Spiritual care in psychiatry: Professionals’ views

In this study we explored the views of Mental Health professionals and general practitioners (GPs) regarding spiritual care and the effect of personal and cultural background on their views. Data were collected through anonymous questionnaires posted to hospital nursing and medical staff at Hollins Park Hospital, Warrington, UK, and to all GPs within the hospital catchments area. Forty-five percent of GPs, 33% of psychiatrists, and 76% of nursing staff (p < 0.05) felt strongly that human beings are made up of spirit as well as body. More nurses felt that spiritual care is equally as important as other forms of care (52%) compared with psychiatrists (33%) and GPs (29%). A higher percentage of nursing than medical staff had previous training in this area and were more likely than medical staff to consider themselves appropriate to give spiritual advice. A total of 20% of GPs and 33% of psychiatric staff stated the need for training in this area and GPs especially felt they lacked time. Professionals’ views are influenced by cultural and religious backgrounds, with significantly more non-UK born respondents feeling strongly that human beings all have a spiritual component. Many doctors do not consider spiritual care has a role for them to be involved in and many feel too pressured in daily life to take this on. Nurses are more inclined to take a holistic approach to care in this respect. Some people with mental health problems have spiritual care needs and we should be aware of this as an important facet to therapy.     

A review of: “Real events revisited: Fantasy,memory and psychoanalysis”

Ann Scott (1996) Real Events Revisited: Fantasy, Memory and Psychoanalysis, London: Virago, $12.99

Caroline Malone, Linda Farthing and Lorraine Marce (eds) (1996) The Memory Bird: Survivors of Sexual Abuse, London: Virago, $8.99     

A review of: “Challenges to counselling and psychotherapy”

Alex Howard (1996) Challenges to Counselling and Psychotherapy, London: Macmillan, $11.99     

Posttraumatic Growth and Subjective Well-Being among Caregivers of Chronic Patients: A Preliminary Study

This preliminary study focused on positive phenomena among Israeli family caregivers (spouse, adult child, or parent) of patients with chronic illness hospitalized in a medical rehabilitation hospital. We investigated these caregivers’ posttraumatic growth (PTG) and subjective well-being (positive and negative emotions, life satisfaction), and their associations with the demographic and illness characteristics of the caregivers and patients, respectively. Participants included 74 adult primary caregivers: 28 were the patient’s spouse; 21 were the patient’s child; and 25 were the patient’s parent. Caregivers completed four self-report questionnaires. No significant association emerged between caregivers’ PTG and their negative affect or life satisfaction. Nevertheless, caregivers’ positive affect correlated with their PTG and also predicted it. Moreover, different patterns emerged for the caregiver subgroups (spouse, adult child, or parent): Patients’ children reported lower negative affect and greater life satisfaction than patients’ parents or spouses. Various explanations were discussed, alongside implications for giving recognition and assistance from the medical system to patients’ caregivers.     

Correlates of colorectal cancer screening compliance and stage of adoption among siblings of individuals with early onset colorectal cancer.

Concepts from the health belief, transtheoretical, and dual process models were used to examine how siblings of individuals diagnosed with colorectal cancer (CRC) before age 56 made decisions about CRC screening. Siblings (N = 504) were assessed for CRC screening practices and intentions, pros, cons, processes-of-change, perceived risk of CRC, perceived severity of CRC, preventability of CRC, cancer-related distress, and sibling relationship closeness. Physician and family recommendation and knowledge were also assessed. Fifty-seven percent of participants (n = 287) were compliant with CRC screening. Logistic regression indicated that perceived pros and cons, perceived risk, commitment to screening, health care avoidance, and sibling closeness were associated with screening compliance. Physician and family recommendation were also strong correlates. A similar set of factors was associated with stage of adoption of CRC screening.     

The role of perseveration in children's symbolic understanding and skill

In the first few years of life, children become increasingly sensitive to the significance of a variety of symbolic artifacts. An extensive body of research has explored very young children's ability to use symbol‐based information as a guide to current reality. In one common task, for example, children watch as a miniature toy is hidden in a scale model, and are then asked to retrieve a larger version of the toy from the corresponding place in the room itself. Two‐and‐a‐half‐year‐old children perform very poorly in most versions of this task. Their most common error is to perseverate; that is, they search again at the location where the toy was last hidden. Two studies examined the degree to which 2¹/₂‐year‐olds’ high rate of perseveration and poor performance stem from problems with inhibitory control. Results showed that problems with inhibitory control contribute very little to 2¹/₂‐year‐old children's difficulty with the task. Instead, the results confirm young children's great difficulty appreciating and exploiting symbol–referent relations.     

A Fine Risk To Be Run? The Ambiguity of Eros and Teacher Responsibility

Teachers are often placed in a space of tensionbetween responding to students as persons andresponding to students through theirinstitutionally-defined roles. Particularlywith respect to eros, which has becomeincreasingly the subject of strictinstitutional legislation and regulation,teachers have little recourse to a language ofresponsibility outside an institutional frame. By studying the significance of communicativeambiguity for responsibility, this paperexplores what is ethically at stake forteachers in erotic forms of communication. Specifically, it is Levinas's own ambiguousunderstanding of the ethical significance oferos, and what we have to learn from it, thatoffers a way of reading the place of eros inresponsibility. I conclude my discussion withsome thoughts on what a renewed understandingof responsibility might mean at the personaland institutional levels.     

Introduction: Levinas and Education: The Question of Implication

Studies in Philosophy and Education -     

The Use of Self-Pleasure: Masturbation and Body Image among African American and European American Women

The current investigation examined the relationship between masturbation and body image among 96 women seeking services at a local family planning clinic in a mid-southern U.S. city. Participants completed a questionnaire that assessed body image and masturbatory practices. Ethnic differences were found with European American women reporting greater masturbation frequencies and higher rates of body dissatisfaction than African American women. Among European American women, there was a positive relationship between women's sexual self-pleasuring and positive body image. For African American participants, body image was not related to masturbation practice or frequency.