The Future of the Church as a Primary Health Place

ABSTRACT

There is a critical need for change in America's Health System, and religious organizations can facilitate not only the redefining of what health is but also the shaping of what the primary health services of the future should look like, function as, and be. The vision presented here is that the local parish or some extension of it be seen by the average citizen as a primary health place. The model proposed is that faith based living in community become the core health concept, defining what it means to be human and healthy become the core teaching, and that healing such that no illness need dominate become the goal. Within that context, health information, education, prayer, care, and support for most chronic illness, lifestyle change, and end of life concerns would begin at one's community of faith and only within that context to specially trained persons. This health system will compliment the sophisticated and complex acute medical care system that now exists.     

Adult Children and Elderly Parents: The Worlds of the New Testament

ABSTRACT

Mental health problems, especially depression and dementia, are common among the elderly. The faith community is well positioned to assist elders with these disorders, but to do so, clergy will need to recognize these disorders and know when to refer. Studies have shown that religious faith allows elders to cope more effectively with mental health problems     

Reasons for Entering Treatment Reported by Initially Treatment-Resistant Patients with Substance Use Disorders

Many individuals with substance use disorders are resistant to entering formal treatment, despite the negative consequences that plague their own lives and the lives of concerned significant others (CSOs). Community Reinforcement and Family Training (CRAFT) has been developed as an effective strategy for helping family members who are concerned about the alcohol/drug use of a loved one who refuses to seek treatment. The present study explored reasons and feelings that played a part in these resistant individuals' (identified patients [IPs]) decision to begin treatment. Written statements and feelings of 36 initially treatment-refusing IPs, who were engaged into treatment via their CRAFT-trained CSOs, were examined upon entering treatment. Self-report forms assessed three complementary domains about entering treatment: (1) feelings about coming for treatment, (2) important reasons for entering treatment, and (3) reasons for entering treatment narratives. It was shown that the occurrences of self-reported positive emotions and statements that expressed a positive wish for change outweighed negative feelings and statements. Although conceivably these CRAFT-exposed IPs may have provided different responses than other treatment-seeking populations, the current study's strong IP reports of positive feelings, reasons, and narrative statements regarding treatment entry nonetheless address potential concerns that treatment-refusing IPs might only enter treatment if felt coerced by family members and while experiencing salient negative feelings overall.     

Self-perceived strengths among people who are homeless

This study examined self-perceived strengths among 116 people who were homeless. Those who had experienced a longer period of current homelessness tended to report fewer personal strengths (r?=??0.23). Nonetheless, in spite of their marginalized position in society, the vast majority of participants (114 out of 116) perceived personal strengths. A prior diagnosis with mental illness was not associated with the number of strengths reported, but self-perception of strengths was associated with altruistic orientation. The Values in Action (VIA) taxonomy of character strengths captured many of the responses generated by this population. The most frequently mentioned character categories included social intelligence, kindness, persistence, authenticity and humour. The most frequently mentioned other strengths included personal skills (e.g. music, sports), job skills, intelligence and education. The results have relevance for efforts to build self-perceptions that facilitate escape from homelessness.     

Preventing Intimate Partner Violence

ABSTRACT

Bringing together the energy, resources, creativity, and good will of citizens enhances community resilience. The shared responsibility and collective competence that emerge from community members banding together can be a powerful and ongoing positive influence on the quality of community life, including the relationships between intimate partners. We explore the importance that the community has for preventing intimate partner violence (IPV). We argue for active, network-oriented prevention efforts. We discuss key community principles and concepts (including a definition of the nature of community), explore a social organization perspective on communities, and present a theoretical approach to building community capacity. We posit implications for program development that include community as a place for prevention, a target for prevention, and as a force for prevention. Our implications for research include examining multiple community layers, the nexus of informal and formal social care systems, and contrasting extreme groups on pivotal social organization processes.     

Multilevel Investigation into the Community Context of Child Maltreatment

Official rates of child maltreatment vary considerably from community to community. Extensive research on the role of the community context in maltreatment suggests that the neighborhood in which families live could impact their maltreatment behavior. However, the vast majority of existing studies and literature reviews on the topic have not used statistical methods to appropriately control for the impact of these variables at the individual level. This literature review approaches the question of whether the community context affects maltreatment behavior above and beyond the individual-level variables by critiquing the studies that have successfully measured maltreatment risks at both the individual and community level using multilevel modeling.     

College Students’ Beliefs Regarding Help Seeking for Male and Female Sexual Assault Survivors: Even Less Support for Male Survivors

This study explored college students’ perceptions regarding barriers to disclosure of sexual assault and helpfulness of campus resources for survivors of sexual assault. To better understand barriers and social reactions to disclosure of sexual assault, it is important to examine peer perceptions of barriers and resources for assault survivors. A total of 475 undergraduate students estimated the frequency with which various barriers prevent sexual assault disclosure and rated the helpfulness of several campus resources for both male and female survivors. Students perceived that barriers to disclosure were more likely to prevent men than women from telling someone they were assaulted and seeking help. Students also believed that campus resources are more helpful for female than male survivors. Students’ negative perceptions of disclosure and help seeking for male survivors indicate that more education regarding the sexual assault of males and inclusive outreach is needed.     

Intimate Partner Violence and Drinking among Victims of Adult Sexual Assault

Intimate partner violence (IPV) is associated with problem drinking. Correlates of alcohol consumption frequency and problem drinking were examined among female sexual assault survivors (N = 1,863). Data were analyzed with blockwise multiple regressions. Results show heavy alcohol consumption and problem drinking were associated with IPV history, sexual assault by strangers or acquaintances, and maladaptive coping. Physical IPV history and partner sexual assault showed distinct effects on drinking outcomes among women. Physical IPV history partially mediated the effect of childhood sexual abuse (CSA) on problem drinking. Research is needed to examine the relationship between victimization histories and drinking among female sexual assault victims. This might enable treatments and interventions to be tailored to the trauma histories of female victims.     

Theological and Ethical Reflections on Men and Violence: Toward a New Understanding of Masculinity

Abstract

This paper explores the reasons why men express violence against women, children and other men, suggesting that men's violence represents one of the darkest features of masculinity. The way men are socialized and conditioned requires and produces violent behaviors that are destructive to men themselves as well as to women, children, and the earth. The author proposes the need to re-envision masculinity to enable men and women to create communities in which people are encouraged to participate in ‘adventurous partnering for peace’.     

Eyes wide open: Facilitating student therapists’ experiences with the unfamiliar

Psychotherapists and counsellors work increasingly with culturally different or unfamiliar clients in the context of global migration and relocation. This paper explores the learning processes of trainee therapists within a South African community clinic context which confronts trainees with cultural diversity and a range of complex and traumatic presenting problems. Learning within this context entails interfacing with the ‘unfamiliar’, a process which challenges students both culturally and personally. Drawing upon the ideas of Wilfred Bion we suggest the importance of supervisory reverie in helping students convert raw sensory data into reflective practice. We suggest that working within community clinic contexts prompts personal anxieties as well as context-related anxieties of persecution or annihilation, of narcissistic injury and of contamination. It is hoped that a psychodynamic understanding may prompt further debate regarding the training of therapists working with diverse populations and problems.