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181.
Little is known about psychological distress among women of African descent who are at high risk for a BRCA mutation. This is a group for whom breast cancer risk reduction is critical due to the group’s high rates of breast cancer mortality. Distress is important to consider as it may reduce the potential benefit of genetic counseling and negatively affect decision making related to risk reduction. The goals of the current study were to examine breast cancer-specific distress and depressive symptoms in women of African descent at who are at high risk for a BRCA mutation and to identify background factors associated with these outcomes. Participants were 148 high-risk African American and Caribbean women who were part of a larger study that offered participants BRCA counseling at no cost. Participants completed the Impact of Events Scale, which assessed breast cancer-specific distress, and the Center of Epidemiological Studies-Depression Scale, which assessed depressive symptoms. Results of analyses revealed that almost half of the sample achieved scores indicating high and clinically significant breast cancer-specific distress, while almost one-third had clinically significant depression scores. Results further showed that low income was significantly associated with cancer-specific distress, while having a cancer diagnosis was significantly associated with depressive symptoms. These results underscore the need for targeted psychological support throughout the genetic risk assessment process for this particular high-risk group.  相似文献   
182.
This article provides data on the validity of the Xhosa versions of the Beck Depression Inventory-II (XBDI-II), the Beck Hopelessness Scale (XBHS) and the Beck Anxiety Inventory (XBAI) based on a sample of 122 Xhosa respondents which included students and patients. For patients, clinicians completed rating scales of Depression and Anxiety symptoms. In tests of concurrent validity, depressed patients had significantly higher scores on the XBDI-II and XBHS than students or patients who were not depressed. Similarly anxious patients had higher scores on the XBAI than students and patients who were not anxious. Correlations with clinicians' ratings were:.91 for XBDI-II scores and depression ratings, and.88 for XBAI scores and anxiety ratings. Correlations between the three translated scales were similar to those for the original scales. These analyses provide evidence that the translated scales have levels of concurrent and convergent validity comparable to the originals.  相似文献   
183.
184.
Psychology essentially refers to the study and use (logos) of the breath, soul or spirit of life (psyche) that leaves a person at death and continues in some other form. From such a fundamental perspective, all forms of ancient and modern caring, helping and healing have their foundations in breath-based behaviour, experiences and spirituality. This article examines Jung's image of the breath-body or spirit-body in relation to various spiritual healing traditions with special focus on their source in African spiritual healing.  相似文献   
185.
The aim of this research was to complement and advance Wilber's integral approach through an investigation into ancestral consciousness by the Zulu. Five isiZulu home language speakers (age range 33 to 56 years) and a sixth English speaking person were participant-researchers. Experiences of ancestral consciousness from individual, collective, subjective, objective, cultural and social perspectives were explored. Findings suggested that ancestral consciousness increased perceived spirituality as assessed on a standardized spirituality scale. It was also associated with immediate apprehensions of senior kinsmen, living and dead, of God and/or more generally of Spirit. Wilber's integral approach appears to hold explanatory value in non-Western culture.  相似文献   
186.
Messianic Judaism is an American-born movement of congregations that hold evangelical beliefs and follow Jewish practices. Scholars have viewed it chiefly as a new religious movement (NRM) or a controversial branch of Judaism. As a result, they have downplayed or ignored its largely evangelical Christian base. The first study of ‘gentile believers,’ this article argues that Messianic Judaism is best understood through the lens of religious seeking, a trend usually associated with alternative spiritualities and still under-theorized vis-à-vis conservative Christians, like evangelicals. First, it traces why Messianic Judaism appeals to growing numbers of North American Christians. Second, and more broadly, it argues that seeking is a spiritually satisfying religious practice that, for evangelicals, reiterates central themes of born-again life. Their experiences also clarify the limits that may constrain religious seeking; they seek to deepen and actualize a biblical worldview in religious sites viewed as proximate to their own.  相似文献   
187.
The field of adoption has changed over the past years from one where there were babies available for many adoptive couples to one where increasingly the children who are needing adoption are those who have already suffered deprivations and difficulties in their families of origin, with disrupted attachments and a consequent traumatizing effect of their early history on their internal worlds. Professionals working with these children, who have in effect been 'dropped', face the difficult task not only of placing them appropriately but of supporting their adoptive families. With the new experience of a secure base the original trauma may be reworked, and the new framework tested by these damaged and consequently often damaging children as they replay their feelings of being unwanted and unwantable. In describing once-weekly work with a 6-year-old adopted boy, I suggest that the primary disillusion of his neonatal experience caused an internal catastrophe which was then reworked in his adoptive placement. This child did not experience what Winnicott (1971) called 'gradual disillusion' in terms of his belief that he creates the needed breast, and thus integration of love and hate of the primary object, but remained in a state of hyper-vigilance because of the deficits in his internal world. These deficits have been able partially to be addressed in psychotherapy treatment.  相似文献   
188.
Communities are increasingly developing zoning ordinances for sexually oriented businesses based on presumed negative “secondary effects.” Utilizing social disorganization theory, this study examines neighborhood differences among three types of sexually oriented businesses. Based on census-tract data from four urban Texas counties, findings show that census tracts with only adult sexuality boutiques, which primarily market to women consumers, are significantly more socially organized than census tracts with only adult entertainment clubs, only adult bookstores, and more than one type of adult business. This suggests that the gendered nature of sexual consumerism also has implications for the locations of these businesses.  相似文献   
189.
Alexithymia is a psychic dysfunction in which symbolic thinking and fantasy are reduced, somatization is common, feelings are poorly communicated, empathy is impaired, and intimate interpersonal relations are difficult to maintain. Individuals with significant alexithymia may have a variety of psychiatric disorders but their psychotherapy should always be informed by an awareness of their alexithymia. This paper reviews the concept and details the most efficient means of psychotherapy for alexithymic patients. Ideal treatment for such patients maximizes their opportunities to learn while protecting their self-esteem and minimizing nonproductive stress. Such treatment involves concurrent individual and group psychotherapy. Clinical material is presented and specific therapeutic maneuvers are explored.  相似文献   
190.
In this paper, the author reflects on the issues of memory and the writing of personal memoirs, and how this impinges on our professional work. Her title is drawn in part from the work of theoretical physicists who can hypothesise about the existence of dark matter by measuring the deformations it causes in surrounding stars and galaxies. What she suggests is that there may be limitations in keeping strictly to disciplinary boundaries, and our professional lives may defy our efforts to box them in. The opening of doors to a more extensive world of ideas is often helpful, both for psychoanalysis and for the fields which it can illuminate and by which it can also be illuminated. She uses the example of the publication and critical reception of her own memoir, Pieces of Molly to make links with our professional selves and our clinical work. She draws on the work of Freud, and other seminal thinkers in the field, as well as her own clinical work to illustrate the ways in which mental space and the memories within it can be contained and transformed over time, but also can be beset by both internal and external saboteurs.  相似文献   
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