On Faith,Merit, and Eternal Life

Can eternal life be merited? The traditional Lutheran answer to this question has been negative. However, the question is not as simple as it first seems. For example, recently, Mats Wahlberg has argued that Lutherans should admit that eternal life can be merited, especially if they support the “Finnish Luther interpretation.” Although I find much to commend in Wahlberg's reading, there are at least two problems in his proposal. First, the language of merit is tied to a particular philosophical framework that is not shared ecumenically; and second, all Lutherans do not share all the details of the Finnish reading of Luther. However, both Wahlberg's proposal and the Finnish interpretation of Luther have genuine ecumenical potential if they are developed so that they can address the concerns related to the philosophy of action and Christian life.     

The Impact of Couple Therapy on Service Utilization among Military Veterans: The Moderating Roles of Pretreatment Service Utilization and Premature Termination

Couple therapy reduces relational and individual distress and may affect utilization of other health services, particularly among higher service utilizers. Although average decreases in service utilization are predicted among recipients of couple therapy, low utilizers of services may appropriately increase use. The relationship between couple therapy and service utilization was examined among a sample of 179 U.S. military veterans who received treatment in Veterans Affairs (VA) specialty couple therapy clinics. Consistent with hypotheses, overall mental and physical health visits decreased from the 12 months preceding couple therapy to the 12 months following treatment. Moderator analyses showed that decreases were greatest among individuals who were rated by their therapist as having completed a full course of couple therapy, suggesting that change was attributable to intervention. Pretreatment service utilization also moderated observed change—higher utilizers’ use of services decreased substantially, whereas lower utilizers’ slightly increased. Cost analyses revealed that the estimated per person mean cost in our sample decreased by $930.33 in the year following compared to the year prior to couple therapy, as per 2008 VA cost data. As service utilization data were only available for one partner and only for 1 year posttherapy, the true magnitude of this effect may be underestimated. Our findings are relevant to policy makers as they demonstrate that couple therapy reduces average service utilization and associated costs and addresses calls for analyses of cost effectiveness of systemic interventions.     

A person-oriented approach to sport and school burnout in adolescent student-athletes: The role of individual and parental expectations

ObjectivesThe present study aimed to examine what kind of burnout profiles exist among student-athletes based on their sport and school burnout symptoms. Moreover, it was investigated whether athletes' expectations of success in sport and school, on the one hand, and parental expectations, on the other hand, were predictors of the likelihood of the athlete to show a certain profile, after taking into account the effects of gender, grade point average, type of sport, and level of competition.Design and methodsThe participants were 391 student-athletes (51% females) from six different upper secondary sport schools in Finland, and 448 parents (58% mothers). The athletes filled in questionnaires about burnout and success expectations at the beginning of the first year of upper secondary school. At the same time point, parents were asked to answer a questionnaire on their success expectations for their child. Structural equation modeling and latent profile analysis were used to analyze the data.ResultsFour burnout profiles were identified: well-functioning, mild sport burnout, school burnout, and severe sport burnout. Athletes' and parents' expectations of success seemed to protect against burnout in the same domain, but this protection did not extend to the other domain. Moreover, high success expectations in one domain seemed to increase the risk for burnout in another domain.ConclusionsBurnout needs to be investigated within and across context in order to gain a holistic understanding of student-athletes' wellbeing.     

Pierre De Bérulle (1575–1629) and the renewal of Catholic spiritual life in France

Pierre de Bérulle, founder of the Oratoire de Jésus (commonly known as the Oratoire de France), is a leading figure in the renewal of the Catholic Church in France in the first half of the seventeenth century. He is generally regarded as the founder of the French School of Spirituality (École française de spiritualité), though this term has been much criticised in recent years. He is often described as a ‘reformer’ of the Church in France, but this is a half-truth which obscures his real originality; he certainly shared the aims of those striving to create a clergy which would be better educated, more morally upright and more pastorally sensitive and zealous; but above all else he was concerned with the spiritual renewal of the clergy and with the Church in France generally. Lastly, he has often been accused of wishing to create chiefly, if not exclusively, a spirituality of the priesthood and to work for the ‘sanctification’ of the clergy. But his work and ideas must be seen here in a broader perspective, for Bérulle and his disciples shared with St Francis de Sales the aim, expressed in his Introduction à la vie devote (1608), of creating and promoting a spirituality available to all Christians. This article examines his conception of the Oratory, which he intended to be an intermediary between the religious orders and the secular clergy, his spiritual theology, what I have called his ‘spiritual pedagogy’, and his influence in France and elsewhere.     

