Reflective team in caring for people living with dementia: a base for care improvement

A reflective team (RT) is a team of professional carers who reflect on a specific caring issue under the direction of an RT leader. The goal for the reflective process is to accomplish care improvement based on research and proven experience, and the first step is to reflect upon the competence that already exists in the context in which RT takes place. This study aims to bring previous unarticulated competence in caring for people living with dementia to the surface after it has been reflected during RT sessions. Ten assistant nurses who work closely with patients who have dementia and attend RT sessions on a regular basis were interviewed about their competence for caring for people living with dementia. Using a phenomenographic analysis, two qualitatively separate categories emerged: general caring skills and dementia-specific caring skills. It was concluded that specific skills in caring for people living with dementia build in caring skills and that tacit knowledge can be explicit and be expressed when it has been reflected in RT.     

Testing the Situationism Scale in Europe: Scale validation,self‐regulation and regional differences

The term situationism refers to an individual's belief about the importance of a behaviour's context. This study tested whether the degree of situationism expressed by individuals in various regions of Europe was consistent with self‐regulation and cross‐cultural theories. The English version of a Situationism Scale (measuring beliefs about the relation between the environment and one's own behaviour) was translated into five additional languages: Dutch, German, Hungarian, Italian and Slovenian. Young adults (N = 1106, M_Age = 22.9 years, 79% female) across Europe responded to one of the six language versions of the scale as part of a larger survey. Results indicated that: new language versions were psychometrically valid; there was a positive relation between situationism and the use of situation‐control strategies; and situationism was higher for individuals from regions that are Eastern European and relatively more interdependent, compared with individuals from regions that are Western European and relatively less interdependent. As the first evaluation of the Situationism Scale outside America, this study supports the Scale's validity and suggests not only may some effects of situationism be universal, but between‐ and within‐culture differences in situationism exist. Overall, when making judgments and decisions about the self, cultural background and individual differences in situationism may come into play.     

Theological Implications of Young Earth Creationism and Intelligent Design: Emerging Tendencies of Scientism and Agnosticism

Abstract

Creationism is a worldview that does not accept the undirected formation and development of life but requires intelligent (supernatural) intervention. We analyzed texts representing Young Earth creationism (YEC) and intelligent design (ID) for their theological content and implications by assessing their position in central issues of systematic theology. YEC proponents emphasize the young age of the Earth and the necessity of literal interpretation of Genesis as prerequisites for the Fall and redemption. ID accepts the geological age of the planet, but requires intervention during evolution. YEC maintained the traditional characteristics of the Christian God (omnipotence, omniscience, benevolence), while some ID authors refused to speculate on the nature of the alleged designer. YEC authors utilized reinterpretation of scientific data as evidence for creation and to legitimize their belief in the historicity of Genesis. This could be regarded a form of scientism. YEC theodicy concentrated on the Fall as the cause of evil and the eschatological resolution of suffering. In contrast, ID proponents attempted to solve theodicy by compensated benefits of, e.g., pain. ID did not take a clear stand regarding salvation and ecclesiology, but YEC authors considered the acceptance of evolutionary theory and Christian faith to be mostly inconsistent. YEC doctrine differed from major Christian denominations by accepting scientific evidence as a proof for the historicity of Genesis and showed signs of exclusivity regarding evolutionary proponents. In ID, no satisfactory theodicy could be observed and some ID theorists could be classified as agnostics because of doubting the identity of the designer and by limiting God's omnipotence and benevolence. Both YEC and ID demonized evolutionary theory and its proponents. Creationism seems to be on its way to becoming a new kind of denomination or an emerging novel religion.     

