The availability and importance of Denominational Support Services as perceived by Clergy Husbands and their wives

Previous research by Morris and Blanton (1994b) used the Denominational Support Service Checklist (DSSC) to determine whether or not denominations were providing support services in any organized/systematic way to the clergy and their wives in their denomination. The DSSC has a yes/no format containing 21 support services that are divided into four areas of support. The four areas of support services included psychological services (3), career development services (6), family oriented services (7), and financial services (5). As a follow-up to the previous study, the purpose of this study was to examine the perceptions of clergy husbands and their wives regarding the availability and importance of support services provided by their sponsoring denomination. The sample of the study included 136 ordained married clergy males and their non-clergy spouses (n=272) randomly selected from six denominations in the United States. The six denominations included the Southern Baptist Convention (SBC); Lutheran Missouri Synod (LMS); Church of God, Cleveland, Tennessee (COG); Seventhday Adventists (SDA); the American Baptist Church (ABC); and the Episcopal Church (EC). Each husband and wife completed The Perceived Availability of Denominational Support Services (PADSS) and The Perceived Importance of the Denominational Support Service (PIDSS). The PADSS has a yes/no format and the PIDSS is a 3 point Likert-type questionnaire that corresponds identically (e.g., 21 items divided into four support areas) with the DSSC. Findings from the study indicated that a majority of clergy and their wives perceived that their sponsoring denominations were not making available those services that they perceived were important. Additionally, gender differences in reports of availability and importance were found indicating that some denominations may not be providing support services that enhance the quality tof life for the entire clergy family system. Recommendations and suggestions are made to encourage and guide denominations in providing support services for clergy families.     

Cognitive ego psychology and the psychotherapy of learning disorders

The single most common referral problem in middle childhood and adolescence is academic underachievement and learning failure. Yet, the term “learning disorder” lacks specificity as a diagnostic entity and offers no guidelines for psychotherapy. An appreciation of the developmental processes by which the undifferentiated, unstructured, self-less and objectless newborn becomes a more fully developed, self-sufficient individual, capable of adaptive functioning and formal academic learning is encompassed in contemporary psychoanalytic conceptions of the separation-individuation process. This theory provides an organizing, theoretical base for diagnosis and treatment of learning disorders. Based on these conceptions, we discuss therapeutic techniques which are appropriate to the level of developmental arrest at each of the phases of the separation-individuation process.     

Incomplete mourning,betrayal, and revenge in The Prince of Tides: Erotic countertransference in the cinema

The Prince of Tidesis the characterological study of and interaction between two families, that of Savannah, the patient and Dr. Susan Lowenstein, the psychiatrist. In order to treat Savannah, recovering from a suicide attempt, fraternal twin Tom (Savannah's memory) comes to New York to assist in his sister's treatment. Tom becomes the patient relating the family dynamics in six cinematic flashbacks. These show the parental disharmony, Tom's strong Oedipal attachment, maternal betrayal and Tom's wish for revenge, his incomplete mourning for his older brother Luke, and its effects on his life. The relationship between Susan, her husband and son, Bernard, and how each interacts with Tom is also described. Susan's erotic countertransference is analyzed, and the role of the woman therapist in the cinema discussed.     

The Effect of PTSD Symptom Change on Suicidal Ideation in a Combined Military and Civilian Sample Engaged in Cognitive Processing Therapy

In light of the well-established relationship between posttraumatic stress disorder (PTSD) and suicidal ideation (SI), there has been a push for treatments that simultaneously improve symptoms of PTSD and decrease SI. Using data from a randomized controlled hybrid implementation-effectiveness trial, the current study investigated the effectiveness of Cognitive Processing Therapy (CPT; Resick, Monson, & Chard, 2016) on PTSD and SI. The patient sample (N = 188) was diverse in military and veteran status, gender, and comorbidity, and 73% of the sample endorsed SI at one or more points during CPT. Participants demonstrated significant improvement in SI over the course of CPT. Multilevel growth curve modeling revealed a significant association between PTSD symptom change and change in SI. Results from cross-lagged multilevel regressions indicated that PTSD symptoms predicted SI in the next session, yet SI in a given session did not predict PTSD symptoms in the next session. Potentially relevant clinical factors (i.e., military status, gender, depression diagnosis, baseline SI, study consultation condition) were not associated with the relationship between PTSD symptoms and SI. These results add to the burgeoning literature suggesting that evidence-based treatments for PTSD, like CPT, reduce suicidality in a range of individuals with PTSD, and that this reduction is predicted by improvements in PTSD symptoms.     

Narcissism and Hypomania Revisited: a Test of the Similarities and Differences in Their Empirical Networks

The goal of the present research was to clarify the relationship between narcissism and hypomania, both of which are multidimensional in nature. More specifically, this study examines the relations between two narcissism dimensions (grandiose and vulnerable) and three hypomania dimensions (social vitality, mood volatility, and excitement) in relation to adverse developmental experiences, affective experiences, a multidimensional model of impulsivity, and general personality traits. The absolute similarities across the patterns of correlations manifested by the narcissism and hypomania subscales were then examined. Like the multidimensionality found in narcissism in which grandiose and vulnerable narcissism manifest unrelated or negatively related empirical networks, the same was true for the hypomania dimensions. Grandiose narcissism manifested substantially similar empirical profiles with the hypomania components of social vitality and, to a lesser extent, excitement. Conversely, vulnerable narcissism manifested a profile quite similar to a third hypomania component – mood volatility. These findings are discussed in the context of the difficulty in developing robust and coherent research literatures when using multidimensional total scores for either narcissism or hypomania.