On the Modification of Clinical Procedures

All sciences depend for their progress on the modification of existing procedures and the clinical sciences arc no exception. The question is raised whether the restriction of modifications of clinical procedures, even though legally defensible, is socially and scientifically helpful.     

Relationship enhancement with premarital dyads: A six-month follow-up

Abstract

The purpose of the present study was to assess the short-term and longterm effectiveness of relationship enhancement on the self-disclosure and empathy skills of premarital dating couples. Nineteen couples were given the Guerney Relationship Enhancement Program over an eight week period, while 18 other couples were given a lecture/discussion program on relationship development. Behavioral assessments of self-disclosure and empathy skill levels were taken prior to training, immediately following training, and six months after training. Results indicated that from both pretest to posttest and pretest to follow-up, the relationship enhancement couples, relative to the lecture/discussion couples, demonstrated a significant increase in both self-disclosure and empathy skill levels. Discussion centers on the implications of the durability of the skills learned as well as on suggestions for future research on skill generalization to social interactions with others.     

The Psychology of Gender Differences in Religion: A Review of Empirical Research

This paper presents, discusses and evaluates empirical studies concerned with gender differences in religion. Within the psychology of religion two main groups of theories have been advanced to account for gender differences in religiosity. The first group of theories concentrates on social or contextual influences which shape different responses to religion among men and women. This group may be divided into two categories: gender role socialisation theories and structural location theories. The second group of theories concentrates on personal or individual psychological characteristics which differentiate between men and women. This group may be divided into three categories: depth psychology theories, personality theories and gender orientation theories. It is concluded that gender orientation theories provide the most fruitful source for further research.     

Alexithymia and Cardiovascular Risk in Older Adults: Psychosocial,Psychophysiological, and Biomedical Correlates

Psychosocial correlates of alexithymia were examined in 102 healthy, older adults (ages 53-83; 76% male). Alexithymic ( n = 26) and non-alexithymic ( n = 30) groups, defined by top ( S 70) and bottom ( h 54) quartiles of the distribution of Toronto Alexithymia Scale (26-item) scores, were compared with respect to psychosocial, psychophysiological, and biomedical risk factors for cardiovascular disease. Both categorical ratings and continuous scores of alexithymia were associated with significantly greater levels of trait anxiety, anger-in, neuroticism, hostility, perceived stress, depression, and lower levels of social support. Compared to non-alexithymics, alexithymics displayed significantly greater blood pressure responses to anger provocation and tended to have a greater percent body fat. The groups did not differ in resting cardiovascular parameters, heart rate reactivity, fasting glucose and lipoprotein lipids, body mass index, waist-to-hip ratio, social desirability, or trait anger. These findings suggest several psychosocial and psychophysiological pathways by which alexithymia may confer risk for cardiovascular disease among older adults.     

Racial/Ethnic Identity among Creole Peoples in Mauritius

This article provides the findings of qualitative research into the perceptions of racial/ethnic identity among the Creole community of Mauritius. Participants were 24 Creole Mauritians (males = 16, females = 8, age range = 22–69 years). Interview data were collected and analyzed primarily through a hermeneutic (phenomenoligically-oriented) (van Manen, 1997) process. Six major themes of racial/ethnic identity emerged: experiences of dis-ease, experiences of stuckness (ad-extra and ad-intra), epiphany experiences, experiences of self-appreciation, and experiences of hopeful optimism. The themes describe individual processes of racial/ethnic identity development as well as sociopolitical obstacles to positive identity formation among the Creole.     