中职生家长投入与子女学业投入的关系：教养风格的调节作用

中职生的家庭资源是影响其学业发展的重要因素。本研究调查了国内8个省市1185名中职生和高中生,探讨了中职生家长投入的现状特点及其与教养风格、学业投入的关系。结果发现：中职生家长投入水平显著低于高中生家长;家长教养风格（自主支持/控制）调节了家长投入对中职生学业投入的预测作用。在自主支持的教养风格条件下,家长的在家辅导、参与决策能显著预测学生学业投入的水平,而在控制的教养风格条件下则不成立。     

The Problem of Integrating Behavioral Health in the Medical Home and the Questions It Leads to

Psychology and other behavioral health professions have amassed a broad empirical and clinical literature suggesting many medical presentations are best responded to with the addition of evidence based behavioral interventions. Despite this, psychology has not achieved a regular presence as part of medical practice. We suggest specific reasons for the current state of affairs including clinical, operational, societal labels, financial and training dimensions. Medical, psychological, administrative, and financial perspectives are reviewed. If the goals of health care system reform are to be reached then we must identify and challenge the current limitations of health care. This paper will identify the elements that need to be changed in order for psychology to be integrated into medicine rather than excluded from its policy, planning and operations.     

Medical Psychology Services in Dutch General Hospitals: State of the Art Developments and Recommendations for the Future

In this article an overview is presented of the emergence of medical psychology in the care of somatically ill patients. The situation in the Netherlands can be considered as prototypical. For 60 years, clinical psychologists have been working in general, teaching and academic hospitals. Nowadays, they are an integrated non-medical specialism working in the medical setting of hospitals in the Netherlands, and are a full-member of the medical board. This paper discusses several topics: the position of the general hospital in the health care system in the Netherlands, the emergence of medical psychology in Dutch hospitals, the role of the professional association of medical psychologists, and the characteristics of patients seen by clinical psychologists. Following the discussion about the situation of medical psychology in other countries, recommendations are formulated for the further development of medical psychology in the Netherlands as well as in other countries.     

Construct validity of the medical specialty preference inventory: A critical analysis

The Medical Specialty Preference Inventory (MSPI; Zimny, G.H. (1979). Manual for the Medical Specialty Preference Inventory. St. Louis, MO: St. Louis University School of Medicine), a measure of medical students’ interests, was substantively and empirically examined to identify an underlying factor structure. A factor model for the original MSPI based on 38 factors in five general areas was evaluated on a national sample of 1014 medical students and yielded poor fit to the data. Exploratory factor analyses at the item level utilizing the full pool of MSPI items produced an 11 factor solution with 88 items. Sub-scales were identified within this model and an 11-18 higher-order model and an 18 sub-scale model also were proposed. The relative fits of the three models were evaluated by confirmatory factor analysis with the 18 sub-scale model shown to be superior. This model was cross-validated on a separate sample of 1016 medical students and fit the data well. All sub-scales exhibited adequate internal consistency across samples. These findings support the need for a revised MSPI based on 18 scales. Implications of these findings for MSPI scoring practices are discussed along with future directions.     

Predictive validity of the medical specialty preference inventory

Medical schools can assist students by providing them with quality career counseling to help them choose a medical specialty. Many schools use interest inventories to help identify students’ specialty interests. This study examined the predictive validity of one such inventory, the Medical Specialty Preference Inventory (MSPI). In a longitudinal design, we used discriminant function analysis to examine how well students’ scores on the MSPI fit their chosen medical specialty one year later. The MSPI correctly predicted students’ future medical specialty choice 58.1% of the time. These results can help career advisors interpret MSPI scores, and identify students’ most likely medical specialty choice, as well as their second most likely choice.     

Parental Engagement and Barriers to Participation in a Community-Based Preventive Intervention

This study examined parent characteristics and barriers to participation in a community-based preventive intervention with a sample of 201 parents from low-income and predominantly ethnic minority backgrounds. Person-centered analyses revealed five subgroups of parents who demonstrated variability in their parent characteristics, which included psychological resources and level of parental involvement in education. Group membership was associated with differences in school involvement and use of the psychoeducational intervention at home, after accounting for the number of barriers to engagement. For the intervention attendance variable, greater number of barriers was associated with decreased attendance only for parents in the resilient subgroup and the psychologically distressed subgroup. Attendance remained constant across levels of barriers for the other three subgroups of parents. The results of the study inform theory and practice regarding how to tailor preventive interventions to accommodate subgroups of parents within populations that experience barriers to accessing mental health services.