Evaluating pediatric psychology consultation services in a medical setting: An example

We examined the nature of referrals to a health center-based pediatric psychology service from 1990 to 1993 and assessed the satisfaction of health professionals with these services. Archival evaluation of 1467 records showed that over half of the consultation requests came from general pediatrics, pediatric neurology, and surgical services and that 70% of the psychological services were delivered on an outpatient basis. The most frequent referrals were for cognitive/neuropsychological evaluation and externalizing behavior problems. Pediatric psychology trainees were involved in 94% of the consultations. Survey of health professionals (n = 143) indicated very high overall satisfaction with the quality of services delivered. Presenting problems yielding the greatest likelihood for future consultation requests were behavior problems, child abuse, coping with illness, and depression/suicide. Results are discussed in the context of previous evaluations of pediatric psychology services and recommendations for future evaluation research.     

COSMOLOGY FROM ALPHA TO OMEGA

Abstract. This paper focuses on four passages in the journey of the universe from beginning to end: its origin in the Big Bang, the production of heavy elements in first generation stars, the buzzing symphony of life on earth, and the distant future of the cosmos. As a physicist and a Christian theologian, I will ask how each of these passages casts light on the deepest questions of existence and our relation to God, and in turn how these questions are being explored through ongoing research into the interaction between Christian theology and the natural sciences.     

Psychosocial knowledge and allopathic medicine: Points of convergence and departure

The past 15 years have witnessed a call for allopathic medicine to incorporate psychosocial perspectives into education and clinical practice. While a biopsychosocial perspective has influenced academic medicine in areas such as primary care and psychiatry, its direct impact on clinical medicine has been questionable. One barrier to the incorporation of psychosocial information into medicine which has only recently received attention has been different cultural assumptions which govern medicine versus the social-behavioral sciences. These assumptions are examined in the context of four issues: knowledge paradigms, models of education, acculturation of psychosocial knowledge into medicine, and patient autonomy. This cultural analysis provides a vantage point for understanding similarities as well as points of divergence between psychosocial and biomedical knowledge and practice.     

The influence of parents and family context on children's involvement in household tasks

To determine the relative impact of a number of family variables on children's performance of gender-typed household tasks, this study took account of the gender of the child, the gender of a sibling within the same age range (8–14 years), whether a first or second child and three parental variables: the degree of encouragement given to perform masculineand femininetasks, parental involvement in the same tasks, and parents' general egalitarianism. The sample consisted of 191 white, mainly Anglo Australian two-parent families, with the two oldest children in a boy—boy, girl—girl, boy—girl, or girl—boy sequence. To check on the robustness of effects, measures were taken on two occasions, on average 16 months apart. Among the family context variables, the gender of the child was the strongest contributing variable, with girls doing more feminine tasks than boys and boys doing more masculine tasks than girls. There was limited support for the proposition that first children do more housework than second children of the same gender, while the results for gender of sibling were small and inconsistent. Among the parental variables, encouragement had strong positive effects for feminine tasks (i.e., more encouragement by parents corresponded to more involvement by children). In contrast, parental involvement in the same tasks (modeling) and parental egalitarianism predicted only the performance of masculine tasks, and the direction of the effects was mostly negative (e.g., the more a father was involved in masculine tasks, the less a child did of those tasks). The results point to involvement in gender-typed activities being influenced by multiple factors, with parental encouragement and gender of child being most prominent among these. They also point to the value of sampling on more than one occasion and of considering separately the performance of feminine and masculine tasks. This research was financially supported by the Australian Research Council. We are happy to acknowledge that support, together with the essential assistance of the Department of Education and the many parents and children who participated in the study.     

Correction of errors in scientific research

Four ways to reduce scientific errors are by tests of equipment and programs, examination of results, peer review, and replication. This article describes various types of errors that may occur and procedures available for the prevention and correction of both unintentional and intentional errors in experiments that use computer programs to generate the stimuli, record the responses, or analyze the data. We describe a case study of a particular experiment that produced a result that has been found to be erroneous. The case study provides additional evidence of the essential importance of replication for the identification and elimination of scientific error.     

THE PHYSICS OF DAVID BOHM AND ITS RELEVANCE TO PHILOSOPHY AND THEOLOGY

Abstract. The purpose of this paper is to analyze David Bohm's work in terms of physics, philosophy, and theology. First, I discuss the development of Bohm's thought since 1951. Then, using the methodology of Imre Lakatos, I evaluate the scientific status of his research program. Next, I explore the philosophical dimensions of Bohm's views in which realist and idealist, monist and dualist, contingent and determinist outlooks occur in creative tension. Finally, I suggest ways in which Bohm's ideas are relevant to theology through concepts of God and cosmos, beauty and purpose, grace and free will, church, self and evil.

The entire universe is basically a single, indivisible…but flexible and ever changing, unit (Bohm 1951, 140).

     

Attitudinal qualities relating to the strength of the attitude-behavior relationship

A study was conducted to examine the relation between each of several attitudinal qualities and attitude-behavior consistency. Subjects' attitudes toward volunterring to participate in psychological research were assessed. The number of experiments in which each subject volunteered to participate was employed as the measure of behavior. Attitude-behavior consistency was significantly related to (1) the amount of direct experience upon which the subject's attitude was based (specifically, the number of experiments in which the subject had previously participated), (2) the degree of certainty with which the attitude was held, and (3) how well-defined the subject's attitude was, as measured by the width of his latitude of rejection. These three attitudinal qualities were significantly intercorrelated, suggesting that direct experience with an attitude object may produce an attitude that is both better defined and more confidently held than an attitude formed through more indirect means.     

From the word to the conversation: Paradigms and psychology in German protestant pastoral thought

Under steady pressure from ordinary pastoral practice German Protestantism gradually made proclamatory pastoral care more responsive to human need and more adequate to human complexity. In doing so it drew heavily from psychology, but the very refinements helped obscure its original intent. For that and other reasons it came into crisis and was replaced by therapeutic pastoral care, which now dominates German pastoral thought and practice. Each of these paradigms of pastoral work reflected in its own way on the theological aspects of pastoral care, producing quite different theologies of pastoral care and employing psychology in that process in quite different ways.Dr. Burck is Assistant Professor of Religion and Health and Chaplain-Supervisor at Rush-Presbyterian-St. Luke's Medical Center, 1753 W. Congress Parkway, Chicago, Illinois 60612. This article is a sequal to his The New Pastoral Care in Germany, published in the Summer, 1978 issue ofPastoral Psychology.