“And Yet It Moves”: Dream and Reality of the Ecumenical Movement

This article offers an overview of the 11th Assembly of the World Council of Churches, which met in Karlsruhe, Germany, in August–September 2022. It sets out the context in which the assembly took place, the main issues discussed, and perspectives for the future. The article argues that the assembly in Karlsruhe demonstrated that the ecumenical movement still is alive and can offer enormous potential in a world at the brink of a new East–West divide, facing a significant weakening of multilateral structures of cooperation, and even the threat of nuclear war. Moreover, the Karlsruhe assembly demonstrated that on subjects such as the Middle East, peace ethics, and nationalism, and in the deep commitment and spiritual life of its participants, the ecumenical movement is vital and vibrant and represents a countercultural force against rigid nationalisms.     

Humanness in times of uncertainty: On the link between perceived job insecurity,self-objectification and well-being

The current work scenario is pervaded by widespread perceptions of job insecurity, which is one of the main stress factors for workers and their well-being. This article aims to investigate the link between these perceptions and a most inner dimension, that is, people's tendency to self-objectify (i.e., self-viewing as objects rather than fully human beings). Furthermore, we aim to verify the role of this self-objectifying process in explaining the well-established relation between perceived job insecurity and well-being. Across four studies and a single-article meta-analysis (total N = 684), we show that perceived job insecurity is consistently linked with self-objectification. Furthermore, this objectifying self-perception is associated with decreased well-being and plays a mediational role in the link between perceived job insecurity and this latter variable.     

Building and Maintaining Clinical Programs

This paper describes the basic elements of practice development and management within the academic medical setting. These include assessment of the market environment, both in the community and within the medical setting, product development, marketing, budget basics, quality, managed care negotiations, and finding time to do research in a financially-driven health care system.     

The use of the occupational stress indicator (OSI) in factory workers in China

The purpose of the study was to investigate occupational stress among Chinese factory workers (N=342), from three cities of South East China, using the shortened version of the Occupational Stress Indicator (OSI)-2. The results showed that the reliabilities and predictive validity of the OSI-2 subscales and other subscales used for the study were reasonably high. Quite a high percentage of workers perceived high work pressure. The main sources of stress were intrinsic to the job; and the coping strategies that were most frequently used to tackle stress were “control” methods. In addition, “satisfaction on environmental condition” seemed to be a common predictor for job satisfaction, and mental and physical well-being. The logical relationships between job satisfaction, mental well-being and physical well-being in Chinese workers have provided support to the findings obtained in Western countries.     

Analysis of long-term stress reactions in emergency room patients: An initial study

The psychological stress reactions of 44 family medicine patients who were treated in the emergency room were examined approximately a year after the event. Patients were assessed on several psychological measures, including one for posttraumatic stress disorder (PTSD), and on their perception of how stressful the event was initially and now. Results show continuing stress reactions related to the emergency room event. Three patients endorsed symptoms indicating full PTSD and 13 appeared to have at least partial PTSD. Age appeared to be a factor in the presence of stress symptoms and in degree of perceived communication with the physician.     

Mental health service utilization among Puerto Rican children ages 4 through 16

This paper examines those children receiving mental health services in Puerto Rico, their demographic and psychosocial characteristics, and describes service providers and nature of facilities. The survey was done on a probability sample of children ages 4 through 16 across the island of Puerto Rico (N=777). Need for services was clinically defined as presence of a DSM-III diagnosis and functional impairment. The overall rate of service utilization for Puerto Rican children was 6% (26.2% of definite cases and 5.1% of probable cases). In most cases services were provided by psychologists and/or social workers, and they were mainly provided in schools and general medical facilities. In over 60% of the children assessed as cases, who did not receive services, the reason, given by the parent was that they considered the problem not serious. Factors associated with service utilization were measures of psychopathology, teacher's perceived need, and parental rates of criticism and hostility. These findings suggest that there is a need for more research on the motivating factors for service use (impairment and parental criticism). Teachers could benefit from receiving special training to help them readily recognize behavioral problems in children, communicate them to parents and set up services alternatives.     

Evaluating children's mental health service systems: An analysis of critical behaviors and events

A lack of studies which evaluate system change by tracking client outcomes is noted in the children's mental health area. This deficit may be a result of the inability of researchers to define outcomes and to draw conclusions about which measures reflect the efficacy of services and service delivery systems. This paper reviews five social validation surveys which examined children's mental health outcome measures. Based on the results of the five surveys, a model of critical behaviors and events is presented. This model will assist evaluators and researchers in understanding which critical events and behaviors should be measured to assess the impact of community-based mental health services for children.