A Decade of Clinical Psychology in Medical Settings: The Short Longer View

The progress and accomplishments of psychology in medical settings over the past decade since the publication of the Handbook of Clinical Psychology in Medical Settings (J. J. Sweet, R. H. Rozensky, & S. M. Tovian, 1991) and the subsequent founding of the Journal of Clinical Psychology in Medical Settings (JCPMS) in 1994 are highlighted. Areas of progress and accomplishments reviewed include professional developments with our field, roles and services provided by psychologists, education, training and research issues, and program administration in medical settings. The current status of, and possible changes in, medical settings is identified. Future challenges and opportunities for the profession are discussed.     

High and low trait anger, and the recognition of anger problems

This study compared three groups of people: (a) high trait anger individuals who recognized personal anger problems (HR); (b) high trait anger individuals who did not recognize personal anger problems (HNR); and (c) low trait anger individuals not reporting personal anger problems (LNR). Compared to LNR participants, HR and HNR groups reported more anger-out (i.e., outward negative expression of anger such as arguing with others), anger-in (i.e., anger suppression and harboring grudges), greater desire to use and actual use of physically aggressive anger expression (e.g., pushing or shoving someone), and less anger control-in (i.e., emotionally focused strategies to lower anger such as relaxation) and anger control-out (i.e., behaviorally focused strategies such as being patient with others). HR individuals reported more trait anger (i.e., higher propensity to experience anger) and less anger control-out than the HNR group. Gender did not relate to the recognition of anger problems. Findings were discussed with regard to theory and clinical implications.     

When and why people are comparatively optimistic about future health risks: The role of direct and indirect comparison measures

The goal of the current research was to test whether direct versus indirect measures of comparative optimism yield different results as a function of health risk severity and prevalence. A random-digit sample of community residents (N?=?259) responded to interview questions about perceived vulnerability using both direct (i.e. self-to-peer risk) and indirect comparison measures (i.e. separate questions about self and peer risk). Responses to direct comparison measures were more affected by prevalence, whereas indirect comparison measures were more affected by severity. These results may offer guidance to researchers and practitioners about when it may be more appropriate to use direct versus indirect measures of comparative health risk.     

African American Clergy Share Perspectives on Addressing Sexual Health and HIV Prevention in Premarital Counseling: A Pilot Study

This exploratory qualitative pilot study examined the extent to which seven African American clergy discussed and promoted sexual health dialogue with couples preparing for marriage. We explored the following topics: (a) clergy perspectives on disclosure; (b) clergy awareness about HIV/AIDS and (c) the extent to which clergy awareness about HIV is translated into their premarital counseling programs. Our results suggest that greater awareness and comfort level with discussions about sexuality mediate the inclusion of sexual health and promotion of HIV testing in premarital counseling.     

Development of a Biomedical Program of Research in the Blackfeet Community: Challenges and Rewards

American Indian (AI) communities have high levels of stress and trauma and are disproportionately affected by numerous preventable diseases. Here, we describe an academic–community partnership based on a collaboration between Blackfeet Community College students and faculty in Psychology and Immunology at Montana State University (MSU). The collaboration, which has spanned over 5 years, was sparked by community interest in the relationship between stress and disease on the Blackfeet reservation. Specifically, community members wanted to understand how the experience of psychological stress and trauma may affect disease risk in their community and identify factors that promote resilience. In doing so, they hoped to identify pathways through which health could be improved for individual community members. Here, we discuss all stages of the collaborative process, including development of measures and methods and themes of research projects, challenges for community members and non‐indigenous collaborators, future directions for research, and the lessons learned. Finally, we note the ways in which this partnership and experience has advanced the science of community engagement in tribal communities, with the hope that our experiences will positively affect future collaborations between indigenous community members and non‐indigenous scientists.     

Adult Life Satisfaction and the Role of Forgiveness After Childhood Sexual Abuse: Evidence from a Seventh‐day Adventist Cohort

Negative physical and mental health outcomes are well documented for those who experience child sexual abuse. We explore the role of three types of dispositional forgiveness (of self, of others, and by God) as effect modifiers of the child sexual abuse and life satisfaction relationship. In 2010–2011, a sample of 5,506 Seventh‐day Adventists reported levels of forgiveness, life satisfaction, and whether or not they had experienced sexual abuse in each of the two age periods (younger than 8 years and 8–18 years). Reported experience of childhood sexual abuse lowered life satisfaction regardless of when the child sexual abuse occurred. Forgiveness of self and of others were associated with higher life satisfaction regardless of sexual abuse exposure. Feeling forgiven by God was associated with increased life satisfaction indirectly through forgiveness of self and others. However, for those abused later in childhood, the association of abuse with reduced life satisfaction was weaker for those who felt forgiven by God. These findings suggest forgiveness by God operates primarily through forgiveness of self (and others) but can also buffer the effects of childhood sexual abuse on later life satisfaction when the abuse occurs in childhood/adolescence.     

Pathways of Religious Assimilation: Second‐Generation Asian Americans’ Religious Retention and Religiosity

We explore the religious assimilation of different Asian American second‐generation religious groups by examining their rates of religious retention and levels of religiosity relative to the first generation and the general American population. In general, Asian Americans exhibit a pattern of generational religious decline: the second generation tend to have lower levels of both religious retention and religiosity compared to the immigrant generation. The second generation do not necessarily conform to the religious patterns of the general population. Rather, they follow different trajectories of retention and religiosity depending on the religion. We identify four different pathways of religious change among the second generation, and discuss how racial and religious differences mediate assimilation into American religion.     

Confirmation: The Stewardship of Baptism

What is confirmation ministry? Confirmation has changed from being understood as a sacrament, marking the time at which a person receives his or her first communion, to a rite, a ritual in which the baptized is reminded of his or her baptismal vows and initiated into the community of discipleship. This articles explores confirmation as the stewardship of baptism among Batak Christians and Asian Lutherans.     

Global self-esteem in relation to structural models of personality and affectivity

Three studies examined global self-esteem in relation to structural models of personality and affectivity. In every study, self-esteem was strongly negatively correlated with Neuroticism/Negative Affectivity and moderately to strongly related to Extraversion/Positive Affectivity. Additional findings, however, revealed that self-esteem is better viewed at the lower order level. For instance, global self-esteem correlated -.79 with the Depression facet of the Revised NEO Personality Inventory (P. T. Costa, Jr., & R. R. McCrae, 1992) in Study 3. Moreover, confirmatory factor analyses produced very strong correlations between self-esteem and depression in both Study 2 (r = -.82) and Study 3 (r = -.86). Taken together, the data suggest that global self-esteem measures define one end of a bipolar continuum, with trait indicators of depression defining the other.     

Self-esteem, construal, and comparisons with the self, friends, and peers

Extending the better than average effect, 3 studies examined self-, friend, and peer comparisons of personal attributes. Participants rated themselves as better off than friends, who they rated as superior to generalized peers. The exception was in direct comparisons, where the self and friends were not strongly differentiated on unambiguous negative attributes. Self-esteem and construal played moderating roles, with persons with high self-esteem (HSEs) exploiting both ambiguous positive and ambiguous negative traits to favor themselves. Persons lower in self-esteem exploited ambiguous positive traits in their favor but did not exploit ambiguous negative traits. Across self-esteem level, ratings of friends versus peers were exaggerated when attributes were ambiguous. HSEs seemed to take advantage of ambiguity more consistently to present favorable self-views; people with low self-esteem used ambiguity to favor their friends but were reluctant to minimize their own faults.