Spiritual issues in mental health care

Religious and spiritual issues in mental health are explored in the context of four conceptual models: the medical, the nursing, the humanistic, and the pastoral. This is done by looking at each model in terms of content, diagnostic focus, language and treatment goals, and primary qualities in the health provider.The models are illustrated by case studies gathered from a multidisciplinary setting. The discovery that each model can incorporate the religious and spiritual dimension in mental health care, but that each model does this in distinctive ways, is a key point.     

Observers’ sensitivity to dynamic anomalies in collisions

The present study examined observers’ ability to discriminate canonical and dynamically anomalous collisions that were presented in either frictionless or frictional systems. Whereas previous research has provided qualitative demonstrations that dynamic information can be extracted from visual events, the current study provides a parametric assessment of observers’ sensitivity to dynamic invariants. Our findings indicate that observers are competent when viewing both familiar, terrestrial (frictional) systems and unfamiliar but computationally simpler, 0-G (frictionless) systems. Thus, our sensitivity to these dynamic invariants in visual events is robust in natural systems whose dynamic properties differ from those of the environment in which we evolved and developed.     

Reactions to Patients' Self-or Chance-Blaming Attributions for Illnesses Having Varying Life-style Involvement

The effects of the perceived accuracy of attributions of self blame and chance blame were examined in the context of health care. Health practitioners ( N = 147) rated interviews in which patients made self-or chance-blaming attributions for diseases with high (heart attack, stroke), or low (cancer, arthritis) life-style involvement, or acidental injuries. Three discriminant analyses yielded p < .001. Self-blaming heart and stroke patients were rated as coping better and acting more appropriately and typically than chance blamers. Other self blamers were rated as more depressed, poorly adjusted, coping poorly, not accepting disability, needing counselling and information. Additionally, self-blaming accident victims were judged as more dependent, less likeable, and having poorer prognoses than chance blamers. Realistic self blame for life-style diseases did not lead to victimization, but other self-blaming patients were stigmatized and the adaptiveness of self blame as a coping strategy was unrecognized.     

The use of a resident daily scheduling procedure to increase appropriate social,ward, and scheduling behavior in adult psychiatric residents (patients)

The purpose of the present experiment was to investigate the efficacy of a goal orientation procedure in their treatment of apathy, isolation, and insufficient goal setting skills in chronic psychiatric residents. The experiment was conducted in a behaviorally-oriented deinstitutionalization program in a state psychiatric hospital. Three male and four female chronic psychiatric residents served as research participants. A group repeated measures design with four within-participant phases (ABA‘B’) was utilized. The goal orientation procedure included a written schedule that was completed by each research participant daily. This Daily Living Schedule required that a behavior be specified by the participant for every half-hour period during the day (8:30 a.m. to 9:00 p.m.). During all four phases of the experiment, research participants were observed on the ward from 8:30 a.m. to 12:00 noon and 1:00 p.m. to 5:00 p.m. for engagement in scheduled target behaviors. The daily scheduling procedure produced substantial increases in appropriate behavior such as social activities, ward jobs, and participation in treatment programs, whereas decrease were produced in inappropriate behavior such as isolation and day time sleeping.     

Metaphors do not use associations between concepts,they are used to create them

Does the interpretability and aptness of a metaphor depend on prior existing associative relations between the metaphor topic and vehicle? Lexical decision latencies for pairs of words drawn from apt, comprehensible metaphors were no faster than latencies for randomly paired words. In contrast, lexical decision latencies for associatively related word pairs were faster than latencies for randomly paired words. These data suggest that good metaphors do not use preexisting associations to achieve their effects. Instead, we argue tht people use metaphors to create new relations between concepts. Implications for a theory of metaphor comprehension are discussed.     

A rejoinder to Pribram

Summary Contrary to Pribram's assertion, Köhler proposed a functional isomorphism between brain processes and phenomenal events; the sense organs are not implied in the isomorphism principle. With respect to the facts of the Köhler-Pribram collaboration reliance on the written record is recommended.