Integration of Spiritual Care in Hospital Care System in Iran

There is a growing body of evidence on the positive effects of religion and spirituality on recovery from cancer and the ability to cope with it. Most spiritual interventions carried out in Iranian research are based on care and support models that have been developed in the West. With the unique cultural and religious features of the Iranian context, a more refined look at spiritual care in the hospital care system of Iran is called for. This paper examines how to implement the spiritual care of cancer patients in hospitals and oncology wards in Iran. A consensus panel of experts was used to develop guidelines for spiritually integrated care consisting of 18 primary areas, which are described in detail in this report. Health care policy makers and managers of health care in Iran and possibly other areas of the Middle East should consider implementing these guidelines. Using indigenous models and programs specific to the religion and the cultural of a region should be considered when providing spiritual care for cancer patients.

     

Long-term consequences of childhood physical and psychological maltreatment

This study assessed whether some of the correlates of learned helplessness—depression, low self-esteem, and a maladaptive attributional style—are long-term consequences of child abused. In this study, 260 subjects were identified as physically abused, psychologically abused, both physically and psychologically abused, or nonabused, based on responses to the Child Abuse Questionnaire (CAQ). Subjects were tested for levels of nonclinical depression via the Beck Depression Inventory (BDI), for levels of self-esteem via the Rosenberg Self-Esteem Scale (RSE), and for the adaptiveness of attributional style via the Attributional Style Questionnaire (ASQ). It was hypothesized that each of the three abuse groups would differ from the control group on the three dependent measures; differences among the three abuse groups were also explored. Three one-way analyses of variance indicated that (1) BDI scores reflected a greater tendency toward depression in subjects reporting both types of abuse than in nonabused subjects or in subjects reporting either psychological or physical abuse, (2) subjects reporting psychological abuse only or both psychological and physical abuse showed lower self-esteem than did nonabused subjects, and (3) abused subjects did not seem to exhibit a more maladaptive attributional style than that of nonabused subjects. In addition, multiple linear regression analyses pointed to psychological abuse as a critical variable in predicting levels of depression, self-esteem, and attributional style, when physical abuse effects were controlled. Controlling for the effects of psychological abuse, however, indicated that physical abuse did not significantly contribute to the variance in these variables. Implications for the learned helplessness model and for future research are discussed. © 1992 Wiley-Liss, Inc.     

Why Colours Do Look Like Dispositions

In recent years philosophers such as Paul Boghossian, David Velleman and Colin McGinn have argued against the view that colours are dispositional properties, on the grounds that they do not look like dispositional properties, and in particular that they are not represented in visual experience as dispositions to present certain kinds of appearances. Rather colours are represented as being these appearances, i.e., simple, non-dispositional properties. I argue that a proper understanding of how visual experiences represent physical objects as being coloured shows that colours do look like dispositions. In particular, I argue that if visual experiences are to represent properties as properties of physical objects, they must distinguish between these properties and their appearances, and thus cannot represent such properties as colours as being identical with their corresponding appearances.     

Can Rational Emotive Behavior Therapy Lead to Spiritual Transformation? Yes, Sometimes!

When possible, Rational Emotive Behavior Therapy (REBT) has always aimed for thorough-going philosophic change. It instructs people to transform their fundamental approach to life and shows them how to become (1) less prone to disturbance and (2) active seekers of that which, for them, constitutes the zoom of living. Rather than spend time telling people the meaning of life, REBT shows them how they may more frequently, more intensely and for longer periods of time have the experience of full and deep living. By doing so, REBT can well be seen as a source of spiritual transformation.     

The Epistemological Problem of Relativism – Reply to Olson

Philosophical Studies -     

Strategy for Dualism

Dualists need to change their argumentative strategies if they wish to make a plausible case for dualism. In particular, dualists should not merely react and respond to physicalist views and arguments; they need to develop their own positive agenda. But neither should they focus their energies on constructing a priori arguments for dualism. Rather, dualists should acknowledge that what supports their view that consciousness exists and is a nonphysical phenomenon is observation, not argumentation. What is needed is a positive account of the nature of consciousness and the indispensable role that it plays in our lives, for it is only by showing the explanatory utility of the nonphysical that dualists can begin to discredit those who would deny its existence. In this paper, I try to give some idea of what such a positive theory of consciousness would look like. In particular, I argue for a theory of consciousness that contains a priori synthetic truths about the ontological nature and causal powers of consciousness.     

Sex differences in professional help seeking among adult black Americans

This paper provides baseline data on sex differences in the use of professional help for serious personal problems in a nationally representative sample of adult black Americans. Bivariate analyses revealed that women had higher levels of psychological distress and were significantly more likely to seek professional help than were men. They were also more likely to utilize physicians and social service agencies. The relationship of gender to these help resources remained significant even when the effects of problem severity and differential problem definition were taken into account. Controlling for income, however, eliminated the sex difference for social services use but not for physician use.     

A group analytic contribution to family therapy

This paper represents an attempt to add to the conceptual and technical repertoire of family therapy by drawing on experiences derived from group analytic practice. Despite many theoretical points of intersection, there are significant differences in technique dictated by an evolving experience with two fundamentally different types of group. This paper sets out the core concepts of group analysis, compares them with related concepts in family therapy and aims to achieve a synthesis of group analytic family therapy, which, though sharing matters of language and theory with many schools of family therapy, provides in its total conception a unique perspective on family therapy.