Randomized Effectiveness Trial of an Internet,Pure Self-Help,Cognitive Behavioral Intervention for Depressive Symptoms in Young Adults

This study evaluated an Internet-delivered, cognitive behavioral skills training program versus a treatment-as-usual (TAU) control condition targeting depression symptoms in young adults aged 18 to 24 years. Potential participants were mailed a recruitment brochure; if interested, they accessed the study website to complete an online consent and baseline assessment. Intervention participants could access the website at their own pace and at any time. Reminder postcards were mailed periodically to encourage return use of the intervention. The pure self-help intervention was delivered without contact with a live therapist. The primary depression outcome measure was the Patient Health Questionnaire, administered at 0, 5, 10, 16, and 32 weeks after enrollment. A small but significant between-group effect was found from Week 0 to Week 32 for the entire sample (N = 160, d = .20, 95% confidence interval [CI] 0.00–0.50), with a moderate effect among women (n = 128, d .42, 95%C1 = 0.09–0.77). Greater depression reduction was associated with two measures of lower website usage, total minutes, and total number of page hits. Although intervention effects were modest, they were observed against a background of substantial TAU depression pharmacotherapy and psychosocial services. Highly disseminable, low-cost, and self-help interventions such as this have the potential to deliver a significant public health benefit.     

THE “AS‐YET SITUATION” IN WINNICOTT'S “FRAGMENT OF AN ANALYSIS”: YOUR FATHER “NEVER DID YOU THE HONOR OF”… YET

The author proposes a new hypothesis in relation to Winnicott's “Fragment of an Analysis”: that as early as 1955, in the case described in this text, Winnicott is creating the paternal function in his patient's psychic functioning by implicitly linking his interpretations regarding the father to the Freudian concept of Nachträglichkeit. The author introduces an original clinical concept, the as‐yet situation, which she has observed in her own clinical work, as well as in Winnicott's analysis of the patient described in “Fragment of an Analysis” (1955).     

Development and validation of the Granada Burnout Questionnaire in Spanish police

The goal of the present study is to develop a questionnaire, with proper psychometric properties and current norms, to evaluate the burnout syndrome in Spain. The operative definition of burnout proposed by Maslach and Jackson is used to define three dimensions (Emotional exhaustion, Depersonalization and Personal accomplishment). A total of 2,403 national Spanish police participated. Evidence of construct validity was checked through cross validation (showing a good fit of the three factors model to the data). Using the MBI, NEO-FII and CECAD evidence of convergent validity and criteria validity were developed (showing that the relations are similar to the ones that appear in other research). The discrimination, mean, standard deviation, and typical error of the average of the items composing the various dimensions were analyzed. Both the Cronbach's alpha coefficient and the conditional standard error of measurement (CSEM) were calculated for each of the dimensions. The results showed good internal consistency (all α values > .85). Finally, the questionnaire was scaled using T scores. The psychometrical properties reported here support the use of this new questionnaire for the burnout evaluation in Spanish police.     

Matters Olympic and Paralympic

Over the past several years, I have been arguing that nature sports such as surfing, backcountry skiing, and mountaineering are best described as sports in which athletes interact dynamically with natural features rather than compete with other humans. This article is part of a larger attempt to trace the implications of that view. Specifically, I consider the relationship between nature sports and competition. To this purpose, I address three separate, but related topics: First, I reply to Leslie Howe’s article, ‘On Competing Against Oneself, Or, I Need to Get a Different Voice in My Head’, in which she argues that there is a version of self-competition that is central to nature sports. Second, I argue that adapting nature sports to fit into formal competitive frameworks is problematic because, when we do so, the focus shifts from athletes interacting with natural features to athletes using natural features to outdo other athletes. And third, I argue that nature sports may seem competitive because the interaction between humans and natural features produces a type of intensity that is very similar to the intensity produced in competition. I argue further that because nature sports can produce this intensity in an environment that is not based on competition, they present an important alternative to traditional sports.     

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’.     

