Improving Health Care Utilization, Improving Chronic Disease Utilization, Health Status, and Adjustment in Adolescents and Young Adults with Cystic Fibrosis: A Preliminary Report

We conducted a randomized clinical trial of a 3-session written self-disclosure intervention for patients with cystic fibrosis (CF). Patients (n = 39) who were at least 15 years of age and diagnosed with CF participated in the intervention. Participants in the intervention arm were asked to write in the health care setting about an important emotionally distressing issue of personal significance for a 20-min period of time and two additional 20-min writing episodes at the patient's home, which were prompted by telephone calls. Patients in the control condition received standard care alone. Findings revealed that the intervention resulted in a reduction of the number of days patients spent in the hospital over a 3-month period. The intervention did not have an impact on physiological (Forced Expiratory Volume and Body Mass Index or subjective markers of health status. These findings extend those of Pennebaker's (cf., J. Smyth, 1998) demonstrating an effect of the written-self-disclosure intervention on health care utilization. These preliminary findings are promising and justify further investigation of the modified intervention in other chronic illness populations.     

Science And Faith: New Books with the Same Scepticism

Books reviewed in this article:
Richard A. Lee Jr., Science, the Singular, and the Question of Theology
Andrew P. Porter, By the Waters of Naturalism: Theology Perplexed Among the Sciences
W. Mark Richardson, Robert John Russell, Philip Clayton, and Kirk Wegter–McNelly (eds), Science and the Spiritual Quest: New Essays by Leading Scientists
W. Mark Richardson and Gordy Slack (eds), Faith in Science: Scientists Search for Truth     

Are University Professors Qualified to Teach Ethics?

In the light of recent talk in Canadian business schools about the importance of teaching courses in business ethics, the authors ask whether business professors have the qualifications required to teach business ethics. They point to various ethical dilemmas that arise in a collegial setting and argue that academics who teach business ethics have to first understand the complex ethical situations in which they find themselves if business ethics is to be taught in a meaningful way.     

Comparative oughts and comparative evils

My thanks to David Banach for commenting on an earlier draft of this essay.