The “religiosity gap” in a clinical setting: experiences of mental health care consumers and professionals

ABSTRACT

In Western countries, professionals in mental health care (“professionals”) tend to be less religious than “consumers”. This qualitative study explores the meaning of this “religiosity gap” for professionals and consumers in mental health care. Both a regular, secular and a Christian clinic in the Netherlands participated in this study. Content analysis was applied to 35 consumer interviews and 18 interviews with professionals. Consumers reported negative experiences (e.g., perceived disrespect and a lack of confidence) and/or negative expectations (e.g., misunderstanding and misinterpretation) related to a religiosity gap. They also mentioned advantages of a “religiosity match”, like safety and confidence and appreciated professionals’ religious/spiritual self-disclosure. Professionals in secular care setting tended to avoid religion and spirituality. In both clinics, they tended to neutralise religious/spiritual differences and be reticent in self-disclosure. Professionals are recommended to recognise the relevance of a religiosity gap and to consider different strategies in approaching religion/spirituality.     

Development and validation of the Dutch Questionnaire God Image : Effects of mental health and religious culture

This article presents the Dutch Questionnaire God Image (QGI), which has two theory-based dimensions: feelings towards God and perceptions of God's actions. This instrument was validated among a sample of 804 respondents, of which 244 persons received psychotherapy. Results showed relationships between the affective and cognitive aspect of the God image. The God image of psychiatric patients had a more negative and threatening nature than the God image of the non-psychiatric respondents. Also, religious culture appeared to affect the God image.     

Personality as a moderator of context effects on academic achievement

We investigated whether personality moderates group influence of classmates on academic achievement and whether these so-called context effects can be attributed to peer pressure. The sample consisted of 2498 students in their first year of Dutch secondary education. The data were analyzed by a two-level (students within classes) analysis, separately for boys (n = 1033, in 92 classes) and girls (n = 1465, in 119 classes). For both sexes, we found a context effect on Dutch language achievement but not on mathematics achievement. Emotional Stability appeared a moderator of this context effect but for girls only. The results suggest further that peer pressure is not a likely mechanism of group influence of classmates on academic achievement.     

The role of hyperventilation in panic disorder: a response to Ley (1991)

Ley (Behaviour Research and Therapy, 29, 301–304, 1991) provided a reinterpretation of experimental findings on the efficacy of breathing retraining plus cognitive restructuring in reducing the symptomatology of patients with panic disorder with agoraphobia which were presented in a 1989 article in this journal. On the basis of his reinterpretation, they concluded that our findings supported the central role of hyperventilation in panic attacks. Ley's arguments are discussed and we conclude that his reinterpretation provides new arguments against a hyperventilation theory of panic. Furthermore, recent evidence from empirical studies does not support a central role for hyperventilation in panic attacks.     

Towards a refined structure of personality traits

In this article we pursue two goals. The first is a further articulation of the dimensionality of the Dutch trait domain. The second is a detailed mapping of the factorial trait structure, one which includes intelligible and proper niches for various nuances of the trait language and for different interpretations of the main factors of personality language. In realizing these goals, we discuss the reliance on theory in structuring and modelling the domain in question, the type of model to be used, and the comprehensiveness versus the economy of domain representation. The advantages and disadvantages of the simple structure model and the circumplex model are commented upon, and a new framework that integrates these two models is presented. The present results provide confirmation of the existence of five major dimensions that cover the trait domain: (I) Extraversion or Surgency, (II) Agreeableness, (III) Conscientiousness, (IV) Emotional Stability, and (V) Intellect or Openness to Experience. The newly developed representational model, revealing a refined structure of personality characteristics, not only clarifies some of the problems faced in interpreting the Big Five factors, but also forms a starting point for applications.     

Simultaneous processing of visual information and planning of hand movements in a visuo-manual search task

When searching for a target with eye movements, saccades are planned and initiated while the visual information is still being processed. If hand movements are needed to perform a search task, can they too be planned while visual information from the current position is still being processed? To find out we studied a visual search task in which participants had to move their hand to shift a window through which they could see the items. The task was to find an O in a circle of Cs. The size of the window and the sizes of the gaps in the Cs were varied. Participants made fast, smooth arm movements between items and adjusted their movements, when on the items, to the window size. On many trials the window passed the target and returned, indicating that the next movement had been planned before identifying the item that was in view.     

Social reactions to adult crying: the help-soliciting function of tears

The authors investigated how people believe they respond to crying individuals. Participants (N = 530) read 6 vignettes describing situations in which they encountered a person who either cried or did not cry. Participants reported they would give more emotional support to and express less negative affect toward a crying person than a noncrying person. However, regression analyses revealed that participants judged a crying person less positively than a noncrying person and felt more negative feelings in the presence of a crying person than a noncrying person. The valence of the situation strongly moderated these reactions. Overall, results support the theory that crying is an attachment behavior designed to elicit help from others.     

Fill the Gap! Combining Pragmatic and Prosodic Information to Make Gapping Easy

Two studies investigated the effects of prosody and pragmatic context on off-line and on-line processing of sentences like John greeted Paul yesterday and Ben today. Such sentences are ambiguous between the so-called ‘nongapping’ reading, where John greeted Ben, and the highly unpreferred ‘gapping’ reading, where Ben greeted Paul. In the first experiment, participants listened to dialogues and gave a speeded response as to which reading of an ambiguous target sentence first comes to mind. In the second experiment, they also responded to a visual probe that was presented during the presentation of the ambiguous target. The results show that context and prosody have independent and strong effects on both on-line processing and off-line interpretation of gapping; in the right combination they can make gapping as easy as the normally preferred nongapping reading.     

Can the distress-signal and arousal-reduction views of crying be reconciled? Evidence from the cardiovascular system

Theorists have staked out two ostensibly opposing views of human crying as either an arousing behavior that signals distress or a soothing behavior that reduces arousal after distress. The present study examined whether these views of crying might be reconciled by attending to physiological changes that unfold over crying episodes. Sixty female students watched neutral and cry-eliciting films while autonomic physiology, including respiratory sinus arrhythmia and pre-ejection period, was assessed. Crying participants exhibited heart rate increases that rapidly subsided after crying onset. Crying onset was also associated with increases in respiratory sinus arrhythmia and slowed breathing. All crying effects subsided by 4 minutes after onset. It is possible that crying is both an arousing distress signal and a means to restore psychological and physiological balance, depending on how and when this complex behavior is interrogated.     

Behavioural treatment of trichotillomania: two-year follow-up results

Post-treatment evaluation studies of behaviour therapy (BT) for trichotillomania (TTM) have shown that BT is successful in reducing symptoms in this impulse-control disorder. The present study was aimed at investigating gain maintenance at long-term follow-up. TTM-related symptoms and other symptom characteristics were evaluated in 28 patients suffering from TTM before and after brief BT and at a 3-month and 2-year follow-up. The manual-based BT consisted of self-control procedures offered in six sessions. Pre-post effect sizes for TTM symptoms at post-treatment evaluation and at the two follow-ups were 2.91, 1.47, and .87. Compared to the post-treatment effects, the 3-month and 2-year follow-up effect sizes had decreased by 49% and 70%, respectively. Better 2-year follow-up results were associated with lower pre-treatment levels of depressive symptoms and with complete abstinence from hair pulling immediately after treatment.