Religion and United States Physicians’ Opinions and Self-Predicted Practices Concerning Artificial Nutrition and Hydration

This study surveyed 1,156 practicing US physicians to examine the relationship between physicians’ religious characteristics and their approaches to artificial nutrition and hydration (ANH). Forty percent of physicians believed that unless a patient is imminently dying, the patient should always receive nutrition and fluids; 75 % believed that it is ethically permissible for doctors to withdraw ANH. The least religious physicians were less likely to oppose withholding or withdrawing ANH. Compared to non-evangelical Protestant physicians, Jews and Muslims were significantly more likely to oppose withholding ANH, and Muslims were significantly more likely to oppose withdrawing ANH.     

Transformation on the Pacific Crest Trail: A Review of Cheryl Strayed’s Narrative “Wild”

Cheryl Strayed shares her experience of hiking the Pacific Crest Trail in her book, Wild: From Lost to Found on the Pacific Crest Trail. Strayed’s narrative provides readers with insights into her arduous adventure and offers occupational therapy practitioners some understanding of personal transformation through her daily mundane occupations and exceptional accomplishments. Strayed transforms her self-identity, acknowledges the “gifts” given to her during the trek, and shares the epiphanies she discovers.     

Utilization of Individual versus Family Therapy Among Adolescents with Severe Emotional Disturbance

Service utilization patterns among children with severe emotional and/or behavioral disturbances are described for 89 children and families, interviewed at two time points across a 6-month period. Children received a greater number of individual therapy sessions than family therapy sessions, and children significantly decreased their levels of internalizing and externalizing behaviors. Family therapy was associated with decreases in internalizing behaviors when children reported outcomes. Individual therapy was not associated with changes in either internalizing or externalizing behaviors regardless of reporter. Symptom severity did not dictate whether children were provided individual or family therapy. Recommendations for individualized treatment plans are offered.     

The Chinese Version of the Self-Report Family Inventory: Reliability and Validity

The reliability and validity of the Chinese Self-Report Family Inventory (C-SFI) were examined in three studies. In Study 1, data based on 361 adolescents showed that the C-SFI was temporally stable and internally consistent and there was support for its concurrent and construct validities. In Study 2, data analyzed from a clinical group and a nonclinical group (N = 281 and 451, respectively) showed that the C-SFI scores were able to discriminate these two groups. With data pertaining to 3649 secondary school students, Study 3 gives support for the internal consistency, concurrent validity, and construct validity of the C-SFI in different adolescent samples. These studies strongly suggest that the C-SFI possesses good psychometric properties in different Chinese adolescent samples.     

BOOK REVIEW

The Evolving Mind BEN GOERTZEL, Gordon and Breach, 1993, cloth. ISBN 2–88124–587–0, pp. 260, index

From Power to Partnership: Creating the Future of Love, Work, and Community ALFONSO MONTUORI AND ISABELLA CONTI San Francisco: HarperSanFrisco. 1993, paper. ISBN 0–06–250548–3, $13.00 USD pp. 281 includes index

Applied Chaos Theory: A Paradigm For Complexity A. B. CAMBEL, Academic Press, 1993, cloth; pp. 260, index; 38 USD     

Preschoolers’ emotion knowledge: Self-regulatory foundations,and predictions of early school success

Preschoolers (N=322 in preschool, 100 in kindergarten) were assessed longitudinally to examine the self-regulatory roots of emotion knowledge (labelling and situation) and the contributions of emotion knowledge to early school adjustment (i.e., including social, motivational, and behavioural indices), as well as moderation by age, gender, and risk. Age, gender, and risk differences in emotion knowledge were also examined. Emotion knowledge skills were found to be more advanced in older children and those not at economic risk, and in those with higher levels of self-regulation. Overall, the results support the role of emotion knowledge in early school adjustment and academic success even with gender, age, and risk covaried, especially for boys, older preschoolers, and those at economic risk.     

The Superego and the Two-System Model

The authors note that Freud's clinical struggle with the sadomasochism of his patients led directly to his theory of the superego, which in turn affected his ideas on sadomasochism. The authors use their dual-track model of two systems of self-regulation—the “closed,” sadomasochistic, omnipotent system and the “open,” competent, loving, reality-attuned system—to trace the origins, development, and functions of the “closed” and “open” superego. They suggest that the application of this model will help restore the importance of the superego in psychoanalytic theory and technique, and they provide clinical illustrations from the analysis of an older adult.     

Research Quality: Critique of Quantitative Articles in the Journal of Counseling & Development

The purpose of this study was to examine the quality of quantitative articles published in the Journal of Counseling & Development. Quality concerns arose in regard to omissions of psychometric information of instruments, effect sizes, and statistical power. Type VI and II errors were found. Strengths included stated research questions and appropriateness of analyses. Implications of these results are provided.     

Psychological Climate,Organizational Commitment and Morale: Implications for Army Captains' Career Intent

The purpose of this research was to examine how work experiences contribute to junior officers' intentions to leave the Army. Specifically, we hypothesized that psychological climate perceptions have direct and indirect effects on intent to leave through affective commitment and morale and that affective and continuance commitment interact to predict intent to leave the Army. The sample for this study was 649 captains who responded to an Army-wide survey, the Fall 2002 Sample Survey of Military Personnel. Results demonstrate support for full mediation, indicating that psychological climate impacts intent to leave the Army by influencing captains' affective commitment and morale. The psychological climate dimension of leadership had the largest impact on affective commitment, morale, and intent to leave the Army. Affective commitment did not interact with continuance commitment to predict intent to leave. Implications for Army retention policies and leadership are discussed.     

Executive functions and social skills in survivors of pediatric brain tumor

Medical advances have resulted in increased survival rates for children with brain tumors. Consequently, issues related to survivorship have become more critical. The use of multimodal treatment, in particular cranial radiation therapy, has been associated with subsequent cognitive decline. Specifically, deficits in executive functions have been reported in survivors of various types of pediatric brain tumor. Survivors are left with difficulties, particularly in self-monitoring, initiation, inhibition, and planning, to name a few. Another domain in which survivors of pediatric brain tumor have been reported to show difficulty is that of social skills. Parents, teachers, and survivors themselves have reported decreased social functioning following treatment. Deficits in executive functions and social skills are likely interrelated in this population, as executive skills are needed to navigate various aspects of social interaction; however, this has yet to be studied empirically. Twenty-four survivors of pediatric brain tumor were assessed using a computerized task of executive functions, as well as paper-and-pencil measures of social skills and real-world executive skills. Social functioning was related to a specific aspect of executive functions, that is, the survivors' variability in response time, such that inconsistent responding was associated with better parent-reported and survivor-reported social skills, independent of intellectual abilities. Additionally, parent-reported real-world global executive abilities predicted parent-reported social skills. The implications of these findings for social skills interventions and future research are discussed.