Barbados Spiritual Baptists: Social acceptance enhances opportunities for supporting public health

The Spiritual Baptist faith has been present in the Caribbean from about the late nineteenth or early twentieth century. However, the movement only extended to Barbados in 1957 when a Spiritual Baptist preacher, a Barbadian by birth, returned to his native island from Trinidad, where he had been living for several years. The Reverend Granville Williams established the first Spiritual Baptist Church in Barbados and has continued to oversee the church's development since its inception. This article describes the evolution of the church's status over the past 50 years, as seen by both members and non-members of the group, from a marginalized religious group into a settled and accepted denomination. Explication of this transformation phenomenon is also explored through qualitative interviews with Barbadian clergy non-members of the group. The implications of this transformation for the interplay of religion, mental health, and social services in the Caribbean are then discussed.     

Patterns of adaptation to Parkinson's disease

Forty-four 50- to 80-year-old Parkinson patients were interviewed about the effects of the disease on their lives. The Q-sort technique was used to analyze the interview data. In addition, the Symptom Checklist 90, the Mini-Mental State, and physician ratings of disease severity were obtained. Four clusters of patients were identified. Cluster I patients were sanguine and engaged; Cluster III patients were depressed and apprehensive about the future; Cluster III patients felt depressed, ashamed, and misunderstood; and Cluster IV patients were passive and resigned. Disease severity, but not demographic or other health variables, discriminated the groups. Patients with a mild to moderate impairment who adjusted effectively to their illness (Cluster I) were distinguished by an ability to put negative thoughts out of mind, by their belief that there are worse fates than having Parkinson's disease, and by efforts to influence certain aspects of their illness. The particular patterns of adaptation of the patients who were depressed and misunderstood (Cluster III) and passive and resigned (Cluster IV) seemed primarily a function of physical condition. This suggest that the degree to which personal attitudes can influence adaptation to somatic disease is limited by specific realities of the disease.     

A critical evaluation of coercive persuasion as used in the assessment of cults

An intense controversy regarding new and unpopular religious movements, or cults, continues to involve professionals at the juncture of psychiatry, religion, and the law. As the cults come under increasingly critical scrutiny, the concept most often used for assessing them is that of coercive persuasion. Briefly, such persuasion is seen as a means of psychological manipulation that leaves individuals without the normal control of their own minds. Considering recent pertinent cases and literature, the authors find major weaknesses in this theory. When applied it proves elastic, and it is regularly identified in cults for conduct that, on close examination, is similar to that of established religious groups. The concept of coercive persuasion as a means of thought control fails to pass scientific muster, and it serves poorly as a means of evaluating the connection between alleged harm and the cults. Instead, the authors suggest that a search for an alternative theory might well begin with one based on the individual as competent or not to make a choice regarding religion.     

The solution of anagrams: A reexamination of the effects of transition letter probabilities,letter moves,and word frequency on anagram difficulty

Word frequency (WF), number of letter moves, and solution word transition letter probabilities (TP) were related to anagram solution. The solution word TP measure was based on the relative frequencies of correct to incorrect bigrams within the pool of bigrams defined by the letters of the anagram rather than on the absolute frequencies of the correct bigrams. This bigram rank measure, which also took word length and letter position into account, was a powerful predictor of anagram difficulty (p < .001). Likewise, number of letter moves predicted anagram solution strongly (p < .001), but WF was only a marginal predictor (.05 < p < .10). In addition, there were no significant interactions among the three variables, nor wasanagram TP consistently related to anagram difficulty. The results were interpreted in terms of an approach which combined elements of an hypothesis and an S-R mediational theory.     

Spouse Bereavement Processes of Holocaust Child Survivors: Can One Differentiate a Black Frame from a Black Background?

This article highlights the relation between the mourning processes of Holocaust war orphans and their expected bereavement processes in later life when a spouse dies. The relation between the two processes is explored through a clinical case study. In addition, we define the concept of subtle mourning as an adjustment in the bereavement process. We assume that orphans, who survive after genocide, suffer a lifelong sense of bereavement. They create a subtle mourning process which can be disclosed much later in their lives when they must cope with the death of a spouse.     

Leveraging Healthcare to Promote Responsive Parenting: Impacts of the Video Interaction Project on Parenting Stress

We sought to determine impacts of a pediatric primary care intervention, the Video Interaction Project, on 3-year trajectories of parenting stress related to parent–child interactions in low socioeconomic status families. A randomized controlled trial was conducted, with random assignment to one of two interventions Video Interaction Project (VIP); Building Blocks or control. As part of VIP, dyads attended one-on-one sessions with an interventionist who facilitated interactions in play and shared reading through review of videotaped parent–child interactions made on primary care visit days; learning materials and parenting pamphlets were also provided to facilitate parent–child interactions at home. Parenting stress related to parent–child interactions was assessed for VIP and Control groups at 6, 14, 24, and 36 months using the Parent–Child Dysfunctional Interaction subscale of the Parenting Stress Index—Short Form, with 378 dyads (84 %) assessed at least once. Group differences emerged at 6 months with VIP associated with lower parenting stress at three of four ages considered cross-sectionally and an 17.7 % reduction in parenting stress overall during the study period based on multi-level modeling. No age by group interaction was observed, indicating persistence of early VIP impacts. Results indicated that VIP, a preventive intervention targeting parent–child interactions, is associated with decreased parenting stress. Results therefore support the expansion of pediatric interventions such as VIP as part of a broad public health strategy to address poverty-related disparities in school-readiness.     

The Care of the Ultra-Orthodox Jewish Patient

The Ultra-Orthodox Jewish community embraces a system of values and a rigorous behavioral code that are deeply rooted in religious tradition and history. Here we describe some of the unique challenges that stem from the encounter between modern medical practice and the Ultra-Orthodox world. Through examples of clinical and ethical scenarios ranging from prenatal care to end-of-life decisions, we illustrate problems related to observance of age-old practices in a modern hospital setting, balancing acceptance of Divine will with standard risk assessment, reconciliation of patient autonomy with deference to rabbinic authority and fear of stigma associated with mental illness in a traditional society. We also offer a generalizable model where inquiry precedes pre-formulated judgment to help clinicians provide enhanced care for this population.