Religiosity/spirituality and health. A critical review of the evidence for biological pathways

The authors review evidence regarding the biological processes that may link religiosity/spirituality to health. A growing body of observational evidence supports the hypothesis that links religiosity/spirituality to physiological processes. Although much of the earliest evidence came from cross-sectional studies with questionable generalizability and potential confounding, more recent research, with more representative samples and multivariate analysis, provides stronger evidence linking Judeo-Christian religious practices to blood pressure and immune function. The strongest evidence comes from randomized interventional trials reporting the beneficial physiological impact of meditation (primarily transcendental meditation). Overall, available evidence is generally consistent with the hypothesis that religiosity/spirituality is linked to health-related physiological processes--including cardiovascular, neuroendocrine, and immune function--althogh more solid evidence is needed.     

What Do We Tell the Children? Contrasting the Disclosure Choices of Two HD Families Regarding Risk Statusand Predictive Genetic Testing

Above all else, predictive genetic testing provides information. Gaining insight into the psychosocial effects of this information is a primary goal of genetic counseling. For individuals utilizing predictive genetic testing, the acquisition of genetic information requires choices regarding disclosure within the family. This study uses a phenomenological methodology to explore the contrasting choices of two sets of HD parents regarding the disclosure of genetic risk status to their children. Additionally, the children (now adults) discuss their lived experience growing up with contrasting disclosure dynamics, and their current views regarding the use of predictive genetic testing for themselves. The primary finding of this study is that all of the adult children now express preference for early disclosure of genetic risk and an open/supportive communication style regarding HD. This finding has value for clinicians working with HD families who must make decisions regarding disclosure issues related to predictive genetic testing.     

A critical evaluation of visually moderated phonetic context effects

Fowler, Brown, and Mann (2000) have reported a visually moderated phonetic context effect in which a video disambiguates an acoustically ambiguous precursor syllable, which, in turn, influences perception of a subsequent syllable. In the present experiments, we explored this finding and the claims that stem from it. Experiment 1 failed to replicate Fowler et al. with novel materials modeled after the original study, but Experiment 2 successfully replicated the effect, using Fowler et al.'s stimulus materials. This discrepancy was investigated in Experiments 3 and 4, which demonstrate that variation in visual information concurrent with the test syllable is sufficient to account for the original results. Fowler et al.'s visually moderated phonetic context effect appears to have been a demonstration of audiovisual interaction between concurrent stimuli, and not an effect whereby preceding visual information elicits changes in the perception of subsequent speech sounds.     

Perceptual effects of preceding nonspeech rate on temporal properties of speech categories

The rate of context speech can influence phonetic perception. This study investigated the bounds of rate dependence by observing the influence of nonspeech precursor rate on speech categorization. Three experiments tested the effects of pure-tone precursor presentation rate on the perception of a [ba]-[wa] series defined by duration-varying formant transitions that shared critical temporal and spectral characteristics with the tones. Results showed small but consistent shifts in the stop-continuant boundary distinguishing [ba] and [wa] syllables as a function of the rate of precursor tones, across various manipulations in the amplitude of the tones. The effect of the tone precursors extended to the entire graded structure of the [w] category, as estimated by category goodness judgments. These results suggest a role for durational contrast in rate-dependent speech categorization.     

Quantitative research on the primary process: method and findings

Freud always defined the primary process metapsychologically, but he described the ways it shows up in dreams, parapraxes, jokes, and symptoms with enough observational detail to make it possible to create an objective, reliable scoring system to measure its manifestations in Rorschach responses, dreams, TAT stories, free associations, and other verbal texts. That system can identify signs of the thinker's efforts, adaptive or maladaptive, to control or defend against the emergence of primary process. A prerequisite and a consequence of the research that used this system was clarification and elaboration of the psychoanalytic theory of thinking. Results of empirical tests of several propositions derived from psychoanalytic theory are summarized. Predictions concerning the method's most useful index, of adaptive vs. maladaptive regression, have been repeatedly verified: People who score high on this index (who are able to produce well-controlled "primary products" in their Rorschach responses), as compared to those who score at the maladaptive pole (producing primary-process-filled responses with poor reality testing, anxiety, and pathological defensive efforts), are better able to tolerate sensory deprivation, are more able to enter special states of consciousness comfortably (drug-induced, hypnotic, etc.), and have higher achievements in artistic creativity, while schizophrenics tend to score at the extreme of maladaptive regression. Capacity for adaptive regression also predicts success in psychotherapy, and rises with the degree of improvement after both psychotherapy and drug treatment. Some predictive failures have been theoretically interesting: Kris's hypothesis about creativity and the controlled use of primary process holds for males but usually not for females. This body of work is presented as a refutation of charges, brought by such critics as Crews, that psychoanalysis cannot become a science.     

