Religion and the Survival of 1010 Hospitalized Veterans

Objective: To examine the effects of religious affiliation and religious coping on survival of acutely-hospitalized medically-ill male veterans following discharge. Sample and Methods: Between 1987 and 1989, comprehensive psychosocial and physical-health evaluations were performed on a consecutive sample of 1010 patients ages 20–39 and 65–102 years admitted to the general medicine and neurology services of the Veterans Administration (VA) Medical Center in Durham, North Carolina. Religious affiliation and religious coping (the degree to which a patient relied on his religious faith for comfort and strength) were among the variables assessed. Subjects or surviving family members were contacted by telephone in 1996–97 to determine vital status; dates of death were confirmed by the Veterans Administration's Beneficiary Identification and Records Locator Subsystem (BIRLS), death certificate, or the National Death Index. Cox proportional-hazards regression was used to model the effects of religious variables on time to death, controlling for demographic, social, psychiatric, and physical-health covariates. Results: Follow-up was obtained on all 1010 patients. During the observation period, 673 patients died. While a higher proportion of conservative Protestants than members of other religious groups died during this time (70.5% vs. 64.3%, p = .04), the association disappeared once covariates were controlled. Religious coping was unrelated to survival in both bivariate and multivariate analyses (hazard ratio 1.00, 95% CI 0.99–1.01). Conclusions: Neither religious affiliation nor dependence on religion as a coping behavior predicted survival in this sample of medically-ill male veterans. Several reasons for the absence of an effect are explored, notably the fact that the mortality force exerted by age, medical diagnosis, and severity of physical-health problems overwhelmed the weaker effects of psychosocial variables.     

Ethical ideology, animal rights activism, and attitudes toward the treatment of animals

In two studies, we used the Ethics Position Questionnaire (EPQ) to investigate the relationship between individual differences in moral philosophy, involvement in the animal rights movement, and attitudes toward the treatment of animals. In the first, 600 animal rights activists attending a national demonstration and 266 nonactivist college students were given the EPQ. Analysis of the returns from 157 activists and 198 students indicated that the activists were more likely than the students to hold an "absolutist" moral orientation (high idealism, low relativism). In the second study, 169 students were given the EPQ with a scale designed to measure attitudes toward the treatment of animals. Multiple regression showed that gender and the EPQ dimension of idealism were related to attitudes toward animal use.     

The Effectiveness of Career Development Seminars on African American Premedical Students: A Program Evaluation Using the Medical Career Development Inventory

The authors examined the impact of a structured career planning program on the career maturity scores of 61 African American premedical students as measured by the Medical Career Development Inventory.     

Perceptual enhancement of tumor targets in chest X-ray images

Under tachistoscopic viewing conditions, precuing the location of potential lung tumorlargets in chest X-ray images was less effective than precuing followed by bounding the region of interest (ROI) with a circle directly on the image. Detection performance increased as the image was systematically masked so that its size approximated that of the circled ROI. When viewing time was extended to allow shifts in eye position, circling the ROI was found to restrict the dispersion of fixations and increase the accuracy of fixating the target tumor. When targets were placed outside the ROI, the circle inhibited their detection relative to detection of targets inside the circled region. These findings suggest that cuing by circling restricts target detection to the ROI, and by doing so reduces the interfering effects of outside distractors that compete with the target for attention.     

Clinical considerations in the conjoint use of the Rorschach and the MMPI

Contemporary clinical and research findings concerning the Rorschach and the Minnesota Multiphasic Personality Inventory (MMPI) indicate that (a) objectivity and subjectivity are relative and not categorical dimensions of these two instruments; (b) apparent contradictions between Rorschach and MMPI results are generative and not invalidating; (c) within limits, false negative findings are not cause for concern in the clinical application of Rorschach and MMPI variables; and (d) differences between the Rorschach and the MMPI in how they are structured and what they measure demonstrate considerable advantage in using them in complementary fashion to support clinical inferences.     

A lutheran pastor

Articles

A lutheran pastor     

Experiential Group Psychotherapy Supervision

Following a review of various traditional models of supervising group therapy, an experiential model of supervising group in a group setting is presented. The model stresses the group aspect of the supervisory process, encourages group interaction, here-and-now responses and associations, and employs concepts from both object relations and group-as-a-whole theory to understand what is taking place. The model's premise is that case material presented in a supervision group stimulates parallel material in supervisees, which is then used to elucidate what has taken place in the therapy group being presented. Excerpts from one supervisory group are used to illustrate major features of the model.     

MARITAL SATISFACTION AND DEPRESSION:

Abstract— A sample of 150 recently married couples provided data egarding marital satisfaction and depressive symptoms. Approximately 18 months later, 116 of these couples provided complete information on marital satisfaction and depression once again. The data were examined using three sets of causal models, which yielded converging results. For men, causal paths emerged from depression to marital satisfaction, whereas for women causal paths were from satisfaction to depression. The results are discussed in relation to the marital discord model of depression.