addresses operational flaws that are inherent to the current health care system while providing e... more addresses operational flaws that are inherent to the current health care system while providing effective resolution strategies that build a culture of collaboration between medical specialties. This book emphasizes the integration between behavioral health care and primary care but also paves way for policy development that can enhance collaboration between all specialties. This book begins with a forward by Jürgen Unützer, M.D., M.P.H., who has long advocated for collaborative care teams within health care organizations and who continues to do so as chair of psychiatry at the University of Washington. He explains how sharing of information and resources between primary care and mental health providers is more effective than engaging in "parallel play" (p. ix). This book is divided into three main parts: 1) A Design for Success; 2) The Provider Role: Changing Practice; and 3) Operational Considerations. Eight specific chapters are distributed within the three main parts, allowing readers to effortlessly reference specific topics of interest. This book notably emphasizes the importance of culture modification and leadership involvement. These factors need to be targeted to effectively incorporate integrated care. The cultures among behavioral health care and primary care systems continue to have significant differences, but the opportunity for common ground can be discovered with the proper guidance. The barriers of integrated care are effectively tackled in this book by the in-depth discussions relating to team development, leadership strategies, financial funding models, and billing challenges. Case examples of actual clinical scenarios that incorporated a collaborative care model are provided throughout the text to help the reader envision such implementation. By reading this book, the reader comes to further understand the significance of a team in the health care setting and how optimal patient care relies heavily on it. Interdisciplinary team development and communication are fundamental aspects of integrated care, which can make work more enjoyable and satisfying for health care providers. By focusing on policy design, the work environment can be structured in a way that nourishes vital components of an integrated health care system. The barriers of integrated care within the United States health care system are a reality that is costly and detrimental to our patients. The United States spends more money on health care than any other country, and the strategies discussed in this book provide direction for leaders to improve diagnostic capability and eliminate wasteful spending. In summary, this resource is particularly vital for the sustainability of medical care.
For many years, Jon Allen has brought a remarkable blend of wisdom and humanity to his writings o... more For many years, Jon Allen has brought a remarkable blend of wisdom and humanity to his writings on trauma, attachment, mentalizing, and psychotherapy (e.g., Allen, 2004; Allen, Fonagy, & Bateman, 2008). More recently, the focus of his writings has expanded to include wonderful insights on the place of spirituality in these processes (Allen, 2013). As coauthors, we were delighted then to hear that this leading clinical thinker and practitioner was willing to comment on our article. At the same time, we were not a little bit nervous anticipating his response to our admittedly new study, one that falls so clearly outside the mainstream of clinical research (Pargament, Lomax, McGee, & Fang, 2014, pp. 248–262). Allen’s affirming, indeed generous, review then was quite gratifying, especially his encouraging words about the value of studies of the spiritual dimension of psychotherapy (Allen, 2014, pp. 263–265). We hope other researchers and practitioners will also take these words of encouragement to heart. Like reviews at their best, Allen’s also points to important new directions for study and raises a few provocative issues. Allen correctly notes that, although the focus of our research was on sacred moments that occur in the therapeutic relationship, our research examined sacred moments from the individual perspectives of clients and therapists. Several questions follow: What is the relationship between clients’ and therapists’ perceptions of sacred moments? Are client and therapist equally likely to imbue a moment in therapy with importance, sacredness, and spiritual qualities? Is the degree to which a sacred moment is shared important for efforts to understand their impact? If so, how do researchers go about capturing sacred moments as they actually unfold in the process of treatment in ways that do justice to the character of the experience? We agree with Allen that questions such as these could serve as a “cornerstone” of future study. Allen also encourages us to take a closer look at some of the dispositional factors that may increase the likelihood of sacred moments in treatment. In our second study of patients, we found that people who reported higher levels of religious and spiritual involvement were more likely to perceive sacred moment qualities in their important moment. However, the magnitude of these relationships was small; Allen suggests we consider another variable that could be relevant to both therapists and clients, “the general capacity or disposition for spiritual experience.” Perhaps, sacred moments grow not only out of the therapeutic encounter but also out of earlier priming for spiritual experience through family, institutions, and larger cultural forces. This then leads to another key question. Do sacred moments in psychotherapy help nurKenneth I. Pargament, Department of Psychology, Bowling Green State University; James W. Lomax, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine; Jocelyn Shealy McGee, Department of Psychology, University of Alaska at Anchorage; Qijuan Fang, Department of Psychology, Bowling Green State University. Correspondence concerning this article should be addressed to Kenneth I. Pargament, Department of Psychology, Bowling Green State University, Bowling Green, OH 43403. E-mail: [email protected] T hi s do cu m en t is co py ri gh te d by th e A m er ic an Ps yc ho lo gi ca l A ss oc ia tio n or on e of its al lie d pu bl is he rs .
