Faith and Psychology: Integration or Separation?

This article describes the integration of spiritual and psychological issues as it pertains to a woman's coping with her husband's death. This case highlights the need to incorporate theological elements in any caregiving relationship, whether it be professional or otherwise. Finally, it challenges educational institutions to collaborate in working on the interface of faith and psychology.     

Using group therapy to foster the psychosexual development of patients with eating disorders

When eating-disordered patients participate in long-term eating-dis-order groups, they move through phases of group development that parallel phases of psychosexual development. In the trust (oral) phase, members have an opportunity to experience a positive symbiosis, a suitable holding environment, and optimal frustration. In the control (anal) phase, members learn to identify and express anger constructively. In the intimacy (oedipal) phase, members learn to compete and be intimate. Individual and group movement is facilitated by the group leader being able to identify stages of group development and being able to utilize phase-related techniques.Many thanks to Anne Alonso, Ph.D., Robert Dies, Ph.D., and Geraldine Alpert, Ph.D., for their critiques of the first draft of this paper.     

Keeping a group psychotherapy program alive and well within a psychiatric residency

A mandatory year of outpatient group therapy training is an accepted part of residency training in psychiatry. Residents need stable groups to lead in order to have a satisfactory training experience. A solid group program is integrated and cohesive. A group therapy coordinator has to consider the following factors in developing and maintaining the optimum program: sanction from the department of psychiatry; integration of the program into the system; transfer of groups from one class to another; personal screening and followup of all referrals; availability to professionals in the community; coordinator participation in relevant group therapy classes; a vehicle for supervisors to collaborate with each other and administrator; and a format for all members of the group program community to interact.This paper is an elaboration of a symposium presentation, Training in Group Psychotherapy: The Quest for a Viable Model, AGPA Annual meeting, 1990.     

Ministers evaluate their training in marriage counseling

Summary The results of the study described above have certain implications for planning future training programs. Teaching in this particular field must be primarily learner centered, rather than subject centered. This is borne out by the choices of the respondents that indicate the importance of understanding of the self, and own attitudes, biases, and feelings as they affect the counselor's capacity within the helping relationship; and the emphasis placed upon the strongly teacher-learner-centered method—supervision—as of primary importance. Thus, supervision, which offers support and understanding to the trainee as he struggles to integrate new knowledge and to develop increased sensitivity to others, greater flexibility, and skill, assumes a tremendously important part of the total training experience. This has implications for the training center in relation to the quality and quantity of supervision available to the training person.The question of insufficient time may have psychological as well as practical implications. The importance of a realistic schedule is ovious. The other aspect of this question may have to do with integration and need for time in assimilating a learning experience that requires change and necessarily involves strongly charged affective components. This raises the question of how to maintain a balance between the inevitable anxiety aroused in a new situation, which motivates learning, and excessive anxiety, which may impede progress if the individual becomes more involved in coping with himself than in learning.The need for more training in family-life education is also indicated.     

Psychometric Evaluation of the Japanese Version of the Elder Life Adjustment Interview Schedule for Depression

The Elder Life Adjustment Interview Schedule (ELAIS) was developed as an age- and culture-sensitive assessment device for depression and 9 environmental, behavioral, and health correlates (Schlatter et al., 1993, J. MARC Res. 1: 27–42). The psychometric adequacy of the ELAIS has been demonstrated with samples of elder Americans of Asian, Caucasian, and Native Hawaiian ancestry (Dubanoski et al., 1996, J. Clin. Gerospsychol. 2: 247–262). This study reports on the reliability and construct validity of a translated Japanese version. Participants were 55 community-dwelling elders living in the areas surrounding Maebashi, Japan. The ELAIS contains 14 scales of which 9 represent theoretical predictors of depression. The 2 Environmental Condition scales measure life events and social support. The 4 Behavioral Competency scales measure recreational activity, assertiveness, self-reinforcement, and perceived control. The 3 Health Factor scales measure perceived health, functional ability, and objective health. The 5 Other scales measure demographics, depression, life satisfaction, cognitive functioning, and response style. Results yielded acceptable internal consistency and stability reliability coefficients for all but 1 of the subscales on the ELAIS (informational social support). Construct validity support was found for the Depression scale and 6 theoretical predictors, including life events, recreational activity, assertiveness, self-reinforcement, functional ability, and objective health. Treatment and prevention implications for the cross-ethnic multivariate assessment of depression among elders are discussed.     

Counselling Australian baby boomers: examining the loss and grief issues facing aging distance-separated sibling dyads

It has long been recognised that mature-aged sibling dyads provide each other with emotional support. What has yet to be determined is whether this support function is maintained within the baby boomer generational cohort of sibling dyads who through economic relocation/migration have become separated by distance. As such, this paper highlights the need for research to be conducted into the experiences of baby boomers dealing with sibling loss and grief-related issues without the support of their nuclear and extended family members.     

Collaboration reduces the frequency of false memories in older and younger adults

Older (mean age = 74.23) and younger (mean age = 33.50) participants recalled items from 6 briefly exposed household scenes either alone or with their spouses. Collaborative recall was compared with the pooled, nonredundant recall of spouses remembering alone (nominal groups). The authors examined hits, self-generated false memories, and false memories produced by another person's (actually a computer program's) misleading recollections. Older adults reported fewer hits and more self-generated false memories than younger adults. Relative to nominal groups, older and younger collaborating groups reported fewer hits and fewer self-generated false memories. Collaboration also reduced older people's computer-initiated false memories. The memory conversations in the collaborative groups were analyzed for evidence that collaboration inhibits the production of errors and/or promotes quality control processes that detect and eliminate errors. Only older adults inhibited the production of wrong answers, but both age groups eliminated errors during their discussions. The partners played an important role in helping rememberers discard false memories in older and younger couples. The results support the use of collaboration to reduce false recall in both younger and older adults.     

A Qualitative Approach to Responsible Conduct of Research (RCR) Training Development: Identification of Metacognitive Strategies

Although Responsible Conduct of Research (RCR) training is common in the sciences, the effectiveness of RCR training is open to question. Three key factors appear to be particularly important in ensuring the effectiveness of ethics education programs: (1) educational efforts should be tied to day-to-day practices in the field, (2) educational efforts should provide strategies for working through the ethical problems people are likely to encounter in day-to-day practice, and (3) educational efforts should be embedded in a broader program of on-going career development efforts. This article discusses a complex qualitative approach to RCR training development, based on a sensemaking model, which strives to address the afore-mentioned training concerns. Ethnographic observations and prior RCR training served the purpose of collecting information specific to a multi-disciplinary and multi-university research center with the goal of identifying metacognitive reasoning strategies that would facilitate ethical decision-making. The extensive qualitative analyses resulted in the identification of nine metacognitive reasoning strategies on which future RCR training will be developed. The implications of the findings for RCR training in the sciences are discussed.