Spiritual Disciplines and the Practice of Integration: Possibilities and Challenges for Christian Psychologists

Spiritual practices have received less attention than psychological change techniques in the contemporary integration of psychology and Christianity, yet a Christian understanding of health has implications for the personal and professional use of spiritual disciplines as mechanisms for growth. We consider the practical nature of the spiritual disciplines in promoting change as well as possibilities and challenges introduced by using spiritual disciplines both outside and inside the consulting office. Used outside the consulting office, spiritual disciplines may affect the professional life of the Christian therapist by deepening his or her knowledge of God, promoting a posture of humble self-awareness, and providing a refuge for the stresses of psychological work. Used inside the consulting office, the spiritual disciplines may prove helpful with some clients, but introduce significant challenges and potential problems that warrant careful consideration

Questioning the Slippery Slope : Ethical Beliefs and Behaviors of Private Office-Based and Church-Based Therapists

Counselors and other mental health professionals whose primary office is in a church building often face unique challenges in maintaining appropriate client-therapist boundaries. A sample of 497 Christian counselors responded to an 88-item survey of their ethical beliefs and behaviors. Of the respondents, 148 reported a church as their primary work setting and 162 reported a private office as their primary work setting. Survey results were factor analyzed, then church-based therapists were compared with private office-based therapists regarding their views of ethical behaviors. Although church-based therapists take greater liberties with multiple-role relationships than private office-based therapists, they appear similar with regard to other ethical beliefs and behaviors. Results suggest that churchbased therapists who take liberties in nonsexual multiple-role relationships are no more likely than other therapists to violate other ethical standards

Beliefs and Behaviors among CAPS Members Regarding Ethical Issues

A survey was conducted of the ethical beliefs and behaviors of 498 Christian counselors, using the same 88-item instrument used in previous surveys of psychologists (Pope, Tabachnick, & Keith-Spiegel, 1987) and counselors (Gibson & Pope, 1993). Seventy-seven of the respondents were members of the Christian Association for Psychological Studies (CAPS). Generally, CAPS members appear to have high regard for and high compliance with prevailing professional ethical standards. Response patterns from the overall sample were simplified with factor analyses, resulting in two scales of ethical beliefs and four scales of ethical behaviors. Scale scores were used to compare CAPS members with non-members and licensed therapists with unlicensed in a 2 x 2 analysis of variance. Similarly, scale scores were compared, based on CAPS membership and membership in other professional organizations, in a second 2 x 2 analysis of variance. Although CAPS members did not differ significantly from other Christian counselors, those with professional licenses and those belonging to non-religious professional mental health organizations were less inclined to report multiple role relationships and more inclined to report sexual countertransference feelings than other respondents. The implications of these findings and possibilities for future research are discussed

What Evangelical Pastors Want to Know about Psychology

Increasing attention has been given to psychologist-clergy collaboration in mainstream psychology journals, yet much remains to be considered regarding how these collaborative relationships will benefit the work of pastors and Christian congregations. The purpose of this research was to evaluate clergy perspectives regarding what psychologists can offer to facilitate the ministry of the church. Various methods of assessment were used, including a survey of evangelical pastors, responses to an open-ended question via electronic mail and in person, and a focus group of Christian mental health practitioners. Respondents indicated an interest in the relationship of sin and psychological disorder, interventions particularly related to marriage and family counseling, understanding of diverse personalities in dealing with church conflict, understanding of psychological disorders, and methods of caring for their personal needs as pastors. Recommendations are offered for those interested in collaborating with clergy

Maintaining Personal Resiliency: Lessons Learned from Evangelical Protestant Clergy

Despite the prominence of clergy in providing human services, and the work-related stressors they experience, clergy health and coping responses have rarely been the focus of psychological research. We report two studies. In the first, we evaluated responses of 398 senior pastors to three open-ended questions regarding personal coping, structural support for their work, and remediation efforts in times of distress. In the second study, Christian mental health professionals and Christian education professionals identified Protestant Christian clergy who exemplify emotional and spiritual health. Twenty-six participated in individual 30-minute interviews. Respondents emphasized the importance of being intentional in maintaining balance in life and developing healthy relationships. They also value a vital spiritual life, emphasizing both their sense of calling into ministry the importance of spiritual disciplines, and an ongoing awareness of God's grace. We suggest ways that Christian mental health professionals can support pastors in preventive and remedial roles. </jats:p

Genetic variants near TIMP3 and high-density lipoprotein–associated loci influence susceptibility to age-related macular degeneration

We executed a genome-wide association scan for age-related macular degeneration (AMD) in 2,157 cases and 1,150 controls. Our results validate AMD susceptibility loci near CFH (P < 10−75), ARMS2 (P < 10−59), C2/CFB (P < 10−20), C3 (P < 10−9), and CFI (P < 10−6). We compared our top findings with the Tufts/Massachusetts General Hospital genome-wide association study of advanced AMD (821 cases, 1,709 controls) and genotyped 30 promising markers in additional individuals (up to 7,749 cases and 4,625 controls). With these data, we identified a susceptibility locus near TIMP3 (overall P = 1.1 × 10−11), a metalloproteinase involved in degradation of the extracellular matrix and previously implicated in early-onset maculopathy. In addition, our data revealed strong association signals with alleles at two loci (LIPC, P = 1.3 × 10−7; CETP, P = 7.4 × 10−7) that were previously associated with high-density lipoprotein cholesterol (HDL-c) levels in blood. Consistent with the hypothesis that HDL metabolism is associated with AMD pathogenesis, we also observed association with AMD of HDL-c—associated alleles near LPL (P = 3.0 × 10−3) and ABCA1 (P = 5.6 × 10−4). Multilocus analysis including all susceptibility loci showed that 329 of 331 individuals (99%) with the highest-risk genotypes were cases, and 85% of these had advanced AMD. Our studies extend the catalog of AMD associated loci, help identify individuals at high risk of disease, and provide clues about underlying cellular pathways that should eventually lead to new therapies