Appraisal theory assumes that the individual variability of emotional reactions to the same situation is due to individual differences in appraisal. However, the question of how interindividual differences in appraisal come about has been rarely formally addressed. We focus on one of the central dimensions of appraisal—problem-focused coping potential—and attempt to explain individual differences in appraisals along this dimension using self-efficacy theory. We integrate outcome expectancies, self-efficacy expectations, and problem-focused coping potential into (...) a single framework and outline their personality antecedents. Using generalized self-efficacy beliefs as an example, we then discuss the mechanisms underlying the effects of personality dispositions on appraisal and the conditions that moderate their influence. We conclude with the implications for theory, research, and practice. (shrink)

The present study examined a relational model of appraisal that specifies the situational and dispositional antecedents of appraised problem-focused coping potential, itself a hypothesised antecedent of the emotions of hope/challenge and resignation. The hypothesised relational antecedents of this appraisal were tested in a quasi-experiment in which individuals varying in self-perceived and objectively assessed math ability attempted to solve math problems on which difficulty was manipulated. Findings for the critical test problem largely conformed to predictions: Under (...) difficult conditions, but not easy ones, increasing math ability was generally associated with elevated appraisals of problem-focused coping potential, increased hope/challenge, reduced resignation, and increased likelihood of solving the problem. However, problem-focused coping potential, hope/challenge, and the likelihood of solving the problem were all lower, and resignation was higher, for the highest ability participants, than would be predicted from their ability levels. Comparable findings were not observed for appraisals of emotion-focused coping potential or its theoretically associated emotion of anxiety, providing evidence of discriminant validity for the examined model. The results of a mediational analysis supported the hypothesis that the effects of the quasi-experimental design on hope/challenge and resignation were mediated by their effects on appraised problem-focused coping potential, lending support to the proposition that appraisals play a causal role in emotion elicitation. (shrink)

The meaning of spontaneous skin conductance activity, and its relevance to appraisal theory, are examined. Spontaneous skin conductance activity is hypothesised to reflect task engagement, and thus to be correlated with appraisals of problem-focused coping potential. In a within-subjects design, subjects solved anagrams in which task difficulty was manipulated by varying both the difficulty of the anagrams and the amount of time available to solve them. In the most difficult condition, appraisals of coping potential (...) were expected, and observed, to be especially low, and these appraisals were predicted to produce selective disengagement from the task, yielding reduced skin conductance activity. Within trials, skin conductance activity increased at the start of the trials in all conditions, but decreased by the end of the trials in the most difficult condition only. At the end of the trials, both spontaneous response rate and maximum response amplitude were positively correlated, within-subjects, with appraisals of coping potential, and, even after controlling for task difficulty, with solving the anagram. These findings support the hypothesised relation between appraised coping potential and spontaneous skin conductance activity, and the interpretation of this activity as reflecting task engagement. (shrink)

According to appraisal theory, emotions result from an individual's meaning analysis of the implications of his/her circumstances for personal well-being, and individual differences in emotion arise when individuals appraise similar situations differently. Relational models of appraisal attempt to describe the situational and dispositional antecedents of appraisals, and should allow one to predict such individual differences. In this article, we review three examples of our efforts toward developing relational appraisal models. In two, we start with a particular appraisal component, motivational relevance (...) and problem-focused coping potential (Smith & Lazarus, 1990), respectively, and describe and test the relational model proposed for that component. In the third, as a precursor to developing a true relational model, we examine another appraisal component, emotion-focused coping potential, from a more dispositional perspective. We conclude by considering both the potential value of relational appraisal models, and future directions in the development of these models. (shrink)

This study investigated potential risk factors (coping, perfectionism and self-regulation) for substantial injuries in contemporary dance students using a prospective cohort design, as high-quality studies focusing on mental risk factors for dance injuries are lacking. Student characteristics (age, sex, BMI, educational program and history of injury) and psychological constructs (coping, perfectionism and self-regulation) were assessed using the Performing artist and Athlete Health Monitor (PAHM), a web-based system. Substantial injuries were measured with the Oslo Sports Trauma Research Center (...) (OSTRC) Questionnaire on Health Problems and recorded on a monthly basis as part of the PAHM system. Univariate and multivariate logistic regression analyses were conducted to test the associations between potential risk factors (i.e. student characteristics and psychological constructs) and substantial injuries. 99 students were included in the analyses. During the academic year 2016-2017, 48 students (48.5%) reported at least one substantial injury. Of all factors included, coping skills (OR: 0.91; 95% CI: 0.84–0.98), age (OR: 0.67; 95% CI: 0.46–0.98) and BMI (OR: 1.38; 95% CI: 1.05–1.80) were identified as significant risk factors in the multivariate analysis. The model explained 24% of the variance in the substantial injury group. Further prospective research into mental risk factors for dance injuries with larger samples sizes is needed to develop preventive strategies. Yet, dance schools could consider including coping skills training as part of injury prevention programs and, perhaps, providing special attention to younger dancers and those with a higher BMI through transitional programs to assist them in managing the stress they experience throughout their (academic) career. (shrink)

Background: Coronavirus disease 2019 has resulted in an increase in known risk factors for mental health problems. Mexico adopted lockdown and physical distancing as a containment strategy with potential consequences on day to day life, such as social isolation, loss of income and loneliness that can have important consequences in terms of mental health.Objective: We aimed to examine the effect of the initial phases of the COVID-19 pandemic on psychological distress, well-being and perceived physical health among Mexican-base respondents and (...) to examine whether coping strategies would play a potential intermediating role in relation to these variables. Under the Existential Positive Psychology perspective, an emphasis was made on meaning-centered coping.Methods: A cross-sectional study was conducted between April 30 and June 16th 2020 among 604 Mexicans-base respondents of which 471 were women and 132 men. Data was collected by using online questionnaires. Psychological distress was measured using the Depression, Anxiety, and Stress Scale. The Brief COPE Inventory was used to assess problem-focused and emotion-focused coping strategies. We also used the Meaning-Centered Coping Scale. PERMA-Profiler was used to assess well-being, perceived physical health, and loneliness. Profiler and Descriptive analyses and bivariate linear regression were performed to examine the association of variables.Results: 45.9% of the participants reported moderate to extremely severe psychological distress. Our results demonstrate that problem-focused and emotion-focused coping were positively related to psychological distress, whereas meaning-centered coping was negatively associated with distress. Furthermore, psychological distress played a potential negative role in the perceived physical health, while meaning-centered coping and well-being buffered the negative influence of psychological distress on perceived physical health (completely standardized indirect effect = –0.01, SE: 0.012, 95% CI [−0.065; −0.017].Conclusion: Meaning-centered coping was found to suppress the negative influence of psychological distress on sensation of decreased physical health corroborating the critical role of meaning in life in promoting well-being. Future studies can further examine the value of the critical role of meaning in life in promoting well-being as a protective factor against severe distress during traumatic events. Findings of this study can be used to orient policies and interventions aimed to alleviate suffering in the midst of the COVID-19 pandemic. (shrink)

As research focusing on stress-related growth proliferates, links between religion and growth are increasingly reported. However, little research has focused on the role that religious coping plays in subsequent growth from major stressful life events. