An interactive view of countertransference: Differentiation of self and client presentation.

Using family systems theory (Kerr & Bowen, 1988), interpersonal theory (Kiesler, 1996; Leary, 1957), and the interactional theory of countertransference (CT; Gelso & Hayes, 2007) as a framework, we investigated the influences of therapist personal factors (differentiation of self in relation to the family of origin; DoS) and client presentation as predictors of CT feelings and behaviors in response to a video analog client. Therapist-participants viewed either an interpersonally hostile-submissive or interpersonally hostile-dominant (HD) client. Overall, therapists lower in DoS reported significantly more overinvolved CT behaviors, overinvolved feelings, and underinvolved feelings compared with those higher in DoS regardless of client analog condition. Participants in the hostile-submissive condition reported significantly more overinvolved CT behaviors than those in the HD condition, whereas those in the HD condition reported more underinvolved CT feelings and behaviors than those in the hostile-submissive condition. Implications for theory and training are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

A preliminary study examining chaplains' support for veterans at the end of life.

This descriptive study examines the involvement of professional chaplains in addressing loss of dignity, inconsequential life or not having a legacy, fear of burdensomeness, and fear of pain in veterans at the end of life. A convenience sample of Jewish chaplains responded to an online survey gauging their involvement in these areas. Results are presented descriptively. Most respondents stated either rarely (≤1 x month) or sometimes (≥1 x month) encountering veterans with end-of-life issues. Respondents reported varying degrees of involvement in supporting veterans at the end of life with respect to the aforementioned areas. As research into the end-of-life care needs of veterans continues to develop, recognising chaplains as a source of both spiritual and psychosocial support can serve as an opportunity for better meeting the needs of this population.

Moral injury: A new challenge for complementary and alternative medicine.

Moral injury represents an emerging clinical construct recognized as a source of morbidity in current and former military personnel. Finding effective ways to support those affected by moral injury remains a challenge for both biomedical and complementary and alternative medicine. This paper introduces the concept of moral injury and suggests two complementary and alternative medicine, pastoral care and mindfulness, which may prove useful in supporting military personnel thought to be dealing with moral injury. Research strategies for developing an evidence-base for applying these, and other, complementary and alternative medicine modalities to moral injury are discussed.