Evaluative Concerns and Personal Standards Perfectionism: Self-esteem as a Mediator and Moderator of Relations with Personal and Academic Needs and Estimated GPA

We examined the mediational role of self-esteem in the relation between evaluative concerns (EC) and personal standards (PS) perfectionism, and measures of personal concerns, academic concerns, and estimated grade point average (EGPA) in 386 university students. Self-esteem partially mediated the relation between EC perfectionism and students’ personal and academic concerns. EC perfectionism was a weak predictor of EGPA. PS perfectionism was not related to academic concerns. Although PS was associated with personal concerns both directly and indirectly through low levels of self-esteem in women only, these findings did not hold when controlling for EC perfectionism. PS perfectionism had a direct positive relation with EGPA. Neither PS nor EC perfectionism interacted with self-esteem to predict unique variance in personal or academic concerns or EGPA. The results are consistent with our view that a perfectionism dimension that is primarily maladaptive can be distinguished from a dimension that can be adaptive. The implications for research and treatment are considered.

Engaging Nurses in Genetics: The Strategic Approach of the NHS National Genetics Education and Development Centre

The UK government announced the establishment of an NHS National Genetics Education and Development Centre in its Genetics White Paper. The Centre aims to lead and coordinate developments to enhance genetics literacy of health professionals. The nursing program takes a strategic approach based on Ajzen’s Theory of Planned Behavior, using the UK nursing genetics competences as the platform for development. The program team uses innovative approaches to raise awareness of the relevance of genetics, working collaboratively with policy stakeholders, as key agents of change in promoting competence. Providing practical help in preparing learning and teaching resources lends further encouragement. Evaluation of the program is dependent on gathering baseline data, and the program has been informed by an education needs analysis. The challenges faced are substantial and necessitate international collaboration where expertise and resources can be shared to produce a global system of influence to facilitate the engagement of non-genetic nurses.     

When does feedback about success at school hurt? The role of causal attributions

The present research provides evidence that attribution theory can serve as an explanatory framework not only to explain achievers’ reactions to their achievement based on their self generated understandings of what brought these achievements about but also when such information is provided by others. Thus, when we succeed at school, others may comment on the likely reasons for this success. The present research addressed the question what it is that makes certain types of feedback on the reasons for success at school hurtful. The results of two studies conducted in the context of a school setting demonstrated that the causal structure implied by an explanation for success explains why some explanations are perceived as hurtful and elicit anger, shame, and guilt rather than pleasure or pride. Interestingly, the perceived validity of the explanation is of relatively less importance for the elicitation of hurt feelings and anger than the content of the explanation. Overall, these results provide further evidence for the importance of attributional information for social emotions in educational settings.

Vertical and Horizontal Transcendence

Transcendence is explored from two perspectives: the traditional concept wherein the origination of the sacred is "out there," and the alternate concept wherein the sacred originates "here." Each is evaluated from the perspectives of aesthetics and hierarchy. Both forms of transcendence are viewed as essential to the full religious life.     

Anxiety and Depression in Medically Ill Older Adults

Anxiety and depression are extremely common in the elderly with medical problems. They can manifest not only as symptoms of a primary psychiatric illness, but also as physiologic sequelae of medical illnesses and medical treatments. Recognition and treatment of depression and anxiety in the medically ill is especially difficult. If these states go untreated, they result in higher morbidity and mortality, higher health care costs and utilization, and poorer functional status and outcomes. Three of the most common medical illnesses that afflict geriatric patients, cardiovascular disease, pulmonary disease, and rheumatoid arthritis, will be presented to illustrate the difficulty in recognizing depression and anxiety and the impact of treating these symptoms in the medically ill elderly. Multidisciplinary approaches combining optimal medication regimens and psychosocial interventions can be effective for treatment of anxiety and depression in the medically ill elderly.     

Reflections on Science and Technology

Science and technology are frequently confused. This essay points out thebases for this confusion and then focuses on a basic distinction, namely, that whereas science brings us information that we have little choice but to absorb and reflect upon, technology is something that humans elect to do and, hence, can also elect not to do. It is proposed that technological ethics are most cogently undertaken with scientific understanding as the linchpin and religious/artistic sensibilities as the muse.     

Transforming Our Understanding of Theories, Paradigms, & Mental Disorders: The Legacy of Donald Capps in the Field of Pastoral Care and Counseling

The life and work of Donald Capps has transformed my thinking and practice as a teacher, minister, and counselor. Incorporating his research into my clinical practice has led me to greater compassion and grace toward those clients who present with personality disorders and characterological disturbances.     

Behavioral Health Consultation and Primary Care: Lessons Learned

This article provides an overview of 20 years of professional experiences with developing and implementing a model for integrating behavioral health services into primary care. The Primary Care Behavioral Health (PCBH) model is designed to provide immediate access to behavioral care for a large number of primary care patients by positioning a behavioral health consultant in the exam room area to function as a core member of the primary care team. In an initial era of discovery, the authors were directly involved in developing and testing a variety of new approaches to providing behavioral health services in general medicine. In a second era focused on feasibility, the authors worked with Kaiser Permanente, the United States Air Force and Navy, the Veteran’s Administration, and the Bureau of Primary Care to system test this innovative model of integrated care. Now in an era devoted to dissemination, the authors review the various roles formal research, system level quality improvement initiatives and stakeholder analysis play in promoting integrated care. The authors also describe current efforts to (1) create a tool that helps systems develop integration targets and (2) use the PCBH model as a platform for teaching medical residents and behavioral health providers to work together in a redesigned primary care team model.     

The impact of rewards on empathic accuracy and emotional mimicry

The notion that motivation influences empathic accuracy has been inferred from aspects of the task, the situation or the relationship between interaction partners or between groups. The present research assessed whether monetary reward influences cognitive and affective empathy. In Study 1, cognitive empathy was assessed for 42 participants who decoded briefly (33 ms) presented expressions of sadness and anger. For half the participants, correctly decoded expressions on male faces were rewarded, for the other half correctly decoded expressions on female faces were rewarded. The results showed that rewards increase empathic accuracy for both emotions equally. In Study 2, facial EMG was measured as well to assess emotional mimicry as an index of affective empathy. Study 2 replicated the findings from Study 1 and found a moderation of affective empathy as indexed through facial mimicry for sadness. Thus, simple monetary rewards affect both cognitive and affective empathy.