Spirituality in Counselling: A View from the Other Side

Some clients will already be aware of a spiritual dimension when they come to counselling, and others may become aware during the course of it. Counsellors should be able to work with either situation, or should refer the client to a more suitable colleague. Spiritual awareness may develop gradually or be very sudden; the two ways could be likened to 'karma' and 'redemption', and each has particular virtues and difficulties. The author's own experience demonstrates some of the qualities of the sudden, or visionary, way. The interface between the psychological and spiritual dimensions is the natural and obvious next area for exploration and clarification, and counsellors have an important role in this work.     

Indications for two attentional gradients in endogenous visual-spatial attention

Four experiments were designed to investigate the meridian effect on attentional orienting (characterized by a larger cost when the cue and target fall in different visual fields relative to when they fall in the same fields) when employing an endogenous cue. In Experiment 1 a circular display of eight boxes was employed and no meridian effect was found. In Experiment 2 three displays were compared: Semicircular, vertical, and horizontal. No meridian effect was found in the semicircular display. However, in the two linear displays (vertical, horizontal) there was a significant meridian effect. Experiments 3 and 4 were designed to investigate an attentional gradient hypothesis. In all experiments a distance effect was found. Nevertheless, the distance effect was not directly related to the actual distance between the target positions. The results suggest the existence of two attentional gradients that develop simultaneously in the visual field: an excitation gradient centred at the cued location (the strongest excitation) and an inhibition gradient, centred at the fixation point (the strongest inhibition).     

Reiki as surrender: evidence of an external authority

In this article I explore the concept of surrender and its significance for Reiki practitioners. Reiki is a hands-on healing method with roots in spiritual practice. The term ‘surrender’ has been emphasised, not always explicitly, by Reiki practitioners in Britain. I posit that surrender within the Reiki context is indicative of an external authority and source of significance. This contributes to previous literature regarding internal self-authority or non-formative social authority and shows that an external authority provides a third form of influence for practitioners. I explicate the idea of surrender and demonstrate that the object of that surrender, understood as reiki energy, has agency and that the power of this agency is operationalised through authority. In effect, surrender illuminates a consideration of reiki as an agential external authority which is legitimised through practice and training, allowing for new forms of a transformed identity and a sense of freedom and autonomy from hegemonic discourses.     

The Psychosocial Vulnerability Model of Hostility as a Predictor of Coronary Heart Disease in Low-income African Americans

The current study examined social support and stress as mediators of the hostility—coronary heart disease (CHD) relationship as suggested by the psychosocial vulnerability model in a sample of low-income African Americans. Among 95 CHD patients and 30 healthy controls, hostility was negatively correlated with social support, but was not related to minor stress. CHD patients endorsed higher levels of hostility; however, the relationship between hostility and CHD status was diminished once stress and social support were included in the model. This study lends partial support for the psychosocial vulnerability model of hostility in African Americans, but suggests that the relationship between hostility and stress may be impacted by socioeconomic status.     

Evaluating depression severity and remission with a modified Beck Depression Inventory

In an attempt to improve assessment of recovery from depression, a modified Beck Depression Inventory (mBDI) was created that permits endorsement of positive feelings in addition to depressive symptoms. In both normal and clinical samples, the mBDI showed evidence of reliability for measuring varying degrees of depression. In comparison to the original BDI, the mBDI did not significantly improve differentiation in depression severity among depressed individuals and assessment of remission of depressive symptoms. However, the mBDI was significantly better than the original BDI in detecting differences in depression level when overall depression severity was low. Clinical implications for evaluating remission of depression are discussed.     

Depression, hopelessness, and self-esteem: accounting for suicidality in adolescent psychiatric inpatients

The present study was designed to examine depression, hopelessness, and self-esteem as related to suicidal behavior in three groups of depressed adolescent psychiatric inpatients. Depressed adolescents who had never attempted suicide were compared to depressed adolescents who had attempted suicide once and to depressed adolescents who had attempted suicide on several different occasions. Results showed that suicidal adolescents experienced significantly greater depression and hopelessness than did the nonsuicidal adolescents. However, all three groups of depressed adolescents reported similar low levels of self-esteem. Measures of depression and hopelessness were useful in classifying the adolescents based on their suicidal behavior. Results suggest that the treatment of suicidal adolescents could benefit from strategies that focus on reducing feelings of depression and hopelessness.     

A manifold of spatial maps in the brain

Two neural systems are known to encode self-location in the brain: Place cells in the hippocampus encode unique locations in unique environments, whereas grid cells, border cells and head-direction cells in the parahippocampal cortex provide a universal metric for mapping positions and directions in all environments. These systems have traditionally been studied in very simple environments; however, natural environments are compartmentalized, nested and variable in time. Recent studies indicate that hippocampal and entorhinal spatial maps reflect this complexity. The maps fragment into interconnected, rapidly changing and tightly coordinated submaps. Plurality, fast dynamics and dynamic grouping are optimal for a brain system thought to exploit large pools of stored information to guide behavior on a second-by-second time frame in the animal's natural habitat.     

Testimonies in the Treatment of Genocidal Trauma

This article describes an approach to the treatment of genocide survivors that addresses both the personal and communal/historical dimensions of their experiences. I begin by outlining the characteristics of massive psychic trauma as background for using video testimonies in the treatment of Holocaust survivors. I then discuss videotaped interviews with perpetrators as an illustrative contrast to survivors' testimonies. The third section explains my position as a psychoanalyst encountering historical trauma and its relationship to my own experiences as a survivor. Following a brief history of videotaping as a medium for recording testimonies, I conclude by demonstrating the ways in which active listening can lead to the revelation of new dimensions of historical as well as personal truth.     

Thanatos and massive psychic trauma: the impact of the death instinct on knowing,remembering, and forgetting

The connection between massive psychic trauma and the concept of the death instinct is explored using the basic assumptions that the death instinct is unleashed through and is in a sense characteristic of traumatic experience, and that the concept of the death instinct is indispensable to the understanding and treatment of trauma. Characteristics of traumatic experience, such as dissolution of the empathic bond, failure to assimilate experience into psychic representation and structure, a tendency to repeat traumatic experience, and a resistance to remembering and knowing, are considered as trauma-induced death instinct derivatives. An initial focus is on the individual, on how death instinct manifestations can be discerned in the survivors of trauma. Next the intergenerational force of trauma is examined; a clinical vignette illustrates how the death instinct acts on and is passed on to the children of survivors. Finally, the cultural or societal aspects of trauma are considered, with an eye to how death instinct derivatives permeate cultural responses (or failures to respond) to trauma. Because trauma causes a profound destructuring and decathexis, it is concluded that the concept of the death instinct is a clinical and theoretical necessity.     

Education-stratified base-rate information on discrepancy scores within and between the Wechsler Adult Intelligence Scale--Third Edition and the Wechsler Memory Scale--Third Edition

The Wechsler Adult Intelligence Scale--Third Edition (WAIS-III; D. Wechsler, 1997a) and the Wechsler Memory Scale--Third Edition (WMS-III; D. Wechsler, 1997b) are 2 of the most frequently used measures in psychology and neuropsychology. To facilitate the diagnostic use of these measures in the clinical decision-making process, this article provides information on education-stratified, directional prevalence rates (i.e., base rates) of discrepancy scores between the major index scores for the WAIS-III, the WMS-III, and between the WAIS-III and WMS-III. To illustrate how such base-rate data can be clinically used, this article reviews the relative risk (i.e., odds ratio) of empirically defined "rare" cognitive deficits in 2 of the clinical samples presented in the WAIS-III--WMS-III Technical Manual (The Psychological Corporation, 1997).