The Department of Psychiatry at Baylor College of Medicine provides experiential group conference... more The Department of Psychiatry at Baylor College of Medicine provides experiential group conferences as part of the general psychiatry residency curriculum of second-year residents. One conference utilizes the conceptual framework and experiential format developed by the A. K. Rice Institute (AKRI), and the other conference employs concepts and techniques developed by the National Training Laboratories. This report presents statistical and descriptive assessments of the conference supporting the departmental hypothesis that the educational "products" of the experiences are complementary and do not overlap in specific important areas.
Esta investigación trata de situar a la ciudad de Gaza en el contexto de materialidad del Mediter... more Esta investigación trata de situar a la ciudad de Gaza en el contexto de materialidad del Mediterráneo durante la Edad de Bronce Reciente. El acontecimiento de mayor repercusión fue la invasión de los "Pueblos del Mar" a la región sirio-palestina. En primer lugar, cambió el cuadro político de todo el Mediterráneo antiguo y, en segundo, cayeron los dos grandes imperios que dividían el
define what we mean by cultural psychiatry. That this definition is not easily agreed upon is ref... more define what we mean by cultural psychiatry. That this definition is not easily agreed upon is reflected in the many discussions of the term in the pages of this journal, including the use of &dquo;transcultural&dquo; versus &dquo;cultural&dquo; or &dquo;comparative&dquo; in the name Transcultural Psychiatric Research Review (Editor’s Comment, 1986). Within American psychiatry, there has been debate as to whether cultural psychiatry should refer only to so-called ethnic minority groups or ought to have a wider application (Moffic, 1980). Favazza (1986) emphasizes &dquo;the relevance of cultural observations for all individual patients&dquo;. Chang (1986) has questioned whether in the United States, with its emphasis on the individual patient, &dquo;mainstream psychiatry itself is so deeply culture-bound that one may hardly notice it&dquo;. A major problem in defining cultural psychiatry stems of course from the word culture itself, which has a multitude of meanings (Kroeber and Kluckhohn, 1963; Haldipur, 1980; Barzun, 1984). Williams (1976) believes indeed that the word culture is &dquo;one of the two
Psychological Aspects of Women's Health Care, 2nd edition, is an extraordinarily readable, schola... more Psychological Aspects of Women's Health Care, 2nd edition, is an extraordinarily readable, scholarly, and comprehensive resource book, updated from the classic 1993 edition. You will want to have this book in your own library and recommend it to hospital and university libraries. You will want to use this book to inform medical students, residents, primary care physicians, nurses, psychologists, social workers, and other health care providers who may wish to have it in their own libraries. Here is why. The 28 chapters in this book are the products of crossfertilization of 34 faculty and specialists from 22 different settings in the United States and Canada, edited, introduced, and contributed to by psychiatrists who are experts in the interface between psychiatry and obstetrics and gynecology. This edition has 3 new chapters and 6 new authors. The book is divided into 3 sections: Pregnancy:
addresses operational flaws that are inherent to the current health care system while providing e... more addresses operational flaws that are inherent to the current health care system while providing effective resolution strategies that build a culture of collaboration between medical specialties. This book emphasizes the integration between behavioral health care and primary care but also paves way for policy development that can enhance collaboration between all specialties. This book begins with a forward by Jürgen Unützer, M.D., M.P.H., who has long advocated for collaborative care teams within health care organizations and who continues to do so as chair of psychiatry at the University of Washington. He explains how sharing of information and resources between primary care and mental health providers is more effective than engaging in "parallel play" (p. ix). This book is divided into three main parts: 1) A Design for Success; 2) The Provider Role: Changing Practice; and 3) Operational Considerations. Eight specific chapters are distributed within the three main parts, allowing readers to effortlessly reference specific topics of interest. This book notably emphasizes the importance of culture modification and leadership involvement. These factors need to be targeted to effectively incorporate integrated care. The cultures among behavioral health care and primary care systems continue to have significant differences, but