Spiritual support for caregivers of dementia patients

Dementia is considered the major psychiatric disorder of old age and affects over 4 million people in the United States. As Alzheimer's disease and other dementias progress, the patient can become increasingly dependent on the family for care. This dependency can place the caregiver in a role that is both difficult and demanding. In this study coping strategies used by family caregivers of dementia patients and caregivers' sense of burden were assessed. Burden scores were significantly correlated with spiritual support, an external coping strategy. When spiritual well-being is integrated with medical and psychosocial needs, the clergy and spiritual community can play an integral role in the care for families and dementia patients.     

Energy and psychical pain

Several relationships between energy and psychical pain are developed in this paper. These concepts are a-structural and existential in spirit, although developed in the framework of some analytic formulations on personality. A key concept developed is that the nature of psychical pain is determined, in part, by the manner in which the state of psychical energy associated with the pain departs from a given healthy ideal.     

A reappraisal of Teresa of Avila's supposed hysteria

This essay offers a reassessment of Teresa's severe seizures which were such a characteristic feature of her mysticism. The diagnosis of hysteria is no longer viable, at the very least given its abandonment by clinicians. An alternative analysis is developed by phenomenologically comparing Teresa's seizures to parallel experiences of subjects in LSD-assisted psychotherapy. Using Stanislav Grof's categories, it is argued that Teresa's seizures are perinatal symptoms. As such, they represent the emergence and reintegration of extremely primitive psychological systems and might be described as the growing pains of transpersonal consciousness. They reflect not degenerative psychopathology but progressive movement toward higher states of consciousness.He has published articles in the fields of metaphor and the psychology of mysticism. An earlier version of this paper was presented at the national meeting of the American Academy of Religion in New York in 1982.     

The escape-to-Israel syndrome: Variations on the geographic cure

The author conceptualizes a pattern of thought and behavior that can be called the escape-to-Israel syndrome. This pattern is a contemporary variety, appearing primarily in the Jewish population, of the geographic cure: that is, one can solve one's personal dilemmas by moving from one place to another. The syndrome is characterized by a tendency to idealize life in Israel. This idealization, and the viewers' fantasy of their own future in Israel, deflect solid confrontation with genuine personal problems. If, in fact, they do move to Israel, they may experience shock and trauma at the gap between expected reality and the discovered one. This may only compound their emotional difficulties.The author wishes to express his gratitude to Professor Shamai Davidson, Clinical Director of the Shalvata Mental Health Center, Hod HaSharon, Israel, for his critical comments during the preparation of this article.     

Stressful events and coping responses among older adults in two sociocultural groups

In this study of the way 32 men and women between the ages of 60 to 90 coped with stressful situations, two instruments were used: the Life Experiences Survey and the Ways of Coping Checklist. Overall, health-related concerns were more frequently reported by older adults than any other stressful event. When coping responses were categorized according to four modes--intrapsychic, inaction, direct action, and information seeking--the Appalachian group was found to use the information-seeking mode; the Cherokee group, the intrapsychic mode. Significant differences were found between males and females in coping modes and life-stress categories. When groups were combined, significant correlations were noted between life stress, particularly health-related stress, and the coping modes of intrapsychic and information seeking.     

Characteristics of dropouts, remainers, and refusers at a psychosocial rehabilitation program for the chronically mentally disabled

Thirty-eight chronically mentally disabled patients who were invited to join a newly established, vocationally oriented, day treatment program in Raleigh, North Carolina, served as subjects. We attempted to determine whether demographic and psychosocial characteristics significantly differed among groups of clients who dropped out of, remained in, or refused membership in this community-support program. A variety of demographic, expectancy, psychological, and psychosocial measures were administered to each subject. Most significant was the finding that the subjects' perceived level of help and support from friends was a significant determinant of the level of program participation. Those subjects who refused to participate (refusers) perceived themselves as receiving proportionately less support than did members of the other two groups (dropouts and remainers).     

A supervision approach for teaching structural/strategic therapy in a limited setting

Many counselors are currently undergoing a Kuhnian paradigm shift from linear models of behavioral problem conceptualization to systemic conceptual models. As a result, it has become incumbent on counselor-educators to introduce the systems concept of family therapy to their students within a framework that renders it meaningful not only intellectually but also practically. This paper presents one way of doing this successfully with master's level counselors-in-training who have no live families on which to practice. An overview of systems approaches to family therapy is presented along with a seven-stage supervision approach for teaching structural/strategic therapy in limited situations where the supervision of live families is not practical or possible.     

The physician as priest,revisited

Despite much resistance from the medical profession, the notion persists in our culture that the physician plays a priestly role. Medical resistance must be taken seriously. It stems from legitimate concerns that the priestly role implies an unwelcome broadening of medical responsibilities, expectations of moral expertise, and being on the receiving end of people's most intense existential hopes. On the other hand, the nature of illness and healing makes it inevitable that physicianswill take on ministerial functions in their medical work. This essay attempts to recover the notion of the physician as priest on the basis of theological and religious reflection on the nature of ministry and pastoral care.