Bridging Science and Religion: How Health‐Care Workers as Storytellers Construct Spiritual Meanings

Contrary to the notion that medical science has supplanted religious understandings of human suffering, recent research suggests that health‐care workers like nurses can still portray their confrontations with illness and death in spiritual terms through storytelling. However, scholars have yet to systematically analyze the rhetorical devices used to construct spiritual meanings. Drawing on a symbolic interactionist perspective, we theorize that front‐line health professionals can deploy various rhetorical devices to infuse their workplace interactions with a spiritual significance. We also propose novel fuzzy set analysis techniques for determining which configurations of devices are most important in developing spiritual meanings. This approach was illustrated by examining 173 stories elicited from nurses at a nonsectarian, teaching hospital about encounters at work that significantly impacted their understanding of spirituality. Consistent with our expectations, the way in which nurses tell stories about their experiences not only shapes whether they attach spiritual significance to them, but whether they perceive spirituality and medicine to be compatible. We discuss the implications of our findings for future research on lived religion, conflicting identities, and institutional boundaries.     

Adoptees' Contact with Birth Parents in Emerging Adulthood: The Role of Adoption Communication and Attachment to Adoptive Parents

As adoptees transition to adulthood, their roles in the family may shift, providing them with opportunities to have increasing autonomy in their decisions about contact and initiating conversations about adoption. Research has often focused more on adoptees as children, yet in emerging adulthood, there are important shifts in the life roles and relationships of adoptees during which adoptive parents continue to be meaningful. This study examined associations among attachment and communication within the adoptive family during adulthood with emerging adult adoptees' experience of birth family contact (frequency of and satisfaction with birth family contact), in a sample of 167 emerging adults with varied contact with birth family (from no contact to frequent contact). Results suggest that perceptions of secure parent–child attachment relationships, as well as sensitive and open communication with adoptive parents about adoption, continue to be important for emerging adult adoptees and lead to greater satisfaction for adoptees with birth parent contact—regardless of whether adoptees actually have birth family contact. In particular, positive family communication about adoption during adulthood was predictive of satisfaction with birth parent contact. Limitations and implications are discussed.     

Rumination and Excessive Reassurance Seeking: Mediators of the Relationship Between Social Anxiety and Depression?

Social anxiety and depression are highly comorbid conditions. Although this has led researchers to suggest that social anxiety may convey risk for depression, few studies have examined mechanisms of comorbidity between these two conditions. The current study tested two mechanisms of comorbidity between symptoms of these disorders: brooding and excessive reassurance seeking. The data were evaluated in an undergraduate sample assessed three times over a 2 month period. Results suggested that brooding mediated the relationship between social anxiety at Time 1 and depression at Time 3, although no evidence was found for excessive reassurance-seeking as a mediator of these two variables. These findings support recent research suggesting that brooding may be a transdiagnostic process. Theoretical and clinical implications are discussed.     

Counselor Education Doctoral Program Faculty Members’ Refereed Article Publications

This study investigated articles published in refereed journals by counselor educators (N = 378) employed by 55 doctoral programs accredited by the Council for Accreditation of Counseling and Related Educational Programs. The counselor educators published in 321 different journals, and the variables that predicted publications rates included (a) year earned doctoral degree, (b) academic rank, (c) Carnegie category classification of current university, and (d) gender. Implications for counselor education and scholarly productivity are discussed.     

Employee Behavioral Activation and Behavioral Inhibition Systems,Manager Ratings of Employee Job Performance,and Employee Withdrawal

Employee behavioral activation system (BAS) and behavioral inhibition system (BIS) sensitivities have potential to add value to understanding employee personality, job performance ratings, and withdrawal. After controlling for three Big Five personality trait dimensions (Conscientiousness, Neuroticism, and Extraversion), structural equations modeling results from 102 employees and their managers indicated that employee BAS sensitivity was negatively related to manager ratings of employee job performance and that employee self-defeating behavior partially accounted for the hypothesized negative relations. BAS sensitivity was also indirectly and positively related to employee turnover intentions by failure to delay gratification. BIS sensitivity was positively related to employee self-defeating behavior but was not related to manager ratings of job performance or withdrawal. Theoretical and practical implications of the findings and future research are discussed.     

