Pastoral Counseling of Older Adults: Toward a Short-term Integrative Approach

A rapidly aging population with its mental health care needs presents an enormous challenge in the current mental health field. In light of this, pastoral counselors will have an increasingly important role to play in the care of older adults because of their strategic position in the community and their competence in dealing with religious/spiritual issues particularly salient in old age. This article proposes a short-term integrative approach to enable pastoral counselors to effectively and efficiently meet the mental health care needs of the elderly.

Ⅰ期颈椎前后路联合手术治疗嵌夹脊髓型颈椎病

为了探讨前后路联合手术治疗嵌夹脊髓型颈椎病的疗效,对50例患者行Ⅰ期颈后路单开门-前路减压内固定术。术后随访脊髓功能改善情况,植骨融合率及并发症。结果显示,50例患者经平均6．5月随访,内固定均获牢固融合,脊髓功能明显改善,无明显并发症。提示Ⅰ期颈椎前后路联合手术是治疗嵌夹脊髓型颈椎病的较理想方案。     

Component Models for Fuzzy Data

The fuzzy perspective in statistical analysis is first illustrated with reference to the “Informational Paradigm” allowing us to deal with different types of uncertainties related to the various informational ingredients (data, model, assumptions). The fuzzy empirical data are then introduced, referring to J LR fuzzy variables as observed on I observation units. Each observation is characterized by its center and its left and right spreads (LR₁ fuzzy number) or by its left and right “centers” and its left and right spreads (LR₂ fuzzy number). Two types of component models for LR₁ and LR₂ fuzzy data are proposed. The estimation of the parameters of these models is based on a Least Squares approach, exploiting an appropriately introduced distance measure for fuzzy data. A simulation study is carried out in order to assess the efficacy of the suggested models as compared with traditional Principal Component Analysis on the centers and with existing methods for fuzzy and interval valued data. An application to real fuzzy data is finally performed. We would like to express our gratitude to the Editor, the Associate Editor, and the Referees whose comments and suggestions improved significantly the quality of the paper.     

从人际关系看人格--认知-情感系统理论的视角

人格的认知—情感系统理论(cognitive-affective system theory of personality,简称CAPS)被视为是与大五人格理论齐名的一种人格理论。该文拟从个体外部的人际关系层面来阐述该理论,以加深对理论的理解。然后,又从CAPS与其它人际关系理论的契合说明该理论是一种整合性的人格理论。最后,指出了CAPS的优点和局限性,并由此对人格研究的未来发展方向进行了探讨。     

Defining relationships: Comparing Canadians, Chinese and Indians

To examine whether cultural differences exist in defining family, friend, relative, colleague and neighbour, non-student samples were drawn from Canada, China and India. The data generated several unexpected findings. (i) The means of the relationship definitions between the Chinese and Canadians were not significantly different. The means between the Chinese and Indians were significantly different. The means between the Canadians and Indians were significantly different. (ii) Females defined their relationships more interdependently than males in the Indian and Canadian samples but not in the Chinese sample. (iii) Definitions were target specific and the order of closeness differed from group to group. (iv) In the Indian and Chinese samples, participants' age was negatively correlated with closeness in defining friends, indicating that a person's perceived closeness with friends changes over the life span. Results of past research using student samples need to be interpreted with caution.     

QUINTUPLE EXTENSION: MIND, BODY, HUMANISM, RELIGION, SECULARISM

Extension of the system that includes the key substrates for sensation, perception, emotion, volition, and cognition, and all representational sources for cognition, supports the view that there is an extended mind and an extended body. These intellectual views can be made practical in a humanist system based on extensions and in religious systems based on extensions. Independently, there is also an institutional extension of secularism. Hence, I maintain, there are five principal forms of extension.     

MINDS, INTRINSIC PROPERTIES, AND MADHYAMAKA BUDDHISM

Certain philosophers and scientists have noticed that there are data that do not seem to fit with the traditional view known as the Mind/Brain Identity theory (MBI). This has inspired a new theory about the mind known as the Hypothesis of Extended Cognition (HEC). Now there is a growing controversy over whether these data actually require extending the mind out beyond the brain. Such arguments, despite their empirical diversity, have an underlying form. They all are disputes over where to draw the line between intrinsic and relational causal powers. The second-century Buddhist philosopher Nagarjuna deals with similar issues when he argues for a middle way between the two positions that were known in his time by the terms eternalism and nihilism. Eternalism, like MBI, asserts that the mind is a permanent enduring substance (although the two theories disagree as to how long mind endures). Nihilism argued that the mind had no intrinsic existence, and today some argue that HEC could lead us to a similar conclusion. Nagarjuna's argument for a middle way between these two extremes is similar to an argument that can be made for HEC. We can accept that neither the brain nor any other single physical item is identical to the mind without falling down the slippery slope that leads to "The mind does not really exist, and therefore we are one with everything." Nagarjuna was correct to say that the mind has conventional reality—that the mind exists even though there is no sharp border between the mind and the world.     

The search for an effective clinical behavior analysis: the nonlinear thinking of Israel goldiamond

This paper has two purposes; the first is to reintroduce Goldiamond's constructional approach to clinical behavior analysis and to the field of behavior analysis as a whole, which, unfortunately, remains largely unaware of his nonlinear functional analysis and its implications. The approach is not simply a set of clinical techniques; instead it describes how basic, applied, and formal analyses may intersect to provide behavior-analytic solutions where the emphasis is on consequential selection. The paper takes the reader through a cumulative series of explorations, discoveries, and insights that hopefully brings the reader into contact with the power and comprehensiveness of Goldiamond's approach, and leads to an investigation of the original works cited. The second purpose is to provide the context of a life of scientific discovery that attempts to elucidate the variables and events that informed one of the most extraordinary scientific journeys in the history of behavior analysis, and expose the reader (especially young ones) to the exciting process of discovery followed by one of the field's most brilliant thinkers. One may perhaps consider this article a tribute to Goldiamond and his work, but the tribute is really to the process of scientific discovery over a professional lifetime.     

ALZHEIMER'S DISEASE AND SOCIALLY EXTENDED MENTATION

Abstract: The leading accounts of the ethics of proxy decision making implicitly draw on internalist conceptions of the philosophy of mind, or so this essay tries to demonstrate. Using the views of Ronald Dworkin as its jumping-off point, the essay argues that accepting the sort of externalism associated with writers such as Putnam and Burge would alter Dworkin's conclusions concerning how we should respond to the current or precedent decisions of people suffering from dementia. Building on the views of Agnieszka Jawarska, it argues that accepting "active" externalism à la Clark and Chambers would provide currently competent people with new resources for establishing the authority of their present values over inconsistent values they might come to entertain should they become demented.     

The Search for a Politically Reflective Clinical-Community Approach

The following paper explores how working in Venezuela, a country that has gone through 20 years of economic and political problems, has highlighted the gap between clinical and community approaches in dealing with the sufferings of our consultants. Our efforts to develop theoretical and practical tools that can address the historical and political dimensions of people’s lives are reviewed. These efforts illustrate how the community paradigm can help expand clinical perspectives, thus allowing a practise which can address the needs of people who have neither the time nor the economic means to engage in a traditional therapeutic relationship. The shift in perspective, the revision of our “therapeutic” stance and the use of de-naturalisation and problematization are illustrated.