Brief crisis group psychotherapy versus the initial sessions of long-term group psychotherapy: An exploratory comparison

An attempt was made to specify the therapist behaviors characteristic of the brief crisis group (BCG) approach, to assess how patients experience BCG on dimensions of session impact and group climat, and to describe the changes possible from BCG on measures of outcome by contrasting this modality with the initial sessions of traditional long-term therapy groups in a preexperimental design. Data obtained from four eight-session BCGs and three beginning long-term groups (LTG) were used for analyses. Patients were administered the Session Evaluation (SEQ) and Group Climate (GCQ) Questionnaires at the end of each group session. Two judges sat in on each session and coded the types of therapist interventions using the Therapist Behavior Categories (TBC) system. Aspects of self-esteem and symptomatology were assessed as indices of change over the 8-week period in a pre-post fashion. Therapists in BCG evidenced a distinct pattern of interventions during midpoint group sessions (sessions 3–6), placing a greater emphasis on challenging patient perceptions and providing information than their LTG counterparts. The therapists' use of self as an issue in BCG increased as termination approached and apparently served a more limited function than in LTG. Patients in BCG reported a more rapid development of a working group and experienced greater session benefit. Patients in BCG also reported lower levels of conflict and avoidance and a greater decrease in these resistance behaviors. As expected, BCG patients reported substantially greater improvement on most outcome dimensions at the end of the 8-week period. Results are considered as clarifying the approach to and impact of BCG psychotherapy.An earlier version of this paper was presented at the 15th Annual Meeting of the Society for Psychotherapy Research, Lake Louise, Alberta, June 19–23, 1984.     

American women missionaries in the Gulf: Agents for cultural change

Arabia has figured in Western imagination from a very early time, but seldom in neutral terms. For reasons not thoroughly understood, the Arab role in Western thinking has fluctuated between hope and menace, love and hate. While nineteenth‐century Europe saw in Arabia a romantic adventure — an illustration of the Victorian era — nineteenth‐century America viewed it differently. It saw an alternation between the images of the supposedly fanatical Islam that at one time overran the Christian world and a deprived contemporary society in need of Christian aid. Plainly, Western images of Arabia have been more changeable than the conditions of Arab life. Perhaps one reason for this love/hate, menace/hope attitude lies in the fact that Islamic civilization has been the great alternative to Christendom. Being so different and also so distant, Arabia seemed like a cultural incognito, a place where Americans could start their intercultural experience. Nothing would bring them a step closer to their goal than missionary work.     

Attitudes Toward Spirituality and Spiritual Care among Iranian Nurses and Nursing Students: A Cross-Sectional Study

Addressing spiritual needs is taken into account as an integral part of holistic health care and also an important component of nursing practice. The aim of present study is to evaluate attitudes toward spirituality and spiritual care among nurses and nursing students at Semnan University of Medical Sciences in Iran. In this cross-sectional study, all nurses (n = 180) working in the teaching hospitals affiliated to Semnan University of Medical Sciences as well as senior nursing students (n = 50) selected by the census method. Finally, 168 individuals meeting the inclusion criteria were evaluated as the study sample. The data collection instrument was the Spirituality and Spiritual Care Rating Scale. The mean and standard deviation scores of attitudes toward spirituality and spiritual care among nurses and nursing students were 59 ± 10.9, and the scores obtained by the majority of study population (64.3%) ranged between 32 and 62 which were at a moderate and relatively desirable level. Nurses and nursing students working in aforementioned hospitals reported positive attitudes to spirituality and spiritual care. Given the importance of spiritual care and also the moderate level of spirituality and spiritual care among nurses and nursing students in this study, institutionalization of the concept of spirituality, provision of an appropriate context to deliver such care, and also implementation of interventions in order to improve spiritual care along with other nursing skills were assumed of utmost importance.     

The effect of a psycho-educational intervention on weight management in obese military personnel

Obesity is a serious health problem for many population groups, including military personnel. Model-based health education programs have been shown to be effective in reducing weight. This study assessed the efficacy of an educational intervention based on a trans-theoretical model (TTM) targeting weight loss among active duty military. A single group experimental study using a before-after design was conducted in 49 military personnel with obesity. Constructs such as self-efficacy, decisional balance, stages of change, and processes of change as well as anthropometric measures including weight, waist circumference, and body mass index (BMI) were assessed at three times (baseline, 2 months after the intervention, and 4 months later). The intervention consisted of 10 educational sessions developed based on TTM constructs. At baseline, 30 (61%) and 19 (39%) persons were in the pre-action and action stages, respectively. By 2 months after the intervention, only 24 persons (49%) were in pre-action stages and 25 (51%) were in the action stages. Four months later, one (2%) and 43 (88%) were in pre-action and action stages. The mean changes in self-efficacy (25.7 ± 4.1 to 29.3 ± 2.4), decisional balance (9.2 ± 3.6 to 13.8 ± 1.9), total cognitive (74.7 ± 8.5 to 84.7 ± 6.3), and total behavioral change (60.8 ± 9.8 to 71.7 ± 7.8) were significantly different across the three time points. Reductions in weight (99.8 ± 10.4 to 93.0 ± 9.6), waist circumference (105.9 ± 14.2 to 100.2 ± 13.0), and BMI (32.5 ± 5.2 to 30.3 ± 4.5) from baseline to 4 months after the intervention were also significant (p < 0.05). An educational program based on TTM may be effective in reducing weight among obese military staff.     

A Cross-National Study of Family Therapy Training: A Collaborative Pilot Project

We examine family therapy training from the perspective of a sample of 99 family therapists from the United States and another 101 from a total of six countries (Colombia, India, Iran, Indonesia, the Philippines, and two regions of China, mainland China and Taiwan). We compared the responses of the United States sample to that of the other countries, both individually (for trends) and as a combined group. We found differences in training experiences both within and between countries, and discuss the implications of our findings for the continued development of family therapy training and the professionalization of the field in the countries studied.     

Suicide trends in Australia, 1901-1985: an analysis of sex differentials

This paper analyzes trends in the male-female suicide ratio in Australia, using data for the period 1901-1985. The main finding of the paper is that modernization, as measured by an index composed of the female participation rate in the labor force and the urbanization rate, is positively related to the male-female suicide ratio. This is contrary to an earlier finding by Stack and Danigelis (1985), who reported an inverse relationship between these two variables. This finding is shown to be due to the fact that no correction was made for trend. When the data series are corrected for trend, a significant positive relationship is found between modernization and the male-female suicide ratio in Australia. Another finding of the paper is that the female suicide rate in Australia has been falling significantly since the mid-1960s. This is also at variance with Stack and Danigelis's hypothesis that as modernization proceeds, the female suicide rate rises. We discuss reasons for this in the Australian context.     

Documentation: Islam and civil society

Following is the text of a lecture given to The Charlemagne Institute at Westminster School, London, on 26 June 1996. The text is reproduced with the kind permission of His Royal Highness and The Charlemagne Institute.