that of NDEs being culturally determined. I propose an integrated model in which all three perspectives are viewed with equal weight.     

Basic Personality Inventory clinical and validity scales: Stability and internal consistency

A sample of 71 incarcerated adult male inmates was used to investigate the stability and internal consistency for the clinical and validity scales of the Basic Personality Inventoiy. One month test-retest stability coefficients for the clinical scales ranged from .53 to .77. KR-20 reliabilities ranged from .61 to .86 on each occasion. With the exception of the longer perseveration scales, stability was also reasonable for the validity scales. Overall, the Basic Personality Inventory clinical and validity scales demonstrated favorable stability and reliability in an inmate population.This research was supported by a STEP grant from the Alberta Government. Portions of this paper were presented at the Psychologists Association of Alberta's annual meeting, April 8, 1989, Calgary, Alberta. We gratefully acknowledge M. R. Sass and M. Wcinrath for their support.     

The perception of dichotic chords by hemispherectomized subjects

Hemispherectomized subjects display a strong ear dominance in their perception of dichotically presented two-tone chords. The frequency of the tone presented to the ear contralateral to the remaining hemisphere dominated the pitch mixture of the chord. The described effect does not vary with the age at which the hemispherectomy was performed. These results are consistent with the hypothesis, developed to account for findings in normal subjects, that the pitch mixture of a dichotic chord is determined by a subcortical pitch processor. The effects observed in hemispherectomized subjects may result from an interruption of an efferent pathway from the cortex to the subcortical pitch processor or from an asymmetrical degeneration of the processor which may be located in the thalamus (medial geniculate).     

Spectral versus temporal features in dichotic listening

Ear advantage for the processing of dichotic speech sounds can be separated into two components. One of these components is an ear advantage for those phonetic features that are based on spectral acoustic cues. This ear advantage follows the direction of a given individual's ear dominance for the processing of spectral information in dichotic sounds, whether speech or nonspeech. The other factor represents a right-ear advantage for the processing of temporal information in dichotic sounds, whether speech or nonspeech. The present experiments were successful in dissociating these two factors. Since the results clearly show that ear advantage for speech is influenced by ear dominance for spectral information, a full understanding of the asymmetry in the perceptual salience of speech sounds in any individual will not be possible without knowing his ear dominance.     

The variability of client,therapist and clinic in psychotherapy outcomes: A three-level hierarchical model

This article investigates the percentage of variance in psychotherapy outcomes explained by the case-mix variables for individual cases, by the therapist (therapist effects), and what additional variance is explained by the clinic with which the therapist is affiliated. While there has been substantial recent research regarding therapist effects, very little has been published regarding clinic-level effects after controlling for therapist effects. The study utilised the largest sample reported to date, using data from 28 clinics with a minimum of 2,000 cases in a clinical range of severity of symptoms with pre-post change scores on an outcome questionnaire. Only cases treated by a therapist with at least 30 cases were included. These selection criteria resulted in a case count of 156,258 clients treated by 874 therapists located at 28 clinics. After controlling for differences in case mix using diagnosis and intake score (severity of symptoms), the resulting analyses indicated that 5.21% of the variance in treatment outcome was explained by the therapist, while another 1.13% of the variance was associated with the clinic. Findings are discussed with implications for practice and policy.