Affective and behavioral responses to health-related social control.

Social control has the potential to encourage engagement in a healthy lifestyle, but its effectiveness may depend on the nature of the influence attempt. Participants (N = 282) described a situation in which someone attempted to influence their health-related behavior. Experiencing positive social control was associated with a greater tendency to change the behavior and less ignoring/doing nothing, whereas negative social control was associated with a lesser tendency to change the behavior and more hiding of unhealthy behavior. These associations could be accounted for by affective responses to the social control attempts. Results emphasize the need to better understand the regulatory influence of relationships on health behavior and the conditions under which social control is most likely to have health-promoting effects.     

A Combined- Constructionist Therapeutic Approach To Couples Experiencing Erectile Dysfunction: Part I

Marked changes have occurred in the conceptualization and treatment of Erectile Dysfunction (ED) in the past two decades. Emphasis has shifted to the role of biomedical and organic factors using medical and surgical interventions in the etiology of sexual dysfunction, deemphasizing the quality of the overall couple relationship. However, by using only a medical approach, the couple is left with balancing the positive and negative facets of a considerably different relationship with sex now in their lives and their relationship. This paper is Part I of a two part article on erectile dysfunction. Part I presents information on the bio-medical factors that may be related to ED and the medical model treatment approaches. Part II presents information on the psychological and systemic issues that may be related to erectile dysfunction, encouraging the use of a combined-constructionist framework.     

Handling Spirituality/Religion in Professional Training: Experiences of a Sample of Muslim Psychology Students

With increasing research interest in the relationship between spirituality/religion and mental health, the present study uses semi-structured interviews on a select group of Muslim students to explore their understanding and handling of spirituality in a secular training programme. Their understanding of spirituality, its perceived role in therapy and their training experiences are subjected to qualitative analysis using the framework approach (Ritchie & Spencer, 1994. In A. Bryman & R.G. Burgess (Eds), Analysing Qualitative Data. London: Routledge). All five participants perceived spirituality as central to human functioning. Probes into their training experience uncovered issues of bias against religious applicants, apprehension about demonstrating religious commitment, fear of punishment for compromising religious integrity, better rapport with Muslim patients but general uncertainty about handling spiritual issues in therapy, and a strong desire for the integration of spirituality/religion in the program.Cynthia Joan Patel, M.A., is a Lecturer in the School of Psychology at the University of Kwazulu-Natal, Westville Campus, Durban, South Africa. She is a Registered Counselling and Research Psychologist with the Health Professions Council of South Africa). Her research interests include women and religion, attitudes toward abortion, and the meaning of work in women’s lives. Armas E. E. Shikongo, M.A., is a Lecturer in the Department of Psychology at the University of Namibia. His research area is the psychology of spirituality.     

Taxonomy of Spiritual Experiences

Spiritual experiences are often associated with health crises, with little information about the structure of the experience. A taxonomic analysis was conducted on data from a group of healers, unveiling a structural model of spiritual experience comprised of three domains: circumstances, manifestation and interpretation. Circumstances included the aspects of setting, situation, and timing. Manifestation incorporated the modes of awareness and the phenomena of the experience. Components of interpretation included personal meaning and congruence with social norms. The examples reflected the orientation of the study population. Further research could examine the applicability of the taxonomy to other religious or spiritual orientations and may assist in clinical assessment of spiritual experiences.Diane Wind Wardell, Ph.D., R.N.C., H.N.C., C.H.T.P./I., and Joan C. Engebretson, Dr.P.H., R.N., H.N.C., are Associate Professors in the School of Nursing at the University of Texas Health Science Center at Houston. Correspondence to Diane Wind Wardell, Diane.Wardell@uth.tmc.edu.