The working life of a medium: a qualitative examination of mediumship as a support service for the bereaved

Despite widespread scepticism, it has been estimated that around 10% of the UK adult population regularly visit a medium and television programmes showing mediumship demonstrations draw in millions of viewers. While many assume mediumship to be purely for entertainment, an alternative discourse presents it as being a service offered to comfort and support the bereaved. In this qualitative study, data were collected through semi-structured interviews with nine working mediums and examined with an interpretative phenomenological analysis which aims to understand the lived experiences of participants. Three key superordinate themes emerged, Responsibility and Ethics, Passion to Help and Therapeutic Value. These themes are discussed in terms of mediums’ perception of their work as a helping profession and an ethical framework which illustrates awareness of the vulnerability of sitters. We also consider whether mediums may be equipped to deal with sitters experiencing complicated grief.     

Suicide Bereavement and Complicated Grief: Experiential Avoidance as a Mediating Mechanism

In the wake of increased interest in the specific features of suicide bereavement, the current study examines (a) the association between suicide bereavement and complicated grief and (b) the mediating effect of experiential avoidance on the association between suicide bereavement and complicated grief. The tests revealed a significant indirect effect of suicide bereavement on complicated grief through experiential avoidance. This finding suggests that traumatic characteristics of suicide bereavement may inhibit the grieving process by increasing experiential avoidance and emphasizing a cognitive approach for complicated grief of people who have lost their loved one to death by suicide.     

Yearning and Its Measurement in Complicated Grief

Persistent intense yearning for the deceased is a core clinical feature of complicated grief (CG) that distinguishes it from other mental disorders that develop following loss. The Yearning in Situations of Loss Scale (YSL) is a recently developed assessment of yearning. To assess the psychometric properties of the YSL in those with CG, we administered the YSL, Inventory of Complicated Grief, and Quick Inventory of Depression Symptomatology to 303 treatment-seeking bereaved adults with CG. Our results suggest the YSL is a reliable assessment with acceptable convergent and discriminant validity as a measure of yearning in those with CG.     

Reciprocal Relations of Worry,Rumination, and Psychopathology Symptoms After Loss: A Prospective Cohort Study

Bereavement can precipitate symptoms of depression, prolonged grief disorder, and posttraumatic stress disorder. Targeting repetitive negative thought (i.e., worry, rumination) in treatment may help reduce post-loss psychopathology. Yet, evidence on longitudinal associations of depressive rumination and worry with post-loss psychopathology symptoms has been mixed and the directions of effects are still unclear. Recently bereaved adults (78% female) completed questionnaires assessing depressive rumination (brooding), worry, and depression, prolonged grief and posttraumatic stress symptoms 11 times in 1.5 month intervals. We applied random-intercept cross-lagged panel models (RICLPMs) to examine reciprocal within-person associations between worry and psychopathology symptoms, between rumination and these symptoms, and between worry and rumination. Main findings were that worry showed reciprocal relationships with psychopathology symptoms (although worry did not consistently predict prolonged grief symptoms). Depressive rumination was predicted by psychopathology symptoms, but not vice versa. Worry showed reciprocal relations with depressive rumination. Findings suggest that worry may be part of a downward spiral, enhancing psychopathology symptoms following loss, whereas depressive rumination is solely a consequence of such symptoms.     

Every cloud has a silver lining: positive effects of deviant coworkers

Drawing on the labeling perspective of deviance, we investigate employee reactions to coworkers perceived as deviants. We look at two positive effects for employees in the presence of a deviant coworker. First, in comparison to a deviant individual, other employees can draw more positive conclusions about themselves; and second, a deviant can be informative about organizational norms, thereby improving employee role clarity. We also examine individual and situational moderators. For the purpose of the study, we developed a measure of the presence of a deviant. The hypothesized relationships were tested in two large samples using multiple regression analyses. The results revealed that in the presence of a deviant coworker, employees reported enhanced self-evaluation. The presence of a deviant coworker was associated with better role clarity only for employees with more interdependent jobs. We also discuss practical implications of the findings and future research directions.     

Grief Counseling: An Investigation of Counselors' Training,Experience, and Competencies

Grief is prevalent in counseling, but little is known about the current status of counselors’ preparation and competencies to provide effective care. This exploratory study surveyed counselors (N= 369) on grief training, personal and professional experiences with grief, and grief counseling competence. Multiple regression analyses found training and experience were statistically significant predictors of competence. The strong relationship between variables suggests these concepts may be understood as synonymous. Implications for training, practice, and research are discussed.     

Alcoholism First

No abstract available for this article.     

Community-Based Interventions in New York City After 9/11

Abstract

The horrors of 9/11 have created tremendous psychosocial needs in the population of New York. For all major providers in this field, this has meant taking up the challenge of learning within the new situation, creating new frameworks for intervention, and implementing programs that previously had not been a part of the traditional social services environment. In this article, we will describe the process of transforming this challenge into an opportunity for organizational, professional and conceptual growth.     

Sensing the presence of the deceased: A narrative review

Researchers have reported that bereaved people often continue to sense the presence of the deceased. A particular collection of such experiences can be identified as instilling a perception that the deceased person is in some manner present in the company of the bereaved person. The aim of the current review was to synthesise the results on this topic to provide a comprehensive over-view for practitioners working with bereaved people who report these experiences. The studies were reviewed in terms of the nature of the experiences described, the provision of explanatory models to understand the significance of these experiences, describing any culturally specific aspects of these experiences, discussion of the personal impact of having the experiences, and for recommendations of how people who have these experiences can be supported.     

Consistency of social anxiety in psychiatric patients: Properties of persons,situations, response classes,and types of data

The focus of this study was to investigate the consistency of observed overt behaviors, psychophysiological measures, and reported cognitions in high and low socially anxious psychiatric patients. Forty-seven psychiatric patients (25 high and 22 low socially anxious ones) were exposed to two situations: the initiation of a conversation and the refusal of a request. For both groups of subjects, consistency across situations (Situations) and trait indicators (Reactions) was highest for psychophysiological measures. Observed overt behaviors showed the lowest consistency across Situations and Reactions. Substantial evidence was found for the consistency of Persons x Situations and Persons x Reactions interactions. Moreover, high socially anxious subjects showed a higher consistency than low socially anxious patients with respect to observed overt behaviors and reported cognitions. Using psychophysiological measures, low socially anxious patients showed higher consistency than high socially anxious subjects. The implications for the assessment of social anxiety are discussed.