Children as Mystics, Activists, Sages, and Holy Fools: Understanding the Spirituality of Children and Its Significance for Clinical Work

This article explores children's spirituality and its significance for health care providers seeking to provide “spiritually competent care” of children amidst religious and spiritual diversity. Four metaphors of different spiritualities evidenced among children are explored: mystics, activists, sages, and holy fools. The article addresses issues clinicians face such as the problem of defining spirituality in relation to religion, and countertransference around religious and spiritual matters. Current research shows that spiritual and religious involvements constitute positive factors promoting resiliency and health in children. James W. Fowler's theory of faith development facilitates an exploration of questions concerning how children develop a belief system, leading to a view of children's spirituality as multidimensional. This article preserves the less formal conversational style of an earlier version's presentation in Grand Rounds at the UCLA Medical Center's Neuropsychiatric Hospital on December 10, 2003.     

Uncanny Resonances: A Discussion of “Did You Say He Has a Hitler Mustache?: Analytic Vulnerability and Destabilization in the Face of Trauma”

Silverman’s moving essay is replete with vulnerability and uncanny resonances. I try to enter her experience and imagine its possible meaning and impact on Silverman and then on me, as discussant. Finally, I play with Silverman’s clinical material and explore the potential consequences of other ways of moving in the therapeutic moment. When can we usefully engage our experience (in general) and of the uncanny (in particular) with our patient? What factors (theoretical and personal) might inform our choice to self-disclose or contain? Rather than privileging either way of working, I suggest that there’s an upside and an underbelly to every clinical move—to holding, to self-disclosure, to the mutual analysis of enactments, and to neutral interpretation and imagine some of these clinical consequences.     

Using career counselling with group life design principles to improve the employability of disadvantaged young adults

This article explores the effects of group life design counselling on unemployed young adults’ career adaptability skills. Purposive and criterion sampling were used to select 62 participants involved in a skills programme (mean age = 24.86 years, SD = 6.38 years). A quasi-experimental pre-test/post-test comparison group-design, embedded in an intervention framework, was used to gather data. Intervention occurred in the quasi-experimental group. Paired t-tests were used to compare the difference between the pre- and post-test scores obtained on the Career Adapt-Abilities Scale (CAAS). The scores on career concern and career control, as well as the total score on the CAAS, of the quasi-experimental group increased after the intervention. The results suggest that group career counselling interventions with life design principles enhanced the career adaptability in participants as a core element of employability. Future research should focus on more longitudinal research and tracing the long-term progress of participants to establish the value of the approach for diverse clients in (individual and) group contexts.     

An experimental examination of the effects of alcohol consumption and exposure to misleading postevent information on remembering a hypothetical rape scenario

We experimentally examined the effects of alcohol consumption and exposure to misleading postevent information on memory for a hypothetical interactive rape scenario. We used a 2 beverage (alcohol vs. tonic water) × 2 expectancy (told alcohol vs. told tonic) factorial design. Participants (N = 80) were randomly assigned to conditions. They consumed alcohol (mean blood alcohol content = 0.06%) or tonic water before engaging in the scenario. Alcohol expectancy was controlled by telling participants they were consuming alcohol or tonic water alone, irrespective of the actual beverage they were consuming. Approximately a week later, participants were exposed to a misleading postevent narrative and then recalled the scenario and took a recognition test. Participants who were told that they had consumed alcohol rather than tonic reported fewer correct details, but they were no more likely to report incorrect or misleading information. The confidence–accuracy relationship for control and misled items was similar across groups, and there was some evidence that metacognitive discrimination was better for participants who were told that they had consumed alcohol compared with those told they had tonic water. Implications for interviewing rape victims are discussed.     

The development of conceptual interests in young children

We conducted a longitudinal analysis of the relative intensity and duration of interests associated with conceptual domains between the ages of 4 and 6 years, respectively. Results indicated a significant portion of preschool children do sustain an interest in conceptual domains during some portion of their childhood. Expected gender differences were found, with boys more likely to express an interest in a conceptual domain than girls. A latent growth curve analysis revealed that the probability of exhibiting a conceptual interest declined as school began, though the rate of that decline was similar for both boys and girls. Potential explanations for the decrease in conceptual interests as school begins are considered.     

Predicting Different Patterns of Sexual Identity Development Over Time Among Lesbian, Gay, and Bisexual Youths: A Cluster Analytic Approach

Recent research has suggested that the sexual identity development of lesbian, gay, and bisexual (LGB) youths may not follow a single pattern, but may follow a variety of pathways. Although some research documenting variability in identity development exists, unclear are the potential individual and social contexts that predict these different patterns, as well as the contexts that predict changes in identity integration over time. This report longitudinally examined these issues in an ethnically diverse sample of 156 LGB youths (ages 14-21) in New York City. Cluster analytic techniques identified two patterns of sexual identity formation (i.e., early and more recent), and three patterns of sexual identity integration (i.e., high, middling, and low). Gender and sexual abuse were found to predict identity formation; and, gay-related stress, social support, negative social relationships, sexual orientation, sexual identity, and gender were found to predict patterns of sexual identity integration and changes in integration over 1 year. These findings document different patterns of sexual identity development and identify potential contextual barriers and facilitating factors that may be used to develop interventions to promote healthy LGB identity development.     

Skill Level,Self‐Views and Self‐Theories as Sources of Error in Self‐Assessment

People's impressions of the quality of their performances are often surprisingly inaccurate. In this paper, I discuss three specific factors that contribute to error in self‐assessment. First, at a most basic level, individuals must possess a certain level of knowledge to simply distinguish weak from strong performances. Thus, a lack of skill can contribute to erroneous self‐assessments. Second, even those who possess skill might rely on the wrong information to evaluate their performances. I discuss how relying on preexisting self‐views can lead estimates of one's performance astray. Third, I discuss how motivational forces can play an indirect role in overconfidence. In particular, theories of intelligence that inspire people to think well of themselves also inspire behaviors that contribute to overconfident impressions of how well one has performed on a task. Finally, I discuss how we can draw on this research to improve accuracy in self‐assessments.     

Discussion of Dr Hinz's contribution

The author places herself in the position of the analyst to 'listen' to a session reported by her German colleague, Dr Hinz; her interpretation of the material presented gives greater importance to the striving of the analysand to have his 'productions' appreciated than the analyst's interpretation of the negative transference aspects attributed to the same material.     

Some Antiepileptic Compounds Impair Learning by Rats in a Morris Water Maze

In the present experiments, we investigated the effects of several commonly employed antiepileptic drugs on the performance of adult rats in a Morris water maze task. We found that phenytoin treatment produced the most deleterious performance impairments across all days of training, and that these performance deficits are not likely due to any general sensorimotor impairments. Carbamazepine had milder, but detectable negative effects, as carbamazepine-treated animals exhibited initial acquisition deficits, but rapidly achieved escape levels comparable to controls. In marked contrast, valproate and ethosuximide had no detectable effects on learning in the water maze. These results parallel previous findings in rats treated with these compounds and tested in an instrumental learning task, and are in general agreement with the human clinical literature. To the extent that one might wish to minimize learning deficits associated with maintenance on antiepileptic drugs, phenytoin is definitely not the treatment of choice, while valproate or ethosuximide are apparently much less disruptive.