the opportunity for common ground can be discovered with the proper guidance. The barriers of integrated care are effectively tackled in this book by the in-depth discussions relating to team development, leadership strategies, financial funding models, and billing challenges. Case examples of actual clinical scenarios that incorporated a collaborative care model are provided throughout the text to help the reader envision such implementation. By reading this book, the reader comes to further understand the significance of a team in the health care setting and how optimal patient care relies heavily on it. Interdisciplinary team development and communication are fundamental aspects of integrated care, which can make work more enjoyable and satisfying for health care providers. By focusing on policy design, the work environment can be structured in a way that nourishes vital components of an integrated health care system. The barriers of integrated care within the United States health care system are a reality that is costly and detrimental to our patients. The United States spends more money on health care than any other country, and the strategies discussed in this book provide direction for leaders to improve diagnostic capability and eliminate wasteful spending. In summary, this resource is particularly vital for the sustainability of medical care.
For many years, Jon Allen has brought a remarkable blend of wisdom and humanity to his writings o... more For many years, Jon Allen has brought a remarkable blend of wisdom and humanity to his writings on trauma, attachment, mentalizing, and psychotherapy (e.g., Allen, 2004; Allen, Fonagy, & Bateman, 2008). More recently, the focus of his writings has expanded to include wonderful insights on the place of spirituality in these processes (Allen, 2013). As coauthors, we were delighted then to hear that this leading clinical thinker and practitioner was willing to comment on our article. At the same time, we were not a little bit nervous anticipating his response to our admittedly new study, one that falls so clearly outside the mainstream of clinical research (Pargament, Lomax, McGee, & Fang, 2014, pp. 248–262). Allen’s affirming, indeed generous, review then was quite gratifying, especially his encouraging words about the value of studies of the spiritual dimension of psychotherapy (Allen, 2014, pp. 263–265). We hope other researchers and practitioners will also take these words of encouragement to heart. Like reviews at their best, Allen’s also points to important new directions for study and raises a few provocative issues. Allen correctly notes that, although the focus of our research was on sacred moments that occur in the therapeutic relationship, our research examined sacred moments from the individual perspectives of clients and therapists. Several questions follow: What is the relationship between clients’ and therapists’ perceptions of sacred moments? Are client and therapist equally likely to imbue a moment in therapy with importance, sacredness, and spiritual qualities? Is the degree to which a sacred moment is shared important for efforts to understand their impact? If so, how do researchers go about capturing sacred moments as they actually unfold in the process of treatment in ways that do justice to the character of the experience? We agree with Allen that questions such as these could serve as a “cornerstone” of future study. Allen also encourages us to take a closer look at some of the dispositional factors that may increase the likelihood of sacred moments in treatment. In our second study of patients, we found that people who reported higher levels of religious and spiritual involvement were more likely to perceive sacred moment qualities in their important moment. However, the magnitude of these relationships was small; Allen suggests we consider another variable that could be relevant to both therapists and clients, “the general capacity or disposition for spiritual experience.” Perhaps, sacred moments grow not only out of the therapeutic encounter but also out of earlier priming for spiritual experience through family, institutions, and larger cultural forces. This then leads to another key question. Do sacred moments in psychotherapy help nurKenneth I. Pargament, Department of Psychology, Bowling Green State University; James W. Lomax, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine; Jocelyn Shealy McGee, Department of Psychology, University of Alaska at Anchorage; Qijuan Fang, Department of Psychology, Bowling Green State University. Correspondence concerning this article should be addressed to Kenneth I. Pargament, Department of Psychology, Bowling Green State University, Bowling Green, OH 43403. E-mail: [email protected] T hi s do cu m en t is co py ri gh te d by th e A m er ic an Ps yc ho lo gi ca l A ss oc ia tio n or on e of its al lie d pu bl is he rs .
