A Qualitative Study of Potential Suicide Risk Factors Among Soldiers Transitioning From Operation Iraqi Freedom/Operation Enduring Freedom

Using qualitative methods, this study explored potential risk factors for suicide, as defined by Joiner's Interpersonal-Psychological Theory of Suicide (IPTS), in a population of Soldiers returning from deployment in Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF). Sixty-eight Soldiers participated in semi-structured interviews during the period of transition from deployment to the garrison environment. These Soldiers were asked about changes in perception of pain, experiences of perceived burdensomeness, and lack of belonging. Interviews were transcribed and analyzed. A phenomenological methodology was employed (Creswell, 2006). In response to questions about perception of pain, Soldiers discussed both positive and negative changes in their experience of physical and emotional pain. When asked about experiences of perceived burdensomeness, Soldiers described changes related to deployment, such as injuries and combat related guilt, as well as changes related to transition from combat, including care seeking, reintegration into family and society, and emotional distancing. Regarding the experience of lack of belonging, Soldiers described difficulties related to the deployment, such as combat injuries, leadership roles, and individual differences, as well as difficulties related to reintegration such as symptoms of emotional numbing and distancing. Findings highlight the potential utility of IPTS in exploring both acute and chronic suicide risk factors associated with deployment and transition, as well as potential treatment strategies that may reduce suicide risk in the population of Soldiers during reintegration.

Is it a Sin to Talk about Sin in Therapy?

The role of morality and sin in therapy is a controversial topic. However, therapy has a distinctly moral nature, and the Christian concept of sin provides a helpful framework within which the therapist can effectively respond to clients' feeling guilt for their wrong doing as they present in therapy. This paper discusses how the moral nature of therapy must be understood and embraced if it is to encourage both insight and increased self-efficacy in treatment. The Christian concept of sin is discussed as well as a psychological definition of sin and its effects. A potential treatment approach is presented which emphasizes responsibility and restoration through insight, compassion, and increased self-efficacy. This approach is then displayed through a case example.

Japanese American Biracial Adolescents and Identity Formation

The purpose of the current paper is to examine the racial identity development of Japanese American biracial adolescents. A review of the literature revealed critical factors as it relates to Japanese American biracial adolescents and their identity formation. Ethnic identity, adolescent developmental stage, environmental ethnic socialization processes used to facilitate identity development, and the resulting psychological adjustment were the major issues identified in the literature. Educators, counselors and other mental health professionals must begin to understand their development if the needs of this population are to be met in the future. A case study of a biracial Japanese American teen was included to heighten the understanding of the identity development of biracial individuals. Findings indicate that biracial children who are raised to identify with both sides of their ethnic heritage are not suffering from negative psychological consequences (e.g. guilt, anger, isolation) but, instead, gain a "healthier" sense of self. Implications for clinicians are discussed in terms of how therapists can be responsive to the unique needs of biracial adolescents.

Existential dissonance : a dimension of inauthenticity

This paper will initially review integral concepts found within Heidegger’s understanding of existence or being - namely the dialectic between authentic and inauthentic living, and by extension, existential guilt, anxiety, and regret. Next, I will discuss a particular dimension of inauthenticity found at the intersection of existential guilt and regret, termed existential dissonance. This term, adapted from Festinger’s theory of cognitive dissonance will serve to illuminate several clinical phenomena. To ground this concept further, I will provide two case examples that further express and clarify this concept.