Spiritual distress at life's end: finding meaning in the maelstrom

Recent trends in social research indicate a decline in church attendance and a corresponding increased interest in spirituality. With the aging of the population, attention to end of life care, with its corresponding spiritual concerns and distress, has become a prominent issue. Spiritual distress can be difficult to distinguish from psychological and physical distress and indicates the need for differential diagnostic markers to distinguish between genuine spiritual experience and psychosis related to the physical death process. Further, for hospice patients who are in genuine need of amelioration through pharmacologic suppression, the question of when and how to medicate becomes paramount as the distinction between spiritual process and physchosis becomes less evident. This article is an exploratory attempt to encourage dialogue across interdisciplinary lines and foster participation from alternative therapies representing the spiritual context of the patient. Anecdotal data from hospice professionals representing a variety of disciplines are presented to illustrate and emphasize the need for continued dialogue and research in this important area.     

Using stimulus equivalence‐based instruction to teach young children their caregivers' contact information

Stimulus equivalence‐based instruction (EBI) was used to teach young children of typical development three 4‐member equivalence classes containing contact information from three caregivers (e.g., mother, father, and grandmother). Each class comprised the caregiver's (a) photograph, (b) printed name, (c) printed phone number, and (d) printed name of employer. A pretest‐train‐posttest‐maintenance design with a nontreatment control group comparison was used. Pretests and posttests assessed the degree to which class‐consistent responding occurred across both visual–visual matching tasks and intraverbals. Intraverbal responding was also probed with a novel instructor. Overall, EBI participants scored significantly higher during the posttests than the control participants across both the derived relations and intraverbal tests. These differences maintained 2 weeks later. Thus, responding generalized to (a) a different topography (i.e., intraverbal), (b) auditory versions of the stimuli, and (c) in the presence of a novel instructor. How such procedures may benefit lost children are discussed.     

Effects of preliminary class membership on subsequent stimulus equivalence class formation

The present study examined the effects of including stimuli previously trained as members of functional classes or equivalence classes on subsequent equivalence class formation, and isolated the effects of preliminary training from those of the acquired function stimuli. Fifty-six adults were assigned to 1 of 5 conditions. The control group (CONT) received no preliminary training prior to the terminal phase. Participants in the other 4 groups learned two 3-member functional classes and two 3-member equivalence classes during the preliminary phase. The terminal equivalence phase trained two 5-member classes (A → B → C → D → E) comprising abstract forms; the C stimuli in the terminal phase were (a) from the preliminary functional classes for 1 group (ACQ-F), (b) from the preliminary equivalence classes for the second experimental group (ACQ-E), (c) pictures of everyday objects for the picture control group (PIC), and (d) novel, unfamiliar stimuli for the preliminary training control group (PRE-CONT). Class formation yields were 100% in the PIC condition and 11% in the CONT condition; however, low yields in the PRE-CONT, ACQ-F, and ACQ-E conditions were unexpected, suggesting that procedural variables in preliminary training account for more of the subsequent effects on class formation than the stimulus control properties of the acquired function stimuli.     

Gender and Country Differences in Alcohol-Aggression Expectancy and Alcohol-Related Intimate Partner Violence

Drinking is associated with a higher rate of violent offending among males and a higher rate of violent victimization among females. Using comparable self-reported data, this study examines between the United States (n = 2,363) and Japan (n = 1,660) whether the gender difference in alcohol-related Intimate Partner Violence (IPV) is explained by alcohol-aggression expectancy. The results indicate that though males are more likely than females to expect that alcohol would make them more aggressive, alcohol-aggression expectancy cannot explain the gender difference in alcohol-related IPV. In both countries, instead, alcohol use of males most strongly accounted for the gender difference in alcohol-related IPV.     

The Scope and Future Direction of Child Life

Child life specialists work in a variety of healthcare settings and help children and families to cope with stress through play, preparation, and education. The purpose of this study was to examine the current scope of child life practice. Child life specialists (N?=?147), recruited through the listserv of the Association of Child Life Professionals (formerly the Child Life Council), responded to an online survey that examined demographics, work environments and settings, the range of services provided, and perceived levels of competence in providing these services. Results indicate that the typical child life professional is a Caucasian female age 34 years, has a bachelor’s degree in child life or human development and family studies, is employed full-time in a children’s hospital as a certified child life specialist, and has 9 years of experience in the child life field. Respondents indicated that they perform a wide range of activities and feel competent in performing the majority of these activities. However, gaps in academic preparation such as more knowledge about death and dying and increased skills in working with diverse families were identified. Additionally, respondents felt supported, yet, a lack of awareness of child life persists.     

Modal structuralism simplified

Since Benacerraf’s ‘What Numbers Could Not Be,’ there has been a growing interest in mathematical structuralism. An influential form of mathematical structuralism, modal structuralism, uses logical possibility and second order logic to provide paraphrases of mathematical statements which don’t quantify over mathematical objects. These modal structuralist paraphrases are a useful tool for nominalists and realists alike. But their use of second order logic and quantification into the logical possibility operator raises concerns. In this paper, I show that the work of both these elements can be done by a single natural generalization of the logical possibility operator.