The Unseen Cost: A Discussion of the Secondary Traumatization Experience of the Clergy

The vocation of clergy life can be a hazardous journey. Stress and burnout are issues, which are increasingly reported by clerics. Burnout is defined by a constellation of work related symptoms (Doolittle, Mental Health, Religion & Culture,10(1), 31–38, 2007), with emotional exhaustion recognised as a core component. Despite this recognition the research has not focused on factors which lead to this state of emotional exhaustion in particular secondary traumatization. The purpose of this article is threefold. Firstly, it presents the theoretical framework of secondary trauma. Secondly it reviews the literature aligning clergy and trauma work and thirdly it discuses the emotional and physical toll upon clergy from this aspect of their role.     

Action-specific effects in a social context: others' abilities influence perceived speed

According to the action-specific account of perception, perceivers see the environment relative to their ability to perform the intended action. For example, in a modified version of the computer game Pong, balls that were easier to block looked to be moving slower than balls that were more difficult to block (Witt & Sugovic, 2010). It is unknown, however, if perception can be influenced by another person's abilities. In the current experiment, we examined whether another person's ability to block a ball influenced the observer's perception of ball speed. Participants played and observed others play the modified version of Pong where the task was to successfully block the ball with paddles that varied in size, and both the actor and observer estimated the speed of the ball. The results showed that both judged the ball to be moving faster when it was harder to block. However, the same effect of difficulty on speed estimates was not found when observers watched a computer play, suggesting the effect is specific to people and not to the task. These studies suggest that the environment can be perceived relative to another person's abilities.     

Prediction of foot clearance parameters as a precursor to forecasting the risk of tripping and falling

Tripping and falling is a serious health problem for older citizens due to the high medical costs incurred and the high mortality rates precipitated mostly by hip fractures that do not heal well. Current falls prevention technology encompasses a broad range of interventions; both passive (e.g., safer environments, hip protectors) and active (e.g., sensor-based fall detectors) which attempt to reduce the effects of tripping and falling. However the majority of these interventions minimizes the impact of falls and do not directly reduce the risk of falling. This paper investigates the prediction of gait parameters related to foot-to-ground clearance height during the leg swing phase which have been physically associated with tripping and falling risk in the elderly. The objective is to predict parameters of foot trajectory several walking cycles in advance so that anticipated low foot clearance could be addressed early with more volitional countermeasures, e.g., slowing down or stopping. In this primer study, foot kinematics was recorded with a highly accurate motion capture system for 10 healthy adults (25-32 years) and 11 older adults (65-82 years) with a history of falls who each performed treadmill walking for at least 10 min. Vertical foot displacement during the swing phase has three characteristic inflection points and we used these peak values and their normalized time as the target prediction values. These target variables were paired with features extracted from the corresponding foot acceleration signal (obtained through double differentiation). A generalized regression neural network (GRNN) was used to independently predict the gait variables over a prediction horizon (number of gait cycles ahead) of 1-10 gait cycles. It was found that the GRNN attained 0.32-1.10 cm prediction errors in the peak variables and 2-8% errors in the prediction of normalized peak times, with slightly better accuracies in the healthy group compared to elderly fallers. Prediction accuracy decreased linearly (best fit) at a slow rate with increasing prediction horizon ranging from 0.03 to 0.11 cm per step for peak displacement variables and 0.34 × 10(-3) - 1.81 × 10(-3)% per step for normalized peak time variables. Further time series analysis of the target gait variable revealed high autocorrelations in the faller group indicating the presence of cyclic patterns in elderly walking strategies compared to almost random walking patterns in the healthy group. The results are promising because the technique can be extended to portable sensor-based devices which measure foot accelerations to predict the onset of risky foot clearance, thus leading to a more effective falls prevention technology.     

Effects of an Internet-based intervention for subthreshold eating disorders: a randomized controlled trial

BackgroundWomen reporting initial eating disorder (ED) symptoms are at highest risk for the development of an eating disorder. Preventive interventions should, therefore, be specifically tailored for this subgroup.AimsTo adapt and evaluate the effects of the Internet-based prevention program “Student Bodies?” for women with symptoms of disordered eating and/or subthreshold eating disorder (ED) syndromes.Method126 women, reporting subthreshold ED symptoms (high weight and shape concerns and below threshold bingeing, purging, chronic dieting or several of these symptoms) were randomly assigned to a Student Bodies?+ (SB+) intervention or a wait-list control group and assessed at pre-intervention, post-intervention, and 6-month follow-up. “Student Bodies?” was adapted to be suitable for subthreshold EDs. Main outcome measures were attitudes and symptoms of disordered eating. Pre-follow-up data were analyzed by ANCOVAS with mixed effects.ResultsAt 6-month follow-up, compared to participants in the control group, participants in the intervention group showed significantly greater improvements on ED-related attitudes. Intervention participants also showed 67% (95% CI = 20–87%) greater reductions in combined rates of subjective and objective binges, and 86% (95% CI = 63–95%) greater reduction in purging episodes. Also, the rates of participants abstinent from all symptoms of disordered eating (restrictive eating, binge eating and any compensatory behavior) were significantly higher in the intervention group (45.1% vs. 26.9%). Post-hoc subgroup analyses revealed that for participants with binge eating the effect on EDE-Q scores was larger than in the pure restricting subgroup.ConclusionThe adapted “SB+” program represents an effective intervention for women with subthreshold EDs of the binge eating subtype.     

