When “Living Stories” Encounter the Living Word

This article focuses on biblical forms (psalms, proverbs, and parables) and story genres (inspirational, paradoxical, and miraculous) that inform the pastoral counseling process in ways that make the stories of our lives become more vivid. It does so primarily by examining Donald Capps’ contributions in Living Stories and Biblical Approaches to Pastoral Counseling by studying the living stories in juxtaposition to the biblical forms.     

Contributions of Loss Events to Loss Distress and Trauma Symptoms in Recently Resettled Refugee Women at Risk

This research examined contributions of loss events to loss distress and trauma symptoms (accounting for trauma events) for refugee women at risk. Participants (N?=?104) responded to the Multidimensional Loss Scale (loss events and distress) and Harvard Trauma Questionnaire (trauma events and symptoms). Loss events contributed uniquely to loss distress (explaining additional 50.8% variance), and made a unique contribution to trauma symptoms (explaining additional 5.2% variance) approximately equal to trauma events. Appropriate response to psychic distress in refugee women at risk requires assessment of both loss and trauma and consideration of cultural differences in ways loss is expressed and meaning ascribed to symptoms.     

An Uncontrolled Clinical Trial of Guided Respiration Mindfulness Therapy (GRMT) in the Treatment of Depression and Anxiety

Guided respiration mindfulness therapy (GRMT) is a manualized intervention that synthesizes a sustained focus on self-regulation of respiration, mindfulness, and relaxation. In our previous publication (in Lalande et al. J Contemp Psychother 46(2):107–116, 2016) we reported an evaluation of a manual-based GRMT therapist training program for the treatment of depression and anxiety. Here we report the outcomes of the manualized treatment program for depression and anxiety with clients. Forty-two participants with a primary diagnosis of depression or anxiety disorder participated in an uncontrolled clinical trial evaluating treatment response using standardised outcome measures with data collected on a session-by-session basis. For the majority of participants, treatment led to statistically and clinically significant reduction in symptoms of depression, anxiety and stress, along with reduced anxiety sensitivity and increases in overall wellbeing. Results suggested GRMT shows promise as an effective brief treatment option that does not rely on cognitive or behavioural techniques.     

Skepticism and Cryptography

Cryptography is an essential component of America’s national security infrastructure. Billions of dollars are spent on cryptosystems every year, in both the public and private sector. Unfortunately, the field is rife with dubious claims, snake oil salesmen, and outright fraud. This paper highlights the importance of skepticism and critical thinking in the role of evaluating and procuring cryptosystems. We discuss our experiences in teaching future leaders about testing extraordinary cryptographic claims by asking hard questions and show examples from our own experience. We believe that the rigorous application of skepticism and critical thinking in cryptography are absolutely essential to the wise use of America’s resources and the security of the nation.

Comparing Cognitive Behavioral Therapy and Systemic Therapy for Social Anxiety Disorder: Randomized Controlled Pilot Trial (SOPHO-CBT/ST)

This randomized controlled trial (RCT) aimed to pilot the newly developed manualized and monitored systemic therapy (ST) for social anxiety disorder (SAD), as compared to manualized and monitored cognitive behavioral therapy (CBT). We conducted a prospective multicenter, assessor-blind pilot RCT on 38 outpatients (ICD F40.1; Structured Clinical Interview for DSM (SCID); Liebowitz Social Anxiety Scale, LSAS-SR >30). The primary outcome was level of social anxiety (LSAS-SR) at the end of treatment. A total of 252 persons were screened, and 38 patients were randomized and started therapy (CBT: 20 patients; ST: 18 patients; age: M = 36 years, SD = 14). Within-group, simple-effect intent-to-treat analyses (ITT) showed significant reduction in LSAS-SR (CBT:d = 1.04; ST:d = 1.67), while ITT mixed-design ANOVA demonstrated the advantage of ST (d = 0.81). Per-protocol analyses supported these results. Remission based on reliable change indices also demonstrated significant difference (LSAS-SR: 15% in CBT; 39% in ST;h: 0.550), supported by blind diagnosticians’ ratings of those who completed therapy (SCID; 45% in CBT, 78% in ST,p = .083). No adverse events were reported. CBT and ST both reduced social anxiety, supporting patient improvement with the newly developed ST for SAD; this has yet to be verified in a subsequent confirmatory RCT.     

The God Who Believes: Faith, Doubt, and the Vicarious Humanity of Christ – Christian D. Kettler

Book reviewed:
The God Who Believes: Faith, Doubt, and the Vicarious Humanity of Christ , Christian D. Kettler, Cascade 2005 (1-59752-188-4), xiv + 194 pp., pb $24.00     

“For-giving” and Forgiving: Process and Practice in Pastoral Care

This article examines some of the basic psychodynamic understandings of forgiveness including forgiveness as aesthetic, ahistorical, tact, or the ability to for-give that Julia Kristeva (1995, 1989, 1987a, b) presents in her writings on depression and melancholia, analytic process and technique, and love and faith. These are supplemented by more recent examinations of forgiveness in the therapeutic community (Worthington 1998; Watts and Gulliford 2004; McCullough et al. 2000) as they relate to Christian belief, Christian practice and pastoral care. I argue that it is in the context of a caring relationship where and when individuals experience “for-giving” that they develop the ability to accept forgiveness (especially of the self) and thus become individuals who can extend forgiveness to others. Even those entering pastoral ministry who have no desire or little ability to engage in pastoral counseling will be served well if their own abilities to be “for-giving” are cultivated during their theological education. Thus, the application of “for-giving” extends far beyond the analytic process or technique that Kristeva envisions to include pastoral identity formation and pastoral ministry.