First impressions online: The inclusion of transgender and gender nonconforming identities and services in mental healthcare providers' online materials in the USA

Background: When accessing mental healthcare services, transgender and gender nonconforming (TGNC) individuals face systemic barriers to gender-affirmative care. Initial points of contact, like intake forms, may show limited consideration for the heterogeneity of TGNC identities and can lead to negative consequences prior to face-to-face interaction with providers. Aims: The first aim was to mimic a likely pathway a TGNC individual may follow to seek mental healthcare services in the USA and to describe the extent to which they may encounter enacted stigma or affirmative messages that may impede or facilitate access to care. The second aim was to determine if a positive State legal climate for TGNC people was associated with more affirmative provider materials. Methods: Content analysis was used to examine a national sample of websites and intake forms of mental healthcare providers who advertise online as working with TGNC clients. Intake forms were coded for usage of affirmative language in gender/sex questions and including questions for a client's pronouns and preferred name. Websites were coded for mentioning a variety of services or resources for TGNC clients. Results: While provider websites were found through Google searches for a “gender therapist,” only 56.6% of websites stated a provider specialty to work with TGNC clients and 32.1% of websites had no mention of services or resources for TGNC people. Additionally, a significantly larger proportion of intake forms from States with legal protections for TGNC people used affirmative language in gender/sex questions and asked for a client's pronouns than intake forms from States without legal protections. Discussion: Barriers to affirmative healthcare for TGNC people within patient and provider interactions have been identified in previous research and these data show TGNC individuals may face enacted stigma even in their search for a provider, particularly those TGNC people living in States without legal protections.     

Student counsellors’ experiences of mindfulness as a component of their person-centred counselling training: An interpretative phenomenological analysis

Aim

Mindfulness is increasingly integrated into counselling and psychotherapy practices, as well as being introduced to students in academic institutes with the aim of supporting them to balance the responsibilities of academic study, placements and other commitments alongside university life. Despite mindfulness routinely finding its way into counselling settings and being incorporated into counsellor training, there has yet to be any research conducted to explore the experience of student counsellors who have received mindfulness as a part of their undergraduate person-centred training. This study explored the reflections of counsellors who had attended a mindfulness module during the first year of a counselling degree.

Design

Six students completing a university-based undergraduate degree in Counselling and Psychotherapy in the North-West of England, in the UK, participated in the research. The study consisted of two students from each of the three years of the programme. Participants individually attended a semi-structured interview to explore their experiences of mindfulness as a mandatory module of their training in person-centred counselling. Interpretative phenomenological analysis (IPA) was used to analyse the generated data.

Findings

Four superordinate themes were generated: 1) becoming a counsellor, 2) person-centred mindfulness, 3) time, and 4) learning and development.

Discussion

Experiential themes were explored including the process of professionalism, vulnerability, embodiment of person-centred theory and the core conditions and the conflict of approach.

Conclusion

Recommendations are made for mindfulness to be included in counselling training programmes with a person-centred focus. Suggestions for further research include longitudinal studies to follow the development of trainees over time.     

The Religion–Health Connection Among African Americans: What Is the Role of Social Capital?

Researchers have expressed growing interest in factors that may explain the relationship between religious involvement and health‐related outcomes. Faith‐based organizations are a significant institution in African American communities, both serving religious/spiritual needs and providing an important source of social capital. These communities often suffer a disproportionate burden of health conditions as well. The present study examined the role of social capital (social support, interconnectedness, and community participation) in the relationship between religious involvement (beliefs and behaviours) and physical and emotional functioning and depressive symptoms, among a national probability sample of African Americans (N = 803). Participants completed telephone interviews. We used structural equation modelling to test hypotheses based on the theoretical model. Results indicate that interconnectedness played a modest mediational role in the relationship between religious behaviours/participation and depressive symptoms. Interconnectedness was predictive of fewer depressive symptoms and marginally with better emotional functioning. Findings highlight the importance of trust in and commitment to one's community for health and have implications for community‐based health promotion initiatives. Copyright © 2014 John Wiley & Sons, Ltd.