The Program Environment Scale: Assessing Client Perceptions of Community-Based Programs for the Severely Mentally Ill

The Program Environment Scale (PES) was developed for use with clients of community-based programs for the severely mentally ill. It is intended to fill the gap in available tools for assessing clients' perceptions of program functioning as it affects their quality of life in a program. Formal pretests were conducted with 121 clients at 12 randomly selected programs near Washington, DC. The final field test used a revised form (29 domains; 129 items) with 221 clients in 22 programs selected randomly throughout the U.S., including Clubhouse, day treatment, psychosocial rehabilitation, and social club programs. Twenty-three subscales met at least five of eight psychometric criteria for internal consistency and discriminant validity. A 24th subscale was retained because of its substantive importance. Successful subscales cover program atmosphere and interactions (program cares about me, energy level, friendliness, openness, staff-client and client-client respect, reasonable rules, availability of positive physical contact, protection from bad touch, staff investment in their jobs, and confidentiality), client empowerment/staff-client equality (program and treatment empowerment, egalitarian space use), and service components (support for paid work, work importance, emergency access, family activities, housing, public benefits, community activities, medications, substance abuse, and continuity). Subscale validity is indicated by associations of specific service offerings with scores on scales measuring client perceptions of those services, and by an ability to differentiate among program models (i.e., Clubhouses, day treatment programs, and psychosocial rehabilitation programs look different from each other). Subscale scores were not influenced by client characteristics (gender, race, age, diagnosis, number of hospitalizations, length of time in program). The final scale has 97 items and takes about 25 minutes to complete. The PES succeeds in measuring different aspects of programs as clients perceive them. In the programs we visited, directors felt the PES covers the important things they want to know about how clients perceive their program. The PES should become a useful tool both for researchers interested in how client responses to programs may influence their therapeutic outcomes, and for practitioners interested in improving their clients' program experiences and/or increasing convergence of staff and client views of their program.     

Carl Jung's Memories,Dreams, Reflections: A Critique Informed by Postmodernism

This critique of Jung's autobiography, Memories, Dreams, Reflections, looks at the text in light of recent criticism and postmodern developments in psychology. With particular attention to Jung's position on a transcendent God, the omission of significant relationships throughout the work, and the concept of individuation in relation to the Christian notion of vocation, this paper highlights the truths that Jung's autobiography challenges pastoral psychologists and pastoral theologians to integrate into clinical work and professional literature.     

Recognition accuracy by experienced men and women players of basketball

This study examined 30 experienced basketball players' recognition accuracy by sex, playing position (guard, forward, and center), and situations in the game of basketball. The study used a perceptual cognitive paradigm in which subjects viewed slides of structured and unstructured game situations and accurately recognized the presence or absence of the basketball. A significant difference in recognition accuracy by sex, players' position, and structure of the game situation was found. Male players' recognition accuracy was better than the female players'. The recognition accuracy of subjects who played guard was better than that of subjects who played forward or center. The players' recognition accuracy was more accurate when observing structured plays versus unstructured plays. The conclusion of this study suggested that experienced basketball players differ in their cognitive and visual searching processes by sex and player position within the sport of basketball.     

Developing an adequate "pneumatraumatology": understanding the spiritual impacts of traumatic injury

Psychosocial interventions and systematic theology are primary resources for chaplains and congregational pastors who care for victims of physical trauma. Yet these resources may not be adequate to address the spiritual impacts of trauma. This article proposes a preliminary "pneumatraumatology," drawing on early Christian asceticism and Buddhist mysticism to describe one way of understanding the spiritual impacts of traumatic injury. It also suggests possible responses to these impacts informed by narrative/constructionist perspectives and Breggemann's understanding of the dimensions of spiritual transformation in the Hebrew Bible.     

MMPI-2 characteristics in a chronic pain population

This study investigated the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) characteristics of 209 chronic pain patients in an inpatient pain treatment program. Patients completed the MMPI-2, Zung Self-Rating Depression Scale, and Oswestry Low Back Pain Disability Questionnaire. Participants in this sample were matched with comparison participants from the MMPI-2 normative sample on the demographic variables gender, age, and ethnicity. Chronic pain patients reported higher levels of general maladjustment and affective distress than did the normative control group, including more anxiety, depressive symptomatology, and somatic complaints. The MMPI-2 basic scales Hypochondriasis, Depression, and Hysteria were the most useful discriminating factors between chronic pain patients and normal controls, and the content scales Health Concerns and Depression showed significant elevations for the chronic pain group. The 1-3/3-1, 1-2/2-1, and 2-3/3-2 code types accounted for more than two thirds of all two-point classifications for the chronic pain group, and four cluster analysis types classified nearly half of all of these protocols.     

The Role of Network Support and Interference in Women's Perception of Romantic,Friend, and Parental Relationships

This study examined the association between support/interference from the best friend and closest parent to women's (a) satisfaction with the parent–daughter relationship, (b) satisfaction with the friendship, and (c) love for the romantic partner. The respondents (n = 162 females; 84% Caucasian, 1% Asian American, 10% Hispanic, 4% African American, and 1% Multiracial) completed a questionnaire packet to assess each of the factors. Results revealed that romantic love was unrelated to friend support, friend interference, or parental interference, but positively related to parental support. Parent support was a significant correlate of parent satisfaction, and a similar pattern emerged between friend support/friendship satisfaction. Further, best friend support moderated the relationship between friend interference and friendship satisfaction, such that interference was negatively related to satisfaction in low support conditions. Overall, the results suggested that network reactions to romance played a limited role in romantic affection, but were more strongly associated with network satisfaction.     

Investigating the link between validation seeking and lay dispositionism

In this study, the authors investigated the relationship between validation seeking (VS; Dykman, 1998) and lay dispositionism, the use of personality traits as the basis for social inference (Chiu, Hong, & Dweck, 1997). Specifically, the authors sought to empirically address three questions: (a) Does VS predict the tendency to make dispositional inferences and, if so, do social comparison tendencies mediate this relationship? (b) Does VS mediate the association between implicit person theories and lay dispositionism? and (c) Does contingent parental regard indirectly predict lay dispositionism via its effects on VS and/or implicit person theories? Results suggest that both VS and entity person theories facilitate lay dispositionism, yet do so via distinct processes. Both processes are driven at least partly by contingent parental regard; however, their effects on lay dispositionism differ in scope and in the extent to which they entail social comparison.