Working Memory and Motor Activity: A Comparison Across Attention-Deficit/Hyperactivity Disorder,Generalized Anxiety Disorder,and Healthy Control Groups

Converging findings from recent research suggest a functional relationship between attention-deficit/hyperactivity disorder (ADHD)-related hyperactivity and demands on working memory (WM) in both children and adults. Excessive motor activity such as restlessness and fidgeting are not pathognomonic symptoms of ADHD, however, and are often associated with other diagnoses such as generalized anxiety disorder (GAD). Further, previous research indicates that anticipatory processing associated with anxiety can directly interfere with storage and rehearsal processes of WM. The topographical similarity of excessive motor activity seen in both ADHD and anxiety disorders, as well as similar WM deficits, may indicate a common relationship between WM deficits and increased motor activity. The relationship between objectively measured motor activity (actigraphy) and PH and visuospatial WM demands in adults with ADHD (n = 21), adults with GAD (n = 21), and healthy control adults (n = 20) was examined. Although all groups exhibited significant increases in activity from control to WM conditions, the ADHD group exhibited a disproportionate increase in activity, while activity exhibited by the GAD and healthy control groups was not different. Findings indicate that ADHD-related hyperactivity is uniquely related to WM demands, and appear to suggest that adults with GAD are no more active relative to healthy control adults during a cognitively demanding laboratory task.     

Psychometric Properties of the Response to Anxiety Questionnaire

Recent research highlights the importance of transdiagnostic factors of psychopathology, particularly in understanding comorbidity. Repetitive negative thinking (RNT) is one such factor, which may elucidate anxiety-depression comorbidity. The Response to Anxiety Questionnaire (RAQ) aims to evaluate repetitive negative thinking (RNT) related to anxiety-depression comorbidity, specifically hopelessness and rumination about anxiety symptoms. Anxious hopelessness is negative thoughts about the future due to anxiety symptoms, and anxious rumination includes negative evaluations of the meaning of anxiety symptoms, therefore the current study assessed the RAQ in three studies. We used exploratory and confirmatory factor analysis methodologies to examine the factor structure of the RAQ. In addition, we tested indirect effects of the two factors of RAQ (Rumination and Hopelessness) between anxiety and depression, and tested measure convergent validity. Results of the current study provide additional support for the psychometric properties of the RAQ, suggesting a two factor makeup (hopelessness, rumination), as well as its use in predicting anxiety and depressive symptoms.     

Environmental sound priming: Does negation modify N400 cross-modal priming effects?

Human information processing is incredibly fast and flexible. In order to survive, the human brain has to integrate information from various sources and to derive a coherent interpretation, ideally leading to adequate behavior. In experimental setups, such integration phenomena are often investigated in terms of cross-modal association effects. Interestingly, to date, most of these cross-modal association effects using linguistic stimuli have shown that single words can influence the processing of non-linguistic stimuli, and vice versa. In the present study, we were particularly interested in how far linguistic input beyond single words influences the processing of non-linguistic stimuli; in our case, environmental sounds. Participants read sentences either in an affirmative or negated version: for example: “The dog does (not) bark”. Subsequently, participants listened to a sound either matching or mismatching the affirmative version of the sentence (‘woof’ vs. ‘meow’, respectively). In line with previous studies, we found a clear N400-like effect during sound perception following affirmative sentences. Interestingly, this effect was identically present following negated sentences, and the negation operator did not modulate the cross-modal association effect observed between the content words of the sentence and the sound. In summary, these results suggest that negation is not incorporated during information processing in a manner that word–sound association effects would be influenced.     

病人、医生与知情同意

医务人员应当视病人为治疗疾病过程中的参与者.知情同意的目的是,使病人充分理解他的困境后做出理性的决定.医生与病人分享信息、分担责任与做出决定,以保持良好的医患关系.     

Maternal sensitivity moderates the impact of prenatal anxiety disorder on infant responses to the still-face procedure

Animal studies have demonstrated the interactive effects of prenatal stress exposure and postnatal rearing style on offspring capacity to manage stress. However, little is known about how parenting quality impacts the association between maternal prenatal anxiety and stress reactivity in human infants. This prospective study examined the impact of prenatal anxiety disorder and maternal caregiving sensitivity on infants’ responses to a standardised interactive stressor (still-face procedure). Eighty-four women completed a clinical interview during pregnancy to assess anxiety symptoms meeting DSM-IV diagnostic criteria. At infant age 7 months, maternal sensitivity to infant distress and infant negative affect were observed and coded during the still-face procedure. Maternal postnatal (concurrent) anxiety and depression were also assessed at this time. Results indicated a negative association between maternal sensitivity to infant distress and infant negative affect responses to the still-face procedure. An unexpected finding was a positive association between parity and infant reactivity. The main effect for sensitivity was qualified by a significant interaction, p < .05, suggesting that the impact of sensitivity was particularly marked among infants of women who experienced an anxiety disorder during pregnancy. This finding is consistent with a cumulative risk model suggesting that maternal prenatal anxiety and quality of maternal care act in concert to shape infant outcomes.