Causal imprinting in causal structure learning

Suppose one observes a correlation between two events, B and C, and infers that B causes C. Later one discovers that event A explains away the correlation between B and C. Normatively, one should now dismiss or weaken the belief that B causes C. Nonetheless, participants in the current study who observed a positive contingency between B and C followed by evidence that B and C were independent given A, persisted in believing that B causes C. The authors term this difficulty in revising initially learned causal structures "causal imprinting." Throughout four experiments, causal imprinting was obtained using multiple dependent measures and control conditions. A Bayesian analysis showed that causal imprinting may be normative under some conditions, but causal imprinting also occurred in the current study when it was clearly non-normative. It is suggested that causal imprinting occurs due to the influence of prior knowledge on how reasoners interpret later evidence. Consistent with this view, when participants first viewed the evidence showing that B and C are independent given A, later evidence with only B and C did not lead to the belief that B causes C.     

The effect of cognitive behavior therapy on decision making in adolescents who self-harm: a pilot study

Research shows poor decision making in adolescents who self-harm and a positive correlation between decision-making abilities and duration since last self-harm episode. This exploratory study investigated whether decision making in self-harming adolescents could be improved through treatment with a novel cognitive behavior therapy (CBT). It also investigated whether improvement in decision making following treatment was linked to self-harm cessation. Adolescent self-harmers receiving CBT (n = 24) or no treatment (n = 9) and healthy controls (n = 22) were longitudinally compared on the Iowa gambling task (IGT). Significant IGT improvements were only observed for adolescents who self-harm following CBT. CBT may benefit adolescent self-harmers and generate decision-making improvements.     

The more, the merrier? Numerical strength versus subgroup distinctiveness in minority groups

Evidence attests to the efforts made by minority groups to defend and promote ‘distinctive’ attributes that potentially define the ingroup. However, these attributes are often only available to a prototypical minority within the minority category. In two studies we tested the hypothesis that, under certain conditions, large projected increases in the numerical strength of a ‘distinctive’ attribute (emotional intelligence in Study 1; ingroup language in Study 2) within a minority category can paradoxically evoke less-than-positive reactions from those who already have the attribute. Findings confirmed that while a large projected increase in the numerical strength of a ‘distinctive’ attribute was viewed positively when the comparative context focused on the inter-category relation with a majority outgroup, this increase was viewed less positively, and as undermining their own identity, in a narrower intra-category context. Implications for identity management strategies in minority groups are discussed.     

A group construal account of drop-in-the-bucket thinking in policy preference and moral judgment

Decisions, both moral and mundane, about saving individuals or resources at risk are often influenced not only by numbers saved and lost, but also by proportions of groups saved and lost. Consider choosing between a program that saves 60 of 240 lives at risk and one that saves 50 of 100. The first option maximizes absolute number saved; the second, proportion saved. In two studies, we show that the influence of proportions on such decisions depends on how items at risk are mentally represented. In particular, we show that proportions have greater influence on people's decisions to the extent that the items at risk are construed as forming groups, as opposed to distinct individuals. Construal was manipulated by means of animated displays in which resources at risk moved either independently (promoting individual construal) or jointly (promoting group construal). Results support the hypothesis that (a) decision makers form mental representations which vary in the degree to which resources at risk are construed as groups versus individuals and (b) construal of resources as groups promotes the influence of proportions on decisions and moral judgments.     

The role of defeat and entrapment in depression, anxiety, and suicide

Defeat and entrapment are psychological constructs that have played a central role in evolutionary accounts of depression. These concepts have since been implicated in theoretical accounts of anxiety disorders and suicidality. The current article reports on a systematic review of the existing research investigating the links among defeat, entrapment, and psychopathology in the domains of depression, suicidality, posttraumatic stress disorder (PTSD), and other anxiety syndromes. Fifty-one original research articles were identified and critically reviewed. There was strong convergent evidence for a link with depressive symptoms, across a variety of clinical and nonclinical samples. Preliminary support for an association with suicidality was also observed, with effects not readily explainable in terms of comorbid depression. There was strong evidence for an association between defeat and PTSD, although this may have been partly accounted for by comorbid depression. The findings for other anxiety disorders were less consistent. There was, however, evidence that social anxiety in individuals with psychosis may be related to perceptions of entrapment. Overall, there was evidence that perceptions of defeat and entrapment were closely associated with various forms of human psychopathology. These effects were often in the moderate to large range and superseded the impact of other environmental and psychological stressors on psychopathology. We provide a unified theoretical model of how defeat and entrapment may contribute to these different psychopathological conditions. Clinical implications and avenues for future research are discussed.