Spiritual issues in mental health care

Religious and spiritual issues in mental health are explored in the context of four conceptual models: the medical, the nursing, the humanistic, and the pastoral. This is done by looking at each model in terms of content, diagnostic focus, language and treatment goals, and primary qualities in the health provider.The models are illustrated by case studies gathered from a multidisciplinary setting. The discovery that each model can incorporate the religious and spiritual dimension in mental health care, but that each model does this in distinctive ways, is a key point.     

Alcohol and drug use in stressful times: The influence of the masculine role and sex-related personality attributes

In times of stress, men and women sometimes turn to the use of alcohol and drugs as an avenue for relieving their discomfort and distress. One explanation of this finding implicates traditional male tendencies as predisposing factors. The purpose of the present investigation was to study how the relationship between stress and substance use is moderated (1) by the masculine role, as measured by the Masculine Role Inventory; and (2) by socially desirable and undesirable masculine-instrumental and feminine-expressive personality attributes, as measured by the Extended Personal Attributes Questionnaire. The results indicated that during stressful episodes men characterized by socially undesirable instrumental personality attributes reported using tranquilizers and sedatives. By contrast, it was found that during stressful times, women characterized by success preoccupation reported less use of mind-altering drugs and more use of tranquilizers-sedatives. In addition, it was found that socially desirable expressive attributes served to buffer the impact of stressful experiences on women's use of alcohol.A preliminary report of these data were presented at the 1985 annual meeting of the Southwestern Psychological Association, Austin, Texas. Gratitude is extended to Toni Falbo for her assistance with this research.     

The impact of pre-employment integrity testing on employee turnover and inventory shrinkage losses

A major home improvement chain located primarily in the western United States initiated the use of thePersonnel Selection Inventory, a written integrity test, as part of its pre-employment hiring process. For two years only, those job applicants who passed this test and other pre-employment criteria were hired by the chain. Following the introduction of the inventory, there was: (1) a 50% reduction in the number of employee terminations for theft, illegal drug use, and violence over a five year period and (2) a savings in shrinkage losses that amounted to over two million dollars over a two year period.     

Observers’ sensitivity to dynamic anomalies in collisions

The present study examined observers’ ability to discriminate canonical and dynamically anomalous collisions that were presented in either frictionless or frictional systems. Whereas previous research has provided qualitative demonstrations that dynamic information can be extracted from visual events, the current study provides a parametric assessment of observers’ sensitivity to dynamic invariants. Our findings indicate that observers are competent when viewing both familiar, terrestrial (frictional) systems and unfamiliar but computationally simpler, 0-G (frictionless) systems. Thus, our sensitivity to these dynamic invariants in visual events is robust in natural systems whose dynamic properties differ from those of the environment in which we evolved and developed.     

Reactions to Patients' Self-or Chance-Blaming Attributions for Illnesses Having Varying Life-style Involvement

The effects of the perceived accuracy of attributions of self blame and chance blame were examined in the context of health care. Health practitioners ( N = 147) rated interviews in which patients made self-or chance-blaming attributions for diseases with high (heart attack, stroke), or low (cancer, arthritis) life-style involvement, or acidental injuries. Three discriminant analyses yielded p < .001. Self-blaming heart and stroke patients were rated as coping better and acting more appropriately and typically than chance blamers. Other self blamers were rated as more depressed, poorly adjusted, coping poorly, not accepting disability, needing counselling and information. Additionally, self-blaming accident victims were judged as more dependent, less likeable, and having poorer prognoses than chance blamers. Realistic self blame for life-style diseases did not lead to victimization, but other self-blaming patients were stigmatized and the adaptiveness of self blame as a coping strategy was unrecognized.     

Visual and auditory attention performance in hyperactive children: Competence or compliance

The effect of self-control and compliance on the attentional performance of hyperactive children was assessed. Visual and auditory attention tasks were presented in conditions in which the experimenter was either absent and therefore not imposing external control, or present and therefore imposing some degree of control. There was no difference in performance between hyperactives and controls when the experimenter was present, but the hyperactives' performance showed a greater deterioration than controls when the experimenter was absent. The amount of movement displayed during the tasks was greater for hyperactives and increased more for this group during experimenter-absent conditions. The results support the contention that noncompliance is a major contributor to the poor performance of hyperactive children, which can be seen as an application deficit rather than an ability deficit. These findings have relevance for the current debate on the association between hyperactivity and conduct disorder, and from an applied perspective they serve to stress the importance of situational contributors to the problem behaviors of hyperactive children.     

The process of scapegoating in a neonatal nurses' group

This paper reviews the literature on scapegoating, elaborating on the underlying mechanisms before describing the process of scapegoating as it occurred in a neonatal nurse support group. Illustrative vignettes are used to discuss how scapegoating was used by group members to avoid painful feelings arising from their care of extremely ill infants. Group process is related to the stages of the group's development as feelings were addressed more directly and the need to use scapegoating as a defense decreased.     

Single-gender group psychotherapy: A “women's group” for adolescent inpatients

This paper describes an attempt at forming and conducting a unique single-gender psychotherapy group with severely disturbed female adolescents on a long-term, psychotherapeutically oriented co-ed inpatient unit. The focus of this group was assisting the female patients in negotiating the tasks and conflicts specific to their gender and developmental stage. The therapeutic approach and the role of female coleaders are described, emphasizing particular modifications made to meet the needs of this group. Clinical examples are offered to high-light salient group themes of identity formation and separation and individuation. Finally, group therapeutic factors specifically enhanced by single gender membership are discussed and observations regarding the group/milieu interface are explored.