Assessing Religious Faith in Medical Patients: Cross-Validation of the Santa Clara Strength of Religious Faith Questionnaire

Growing attention has focused on the relationship between religiosity and health outcomes. However, research has been constrained by the limited availability of measures suitable for use with medical patients. This study examined the psychometric properties of the Santa Clara Strength of Religious Faith Questionnaire (SCSORF) in two well-defined samples of medical patients, representing a range of illness severity: 1) 175 women seen at a gynecology clinic; and 2) 104 cancer patients treated at a bone marrow transplantation program. Evidence for convergent validity was demonstrated by moderately high correlations with other measures of religious involvement. Divergent validity was demonstrated by small associations with social desirability. The measure was not strongly associated with demographic background or medical variables. Modest correlations with conceptually-related measures commonly used in health research (e.g., social support, optimism, existential meaning, purpose in life) further supported the divergent validity of the instrument. Results suggest that this may be a useful, concise measure for assessing religious involvement in medical patients.     

Lost in the Myst?: Narrative Video Gaming Decreases Self-Reported Propensity for Spiritual/Religious Experience

Based on the proposition that the visual “what you see is what you get” environment of video games may undermine ability/motivation for mental simulation/internal narrative, we hypothesized that exposure to virtual gaming would lead to decreased propensity for spiritual/religious experience. Fifty-six Canadian undergraduates moderately interested in gaming completed measures of propensity for unitive (focus on connectedness) and numinous (focus on presence of Other) experiences online, and again following a randomly assigned virtual or text-based narrative gaming session. Self-reported unitive and numinous propensities both declined significantly following the virtual gaming session as expected. Mystical propensity declined following the text-based session as well, but numinous propensity tended to increase in this condition. Virtual gaming offers an absorbing “escape” narrative with comparatively little “in the head” effort that appears to diminish—at least temporarily—the propensity for spiritual/religious experience, which is predicated upon a sustained internal narrative involving the Unseen.     

More Things in Heaven and Earth: Sharing the Psychoanalytic Understanding of Religion

Links between current religious status and both childhood play style and adult personality (Five-Factor Model) were explored in a Canadian undergraduate sample. The lifelong religious reported being less open to experience, but more agreeable and conscientious, relative to apostates (who left their childhood faith for no faith), switchers (who migrated to a different faith), converts (who adopted faith since childhood), and the lifelong nonreligious. Relative to the two lifelong groups, apostates and switchers—and, to a lesser extent, converts—reported stronger interest and engrossment in pretend play involving props, peer collaborators, and/or imaginary characters, as well as less interest in organized sports. A childhood predilection for pretend play may function as a marker of greater ability and willingness to consider the implications of experiencing the self in different roles in an “as if” world. In turn, this predisposition may eventuate in a significant ideological shift in response to unmet cognitive and/or emotional needs, consistent with current understandings of religious change.     

No country for girly men: High instrumentality men express empathic concern when caring is “manly”

Two studies explored the relationship between men’s gender role identity (as measured by the Bem Sex Role Inventory) and their experience of empathic concern (situational empathy). In both, participants read of a man coping with his friend’s death while being exposed to one of three subliminal primes: “real men care”/“caring is strength,” “girly men care”/“caring is weakness,” or “people are walking.” Congruent with previous research, higher femininity (expressivity) predicted greater empathic concern irrespective of prime. The real men/strength primes tended to: (1) increase empathic concern among high instrumentality men; and (2) link empathic concern to predominantly positive projected coping responses when participants thought of themselves in the survivor’s situation, consistent with the broaden-and-build theory of positive emotions. Thus, subtly framing empathic concern as a positive emotional response that is congruent with an agentic self-appraisal seems to boost traditionally masculine men’s willingness to experience it.     

Me, myself, and us: salient self-threats and relational connections

Guided by their own amoebic self theory (C. T. Burris & J. K. Rempel, 2004), in 6 studies the authors explore the impact that involvement in an intimate relationship has on how a person appraises and responds to threat. They first show that people in relationship feel less constrained by their physical bodies compared with single people. In 3 subsequent studies involving physical size, blood/body donation, sexual activities, and responses to evil, they show that generalized sensitivity to bodily threat predicts self-protective reactions to specific physical threats among singles, but not among people in relationship, suggesting that intimate relationship involvement decreases the salience of the physical body. In the final pair of studies, they show that the salience of the physical body rebounds when people in relationship are primed, either subliminally or supraliminally, to think of themselves as distinct and separate from their partners. Thus, the present research shows how conceptualizing the self as "us" rather than "me" can transform an individual's response to the outside world, and highlights how physical cues in particular are affected by this process.     

