Cultural Missteps and Ethical Considerations with Indigenous Populations: Preliminary Reflections from Northeastern Ontario,Canada

Within this submission the authors share their experiences as a blended research team with Aboriginal community and mainstream academic researchers. The team has collaborated since 2004 on several externally funded research projects. Initially, the team engaged in research through mainstream methodologies. In the process, the community co-researchers and participants were silenced through mainstream cultural practices that were unfamiliar and meaningless in Wikwemikong culture. More recently, the team has employed a community conceived de-colonizing methodology, developed from within Wikwemikong Unceded Indian Reserve. Within this submission, the authors will highlight their initial cultural missteps, followed by more recently utilized culturally relevant approaches. It is proposed that what might be ethically sound research with mainstream participants and among mainstream researchers can silence and subvert practices among those from marginalized groups/cultures. Provisional suggestions are offered for researchers interested in co-researching in Aboriginal communities.     

GENDER DIFFERENCES IN SELF-REPORTED POSTTRAUMATIC GROWTH: A META-ANALYSIS

A meta-analysis was conducted to examine the direction and magnitude of gender differences in self-reported posttraumatic growth. Results from 70 studies ( N  = 16,076) revealed a small to moderate gender difference ( g  = .27, 95% CI = .21 −.32), with women reporting more posttraumatic growth than men. Moderator analyses were then conducted to identify possible sources of these differences. The following moderators were examined: mean age of sample, measure used, nature of the stressful event, language of the measure, and type of sample (i.e., community samples, college students, or mixed). The only significant moderator was age, with women reporting incrementally more posttraumatic growth as the mean age of the sample increased ( B  = .004,  p  < .01,  SE  = .001,  Q  = 9.13). To check for publication bias, effect sizes were compared across published and unpublished research. The size of the gender difference was not significantly different between published ( g  = .30, 95% CI = .23 − .38) and unpublished ( g  = .22, 95% CI = .12 −.31) studies. The present findings indicate that modest, but reliable gender differences exist in posttraumatic growth even when unpublished data are included in the analyses. Possible explanations for these findings and suggestions for future research are discussed.     

Where it Hurts: Indian Material for an Ethics of Organ Transplantation

This article focuses on ethical issues surrounding the selling and buying of human organs. The author argues that most people who sell their organs (mainly kidneys) in India do so in order to pay already existing debts. The transaction is only temporarily an exchange of “life for life,” and most “donors” are back in debt soon after the operation. The author discusses the flexible ethics that reduce reality to dyadic transactions and the purgatorial ethics that collapse real and imaginary exploitation in the service of complex interests. He also offers a sophisticated discussion of the ethics of publicity and public ethics. He emphasizes the lack of factual information, intentional manipulation of information, and the dissemination of kidney panics and kidney scandals, especially by the new developing bioauthorities and bioethical brokers.     

Self-Efficacy as a Mediator of the Relationship Between Causal Attributions and Exercise Behavior

The primary purposes of this study were to examine whether the attribution–intention link was mediated by self-efficacy and whether the attribution–behavior link was mediated by self-efficacy. As a secondary purpose, we examined whether the attribution–behavior link was mediated by exercise intentions. These relationships were tested prospectively at multiple time points. Participants were 260 adult exercisers ( M age=32 years) enrolled in 12 weeks of structured exercise classes. Social cognitive measures were assessed at early and midprogram; attendance was tracked for the first and second half of the program. Hierarchical multiple regression procedures indicated support for self-efficacy as a mediator of the relationship between attributions and behavior. Secondary analyses revealed support for intention as a mediator of the attribution–behavior relationship. Finally, additive relationships in support of social cognitive theory also were detected. The attribution/self-efficacy/behavior link is important for adherence interventions and should be investigated further in both asymptomatic and symptomatic populations.     

Spiritual Maturity and Social Support in a National Study of a Male Religious Order

This national study analyzed the relationship of spiritual maturity and valued relationships with social support and life satisfaction using a random sample of male religious from one Roman Catholic order (N = 251). Four measures were used: (a) NEO-Five Factor Inventory (NEO-FFI; Costa & McCrae, 1992), (b) Spiritual Maturity Index (SMI; Ellison, 1983), (c) Social Support Appraisals Scale (SS-A; Vaux, et al., 1986), and (d) Satisfaction With Life Scale (SWLS; Diener, Emmons, Larsen, & Griffin, 1985). Hierarchical regression results showed that Spiritual Maturity was a significant predictor of Perceived Social Support (F (1, 237) = 20.662, p ≤ .001) and Life Satisfaction (F(1, 237) = 13.205, p ≤ .001). The study also showed that valued relationships inside (versus outside) the order predicted Life Satisfaction (F(1, 236) = 4.722, p ≤ .05). These findings demonstrate the importance of spiritual development and peer relationships as a way of enhancing vocational stability and satisfaction in male religious.     

THE TRIADIC INTERSUBJECTIVE MATRIX IN SUPERVISION: THE USE OF DISCLOSURE TO WORK THROUGH PAINFUL AFFECTS3

The use of the psychoanalyst's subjective reactions as a tool to better understand his/her patient has been a central feature of clinical thinking in recent decades. While there has been much discussion and debate about the analyst's use of countertransference in individual psychoanalysis, including possible disclosure of his/her feelings to the patient, the literature on supervision has been slower to consider such matters. The attention to parallel processes in supervision has been helpful in appreciating the impact of affects arising in either the analyst/patient or the supervisor/analyst dyads upon the analytic treatment and its supervision. This contribution addresses the ways in which overlapping aspects of the personalities of the supervisor, analyst and patient may intersect and create resistances in the treatment. That three‐way intersection, described here as the triadic intersubjective matrix, is considered inevitable in all supervised treatments. A clinical example from the termination phase of a supervised analysis of an adolescent is offered to illustrate these points. Finally, the question of self‐disclosure as an aspect of the supervisory alliance is also discussed.