Revelation,delusion or disillusion: subjective interpretation of religious and spiritual experiences in bipolar disorder

The objective of this study is to explore the interpretation of religious and spiritual experiences during mania, depression and recovery, from the perspective of bipolar clients and to inquire into their expectations of treatment in relation to these experiences. For this purpose, a qualitative pilot study is designed, which includes interviews with 10 outpatients of Altrecht, a Dutch mental health institution. The meaning of religious and spiritual experiences and the question of their authenticity proved to be an important theme for the participants. The support of spirituality for illness management was brought to the fore, as well as the temporary lack of this support during depression by some participants. Participants considered it desirable that more attention be paid to the topic during treatment, and to establish better cooperation between spiritual counsellors of the institution and other professionals. Thus, a more existential or hermeneutical approach towards religious experiences in relation to bipolar disorder would be a desirable contribution to standard treatment. The exact outlines of such an approach demand more empirical research.     

Religious and national group identification in adolescence: A study among three religious groups in Mauritius

Religious group identification is an important but understudied social identity. The present study investigates religious group identification among adolescents of different faiths (Hindu, Muslim, Christian) living in multicultural Mauritius. It further explores how religious and national group identities come together among religious majority and minority adolescents. For three age groups (11 to 19 years, N = 2152) we examined the strength of adolescents’ religious and national group identification, the associations between these two identities, and the relationships to global self‐esteem. Across age and religious group, participants reported stronger identification with their religious group than with the nation. Identification with both categories declined with age, with the exception of Muslims, whose strong religious identification was found across adolescence. The association between religious and national identification was positive, albeit stronger for the majority group of Hindus and for early adolescents. We examined the manner in which religious and national identities come together using a direct self‐identification measure and by combining the separate continuous measures of identification. Four distinct clusters of identification (predominant religious identifiers, dual identifiers, neutrals, and separate individuals) that were differently associated with global self‐esteem were found. Dual identifiers reported the highest level of global self‐esteem. The clusters of identification did not fully correspond to the findings for the direct self‐identification measure. The results are discussed in terms of the meaning of dual identity and the positive manner in which adolescents can manage their multiple identities while taking into account the ideological framework in which those identities are played out.     

Development of Family Therapy in Hong Kong

This paper provides an insight into the development and growth of family therapy in Hong Kong. Family therapy was introduced in Hong Kong in the early 1980s and is now gaining ground. The authors give a historical account of the development of family therapy in Hong Kong, and report on its progress and achievement for the past three decades there. The field has gone through several stages of development. The 1980s were marked by an importation of Western family therapy models, during which overseas expertise was tapped to promote family therapy. The 1990s were characterized by a blossoming of different schools of family therapy on the local scene. Most schools established their own practice centers, and training packages were tailor-made for local use. The 2000s were an important era of family therapy development in Hong Kong. The field has nurtured a new generation of leaders (both academics and front-line practitioners and trainers) who play an essential role in advancing its development. The paper concludes by identifying problems in clinical practice, professional training, and research and knowledge development, and proposes ways of overcoming these difficulties.     

Changes in Developmental Contexts as Predictors of Transitions in HIV-Risk Behaviors Among Young Men Who Have Sex with Men (YMSM)

Emerging adulthood is a transitional time often marked by instability in many areas of life, including residential status, work, school, and romantic relationships. The purpose of this study is to examine transitions in HIV-risk related behaviors among a cohort of ethnically-diverse young men who have sex with men (YMSM) and to reveal how changes in developmental contexts during emerging adulthood might be associated with these behavioral changes. Hidden Markov models were used to examine movement across different stages of behavioral risk-taking over time. Semi-annual surveys were administered across 2 years; analyses included those with at least three of the five waves of data. Results indicated substantial movement at the individual-level transitions. Additionally, high variability in sexual risk, alcohol misuse, and illicit drug-risk behaviors was predicted by age, ethnicity, and correlates of emerging adulthood, such as residential status, work, post-secondary school enrollment, and primary-relationship status. Findings provide evidence of great change in risky behaviors among YMSM during this pivotal time, particularly among those who actively experiment in varying levels of risk-taking. In order to prevent experimental behaviors from evolving into more serious risk, interventions must consider ways to assist YMSM to adjust to life changes brought on by emerging adulthood.     

Social skills and social phobia: An investigation of DSM-IV subtypes

Social phobia is characterized as pervasive social timidity in social settings. Although much is known about this disorder, aspects of its clinical presentation remain unexplored, in particular characteristics that distinguish the generalized and non-generalized subtypes. For example, it remains unclear whether patients with the non-generalized subtype display social skills deficits in social interactions, and if so, are these deficits clinically, as well as statistically, significant? In this study, adults with either the non-generalized (NGSP; n = 60) or generalized (GSP; n = 119) subtype of social phobia and adults with no psychological disorder (n = 200) completed an extensive behavioral assessment of social skill and social anxiety. As expected, adults with NGSP and GSP reported equal distress and displayed similar rates of avoidance during an Impromptu Speech Task when compared to adults with no disorder. In contrast, the three groups were distinctly different when interacting with another person in various social situations. Adults with NGSP displayed social skill deficits when compared to individuals with no disorder, but they had fewer deficits than the GSP subtype. However, the identified skill deficits were clinically as well as statistically significant only for the GSP subtype. The results are discussed in terms of the contribution of skill deficits to the conceptualization and treatment of social phobia.     

Trends in Publication of Spirituality/Religiosity Articles in Critical Care Populations

Research on spirituality and religion (S/R) is receiving more attention as healthcare staff recognize the importance of treating the whole person. This is especially pertinent in critical care, where patients and families deal with a multitude of issues. As not all research comes exclusively from theologically educated authors, this study explored publication trends of S/R articles in critical care. Findings indicated medically credentialed professionals, not chaplains and/or pastoral care staff, constituted the majority of authors in S/R articles.     

It could have been better: The effects of counterfactual communication on impression formation

While research on counterfactuals has closely examined the psychological antecedents and consequences of thinking counterfactually (imagining alternatives to past events), little is known about the effects of counterfactual communication, and in particular, how such thoughts are interpreted by others. In this paper, I argue that counterfactual communication differentially affects impressions formed of speakers by receivers depending on the general content of the counterfactual. Findings from an archival study and a scenario study demonstrated convergent results: Individuals who communicated upward counterfactuals (thoughts of how things could have been better) were more positively perceived by receivers than were individuals who communicated downward counterfactuals (thoughts of how things could have been worse). This difference stemmed from an enhancement effect of upward counterfactuals. Further analysis revealed that the relationship between counterfactual communication and impression formation was mediated by receivers' perceptions of the extent to which speakers took responsibility for their actions. Copyright © 2009 John Wiley & Sons, Ltd.     

Development and Psychometric Evaluation of the Suicide Anger Expression Inventory—28

We conducted 4 studies to develop and cross-validate scores on a multidimensional self-report measure of suicide and anger expression, the Suicide Anger Expression Inventory-28 (SAEI-28). The SAEI-28 evaluates Suicide Rumination, Maladaptive Expression, Reactive Distress, and Adaptive Expression with 7 content specific items each. Participants were between ages 14 and 47 years old. Study 1 developed a pool of content relevant and representative items for the new inventory. Study 2 explored potential domains of the SAEI-28 items, evaluating preliminary estimates of internal consistency reliability. Study 3 examined specific structures of the SAEI-28 items and scale reliability. Study 4 evaluated the fit of the oblique 4-factor model to 2 alternative solutions. Support was found for estimates of internal consistency reliability for the scales. Criterion-related validity and potential correlates for the SAEI-28 scales were also assessed.