Opening up the circle: next steps in process group work in Clinical Pastoral Education (CPE)

This article applies systems-centered theory (SCT) to the small process group experience in Clinical Pastoral Education (CPE) by exploring six key questions: 1) What is the purpose of the small process group in CPE? 2) Is there an alternative to getting stuck in the "hot seat" dynamic? 3) Do we (clergy) always have to be nice? 4) Is there life beyond personal story telling? 5) Does the authority issue ever go away? 6) How much difference is too much difference? The article includes vignettes to illustrate theory.     

Dichotic Perception of Mandarin Tones by Chinese and American Listeners

The dichotic perception of Mandarin tones by native and nonnative listeners was examined in order to investigate the lateralization of lexical tone. Twenty American listeners with no tone language background and 20 Chinese listeners were asked to identify dichotically presented tone pairs by identifying which tone they heard in each ear. For the Chinese listeners, 57% of the total errors occurred via the left ear, indicating a significant right ear advantage. However, the American listeners revealed no significant ear preference, with 48% of the errors attributable to the left ear. These results indicated that Mandarin tones are predominantly processed in the left hemisphere by native Mandarin speakers, whereas they are bilaterally processed by American English speakers with no prior tone experience. The results also suggest that the left hemisphere superiority for native Mandarin tone processing is similar to native processing of other tone languages.     

Social Control of Health Behaviors in Marriage1

Married couples (N= 69) reported on their use of social control strategies in attempting to modify each other's health behaviors, as well as their affective and behavioral responses to experiencing health‐related social control. Experiencing more negative social control was associated with the tendency to engage in potentially health‐compromising behaviors, whereas experiencing positive social control was associated with attempts to engage in the desired behavior. Most associations between experiencing social control and the target's behavioral responses could be accounted for, at least partially, by the target's affective responses to the social control attempts. These results suggest that current conceptualizations of the health‐relevance of social control are in need of revision. Implications of these results for social control measurement and theory are discussed.     

Development and Risk Behavior Among African American, Caucasian, and Mixed-race Adolescents Living in High Poverty Inner-city Neighborhoods

Youths growing up in low-income inner-city neighborhoods are at substantial risk for initiating substance use, violent behavior, and sexual intercourse at early ages; these risk behaviors continue at comparatively high rates through adolescence. Hopelessness has been implicated as a risk factor for these behaviors. In this paper, we consider how race influences this process. African Americans form a demographic minority within the United States, but they are often the majority within inner-city neighborhoods. For Caucasians, the opposite typically holds. Mixed-race populations form a minority within both contexts. Using longitudinal data, we examine the relationship between race and risk behaviors in several impoverished inner-city neighborhoods where African Americans form the distinct majority and Caucasians and people of mixed racial heritage form a small minority. We also consider how race moderates the relationship between hopelessness and risk behavior. Our findings show that compared to Caucasian or mixed-race adolescents, African American adolescents are less likely to engage in risk behaviors, and that hopelessness has a less important impact on their behaviors.     

Increased use of safety-seeking behaviors in chronic back pain patients with high health anxiety

Many patients with chronic pain also exhibit elevated levels of health anxiety. This study examined the effect of health anxiety on the use of safety-seeking behaviors (SSBs) in pain-provoking situations. Participants were 20 chronic back pain patients with high health anxiety (Group H), 20 with low health anxiety (Group L) and 20 pain-free controls (Group C). Two physical tasks were video recorded, and compared both for overt pain behavior (identified by blind observers following a standardized procedure) and for the occurrence of SSB (identified by showing the participants video playback and asking them to specify motivation for all actions/behaviors displayed during the tasks). While there were no differences in the display of overt pain behaviors, Group H deployed a greater number of SSBs than Groups L and C. This finding held true for both tasks and remained significant when concurrent pain and mood ratings were statistically controlled for. SSB was correlated with catastrophizing thoughts but not pain intensity; pain intensity was correlated with overt pain behavior but not catastrophizing. Taken together, these findings suggest that SSB is distinct from overt pain behavior and may be a defining characteristic of chronic pain patients reporting high levels of health anxiety.     

Learning from experience in case conference: A Bionian approach to teaching and consulting

In case conferences as well as didactic seminars, the power of the group can bring psychoanalytic education to life. However, primitive anxieties activated by group dynamics may also interfere with teaching and learning. The authors offer the example of a stalemated private practice case conference that had unconsciously organized against learning as the members began to read Bion's work. The case conference leader, an analyst, presented her case conference, which was mired in basic assumption dependency dynamics, to our peer consultation group. Drawing upon Bion's early contributions on groups, as well as his later ideas about thinking and mental growth, the peer group facilitated the case conference's return to work-group functioning and learning from experience. Activated in the peer group, commensal container↔contained processes gradually spread throughout the entire relational system of peer group, case-conference leader, case-conference members, and patients. This example underscores the importance of promoting within our institutes a culture in which faculty view themselves as part of an evolving intersubjective matrix that works to foster the containing capacities of candidates, patients, and faculty alike.