Classification of adult attachment: an integrative taxonomy from attachment and psychoanalytic theories.

Developmental and psychoanalytic theorists have focused increasingly on empirically determined early childhood antecedents of adult attachments, with several resulting taxonomic models. This article suggests a theoretically based and clinically based model of attachment consistent with both psychoanalytic and attachment theories, resulting in an integrative taxonomy of four adult attachment styles: dependent, avoidant, hostile, and resistant-ambivalent. These styles reflect behavioral manifestations of dependence and anger, as derived from the interaction of primitive relational drives, defenses, and interpersonal experience. In addition to theoretical construction, brief clinical examples are presented to facilitate discussion of the model.     

Job experiences over time, multiple roles, and women's mental health: a longitudinal study.

Are changes over time in the quality of a woman's job associated with changes in her psychological distress? Do family roles moderate these relationships? We addressed these questions using longitudinal data from a 2-year 3-wave study of a stratified random sample of 403 employed women who varied in occupation, race, partnership, and parental status. After estimating individual rates of change for each woman on each of the predictors and the outcome, we modeled the relationships between family role occupancy and change in job-role quality on the one hand, and change in psychological distress on the other. Among single women and women without children, as job-role quality declined, levels of psychological distress increased. Among partnered women and women with children, change in job-role quality was unrelated to change in psychological distress.     

A cross-validation of MMPI-2 substance abuse scales.

We evaluated the efficacy of the Addiction Potential Scale (APS) and the Addiction Acknowledgement Scale (AAS), two new scales designed to assess substance abuse problems with the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), in samples from settings different from those used in their development. Results replicate earlier findings that both scales discriminate between psychiatric and substance abuse samples and do so more effectively than other substance abuse scales designed for use with the MMPI and carried over to the MMPI-2. Results also suggest that APS may be more resistant than AAS to response distortion.     

Hillel's maxim: Framework for psychological health

Mental health practitioners continually struggle to find a simple framework for describing the characteristics of the psychologically healthy individual. Hillel's often quoted saying provides relevant insight into the healthy personality and a convenient framework against which to examine psychological health.     

The practice of psychotherapy and spiritual direction

The author compares and contrasts insight-oriented psychotherapy, supportive psychotherapy, and spiritual direction in relation to goals and methods; management of resistance, transference, and countertransference; and selection criteria. The enhancement of spiritual formation through insight-oriented psychotherapy and supportive psychotherapy is also discussed.     

Altruism in surgery of AIDS patients

There is usually a long period of time between infection with the AIDS virus and manifestation of symptoms. Asymptomatic patients often would benefit from elective surgery for diseases such as arthritis which are unrelated to their infection. The surgeons' decisions to accept the risks to themselves, their spouses, and their operating teams in order to relieve pain and suffering appear to be based upon two covenants; one concerns their role within the doctor-patient relationship, and the other concerns their relationship to what they see as the ultimate meaning in life.     

Spiritual opportunities in the liminal rites of hospitalization

This paper describes the way in which a hospital stay functions as a period of liminality. The opportunities for transformation inherent in such an experience are examined, with special attention given to the role of the hospital chaplain as the ritual leader who can help facilitate the movement through liminality and into wholeness.Ann Hallstein the M. Div. from Union Theological Seminary in May 1992 and expects to be ordained in the United Church of Christ.     

Jungian psychology and pastoral care

This article provides a review of the implications of analytic psychology for pastoral care and the caregiver. Four areas of Jung's thought are examined: (1) his mode of treatment, (2) the process of individuation, (3) his theory of personality types, and (4) his concept of synchronicity. We suggest that Jung's system of thought contains a rich reservoir of insight for the enrichment of pastoral care.