The Department of Psychiatry at Baylor College of Medicine provides experiential group conference... more The Department of Psychiatry at Baylor College of Medicine provides experiential group conferences as part of the general psychiatry residency curriculum of second-year residents. One conference utilizes the conceptual framework and experiential format developed by the A. K. Rice Institute (AKRI), and the other conference employs concepts and techniques developed by the National Training Laboratories. This report presents statistical and descriptive assessments of the conference supporting the departmental hypothesis that the educational "products" of the experiences are complementary and do not overlap in specific important areas.
Esta investigación trata de situar a la ciudad de Gaza en el contexto de materialidad del Mediter... more Esta investigación trata de situar a la ciudad de Gaza en el contexto de materialidad del Mediterráneo durante la Edad de Bronce Reciente. El acontecimiento de mayor repercusión fue la invasión de los "Pueblos del Mar" a la región sirio-palestina. En primer lugar, cambió el cuadro político de todo el Mediterráneo antiguo y, en segundo, cayeron los dos grandes imperios que dividían el
define what we mean by cultural psychiatry. That this definition is not easily agreed upon is ref... more define what we mean by cultural psychiatry. That this definition is not easily agreed upon is reflected in the many discussions of the term in the pages of this journal, including the use of &dquo;transcultural&dquo; versus &dquo;cultural&dquo; or &dquo;comparative&dquo; in the name Transcultural Psychiatric Research Review (Editor’s Comment, 1986). Within American psychiatry, there has been debate as to whether cultural psychiatry should refer only to so-called ethnic minority groups or ought to have a wider application (Moffic, 1980). Favazza (1986) emphasizes &dquo;the relevance of cultural observations for all individual patients&dquo;. Chang (1986) has questioned whether in the United States, with its emphasis on the individual patient, &dquo;mainstream psychiatry itself is so deeply culture-bound that one may hardly notice it&dquo;. A major problem in defining cultural psychiatry stems of course from the word culture itself, which has a multitude of meanings (Kroeber and Kluckhohn, 1963; Haldipur, 1980; Barzun, 1984). Williams (1976) believes indeed that the word culture is &dquo;one of the two
Psychological Aspects of Women's Health Care, 2nd edition, is an extraordinarily readable, schola... more Psychological Aspects of Women's Health Care, 2nd edition, is an extraordinarily readable, scholarly, and comprehensive resource book, updated from the classic 1993 edition. You will want to have this book in your own library and recommend it to hospital and university libraries. You will want to use this book to inform medical students, residents, primary care physicians, nurses, psychologists, social workers, and other health care providers who may wish to have it in their own libraries. Here is why. The 28 chapters in this book are the products of crossfertilization of 34 faculty and specialists from 22 different settings in the United States and Canada, edited, introduced, and contributed to by psychiatrists who are experts in the interface between psychiatry and obstetrics and gynecology. This edition has 3 new chapters and 6 new authors. The book is divided into 3 sections: Pregnancy:
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