An Exploratory Study of HIV+ Adolescents’ Spirituality: Will You Pray with Me?

The aims of the study were (1) to determine whether adolescents find it acceptable to have physicians explore their spiritual beliefs as part of their medical care, (2) to characterize the role of spirituality and religious beliefs in adolescents with and without HIV, and (3) to examine associations between spirituality/religion and quality of life. Adolescents receiving their medical care at an urban Adolescent Health Clinic completed a study-specific questionnaire about spiritual inquiry by their physician, the Brief Multidimensional Measurement of Religiousness/Spirituality, and the Pediatric Quality of Life Inventory 4.0. Chi-squared analysis, Fischer’s exact test, and t tests were used to assess associations. A total of 45 participants enrolled: 19 HIV+ (53% vertical transmission) and 26 HIV?; mean age 17.2 years; 80% African American. Four out of 45 (9%) had ever been asked by their doctor about their spiritual/religious beliefs, and only 8 (18%) had ever shared these beliefs with their healthcare provider. Most teens wanted their provider to ask them about their spiritual beliefs during some visits, especially when dealing with death/dying or chronic illness (67%). Those with HIV were more likely to endorse wanting their doctors to pray with them (42% vs. 15%), feeling “God’s presence” (Mean = 3.95 vs. 2.83), being “part of a larger force” (Mean = 2.58 vs. 1.69), and feeling “God had abandoned them” (Mean = 1.63 vs. 1.15). There are certain circumstances in which healthcare providers should include a spiritual history with teenage patients. Few differences emerged in the teens studied with and without HIV.     

Abstracts

Abstract

This special issue of the American Journal of Family Therapy focuses on recent developments in Behavioral Marital Therapy (BMT). At first glance, one might expect an issue with such a title to be devoted exclusively to clinical practice. Yet only three of the six papers bear directly on clinical issues, although all of them have clinical implications. Two of the nonclinical papers are validational studies of assessment instruments associated with BMT. The sixth paper explores an important theoretical question regarding the relationship between childbirth and marital distress.     

Hypno-Operant therapy–A capsule description of a new approach in the mental health field

Abstract

The principles of behavior modification techniques, based mainly on Skinner's operant conditioning, me combined with hypnotic suggestion to create this new therapeutic technique. However, the assumption that learning is not mechanical (the S-R model) is an important element of this method, leaving an opening for the consideration of unconscious factors, especially in the management of sexual dysfunction.     

Memory for emotional faces in major depression following judgement of physical facial characteristics at encoding

The aim of the present study was to establish if patients with major depression (MD) exhibit a memory bias for sad faces, relative to happy and neutral, when the affective element of the faces is not explicitly processed at encoding. To this end, 16 psychiatric out-patients with MD and 18 healthy, never-depressed controls (HC) were presented with a series of emotional faces and were required to identify the gender of the individuals featured in the photographs. Participants were subsequently given a recognition memory test for these faces. At encoding, patients with MD exhibited a non-significant tendency towards slower gender identification (GI) times, relative to HC, for happy faces. However, the GI times of the two groups did not differ for sad or neutral faces. At memory testing, patients with MD did not exhibit the expected memory bias for sad faces. Similarly, HC did not demonstrate enhanced memory for happy faces. Overall, patients with MD were impaired in their memory for the faces relative to the HC. The current findings are consistent with the proposal that mood-congruent memory biases are contingent upon explicit processing of the emotional element of the to-be-remembered material at encoding.     

Sources of Opposition to Relatedness in Psychoanalysis

This paper examines sources of resistance to the analyst's entering into and developing a necessary and appropriate relatedness to the patient. The elements of two major theoretical approaches, namely contemporary conflict theory and selfpsychology, that interfere with the analyst's comfort in acknowledging his or her feeling involvement with the patient are examined. A case discussion, drawn from a recent American Psychoanalytic Association meeting is used to demonstrate the absence of a relational perspective in an analysis of 15 months duration.     

A Functional Analysis of Psychological Terms Redux

In his seminal paper, “An Operational Analysis of Psychological Terms,” Skinner (1945) offered the revolutionary suggestion that, rather than endlessly debating the meanings of psychological terms, psychologists should analyze the variables that control their occurrence as verbal behavior. Skinner''s suggestion reflected the essence of his 1957 book, Verbal Behavior, wherein he argued that the behaviors of which language is composed (i.e., speaking and listening) are controlled by variables found in the social environment (which he called the verbal community), and that analyzing those variables would lead to an understanding of the behaviors. Although Skinner formally introduced his radical approach to language in 1945, it has yet to be fully realized. The result is that psychologists, including behavior analysts, still debate the definitions of terms. In the present paper, I review Skinner''s functional approach to language and describe ways in which behavior analysts have already applied it to traditional psychological terms. I conclude by looking at other current terms in behavior analysis that engender some confusion and encourage behavior analysts to apply a functional analytic approach to their own verbal behavior.     

Verbal Memory Deficits in Children with Less than 750 g Birth Weight

Numerous studies have documented memory deficits in very low birthweight (VLBW, < 1500 g) children, yet we know little about the nature of these memory problems. To clarify memory sequelae and examine memory deficits in relation to the degree of low birth weight, we administered the California Verbal Learning Test–Children’s Version (CVLT-C) to a regional sample of 57 < 750 g birthweight children and to groups of 53 750–1499 g birthweight children and 49 term-born controls. Group comparisons revealed significant differences between the < 750 g birthweight group and term-born children on measures of list learning, delayed recall, and inaccurate recall. In addition, the percentage improvement in correct recognitions relative to long-term delayed recall was greater in the < 750 g group than in the term-born controls. Similar differences were observed between VLBW children with and without abnormal neonatal cerebral ultrasounds (high- and low-risk groups). Differences in learning rate between the VLBW and term-born groups, and between high- and low-risk VLBW children, were evident even when vocabulary skill was covaried or when children with neurosensory deficits or IQ < 80 were excluded from analysis. The findings document deficits in verbal memory in the subset of VLBW children at greatest biological risk, and suggest that acquisition processes are selectively impaired.