CBT for Grief: Clearing Cognitive Obstacles to Healing from Loss

There is tremendous variability in people’s ability to cope with, and adjust to, the death of someone close to them. One of the factors identified as significant in this regard is the constellation of beliefs that includes a mourner’s thoughts about the circumstances of the death, their feelings about the person who died, their reflections on the relationship with that person, and their assessment of their own ability to survive the loss. This paper considers the role of cognition in adaptation to loss, and demonstrates how maladaptive cognitions concerning the loss, the manner of death or the relationship with the deceased can interfere with adaptation and lead to complications in grief. Case examples illustrate the use of CBT with bereaved clients and the benefits of this approach as part of an overall strategy for helping grieving clients. The effectiveness of CBT with bereaved individuals is enhanced when clients understand the rationale of the treatment and are committed to carrying out the tasks specified in their treatment plan. The article presents a simple model for promoting client involvement and compliance.     

Coping Style as a Moderator of Perfectionism and Suicidal Ideation Among Undergraduate Students

Suicide is a serious and growing public health problem and remains an unnecessary cause of death globally. In Iran, the highest prevalence of acute and chronic suicidal ideation is among young people aged 16–24. This study investigates the relationship between coping style, two types of perfectionism, and suicidal ideation among undergraduates, and examines coping style as a moderator of the relationship between perfectionism and suicidal ideation. Multi-stage cluster random sampling was employed to recruit 547 undergraduate students aged 19–24 years from the Islamic Azad University of Karaj. Structural Equation Modelling indicated that suicidal ideation was negatively associated with adaptive perfectionism and task-focused coping but positively associated with emotion-focused coping, avoidance coping, and maladaptive perfectionism. Coping style (including the three styles of task-focused, emotion-focused, and avoidance coping) was found to moderate the relationship between perfectionism and suicidal ideation. The study advances understanding of the importance of coping style in this context and explains how perfectionism affects suicidal ideation.     

Re-membrance

Traced sufficiently remotely, all people, profanum vulgus, share a common familial and linguistic heritage. Several Occidental and Oriental religiophilosophical traditions and General Systems (neuro-linguistic/neuro-semantic) Theory propound that resolution of personal illness and intra- and inter-generational psychological conflicts among individuals and within society mandates a figurative, if not a literal return, to the source of conflict or contention—to RE-MEMBER with that source—if healing, peace, resolution, concord, solace, sustenance, and wholeness are to be achieved. Words that communicate effectively, linguistic symbols such as water and the cross, and the action of laying-on-of-hands are methodologies that reaffirm a personal commonality among all traditions and facilitate RE-MEMBRANCE. For those who adhere to the Judeo-Christocentric tradition—who are called and chosen to witness and serve through the sacrament of baptism—healing, support, and sustenance are achieved by RE-MEMBRANCE through the Triune God.     

Turkish Imams’ Experience with and Their Attitudes Toward Suicide and Suicidal Persons

This study investigated the experience with and attitudes toward suicide and suicidality in 70 consenting imams serving in mosques in the province of Aydin which is located at the southwest part of Turkey. A self-report questionnaire was used to collect the data. Attitudes of imams to suicide and suicidality were compared with attitudes of male university students. Only 4 imams (5.7 %) reported having had suicidal thoughts in past, and none reported having attempted suicide. Almost 50 % said that someone in communities they serve has commited suicide and nearly 40 % reported leading funeral ceremony for someone who committed suicide. Majority of imams (64.3 %) were of the opinion that a funeral ceremony should be arranged for people who suicide and 87.1 % were of the opinion that people who suicide can be buried in a common cemetery, but only 21.4 % said that someone who attempted suicide can be appointed as imam. Compared to male medical students, imams saw suicide as an unacceptable option and those engaging in suicidal behavior to be punished after death. But they displayed socially accepting and helping reactions to an imagined close friend who attempted suicide. Therefore, it was concluded that imams might exhibit preventive reactions to suicide when they offer counseling for persons from their congregations during times of suicidal crises.     