Faustus Socinus and John Calvin on the Merits of Christ

Abstract

Pressed by Laelius Socinus on the apparent contradiction between salvation as literally merited and yet graciously bestowed, Calvin responded that Christ's literal and proper merit procured salvation but did so through God's gracious ordination of Christ as redeemer, thus obviating the apparent difficulty. Yet, in the Institutes Calvin criticizes Lombard for teaching that Jesus merited his own exaltation, arguing that no man, Jesus included, could gain such merit. Calvin concludes that although Christ's exaltation followed his obedience, it did so purely of grace and as an example for us. This study explores how Faustus Socinus picks up the debate, exploiting Calvin's admission of the impossibility of gaining literal merit and pressing what he sees as the devastating consequences of this admission for the orthodox doctrine. Also considered is Faustus's critique of what he regards as Calvin's untenable and contradictory response to the queries of his uncle, Laelius, on the compatibility of grace with merit.     

Transference,relationship and the analyst as object: Findings from the North American Comparative Clinical Methods Working Party

Data from the North American Comparative Clinical Methods (CCM) Working Party a is used to 1) explore how psychoanalysts in North America conceive and address the transference and the relationship between analyst‐analysand and 2) to study what kinds of ‘objects’ psychoanalysts become, explicitly and implicitly, within psychoanalytic treatments. The North American CCM Working Party closely studied 17 clinical cases presented by North American psychoanalysts across the spectrum of analytic schools at their meetings. We found that the 17 analysts fell into three different groupings according to the internal consistency of their method and their approaches to transference, relationship and analyst‐as ‐object. We also found that analysts' individual work, while heavily influenced by their schools of thought, also involved unique interpretations of their particular paradigms.     

Kant's Universal Law Formula Revisited

Kantians are increasingly deserting the universal law formula in favor of the humanity formula. The former, they argue, is open to various decisive objections; the two are not equivalent; and it is only by appealing to the humanity formula that Kant can reliably generate substantive implications from his theory of an acceptable sort. These assessments of the universal law formula, which clash starkly with Kant's own assessment of it, are based on various widely accepted interpretative assumptions. These assumptions, it is argued in this article, depend on misleading translations of key terms; selective attention to Kant's concrete examples; not taking seriously Kant's theoretical claims about the relations among his various ideas; and a failure to take into account Kant's idiosyncratic definitions of key concepts. The article seeks to right these interpretative wrongs, and finds that the universal law formula is not open to many of the standard objections.     

Conceptualizing splitting: On the different meanings of splitting and their implications for the understanding of the person and the analytic process

While “splitting” is a familiar concept, its meaning is not as self‐evident as is commonly assumed. In different contexts, it refers to different phenomena and is supported by different understandings of psychic dynamics. In this paper, the author presents four different conceptualizations of splitting, which capture the essential aspects of contemporary psychoanalytic discourse on the concept. There is a dissociative kind of splitting, which involves splitting off, in the face of trauma, whole personalities, which to some extent remain accessible to consciousness; there is a disavowal kind of splitting that splits off our awareness of disturbing realities or their meanings in our efforts to avoid the inner restraints imposed by repression; and there are two forms of splitting of the object into good and bad—one focusing on the splitting of representations of the object due to ego weakness and environmental determinants, and the other on the splitting of the mind itself in a primarily destructive act aimed at sparing the good from the destructiveness of our death instinct. All four conceptualizations have their origins in Freud's writing and then are further developed in the work of later analysts. The author argues that understanding the nature of these various conceptualizations of splitting can contribute to analytic theory and practice. It also sheds light on the essential nature of analytic approaches and how they offer different perspectives on the unity and disunity of man's basic nature.     

A HEURISTIC SCIENCE‐BASED NATURALISM AS A PARTNER FOR THEOLOGICAL REFLECTIONS ON THE NATURAL WORLD

After a few general observations on scientific activity, the author briefly comments on different versions of naturalism. Subsequently, he suggests that the birth of evolutionary biology and its successive developments may show how the natural world comes to be differently conceived as scientific advancements are accomplished. Then the main thesis is outlined by introducing the principles of a heuristic science‐based naturalism not conclusively defining the real and the knowable. From the epistemological perspective, heuristic naturalism is meant to be framed in critical realism, whereas from the ontological standpoint it may be framed in emergent monism, given that the latter can also underpin recent trends in investigation addressing human specificity. Finally, attention is turned to some implications of heuristically guided scientific activity with regard to the issues of divine action and of imago Dei.