Response

The Psychologisation of the Church: on Jack Dominian's review of J.G. Sullivan's book 'Journey to Freedom: The Path to Self-Esteem for the Priesthood and Religious Life' (May, pp. 258—9).     

Critical incidents for refugee counsellors: An investigation of indigenous human resources

The mental health of refugees is increasingly being recognized as an important dimension of refugee welfare. In 1992 the Finnish Refugee Council established one of the first aid programmes to provide a therapeutic intervention to traumatized refugees. In an attempt to establish the necessary therapeutic ski& to work with this client group, we investigated the experiences of 15 refugee counsellors, using the technique of Critical Incidents Analysis. All of these counsellors were themselves refugees. Key features of their work are identified and the pros and cons of employing refugees as counsellors are discussed.     

Anxious attachment and psychological distress in cardiac rehabilitation patients

This study investigated the relevance of anxious attachment to the differentiation of psychologically distressed and non-psychologically distressed cardiac patients. Attachment is a biologically based behavioral system in which proximity to a special other is sought or maintained to achieve a sense of safety and security. Anxious attachment, as the name denotes, fails to achieve the function of attachment in the sense of individuals having little or no confidence in the availability of their attachment figures. Empirically, three scales (feared loss of the attachment figure, proximity seeking and separation protest) capture the features of anxious attachment as elaborated by Bowlby. These scales were administered to 178 cardiac rehabilitation patients drawn from the cardiac rehabilitation program of the Calgary General Hospital. The results indicate that feared loss and proximity seeking differentiated psychologically distressed from non-psychologically distressed patients. The implications of this finding for the understanding of psychologically distressed cardiac patients are discussed.