Incarnation and pastoral care

This essay is an examination of the usefulness of incarnation as a theological metaphor for pastoral care and counseling. Understanding the incarnation as both an event and as a paradigm of God's relationship to the world provides a theological perspective for examining four interrelated questions about identity and the helping relationship frequently asked by the pastoral care-giver. The incarnation metaphor finally frees us to care in the confidence that in God the Incarnating One, all things, including our care for the sick, are held together.Dr. Anderson is Associate Professor of Pastoral Theology and Counseling at Wartburg Theological Seminary, 333 Wartburg Place, Dubuque, Iowa 52001.     

Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board

American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention.     

Cross-task validation of functional measurement

Ss judged average heaviness of two unseen lifted weights on a 20-step rating scale. They also rated heaviness of a single visible object of variable size and weight. The data for each task obeyed the parallelism prediction of the linear integration model. This within-task consistency validates jointly the model and the response scale. Functional measurement procedure yielded independent scales of subjective heaviness from each task. These were linearly related, a criterion of external consistency. The plot of subjective heaviness against objective weight was slightly negatively accelerated. These results disagree with those that have been obtained with magnitude estimation. Since the rating data satisfy both internal and external consistency, they constitute the true measure of sensation. Magnitude estimation, in contrast, must be biased and invalid.     

Fixed-ratio performance under conditions of delayed reinforcement

Four rats were trained on a schedule in which completion of a fixed number of lever presses initiated a signalled delay period, at the end of which food was delivered. Lever presses made during the delay had no scheduled consequences. Delays of 12, 3, and 0.75 sec were used, and it was found that the latency of the first response after food (the post-reinforcement pause) increased with length of delay. There was, on the other hand, no consistent effect of delay upon rates of responding after the post-reinforcement pause.     

Fixed interval schedules and delay of reinforcement

In a fixed interval schedule of reinforcement the only responses to be reinforced are those made when a certain time interval has elapsed since the previous reinforcement. The behaviour of three rats on such a schedule was compared with their behaviour on a schedule where a response made at any time during the interval was reinforced by setting up a reward which was delivered when the interval had elapsed. Response rates were higher in the ordinary fixed interval schedule than in its modified version, and it is argued that this rules out attempts to explain the maintenance of fixed interval performance by delayed reinforcement. Despite the clear difference in response rates, there was considerable similarity between the post-reinforcement pauses developed in the two schedules, and this suggests that pausing is influenced more by temporal than by response contingencies.     

Book reviews

Animal Discrimination Learning. Edited by R. M. Gilbert and N. S. Sutherland. London: Academic Press. 1969. Pp. xvi + 501. 1358.

Luce, R. D. and Tukey, J. W. (1964). Simultaneous conjoint measurement: a new type of fundamental measurement. J. math. Psychol. I, 1-27.

Discrimination Learning. By D. A. Riley. Boston: Allyn and Bacon Inc. 1968. Pp. 172. Paperback 21s.

Annual Review of Psychology. Vol. 20. Palo Alto: Annual Reviews Inc. 1969. Pp. ix + 544. $9.00.

Cutaneous Sensation. By David Sinclair. London: Oxford University Press. 1967. Pp. xii + 306. 63s.

Modelling of Thinking and the Mind.. By N. M. Amosov. Translated by L. Finegold. New York: Spartan Books. London: Macmillan. 11967. Pp. xiii + 192.

The Mind of Mnemonist. By A. R. Luria. London: Jonathan Cape. 1969. Pp. xi + 160. 25s.

Determinants of Infant Behaviour IV. Edited by B. M. Foss. London: Methuen. 1969. Pp. 303. £3 10s.

Brain and Behaviour. Volumes 1-4. Edited by Karl Pribram. Harmondsworth: Penguin Books Ltd. 1969. Pp. 496 +573 + 523 + 524. 12s. 6d. per volume.