A course in hypnosis for chaplains

Understanding the mental processes involved in suffering has always been the best basis for communication between patients and caretakers. In this paper we are concerned first with acknowledgment of the existence, generally unknown, and the effects, generally unrecognized, of the hypnotic processes that occur in many forms of suffering, and second with developing our thesis that the understanding and use of hypnotic principles can greatly enrich the chaplain's capacity to alleviate suffering. In this brief presentation we will confine our discussion to the teaching of hypnosis as a virtual necessity in modern clinical training for chaplains. Comments and considerations will precede and follow an outline of the course presently offered at Lenox Hill Hospital [but we cannot here attempt to discuss or explain the fundamentals of hypnotic process or any other aspects of the course content itself]. A basic bibliography is appended for those who wish to know more about hypnosis itself.     

Assessing mental capacity and susceptibility to undue influence

Clinicians are commonly asked to participate in the determination of an individual's mental capacity and susceptibility to undue influence. Vague statutory definitions and lack of operational criteria for both determinations have contributed to inconsistency in the quality and usefulness of expert input to these determinations. Questionnaire responses of 119 probate judges from the U.S. indicate that this input is quite influential despite the problems mentioned above. This paper presents and discusses the judges' views on selected procedural and conceptual aspects of expert evaluation and testimony.     

Do Cognitive Behaviour Therapies Validate Cognitive Models of Mood Disorders? A Review of the Empirical Evidence

The efficacy of Cognitive Behaviour Therapy (CBT) in the treatment of depression is now established. However, explanations for the efficacy of CBT are mixed. The evidence needed to support the explanation advanced by cognitive theory is lacking. This paper critically reviews the available empirical evidence. Forty-four outcome or process studies of therapy with depression are reviewed and 21 of these are subjected to a meta-analysis to investigate the relationship between change in cognitions and change in level of depression during different kinds of therapy. Our analysis shows that: (1) change in cognitive style occurs in all four categories of treatment: CBT, Drug Therapy, Other-Psychological Therapy, and Waiting List; (2) there was a significant difference between Waiting List and all the active treatments in change in cognitions, but not between active treatments; (3) the degree of change in cognitive style is significantly related to change in depression as measured by the Beck Depression Inventory (BDI), but not the Hamilton Rating Scale for Depression (HRS-D); and (4) the relationship between cognitive change and depression is not unique to CBT. Our findings show that CBT does provide some support for the cognitive models of depression but the relationship between cognitive change and recovery from depression is not unique to CBT.     

Coping Strategies as Predictors of Distress in Survivors of Single and Multiple Sexual Victimization and Nonvictimized Controls

This study investigated the relationship between coping strategies and distress symptomatology in survivors of sexual revictimization. Coping strategies were assessed with the revised Ways of Coping Scale (Aldwin & Revenson, 1987). Distress symptoms included global distress, depression, anxiety, and somatization. Subjects were 44 survivors of sexual victimization in both childhood and adulthood; 54 survivors of a single incident of sexual victimization in childhood; and 256 nonvictimized individuals. All were drawn from a subject pool of female undergraduate students. Multivariate analysis of variance revealed significant differences between groups on reported symptomatology and coping strategies. Victimized groups reported more distress than did the nonvictimized group. The multiple victimization group indicated greater use of coping strategies than did the nonvictimized group, and both victimized groups reported greater use of the escapism strategy than did the nonvictimized group. Multiple backward regression analysis found that coping strategies were predictive of distress symptomatology in all three groups, with escapism as the most potent predictor of distress for each group. Coping strategies were the most powerful predictors of distress in the multiply victimized group. The results of this study provide strong support for the importance of addressing coping strategies in clinical intervention of distress, particularly with survivors of multiple sexual victimization.     

Evaluating the Impact of a National AIDS Prevention Radio Campaign in St. Vincent and the Grenadines1

Based on extensive formative research in the three Eastern Caribbean countries of St. Lucia, St. Vincent and the Grenadines, and Grenada (Fishbein, Middlestadt, & Trafimow, 1993; Fishbein, Trafimow, et al., 1993), a three-nation, mass media, condom use campaign was developed. In order to assess the impact of the campaign, a follow-up survey was conducted in St. Vincent and the Grenadines. This paper examines the effectiveness of the campaign by comparing responses on this survey by respondents who were or were not exposed to the campaign. A statistically significant impact of exposure to the campaign was obtained, indicating that a well-designed, empirically based, mass media campaign can be an effective tool in the battle to prevent the spread of AIDS.     

