Nathaniel G. Wade

The Religious Commitment Inventory-10: Development, refinement, and validation of a brief scale for research and counseling

The authors report the development of the Religious Commitment Inventory-10 (RCI-10), used in 6 studies. Sample sizes were 155, 132, and 150 college students; 240 Christian church-attending married adults; 468 undergraduates including (among others) Buddhists (n = 52), Muslims (n = 12), Hindus (n = 10), and nonreligious (n = 117); and 217 clients and 52 counselors in a secular or 1 of 6 religious counseling agencies. Scores on the RCI-10 had strong estimated internal consistency, 3-week and 5-month test-retest reliability, construct validity, and discriminant validity. Exploratory (Study 1) and confirmatory (Studies 4 and 6) factor analyses identified 2 highly correlated factors, suggesting a 1-factor structure as most parsimonious. Religious commitment predicted response to an imagined robbery (Study 2), marriage (Study 4), and counseling (Study 6).

Measuring the Self-Stigma Associated With Seeking Psychological Help

Self-stigma is an important factor in peoples decisions not to engage in therapy. To measure this construct, the authors developed the 10-item Self-Stigma of Seeking Help (SSOSH) scale. In Study 1 (n = 583), the SSOSH had a unidimensional factor structure and good reliability (.91) among participants. Study 2 (n = 470) confirmed the factor structure. Studies 2, 3 (n = 546), and 4 (n = 217) cross-validated the reliability (.86 to .90; test-retest, .72) and showed evidence of validity (construct, criterion, and predictive) across the study samples. The SSOSH uniquely predicted attitudes toward and intent to seek psychological help. Finally, in Study 5 (n = 655) the SSOSH differentiated those who sought psychological services from those who did not across a 2-month period.

Perceived Public Stigma and the Willingness to Seek Counseling: The Mediating Roles of Self-Stigma and Attitudes Toward Counseling

This study examined the mediating effects of the self-stigma associated with seeking counseling and attitudes toward seeking counseling on the link between perceived public stigma and willingness to seek counseling for psychological and interpersonal concerns. Structural equation modeling of data from 676 undergraduates indicated that the link between perceived public stigma and willingness to seek counseling was fully mediated by self-stigma and attitudes. Perceptions of public stigma contributed to the experience of self-stigma, which, in turn, influenced help-seeking attitudes and eventually help-seeking willingness. Furthermore, 57% of the variance in attitudes toward counseling and 34% of the variance in willingness to seek counseling for psychological and interpersonal concerns were accounted for in the proposed model.

Dispositional Forgivingness: Development and Construct Validity of the Transgression Narrative Test of Forgivingness (TNTF)

Forgivingness is the disposition to forgive interpersonal transgressions over time and across situations. There is currently no acceptable measure of forgivingness for use in testing theoretical propositions. The authors describe a five-item scenario-based scale, the Transgression Narrative Test of Forgivingness (TNTF). In five studies examining 518 university students from three disparate universities, the authors assess the item and full-scale functioning of the TNTF and its concurrent and 8- week predictive validity relative to trait anger, rumination, neuroticism, agreeableness, and hostility. Test-retest reliability and stability of item locations were both good. Norms are presented by gender, ethnicity, and religious activity. The TNTF is a brief measure of forgivingness that is not theory dependent and is therefore useful in basic and intervention research from a variety of theoretical perspectives.

In Search of a Common Core: A Content Analysis of Interventions to Promote Forgiveness.

This article reviews published methods for promoting forgiveness for a broad range of clinical issues. The review revealed a consensus among applied researchers regarding several broad types of interventions to promote forgiveness, namely, (a) defining forgiveness, (b) helping clients remember the hurt, (c) building empathy in clients for the perpetrator, (d) helping clients acknowledge their own past offenses, and (e) encouraging commitment to forgive the offender. Roughly half of the studies also prescribed interventions to help clients overcome unforgiveness (e.g., bitterness, vengefulness) without explicitly promoting forgiveness. Speculations about how to use forgiveness interventions in sensitive and client-supportive ways are advanced on the basis of the findings.

Religion and spirituality in psychotherapy: A practice-friendly review of research.