Out of the depths

A fundamental approach of theology as practiced within the palliative setting is care for the whole human being, with particular focus on spirituality and the spiritual dimension. Theology and medicine come together in palliative care in which the spiritual aspect is an important component together with the physical, psychological, and social. This article is based on a mixed methods study of spirituality among persons receiving palliative care. Findings revealed the importance of spirituality and its multidimensional elements by which spirituality was perceived as a complex phenomenon relating to religious and non-religious aspects of human life. Theological reflection based on the present findings indicates that a sharp distinction between the concepts of religion and spirituality is not beneficial. It also reveals the significance of the spiritual dimension and that theology has an important role in creating a deeper understanding of this complex part of human existence. Spiritual needs, expressed in various ways, were evident among the participants receiving palliative care. The findings confirm that the theological approach in palliative care, with its focus on the whole human being and emphasis on spirituality and the spiritual dimension, continues to be the hallmark of practicing theology within palliative care.     

Is Symptomatic Long QT Syndrome Associated with Depression in Women and Men?

We examined whether long QT syndrome (LQTS) mutation carrier status or symptomatic LQTS are associated with depression, and whether there are sex differences in these potential relationships. The sample comprised 782 participants (252 men). Of the 369 genetically defined LQTS mutation carriers, 169 were symptomatic and 200 were asymptomatic. The control group consisted of 413 unaffected relatives. Depression was assessed using the Beck Depression Inventory-II (BDI-II). No association was found for LQTS mutation carrier status with depression. The multinomial logistic regression showed that LQTS mutation carrier men with arrhythmic events scored higher on depression compared with the control group, even when adjusting for age, β-blockers, antidepressants, and social support (OR = 1.09, 95 % CI [1.02, 1.15], p = .007). The binary logistic regression comparing symptomatic and asymptomatic LQTS mutation carriers showed that symptomatic LQTS was associated with depression in men (OR = 1.10, 95 % CI [1.03, 1.19], p = .009). The results were unchanged when additionally adjusted for education. These findings suggest that symptomatic LQTS is associated with depression in men but not in women. Overall, however, depression is more frequent in women than men. Thus, regular screening for depression in LQTS mutation carriers and their unaffected family members can be important.     

The Interplay of Implicit Causality,Structural Heuristics,and Anaphor Type in Ambiguous Pronoun Resolution

Two visual-world eye-tracking experiments investigating pronoun resolution in Finnish examined the time course of implicit causality information relative to both grammatical role and order-of-mention information. Experiment 1 showed an effect of implicit causality that appeared at the same time as the first-mention preference. Furthermore, when we counterbalanced the semantic roles of the verbs, we found no effect of grammatical role, suggesting the standard observed subject preference has a large semantic component. Experiment 2 showed that both the personal pronoun hän and the demonstrative tämä preferred the antecedent consistent with the implicit causality bias; tämä was not interpreted as referring to the semantically non-prominent entity. In contrast, structural prominence affected hän and tämä differently: we found a first-mention preference for hän, but a second-mention preference for tämä. The results suggest that semantic implicit causality information has an immediate effect on pronoun resolution and its use is not delayed relative to order-of-mention information. Furthermore, they show that order-of-mention differentially affects different types of anaphoric expressions, but semantic information has the same effect.     

Does Rumination Mediate the Association of Private Prayer,Stress, and Their Interaction with Depression among Christians? A Cross-Sectional Study

Mechanisms underlying significant associations between different types of prayer and depression are unknown. Based on the conceptualization of prayer as stress buffering coping style and the Response Style Theory, we proposed that rumination mediates the association of prayer types and stress with depression. This cross-sectional study (N?=?227 Christians, M_age 41.74, SD 14.82, age range 18–82 years, 76% female) used path modeling to test whether rumination mediated the associations between prayer types and prayer types by stress interactions with depression. Rumination fully mediated the associations of the colloquial and ritual prayer by stress interactions with depressive symptoms, while meditative and petitionary prayer was directly associated with depressive symptoms. Further, petitionary prayer and the ritual prayer by stress interaction were associated with more and not with less rumination and depressive symptoms, respectively. Summarized, first empirical evidence supports an integration of prayer, stress, and rumination into one model of depression. However, the exact nature of their interplay depends on the prayer type. If replicated, our findings allow the integration of prayer into cognitive-behavioral treatment of depression in religious and spiritual clients.