Advocacy,Political Participation,and Citizenship: Lutheran Contributions to Public Theology1

Abstract : Martin Luther never developed a political theory, but his theology does inform the way Christians live in society, making it both public and political. Luther's “two kingdom theory” often has been misinterpreted to justify passivity and obedience toward civil authorities. Under closer examination, however, his theology applies to the everyday practices of politics, economics, and religious affairs. In the context of nation‐building, a Lutheran theology fosters citizenship not only as individual rights and responsibilities, but as active participation in civil society.     

‘At the level of the word: Nurturing justice in therapeutic conversations’

The issue of social justice and how it unfolds in the lives of persons seeking counselling has been steadily gaining attention in recent times. This development marks a departure from an individualistic perspective that construes problems as functions of personal deficits, thereby overlooking the many social inequities that contribute to the challenges people face. The turn towards social justice manifests primarily in a call for advocacy on behalf of therapy clients. While celebrating these developments, this article suggests that it is not just in interactions outside the consulting room that injustices may be perpetrated. The author invites attention to the ways in which social justice, or the lack thereof, can be understood to unfold within counselling conversations.     

Family burden of compulsive hoarding: results of an internet survey

Compulsive hoarding, the acquisition of and failure to discard large numbers of possessions, is associated with substantial health risk, impairment in functioning, and economic burden. Despite clear indications that hoarding has a detrimental effect on people living with or near someone with a hoarding problem, no empirical research has examined these harmful effects. The aim of the present study was to examine the burden of hoarding on family members. Six hundred sixty-five family informants who reported having a family member or friend with hoarding behaviors completed an internet-based survey. Living with an individual who hoards during childhood was associated with elevated reports of childhood distress and family strain. Family members reported high levels of patient rejection attitudes, suggesting high levels of family frustration and hostility. Rejecting attitudes were predicted by severity of hoarding symptoms, the individual's perceived lack of insight into the behavior, and having lived in a cluttered environment during childhood. These results suggest that compulsive hoarding adversely impacts not only the hoarding individual, but also those living with them.     

Online Information and Communication Systems to Enhance Health Outcomes Through Communication Convergence

The growing use of digital health communication channels has produced dramatic changes, providing broad access to information for making health decisions and addressing users' emotional needs. Digital health communication channels combine mass and interpersonal communication in different ways. Type 1 convergence occurs sequentially: Individuals obtain health information online that they discuss interpersonally with health providers. Type 2 convergence involves discussions occurring via online health information systems. The effectiveness of these systems depends upon seven communication design and implementation strategies. Emerging interactive health information systems provide customized responses tailored to individuals' specific needs and situations. All these forms of media convergence can improve health education, health promotion, and health behavior change.     

Exploring the Relationship Between Pedagogy and Counselor Trainees’ Multicultural and Social Justice Competence

The authors evaluated the acquisition of 6 constructs related to multicultural and social justice competence for 60 counselors-in-training (CITs) in 3 multicultural counseling courses. Each course was assigned a unique pedagogical approach: didactic, experiential, or community service learning. Statistical analyses indicated that pedagogical approach had the greatest impact on CITs’ growth in multicultural relationship, multicultural skills, and social justice advocacy constructs. Analyses also indicated growth across all 3 pedagogies for multicultural knowledge and multicultural awareness constructs. The authors explore patterns of pedagogical impact, discuss practical implications, and make suggestions for further research.     

What do Patients Prefer: Informed Consent Models for Genetic Carrier Testing

The recent increased number of conditions for which patients can undergo genetic carrier testing raises the question of how best to obtain pre-test informed consent. Clinical approaches vary from a minimalist model to a model where patients are given detailed information about all conditions to be screened for. Few data exist as to patient preferences, or how information impacts decision-making. Eight high-literacy focus groups were conducted to assess the knowledge and preferences of pregnant patients and their male partners. Most groups indicated that some balance between details and brevity was optimal, recognizing that anxiety can occur when patients are provided with too much information and that the wide range of tests offered during pregnancy often led to confusion. Critical areas for the informed consent process included (1) details about the conditions and risk of being a carrier, (2) logistics of testing, (3) next steps if the test is positive, and (4) prognosis, options and resources if the child were to be affected with a disorder. It will be useful to develop model consent programs and prospectively assess their impact on informed consent and patient satisfaction, both when positive and negative results are received.     

IMPROVING EVOLUTION ADVOCACY: TRANSLATING VACCINE INTERVENTIONS TO THE EVOLUTION WARS

When considering the persuasive characteristics and prospective influences of Darwin-skeptic mass media, uncertainties remain about how to reciprocally promote evolutionary theory to skeptical audiences. This study aims to improve evolution advocacy by translating some of the most successful methods of science endorsement to Evolution Wars contexts. In particular, strategies used to address vaccine hesitancies and enhance immunization uptake policies are reinterpreted for those seeking to improve pro-evolution communications to religious publics. What results are three recommendation categories described as General Guiding Principles, Proximate Interventions, and Auxiliary Interventions.     

No evidence of risk-taking or impulsive behaviour in a person with episodic amnesia: Implications for the role of the hippocampus in future-regarding decision-making

Does advantageous decision-making require one to explicitly remember the outcome of a series of past decisions or to imagine future personal consequences of one's choices? Findings that amnesic people with hippocampal damage cannot form a clear preference for advantageous decks over many learning trials on the Iowa Gambling Task (IGT) have been taken to suggest that complex decision-making on the IGT depends on declarative (episodic) memory and hippocampal integrity. Alternatively, impaired IGT performance in amnesic individuals could be secondary to risk-taking and/or impulsive behaviour resulting from impaired episodic future thinking (i.e. prospection) known to accompany amnesia. We tested this possibility in the amnesic individual K.C. using the IGT and the Toronto Gambling Task (TGT), a novel task that dissociates impulsivity from risk-taking without placing demands on declarative memory. K.C. did not develop a preference for advantageous over disadvantageous decks on the IGT and, instead, showed a slight preference for short-term gains and an inability to acquire a more adaptive appreciation of longer-term losses. He also did not display impulsive or risk-taking behaviour on the TGT, despite a profound inability to imagine personal future experiences. These findings suggest that impaired decision-making on the IGT in amnesia is unlikely to reflect a predilection to act in the moment or failure to take future consequences into account. Instead, some forms of future-regarding decision-making may be dissociable, with performance on tasks relying on declarative learning or on episodic-constructive processes more likely to be impaired.     

A Content Analysis of the Offender Population in Counseling Journals

We discuss the findings of an exploratory content analysis related to the offender population by examining literature from 2008 to 2018 in 23 American Counseling Association (ACA) and ACA‐affiliated counseling journals. The findings and implications of the analysis are discussed.