Paradox and health

Abstract

Mounting research suggests that the way we deal with psychophysiological paradoxes or opposites (such as separation vs. attachment, firmness vs. supportiveness, formality vs. informality, masculinity vs. femininity, assertiveness vs. submissive‐ness, or in short, constriction and “drawing back” vs. expansion and “bursting forth") has key implications for our health. Although convincing theoretical treatises have addressed this topic, there has yet to be a concerted review of the pertinent literature. This article is intended to provide such a review.     

The Promise of Neuroplasticity for Pastoral Care and Counseling

This article continues the author’s exploration of the significance of recent neuroscientific research for pastoral care and counseling Bingaman (Pastoral Psychology 60:477–489, 2011), (Pastoral Psychology, 61:411-422, 2012) by focusing on the plasticity and malleability of the human brain. It makes the case for mindfulness meditation (e.g., Centering Prayer) as a means to lower activity in the amygdala and thereby calm the stress region of the brain. In light of evidence that such mindfulness practices are more effective in reducing anxiety than is a focus on right belief or correct doctrine the case is made for a paradigmatic turn (see Bingaman 2007, pp. 102–110; Bingaman (Pastoral Psychology, 61:411–422, 2012) toward neurotheology, which seeks to understand the relationship between the brain and theology. The article concludes that the revolutionary discoveries concerning neuroplasticity challenge the field of pastoral care and counseling to recognize the ability of contemplative-meditational practices to reduce anxiety and to produce long-term, possibly permanent changes in the neural pathways of the human brain.     

Increasing on‐task behavior of an adolescent with autism using momentary differential reinforcement

Compliance is often defined as the completion of a discrete task specified by a preceding instruction. However, compliance could also require the completion of a cluster of tasks, such as cleaning a room, getting ready for bed, or doing homework. We conducted this study to determine if a momentary differential reinforcement schedule would increase the on‐task behavior of an adolescent with autism. The momentary differential reinforcement involved repeated momentary supervision checks, with tokens delivered for appropriate task engagement at that moment. The participant completed math worksheets and remained on task as the number of supervisions was faded from one every 30 s to one every 5 min.     

Cognitive-behavioral therapy for insomnia in alcohol dependent patients: a randomized controlled pilot trial

In a randomized controlled trial, we evaluated the efficacy of cognitive-behavioral treatment for insomnia to improve sleep and daytime symptoms, and to reduce relapse in recovering alcohol dependent (AD) participants. Seventeen abstinent AD patients with insomnia (6 women, mean age 46.2 ± 10.1 years) were randomized to 8 sessions of cognitive-behavioral treatment for insomnia for AD (CBTI-AD, n = 9) or to a behavioral placebo treatment (BPT, n = 8). Subjective measures of sleep, daytime consequences of insomnia and AD, alcohol use, and treatment fidelity were collected at baseline and post-treatment. Diary-rated sleep efficiency and wake after sleep onset, and daytime ratings of General Fatigue on the Multidimensional Fatigue Inventory improved more in the CBTI-AD compared to the BPT group. In addition, more subjects were classified as treatment responders following CBTI-AD. No group differences were found in the number of participants who relapsed to any drinking or who relapsed to heavy drinking. The findings suggest that cognitive-behavioral insomnia therapy benefits subjective sleep and daytime symptoms in recovering AD participants with insomnia more than placebo. The benefits of treating insomnia on drinking outcomes are less apparent.     

Regional differences in brain volume predict the acquisition of skill in a complex real-time strategy videogame

Previous studies have found that differences in brain volume among older adults predict performance in laboratory tasks of executive control, memory, and motor learning. In the present study we asked whether regional differences in brain volume as assessed by the application of a voxel-based morphometry technique on high resolution MRI would also be useful in predicting the acquisition of skill in complex tasks, such as strategy-based video games. Twenty older adults were trained for over 20 h to play Rise of Nations, a complex real-time strategy game. These adults showed substantial improvements over the training period in game performance. MRI scans obtained prior to training revealed that the volume of a number of brain regions, which have been previously associated with subsets of the trained skills, predicted a substantial amount of variance in learning on the complex game. Thus, regional differences in brain volume can predict learning in complex tasks that entail the use of a variety of perceptual, cognitive and motor processes.     

A Black Theological Response to Race-Based Medicine: Reconciliation in Minority Communities

The harm race-based medicine inflicts on minority bodies through race-based experimentation and the false solutions a race-based drug ensues within minority communities provokes concern. Such areas analyze the minority patient in a physical proxy. Though the mind and body are important entities, we cannot forget about the spirit. Healing is not just a physical practice; it includes spiritual practice. Efficient medicine includes the holistic elements of the mind, body, and spirit. Therefore, the spiritual discipline of black theology can be used as a tool to mend the harms of race-based medicine. It can be an avenue of research to further particular concerns for justice in medical care . Such theology contributes to the discussion of race-based medicine indicating the need for the voice, participation, and interdependence of minorities. Black theology can be used as a tool of healing and empowerment for health equity and awareness by exploring black theology’s response to race-based medicine, analyzing race in biblical literature, using biblical literature as a tool for minority patient empowerment, building on past and current black church health advocacy with personal leadership in health advocacy.

     

Working memory and mental arithmetic: A case for dual central executive resources

The current study was designed to examine the possible existence of two limited-capacity pools of central executive resources: one each for verbal and visuospatial processing. Ninety-one college students (M age = 19.0, SD = 2.2) were administered a verbal working memory task that involved updating numbers in 2-, 3-, and 4-load conditions. The task was administered in both single task (no-interference condition) and dual-task (verbal interference and visuospatial interference conditions) formats. Findings indicated main effects for both memory load and type of interference, as well as, a load × interference interaction. Verbal interference led to a steeper increase in errors on the primary verbal working memory task; whereas, there was a smaller increase in errors across load in both the non-verbal and no-interference conditions. The effect of verbal interference and the lack of a spatial interference effect on a primary task that utilized verbal working memory resources, suggests that the processing of verbal and spatial stimuli in a dual-task paradigm requires separate central executive resources.