Relations between acceptance of multiple sclerosis and positive and negative adjustments

This study examines relations between acceptance as defined in Acceptance and Commitment Therapy (ACT) and adjustment to multiple sclerosis (MS). A first step in this investigation was the development of a measure of acceptance of MS called the MS Acceptance Questionnaire (MSAQ). Consistent with prior findings and theoretical propositions, it was predicted that acceptance would be associated with better adjustment to MS (lower distress and higher positive affect, life satisfaction and marital adjustment and better health). A total of 128 persons with MS completed measures of demographics, illness and adjustment at Time 1 and measures of acceptance and adjustment 12 months later (Time 2). Factor analyses of the MSAQ revealed two factors, action and willingness. Associations between the MSAQ and other validated acceptance measures supported convergent validity. As predicted, after controlling for the effects of initial adjustment and relevant demographic and illness variables, greater acceptance was related to better adjustment, although the action factor emerged as the strongest predictor of better adjustment. This is the first study to examine the role of acceptance (as defined in ACT) in adjusting to MS over time and as such provides a first step for further investigation of acceptance in MS.     

Mindfulness and acceptance-based group therapy versus traditional cognitive behavioral group therapy for social anxiety disorder: A randomized controlled trial

Recent research has supported the use of mindfulness and acceptance-based interventions for Social Anxiety Disorder (SAD).     

Langdon Gilkey: In Memoriam

Langdon Gilkey died on 19 November 2004. This article reviews his career and examines elements in his systematic theology such as: (1) fallenness in human nature; (2) the transcendence and graciousness of God; (3) the Neo-Orthodox agenda; (4) creation and the dialogue with science; and (5) inter-religious dialogue. Gilkey's theological method of responding to human experience with the Christian message through a process of interpreting symbols is critically evaluated. This article is simultaneously published in Dialog and Theology and Science.     

UNDERMINING AND CONSTRUCTING COHERENCE IN TRADITIONAL NARRATIVE PARADIGMS: CONTEMPORARY VIEWS

Using both images and metaphor proved an effective qualitative method in our study with adolescent girls who use crystal methamphetamine. The combination increased the depth of learning by inviting less calculated responses and the breadth of learning by allowing for consideration of societal and contextual dimensions of experience. In this article, we demonstrate how combining images and metaphors in qualitative inquiry can enable researchers to resist the tendency to distill complex experiences down to manageable forms. In so doing, we offer a contextualized perspective of how change may occur, thus reconceptualizing our roles as practitioners.     

Understanding Patients' Reactions to Services: The Role of Personal Service Values in Heart Patient Satisfaction and Wellness

This study proposed an individual-difference perspective on heart patients' customer-service satisfaction. We hypothesized that heart patients' satisfaction with service is positively related to wellness and that instrumental care, expressive care, and communication effectiveness are positively related to satisfaction and wellness. We also hypothesized that patients' values for services would moderate the relationship between service provision and outcomes. A survey of 217 heart patients provided support for these hypotheses. Of particular interest were findings that: (a) the service provision-service outcomes relationship was moderated by service values for some patient groups but not for others; and (b) the service provision-outcomes relationship differed across patient subgroups. We discuss the implications for patient satisfaction research and for planning individualized treatment strategies.