Spiritual coaching in cancer patients: treating the spirit as well as the disease

Interest in the exploration of spirituality in medical practice has been growing recently due to some studies suggesting its role in the improvement of patient well-being and quality of life. This project examined the feasibility of providing spiritual coaching with patients in an outpatient Radiation Oncology clinic setting. The purpose of spiritual coaching was to provide patients with opportunities to explore their current spiritual lives, increase their involvement in spiritually enhancing activities, and expand their spiritual opportunities. Quality-of-life measurements focused on feelings of hopefulness and distress were used in patients undergoing radiation treatment for cancer. This study suggests that there is a potential benefit for spiritual coaching in the care of cancer patients, and future studies will be done to further el ucidate the ationship of spirituality and quality of life in this population.     

Deconstructing therapy outcome measurement with Rasch analysis of a measure of general clinical distress: the Symptom Checklist-90-Revised

Rasch analysis was used to illustrate the usefulness of item-level analyses for evaluating a common therapy outcome measure of general clinical distress, the Symptom Checklist-90-Revised (SCL-90-R; Derogatis, 1994). Using complementary therapy research samples, the instrument's 5-point rating scale was found to exceed clients' ability to make reliable discriminations and could be improved by collapsing it into a 3-point version (combining scale points 1 with 2 and 3 with 4). This revision, in addition to removing 3 misfitting items, increased person separation from 4.90 to 5.07 and item separation from 7.76 to 8.52 (resulting in alphas of .96 and .99, respectively). Some SCL-90-R subscales had low internal consistency reliabilities; SCL-90-R items can be used to define one factor of general clinical distress that is generally stable across both samples, with two small residual factors.     

Ethics, biotechnology, and global health: the development of vaccines in transgenic plants

As compared with conventional vaccine production systems, plant-made vaccines (PMVs) are said to enjoy a range of advantages including cost of production and ease of storage for distribution in developing countries. In this article, we introduce the science of PMV production, and address ethical issues associated with development and clinical testing of PMVs within three interrelated domains: PMVs as transgenic plants; PMVs as clinical research materials; and PMVs as agents of global health. We present three conclusions: first, while many of the ethical issues raised by PMVs are familiar, PMVs add a new dimension to old issues, and raise some novel issues for ethicists and policy-makers; secondly, it is premature to promise broad applicability of PMVs across the developing world without having demonstrated their feasibility; thirdly, in particular, proponents of PMVs as a solution to global health problems must, as a condition of the ethical conduct of their research, define the commercial feasibility of PMVs for distribution in the developing world.     

South Asian women: identities and conflicts

This study investigated the effects of education, level of religiosity, ethnic identity (internal and external), and racial identity statuses (conformity, dissonance, resistance, and awareness) on cultural value conflict for first and second generation South Asian women (N = 193). Cultural value conflict was examined in two areas, intimate relations and sex-role expectations. Results revealed that level of religiosity was more predictive of intimate relations conflict for second generation than first generation women. Furthermore, higher ratings in internal ethnic identity predicted greater intimate relations conflict in first generation women, while both internal and external ethnic identity predicted intimate relations conflict in second generation women. Finally, higher dissonance scores in racial identity predicted greater conflicts in sex-role expectations for second generation women alone.     

Testing differences between nested covariance structure models: Power analysis and null hypotheses

For comparing nested covariance structure models, the standard procedure is the likelihood ratio test of the difference in fit, where the null hypothesis is that the models fit identically in the population. A procedure for determining statistical power of this test is presented where effect size is based on a specified difference in overall fit of the models. A modification of the standard null hypothesis of zero difference in fit is proposed allowing for testing an interval hypothesis that the difference in fit between models is small, rather than zero. These developments are combined yielding a procedure for estimating power of a test of a null hypothesis of small difference in fit versus an alternative hypothesis of larger difference.     

Goal Motives, Well-Being, and Physical Health: Happiness and Self-Realization as Psychological Resources Under Challenge

An integrative model of goal motives, well-being, and physical health was tested within three studies. Study 1 demonstrated that pursuing autonomous goals was positively associated with both happiness and self-realization, whereas pursuing controlled goals was negatively associated with self-realization, but unrelated to happiness. Study 1 further revealed that self-realization was negatively associated with physical symptoms, whereas happiness was unrelated to the symptoms. Study 2 replicated the findings of Study 1 while showing that academic stress mediated the relationship between self-realization and physical symptoms. Finally, Study 3 replicated the findings of Studies 1 and 2 and additionally demonstrated that academic coping mediated the relationship between self-realization and academic stress. These findings are discussed in terms of their theoretical implications and directions for future research are proposed.

Fat talk and self-presentation of body image: Is there a social norm for women to self-degrade?

The current investigations build upon previous ethnographic research, which identified a social norm for adolescent females to engage in “fat talk” (informal dialogue during which individuals express body dissatisfaction). In Study 1, participants were shown a vignette involving women engaging in fat talk dialogue and were subsequently asked to chose one of three self-presentational responses for a target female: (1) self-accepting of her body, (2) providing no information, or (3) self-degrading about her body. Male and female participants believed the target would be most likely to self-degrade, and that this would lead women to like her, while the self-accepting response would lead men to like her most. Study 2 used the same vignette but participants were asked to respond in an open-ended fashion. Participants again expected the target female to self-degrade. The present findings suggest college students perceive fat talk self-degradation of body image as normative.     

The lexical bias effect in bilingual speech production: Evidence for feedback between lexical and sublexical levels across languages

The lexical bias effect (LBE) is the tendency for phonological substitution errors to result in existing words (rather than nonwords) at a rate higher than would be predicted by chance. This effect is often interpreted as revealing feedback between the phonological and lexical levels of representation during speech production. We report two experiments in which we tested for the LBE (1) in second-language production (Experiment 1) and (2) across the two languages of a bilingual (Experiment 2). There was an LBE in both situations. Thus, to the extent that the LBE reveals the presence of interactivity between the phonological and the lexical levels of representation, these effects suggest that there is feedback in second-language production and that it extends across the two languages of a bilingual.     

Cultural differences in neural function associated with object processing

Behavioral research suggests that Westerners focus more on objects, whereas East Asians attend more to relationships and contexts. We evaluated the neural basis for these cultural differences in an event-related fMRI study. East Asian and American participants incidentally encoded pictures of (1) a target object alone, (2) a background scene with no discernable target object, and (3) a distinct target object against a meaningful background. Americans, relative to East Asians, activated more regions implicated in object processing, including bilateral middle temporal gyrus, left superior parietal/angular gyrus, and right superior temporal/supramarginal gyrus. In contrast to the cultural differences in object-processing areas, few differences emerged in background-processing regions. These results suggest that cultural experiences subtly direct neural activity, particularly for focal objects, at an early stage of scene encoding.