An adolescent perspective on injury recovery and the return to sport

ObjectivesThe purpose of this investigation was to examine adolescent athletes' injury recovery and return-to-sport experiences. Given previous research highlighting competence, autonomy, and relatedness concerns among returning athletes (Podlog & Eklund, 2006), we sought to examine the extent to which basic psychological needs theory (BPNT: Ryan & Deci, 2007) could be used as framework for interpreting the research findings.DesignA qualitative design was employed in the present investigation.MethodEleven Australian athletes (M age = 15.3) who had incurred a range of severe injuries (e.g., anterior cruciate ligament tears, shoulder dislocations) were interviewed on 2–3 occasions (n = 27 interviews) spanning an 11-month period.ResultsAnalysis of the data revealed the following four key themes: (a) injury stress, (b) coping strategies, (c) experiences with social support, and (d) recovery outcomes. Injury stress provides insights into a range of stressors and strain responses reported by the adolescents across the recovery phases, while the theme on coping highlights the specific strategies used to maintain motivation, reduce uncertainties associated with the injury experience, and to keep focused on future athletic attainment. The third theme, experiences with social support, considers the transactions the adolescents held with members of their social network throughout their recovery. The final theme, recovery outcomes, describes participant perceptions of a successful/unsuccessful recovery and stress-related growth.ConclusionsResults suggest that competence and relatedness issues highlighted in BPNT may be relevant in exploring adolescent athletes' injury experience. Somewhat less evidence for the autonomy dimension of BPNT was apparent in adolescent comments.     

Putting the ‘heart’ back into community psychology: some South African examples

In this paper we explore the impact of emotional dynamics in the field of community psychology and the value of psychodynamic concepts in making sense of this. Emotional processes have often not been very well acknowledged or conceptualized in writing in the area of community psychology practice. This neglect is understandable given the individualizing, pathologizing and medicalizing assumptions underlying many psychological theories of emotion. Psychodynamic ideas may, however, make a useful contribution to understanding central concerns in community psychology in so far as they are able to shed light on emotional processes in groups, the political determinants of emotional response and the emotional dynamics of power, which are all central to the thinking of community psychologists. Using examples drawn from a long-term programme of consultation to community-based services in South Africa, we explore the potential of psychoanalytic understandings of emotional processes in illuminating some of the complexities and challenges faced in developing effective community partnerships and working towards the empowerment of communities.     

Measuring the Contribution of Independent Christian Secondary Schools to Students' Religious,Personal, and Social Values

From the late 1960s independent Christian schools have emerged in England and Wales, initiated either by churches or by parents. Many of these new independent schools are linked through the Christian Schools Trust. The impact that these schools are exerting on their students may be of interest for the churches with which they are associated and of concern for wider society. The political debate concerning these schools has so far been informed by only a small number of empirical studies conducted in England and Wales. The present study extends previous research in three ways. It offers a comparative study by examining the responses of 271 year-nine and year-ten students (age 13 to 15 years) from 11 independent Christian schools with 20,348 students from 93 schools without a religious foundation. It examines a range of religious, social and personal values. It employs multilevel models to identify the contribution made by independent Christian schools after taking into account personal, psychological, and contextual differences within the students themselves. The hypothesis was that Christian schools were committed to developing distinctly Christian values among their students. The data supported this hypothesis. Even after allowing for differences in the religiosity of the students themselves, attendance at an independent Christian school was associated with higher self-esteem, greater rejection of drug use, lower endorsing of illegal behaviors, lower racism, higher levels of conservative Christian belief, and more conservative views on sexual morality (abortion, contraception, divorce, homosexuality, and sex outside marriage).     

How Best to Treat Deployment-Related Guilt and Shame: Commentary on Smith,Duax, and Rauch (2013)

We comment on Smith, Duax, and Rauch’s (2013--this issue) explication of their approach to treating perpetration-related guilt and shame using prolonged exposure (PE) therapy, with the aim of promoting a discourse about the mechanisms, techniques, and assumptions that underlie the treatment of moral injury in veterans and service members. We first discuss the theoretical foundation underlying PE and consider the extent to which it accounts for the phenomenology of moral injury. We then examine the treatment strategies used in the PE approach and the mechanisms by which these techniques ameliorate perpetration-related guilt and shame. We also briefly highlight points of similarity and contrast between PE and adaptive disclosure, a brief cognitive behavioral intervention targeting combat-related moral injury and traumatic loss.     

Women Court-Ordered for Domestic Violence: Improvements in Depression

A quasi-experimental design was employed to compare depression at intake and completion of a sample of primarily Latina women court-ordered to a batterer intervention program. Data were derived from the intake assessments of 112 women over 24 months. Overwhelmingly, women reported being abused by their current and former partners. Approximately 58% of the women in this sample were depressed at intake. When culturally competent, gender-appropriate treatment is given to court-ordered women, depression symptomatology may decrease to levels of normal functioning. Further research is needed to understand court-ordered women as well as how to meet their unique needs.