The role of religion and spirituality in psychotherapy has received growing attention in the last two decades, with a focus on understanding the ways that religion and spirituality relate to therapists, clients, and treatment methods. The authors reviewed recent empirical research on religion and spirituality in psychotherapy to inform practitioners about effective ways to incorporate the sacred into their clinical work. Three main areas are covered: religion/spirituality and therapists, religion/spirituality and clients, and religious/spiritual interventions. Research indicates that therapists are open to religious/spiritual issues, that clients want to discuss these matters in therapy, and that the use of religious/spiritual interventions for some clients can be an effective adjunct to traditional therapy interventions.

Efficacy of psychotherapeutic interventions to promote forgiveness: a meta-analysis.

OBJECTIVE This meta-analysis addressed the efficacy of psychotherapeutic interventions to help people forgive others and to examine moderators of treatment effects. METHOD Eligible studies reported quantitative data on forgiveness of a specific hurt following treatment by a professional with an intervention designed explicitly to promote forgiveness. Random effects meta-analyses were conducted using k = 53 posttreatment effect sizes (N = 2,323) and k = 41 follow-up effect sizes (N = 1,716) from a total of 54 published and unpublished research reports. RESULTS Participants receiving explicit forgiveness treatments reported significantly greater forgiveness than participants not receiving treatment (Δ+ = 0.56 [0.43, 0.68]) and participants, receiving alternative treatments (Δ+ = 0.45 [0.21, 0.69]). Also, forgiveness treatments resulted in greater changes in depression, anxiety, and hope than no-treatment conditions. Moderators of treatment efficacy included treatment dosage, offense severity, treatment model, and treatment modality. Multimoderator analyses indicated that treatment dosage (i.e., longer interventions) and modality (individual > group) uniquely predicted change in forgiveness compared with no-treatment controls. Compared with alternative treatment conditions, both modality (individual > group) and offense severity were marginally predictive (ps < .10) of treatment effects. CONCLUSIONS It appears that using theoretically grounded forgiveness interventions is a sound choice for helping clients to deal with past offenses and helping them achieve resolution in the form of forgiveness. Differences between treatment approaches disappeared when controlling for other significant moderators; the advantage for individual interventions was most clearly demonstrated for Enright-model interventions, as there have been no studies of individual interventions using the Worthington model.

Is stigma internalized? The longitudinal impact of public stigma on self-stigma.

Stigma is considered an important barrier to seeking mental health services. Two types of stigma exist: public stigma and self-stigma. Theoretically, it has been argued that public stigma leads to the development of self-stigma. However, the empirical support for this assertion is limited to cross-sectional data. Therefore, the goal of this research was to examine the relationship between public stigma and self-stigma over time. Perceptions of public and self-stigma were measured at Time 1 (T1) and then again 3 months later at Time 2 (T2). Using structural equation modeling, we conducted a cross-lag analysis of public stigma and self-stigma among a sample of 448 college students. Consistent with assertions that public stigma leads to the development of self-stigma, we found that public stigma at T1 predicted self-stigma at T2, whereas the converse was not true. These findings suggest that if self-stigma develops from public stigma, interventions could be developed to interrupt this process at the individual level and reduce or eliminate self-stigma despite perceptions of public stigma.

Measuring State-Specific Rumination: Development of the Rumination about an Interpersonal Offense Scale.

The tendency to ruminate has been consistently linked to psychological disturbances, such as increased stress, anger, and fear in response to provocations. However, existing measures of rumination focus on the disposition to ruminate rather than on rumination about a specific situation. This limits the ability to explore rumination about a specific situation and makes the assessment of change as a result of time, contextual factors, or psychological interventions difficult. Across three samples, including a clinical sample, the reliability and validity of the Rumination About an Interpersonal Offense scale (RIO) was examined. Exploratory and confirmatory factor analyses provided support for a unidimensional structure. Internal consistency and test-retest reliabilities were adequate. Convergent and discriminant validity were also supported.

Effectiveness of religiously tailored interventions in Christian therapy

Abstract Christian therapy is sought by many clients, yet the existing research examining its effectiveness is sparse. Clients (n=220) and their therapists (n=51) in 6 Christian agencies and 1 secular agency across the United States participated in a study of Christian therapy. Clients and therapists in Christian therapy generally believed that religiously tailored interventions were appropriate. Clients in Christian therapy and secular therapy reported feeling equally close to their therapists and equal (and appreciable) improvements in their presenting problems over time. Compared with therapists in the secular agency, those in Christian agencies used secular interventions as frequently and religious interventions more frequently. Across all agencies, clients with high religious commitment reported greater closeness with their therapists and greater improvement in their presenting concerns when receiving religious interventions than did clients with low religious commitment.