The Religious and Spiritual Needs of Patients in the Hospital Setting Do Not Depend on Patient Level of Religious/Spiritual Observance and Should be Initiated by Healthcare Providers

Journal of Religion and Health - According to many studies, addressing the religious and spiritual (R/S) needs of patient's increase patient satisfaction. One area of interest is how patient...     

Successful Postgraduate Placement Experiences: What is the Influence of Job and Supervisor Characteristics?

We know little about what determines an effective placement experience, yet vocational placements are an integral part of many professional degree programmes. The aim of this research was to examine the influence of job (task variety, task identity, task significance, feedback, and autonomy) and supervisor (relationship quality and mentoring) characteristics on placement outcomes. The findings were tested on samples from two professions for which placement were a compulsory part of their course. Sample 1 consisted of 266 undergraduate nurses, and sample 2 consisted of 176 postgraduate psychologists. The findings showed that job and supervisor characteristics explained unique variance in professional development and placement satisfaction. Of the five job characteristics examined, skill variety, feedback from the job, and task significance influenced placement outcomes. Mentoring emerged as the most important supervisor characteristic that was associated with professional development and placement satisfaction, and to a slightly less extent, supervisor–student relationship quality was also important. The research and practical implications of the findings were discussed.     

Effects of Repeated Exposure to a Graphic Smoking Warning Image

Several countries have introduced graphic warning images aimed at discouraging smoking. However, the images may be subject to an habituation effect. This study examined the effects of repeated exposure to an image of smoking-related mouth cancer in 24 smokers, 20 ex-smokers, and 39 individuals who had never smoked regularly. Participants viewed the warning image seven times over 7 to 14?days. Trend analysis showed that the smokers had high distress initially when viewing the image, followed by a significant lessening of image-related distress that leveled out over time. Nonetheless, viewing the image had a significant linearly increasing positive effect on their intention to quit smoking, with no sign that the effect of the image on intention was wearing out. The two groups of nonsmokers showed response patterns different from those of the smokers, including signs of habituation to the image. Other results showed a significant relationship between experiencing a high level of distress when viewing the image and having a negative attitude toward smoking. The implications of these findings are discussed in light of anti-smoking campaigns.     

Impact of emotional approach coping and hope on PTSD and depression symptoms in a trauma exposed sample of Veterans receiving outpatient VA mental health care services

The present investigation evaluates the relationship between coping style, dispositional hope, and posttraumatic stress disorder (PTSD) and depression symptom severity in a trauma-exposed Veteran sample. Specifically, we evaluated the adaptive value of emotional avoidant and approach coping strategies and perceptions of hope in a sample of 209 trauma-exposed Veterans receiving outpatient mental health care at a VA facility. Participants completed a life events questionnaire and inventories assessing coping, dispositional hope, and PTSD and depression symptom severity. Hierarchical regression analyses were conducted controlling for relevant demographic variables. Greater levels of emotional avoidance and lower levels of emotional expression were significantly associated with increased PTSD and depression symptom severity. Dispositional hope was positively associated with depression symptoms only and perceptions of hope moderated the association between emotional avoidance coping and depression symptoms. Findings highlight the value of emotional coping strategies and perceptions of hope in posttraumatic adjustment. Specifically, employing coping techniques that encourage emotional expression may promote improved adjustment among trauma-exposed individuals, while reduced perceptions of hope and the use of avoidant coping strategies may place individuals at greater risk for depression following exposure to traumatic events.     

Neurocognitive development in 5- to 16-year-old North American children: A cross-sectional study

Executive functions are thought to be the latest functions to mature. However, this view has not been tested by assessing simultaneously memory, perception of emotions, visuospatial perception, and visuoconstructional skills. NEPSY II norm data from 1000 5- to 16-year-old U.S. children were obtained. Fifteen NEPSY II subtests with no floor or ceiling effects in any age group and no major changes in task type were selected. The 16-year level was attained at age 12 to 13 in all subtests with two exceptions: social perception (age 10 to 11) and narrative memory (age 14). Trend analyses showed that development was rapid in the age range 5 to 9 years followed by a deceleration in the rate of development. Peak performances were reached at 14 to 16 years but later in some subtests representing executive functions, verbal memory, and visuospatial performance. Thus, the study specified developmental time tables of neurocognitive functions. It demonstrated that not only executive functions but also verbal memory and visuospatial performance continue to develop beyond age 16.     