Relationships Among Religiousness,Spirituality, and Health for Individuals with Stroke

The current study evaluated the relationships among spiritual beliefs, religious practices, physical health, and mental health for individuals with stroke. A cross-sectional analysis of 63 individuals evaluated in outpatient settings, including 32 individuals with stroke and 31 healthy controls was conducted through administration of the Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS) and the Medical Outcomes Scale-Short Form 36 (SF-36). For individuals with stroke, the SF-36 General Mental Health scale was significantly correlated with only the BMMRS Religious and Spiritual Coping scale (r = .43; p < .05). No other BMMRS factors were significantly correlated with SF-36 mental or physical health scales. Non-significant trends indicated spiritual factors were primarily related to mental versus physical health. This study suggests spiritual belief that a higher power will assist in coping with illness/disability is associated with better mental health following stroke, but neither religious nor spiritual factors are associated with physical health outcomes. The results are consistent with research that suggests that spiritual beliefs may protect individuals with stroke from experiencing emotional distress.     

Managerial modes of influence and counterproductivity in organizations: a longitudinal business-unit-level investigation

The authors studied the effect of 3 modes of managerial influence (managerial oversight, ethical leadership, and abusive supervision) on counterproductivity, which was conceptualized as a unit-level outcome that reflects the existence of a variety of intentional and unintentional harmful employee behaviors in the unit. Counterproductivity was represented by an objective measure of food loss in a longitudinal study of 265 restaurants. After prior food loss and alternative explanations (e.g., turnover, training, neighborhood income) were controlled for, results indicated that managerial oversight and abusive supervision significantly influenced counterproductivity in the following periods, whereas ethical leadership did not. Counterproductivity was also found to be negatively related to both restaurant profitability and customer satisfaction in the same period and to mediate indirect relationships between managerial influences and distal unit outcomes.     

Ministers’ Perceptions of Depression: A Model to Understand and Improve Care

While depression is a significant worldwide health problem, fewer than half of individuals seek care. Faith-based communities may play an important role in improving the knowledge of and linkage to depression care. Focus groups of Caucasian and African-American clergy were conducted to explore these issues. Using a grounded theory approach five themes emerged, including explanatory models of depression, barriers and facilitators to care, and recommendations for involving religious communities. A model of depression care pathways was constructed that integrates secular and spiritual approaches. The findings highlight the need for targeted interventions to build trust between clergy and mental health professionals. Teresa L. Kramer, Ph.D., is Chief Psychologist and Associate Professor of Psychiatry in the College of Medicine, University of Arkansas for Medical Sciences in Little Rock. She has conducted research in child, adolescent and adult mental health assessment, outcomes, and quality of care. Her current research on adolescent depression is funded through a Research Career Development Award from the National Institute of Mental Health. She is currently developing faith-based programs to educate ministers and their congregations about depression-related illness. Dean Blevins, Ph.D., teaches in the Department of Psychiatry, College of Medicine, at the university and is associated with the Center for Mental Health & Outcomes Research, Central Arkansas Veterans Healthcare System, and the South Central Mental Illness, Research, and Clinical Center in Little Rock. Terri L. Miller, Ph.D., also teaches in the Department of Psychiatry. Martha Phillips, Ph.D., is at the Department of Human Services in Little Rock. Vanessa Davis and Billy Burris are employed at the Division of Behavioral Health Services, also in Little Rock.     

Negotiators' bargaining histories and their effects on future negotiation performance

In 2 studies the authors show that the quality of deals negotiators reach are significantly influenced by their previous bargaining experiences. As predicted, negotiators who reached an impasse on a prior negotiation were more likely either to impasse in their next negotiation or to reach deals of low joint value compared to those who had reached an initial agreement. Notably, the impact of past performance on subsequent deals was just as strong for negotiators who changed partners on the 2nd occasion. Results highlight the role of bargaining histories as significant predictors of negotiation behavior. Moreover, they suggest that, at least in some cases, negotiations should be conceptualized as interrelated exchanges rather than separable incidents.     

Different paths to justice: the ADA, employment, and administrative enforcement by the EEOC and FEPAs

Under Title I of the ADA, individuals who believe they have been subjected to disability-based employment discrimination may file an administrative charge. This article looks at who files charges; over what issues, and with what outcomes in both Equal Employment Opportunity Commission (EEOC) field offices, and state and local fair employment practice agencies (FEPAs). The data for the article are computerized records of all ADA charges filed through March 31, 1998. The data indicate that individuals who rely on a FEPA to investigate their charge have a greater likelihood of obtaining a beneficial outcome than individuals who rely on the EEOC, but proportionately more individuals receiving a beneficial outcome are likely to receive monetary benefits from the EEOC than from a FEPA. Further, those who receive beneficial outcomes will probably receive greater monetary benefits from charges investigated by the EEOC than from those investigated by a FEPA.