The Contributions of Appearance to Occupational Outcomes in Civilian and Military Settings1

Two archival studies examined the impact of people's appearance on the status and type of civilian and military jobs they hold. Study 1 found that, although appearance was not related to job status, taller men had higher incomes. Additionally, appearance was significantly related to the type of jobs people held. Attractive women and tall men held jobs requiring traits more consistent with the attractiveness halo, while babyfaced women and short men held jobs more consistent with the babyface stereotype. These effects remained after controlling for job-relevant personality and educational variables, suggesting an unjustified bias toward people with certain appearances. Study 2 found that heavier men had lower job status, as reflected in military rank attainment. However, this relationship was eliminated when controlling for intelligence and dependability. Also, babyfaced men achieved higher status through being marginally more likely to win a military award. This unexpected effect was attributed to the contrast between heroic actions and the babyface stereotype. Finally, appearance affected the type of military experience men had. Heavier men were more likely to be in situations involving gunfire or casualties. These studies make an important contribution by extending laboratory findings to the real world, exploring the effects of appearance on job type as well as status, and providing evidence that appearance effects are not solely due to covariation with bona fide job qualifications.     

Defiant spirituality: Care traditions in the black churches

Conclusion I have tried to demonstrate that black church defiant spirituality is a complex, multi-dimensional phenomenon. In essence it represents the quest of exiled African peoples to experience ontological harmony with God and all of creation. In the context of a racist society, it has adapted itself to the exigencies of survival and gradual liberation. Specifically, it has sought to reconstruct reality by religiously affirming God's sovereignty over the just and unjust. Also, it has negated black invisibility, subverted political anemia, and now struggles to resist and conquer an encroaching spiritual despair in post-industrial society.I have identified three basic treasures which the black church may offer to other cultures, namely, that care and discipline are the responsibility of every Christian, that authentic Christian worship nurtures commitments to individual and social transformation and it offers a full sensory experience. I close with words from one of America's greatest twentieth century poets, Langston Hughes (1974)—entitled Mother to Son: Well, son, I'll tell you: Life for me ain't been no crystal stair. It's had tacks in it, And splinters, And boards torn up, And places with no carpet on the floor—Bare. But all the time I'se been a-climbin' on, And reachra' landin's, And turnin' corners, And sometimes goin' in the dark Where there ain't been no light. So boy, don't you turn back. Don't you set down on the steps 'Cause you finds it's kinder hard. Don't you fall now —For I'se still goin', honey, I'se still climbin', And life for me ain't been no crystal stair. (p. 187)     

Internal approach to external sets and universes

A problem which enthusiasts ofIST, Nelson's internal set theory, usually face is how to treat external sets in the internal universe which does not contain them directly. To solve this problem, we considerBST,bounded set theory, a modification ofIST which is, briefly, a theory for the family of thoseIST sets which are members of standard sets.We show thatBST is strong enough to incorporate external sets in the internal universe in a way sufficient to develop the most advanced applications of nonstandard methods. In particular, we define inBST an enlargement of theBST universe which satisfies the axioms ofHST, an external theory close to a theory introduced by Hrbaek. HST includes Replacement and Saturation for all formulas but contradicts the Power Set and Choice axioms (either of them is incompatible with Replacement plus Saturation), therefore to get an external universe which satisfies all ofZFC minus Regularity one has to pay by a restriction of Saturation. We prove thatHST admits a system of subuniverses which modelZFC (minus Regularity but with Power Set and Choice) and Saturation in a form restricted by a fixed but arbitrary standard cardinal.Thus the proposed system of set theoretic foundations for nonstandard mathematics, based on the simple and natural axioms of the internal theoryBST, provides the treatment of external sets sufficient to carry out elaborate external constructions.Partially supported by AMS grants in 1993 and 1994 and DFG grant in 1994.Presented byRobert Goldblatt