Missional Congregations in Civil Society: An Imagination for God's World

This article provides glimpses of the emerging missional church within the civil society arena from the perspective of congregational case studies. Civil society studies offer five potential community contributions that provide congregations expanded possibilities for discerning and fulfilling their missional vocations in their communities. Framed within trinitarian missional theology, these create a meaningful framework for congregations to expand their imaginations and strengthen their public participation with God's mission in today's world.     

If We Build It … Will They Come? – Establishing a Cancer Genetics Services Clinic for an Underserved Predominantly Latina Cohort

Background: Cancer genetic counseling and testing is a standard of care option for appropriate families and can identify individuals at increased risk prior to diagnosis, when prevention or detection strategies are most effective. Despite documented efficacy of cancer risk reduction in high-risk individuals, underserved and minority individuals have a disproportionate cancer burden and limited access to genetic counseling. Methods: A needs assessment survey documented gaps in knowledge and interest in prevention. Satellite clinics were established at two indigent healthcare systems. Cancer genetics CME lectures were conducted and referral guidelines disseminated to clinicians who referred patients for counseling. Results: An increase in clinician knowledge was demonstrated post-CME and reflected by quality referrals. Eighty-eight percent of patients kept their appointments. In the predominantly Latina⁶ (n=77) clinic population, 71.4% were affected with cancer, and 17 mutation positive families were identified. Preliminary data shows a positive impact on patients' motivation and behavior. The majority has expressed satisfaction and reduction in anxiety. Conclusions: This study demonstrates feasibility and acceptability of cancer genetics services in this population, suggesting the potential to reduce cancer morbidity in underserved, high-risk families.“Latino” is the most common census term for individuals of Spanish, Mexican, Central and South American, Cuban, or Puerto Rican descent, referring to ethnicity, and is generally considered a more ethnically/culturally based term for individuals of the aforementioned groups. As this cohort is female the feminine noun “Latina” is used     

Are True Scores and Construct Scores the Same? A critical examination of their substitutability and the implications for research results

Relations between constructs are estimated based on correlations between measures of constructs corrected for measurement error. This process assumes that the true scores on the measure are linearly related to construct scores, an assumption that may not hold. We examined the extent to which differences in distribution shape reduce the correlation between true scores on a measure and scores on the underlying construct they are intended to measure. We found, via a series of Monte Carlo simulations, that when the actual construct distribution is normal, nonnormal distributions of true scores caused this correlation to drop by an average of only .02 across 15 conditions. When both construct and true score distributions assumed different combinations of nonnormal distributions, the average correlation was reduced by .05 across 375 conditions. We conclude that theory‐based scales intended to measure constructs usually correlate highly with the constructs they are constructed to measure. We show that, as a result, in most cases true score correlations only modestly underestimate correlations between different constructs. However, in cases in which the two constructs are redundant, this underestimation can lead to the false conclusion that the constructs are ‘correlated but distinct constructs,’ resulting in construct proliferation.     

The future-orientation of memory: Planning as a key component mediating the high levels of recall found with survival processing

In a series of papers, Nairne and colleagues have demonstrated that tasks encouraging participants to judge words for relevance to survival led to better recall than did tasks lacking survival relevance. Klein, Robertson, and Delton (2010) presented data suggesting that the future-directed temporal orientation of the survival task (e.g., planning), rather than survival per se, accounts for the good recall found with the task. In the present studies we manipulated the amount of survival and planning processing encouraged by a set of encoding tasks. Participants performed tasks that encouraged processing stimuli for their relevance to (a) both survival and planning, (b) planning, but not survival, or (c) survival but not planning. We predicted, and found, that recall performance associated with tasks encouraging planning (i.e., survival with planning and planning without survival) should exceed tasks that encouraged survival but not planning (i.e., survival without planning). We draw several conclusions. First, planning is a necessary component of the superior recall found in the survival paradigm. Second, memory, from an evolutionary perspective, is inherently prospective—tailored by natural selection to support future decisions and judgements that cannot be known in advance with certainty.     

The Identity of,and the Difference between,Analytical and Continental Philosophy

This paper intends to invoke the spirit of Hegel as the éminence grise behind analytical and continental philosophy. Both movements can be seen to originate in, or to receive a strong impetus in their development from, a repudiation of Hegel. Even Russell's quest for a systematic logical analysis of language may be seen as an attempt at a quasi- or anti-Hegelian systematicity. The collapse of this systematicity has led to the celebration of difference in both the analytical and continental schools. Another feature of contemporary philosophy is the priority given to invention and creativity over discovery. In this respect, Nietzsche is the master-figure underlying all contemporary allegiance to, and indeed, obsession with, the twin idols of creation and difference.     

Dance,Don't Interpret!: Commentary on Paper by Steven Cooper

With difficult patients who seek to engage the analyst through struggle rather than through warm connection, analysts struggle whether to interpret or contain. I use Cooper's case example to consider these two initial treatment approaches. I argue for the approach that is most difficult for all analysts—to let the patient be himself guiding us toward what he does and does not need.     

Lies and Body Cruelties in the Analytic Hour

Discussing an intensive case study of female sexual dysfunction, this paper studies mutual deregulation and disintegration as it unfolds in the transference–countertransference dyad. I propose that ethical transgressions are potentiated in analytic dyads in which the analyst's hope for either solitude or mutuality is foreclosed. This hope can be foreclosed by the particulars of the therapeutic interaction as well as by the theoretical and clinical aspects of analytic training. The deregulation that both precipitates and follows such transgression can be healed (in the analyst, in the analysis) only by the restitution of the therapist's agency, the reduction of paranoid-schizoid guilt and shame, and the location (in the analyst) of depressive, “I-Thou” remorse.     

Bill Clinton and John E Kennedy: The Dark Side of Charisma

In this review essay, I provide a summary of the basic tenets of Stuart A. Pizer's book, Building Bridges: The Negotiation of Paradox in Psychoanalysis. Focusing on the concepts of negotiation, paradox, and potential space, he privileges them as constituting the basic structure and process of the analytic relationship. Therapeutic action resides specifically in the analyst's optimizing of the potential space within which intrapsychic and interpersonal negotiation can occur. Negotiating paradox is a uniquely human capacity, difficult to sustain, but essential for a “distributed” self, one that is decentered and dynamic rather than disassociated. Pizer extends the reach of these concepts by developing them in relation to gender, evolution, species, and mediation. He also considers that which is nonnegotiable, a relational property between analyst and patient, at the brink of which deep analysis occurs. The book, with its elegant theoretical model and clinically useful tool, provides a rich potential space within which I was able to engage fruitfully.     

Ethical Issues in Accounting and Economics Experimental Research: Inducing Strategic Misrepresentation

Forensic psychologists face a variety of ethical issues in conducting evaluations. One such issue is attorney presence during a forensic evaluation. In forensic evaluations, it is necessary to use standardized procedures while also attending to the rights of the individuals being assessed. This article examines the neuropsychological literature on extraneous influences in evaluations including effects of attorney presence. Then the article discusses the limited knowledge about attorney presence during forensic evaluations, addresses attorney motivations for being present during an evaluation, and considers attorney presence in the context of ethical mandates. Finally, suggestions are offered for forensic clinicians confronted with attorneys who wish to be present during assessments.