Practice of Nursing Care Provided to Clients from Muslim Countries in the Czech Republic

Authors deal with practice of nursing care provided to Muslim clients in the Czech Republic. They use the explorative research design. By means of analyses of 21 semi-structured interviews with important social actors in the area of health care (spa resorts and hospitals). The study shows that Muslims are not homogeneous in their behaviour in the field of health care. In the spa environment, three interpretation perspectives can be found: the economic interpretation of a Muslim as the source of income of the Czech spa industry, which faces economic problems, the cultural interpretation developed within the spas (the experience capital of the staff and other clients), and the (a) cultural interpretation of Muslims and Islam brought to spas from the outside (the public opinion). However, in the area of hospitals, Muslims are not separated from the remaining categories of students; Muslim patients represent a small group of persons, and their treatment being conditioned by the distance or closeness of cultures, language skills, adaptation, and experiences with treatment in the Czech environment as perceived by the staff.     

Caring for the Caregiver: Identifying the Needs of Those Called to Care Through Partnerships with Congregations

As the older adult population continues to grow, the prevalence of chronic diseases is also increasing, leading to the need for novel ways of managing this large population of patients. One solution is to focus on informal caregivers. These informal caregivers already make a substantial contribution to our nation’s healthcare finances and patient health outcomes. Caregivers also derive benefits from caring for their family member or friend; however, it is not uncommon for these individuals to experience negative health consequences, or what is often called “burden of care.” Those called to care are not without their own burdens, and they must frequently make significant lifestyle adjustments that impact their own health. Therefore, for caregivers to be effective, caring for the caregivers must be a focus of medicine in the twenty-first century.     

Inter-Definability of Horn Contraction and Horn Revision

There have been a number of publications in recent years on generalising the AGM paradigm to the Horn fragment of propositional logic. Most of them focused on adapting AGM contraction and revision to the Horn setting. It remains an open question whether the adapted Horn contraction and Horn revision are inter-definable as in the AGM case through the Levi and Harper identities. In this paper, we give a positive answer by providing methods for generating contraction and revision from their dual operations. Noticeably, we cannot apply the Levi and Harper identities directly in such methods as the Horn fragment does not fully support negation. To overcome this difficulty, a Horn approximation technique called Horn strengthening is used. We show that Horn contraction generated from Horn revision is always plausible whereas Horn revision generated from Horn contraction is, in general, implausible and, to regain plausibility, the generating contraction has to be properly restricted.     

A Representation Theorem for Frequently Irrational Agents

The standard representation theorem for expected utility theory tells us that if a subject’s preferences conform to certain axioms, then she can be represented as maximising her expected utility given a particular set of credences and utilities—and, moreover, that having those credences and utilities is the only way that she could be maximising her expected utility (given her preferences). However, the kinds of agents these theorems seem apt to tell us anything about are highly idealised, being (amongst other things) always probabilistically coherent with infinitely precise degrees of belief and full knowledge of all a priori truths. Ordinary subjects do not look very rational when compared to the kinds of agents usually talked about in decision theory. In this paper, I will develop an expected utility representation theorem aimed at the representation of those who are neither probabilistically coherent, logically omniscient, nor expected utility maximisers across the board—that is, agents who are frequently irrational. The agents in question may be deductively fallible, have incoherent credences, limited representational capacities, and fail to maximise expected utility for all but a limited class of gambles.     

Quantification in Some Non-normal Modal Logics

This paper offers a semantic study in multi-relational semantics of quantified N-Monotonic modal logics with varying domains with and without the identity symbol. We identify conditions on frames to characterise Barcan and Ghilardi schemata and present some related completeness results. The characterisation of Barcan schemata in multi-relational frames with varying domains shows the independence of BF and CBF from well-known propositional modal schemata, an independence that does not hold with constant domains. This fact was firstly suggested for classical modal systems by Stolpe (Logic Journal of the IGPL 11(5), 557–575, 2003), but unfortunately that work used only models and not frames.