Executive function as a function of sub-clinical psychopathy

Some aspects of executive function are thought to be dysfunctional in psychopathic individuals. We administered a small battery of neuropsychological tests (spatial alternation task, object alternation task, and Porteus Maze) to two samples of college students and obtained a measure of psychopathy via a self-report questionnaire. Psychopathic traits were related to the tests of object alternation and Porteus Maze but not to the spatial alternation task. Our results support the hypothesis of orbitofrontal cortex (OFC) dysfunction with sparing of dorsolateral prefrontal cortex (DLPFC) in psychopathy and provide a downward extension of this theory to sub-clinical levels of psychopathy.     

Varieties of Cues to Emotion in Naturally Occurring Situations

People were asked to observe a person with whom they lived, to report when they noticed that person experiencing an emotion, and to report what cues they used to detect the emotion. In Phase 1, observers were told to "list the cues they used"; in Phase 2, they were told to "describe how they could tell" that the target person was experiencing an emotion. Results were similar in both phases. Only 5 of the 182 respondents reported using a single cue whereas 10 reported using at least a dozen cues. Two out of three respondents reported using vocal cues; over a half reported using facial, indirect verbal, and context cues; nearly a half reported using body and activity cues; about a quarter of the respondents reported using physiological, trait, and other cues; and fewer than a tenth reported using direct verbal cues. Roughly the same number of cues and the same distribution of cue categories was found regardless of the emotion being observed, the sex of the person observing, the sex of the person being observed, or the type of relationship between them.     

Women's Sexuality and Meaning Making

The purpose of the current study was to challenge depictions of traditionally oppressive female sexuality by explicitly exploring diverse women's positive experiences of sexuality and to capture the unique meanings women ascribe to their sexuality through the use of participant-generated metaphor. We interviewed 17 diverse women regarding the meaning of sexuality in their lives. Coding revealed that metaphors for sexuality provided a creative and integrative way for women to express the complexity of their sexuality. In addition, a sexual developmental trajectory emerged from the analysis, as did themes of fluidity and ideal sexuality. Implications for theory and therapy, as well as future directions for research, are offered.     

Authenticity as a Mediator of the Relation Between Child Maltreatment and Negative Outcomes for College Women

The goal of this cross-sectional study was to determine if authenticity in relationships mediated the relation between early childhood maltreatment and negative outcomes (depression, low self-esteem, and traumatic symptoms). An ethnically diverse sample of female college students (N = 257, M age = 19.74) completed self-report questionnaires related to early childhood maltreatment, negative outcomes, and authenticity in relationships. Approximately 30% of participants experienced childhood maltreatment including physical maltreatment, emotional maltreatment, or both. Results from multiple mediation analyses indicated that, when controlling for physical maltreatment, authenticity in close relationships significantly partially mediated the relation between emotional maltreatment and depression, self-esteem, and traumatic symptoms (p < .05). However, when controlling for emotional maltreatment, physical maltreatment did not significantly predict any of the outcome variables, so physical maltreatment was not significantly mediated by authenticity in relationships. These results have important clinical implications for women who experience negative mental health outcomes as a result of childhood maltreatment.     

Counter-Recognition in Decolonial Struggle

In decolonial struggle, there is an old colonial order that must be forever dismantled, with all its trimmings of unearned privilege, embedded in generations of wealth. There is a new order to be established, with new constellations of links with the global world. It is with this moment of significant social questioning, disruption, and revolution that this paper is concerned. Colonial situations, wherever they occur, affect our social and political lives deeply, and as they penetrate into our therapy rooms, with identities abraded and subjectivities set aslant with new light, it is urgent that we begin to grapple with their challenges to our skills and our theory. This paper addresses three aspects of this. First, the decolonial turn raises significant challenges for relational therapies. Second, far-reaching change to a social order evokes complex layers of trauma, and the ways in which we respond to these requires a reach beyond our own vulnerabilities, our retreat into the old familiar. Finally, the paper looks at the ways in which the writing of both Frantz Fanon and Donald Winnicott theories provide a way of making sense of this challenging clinical terrain.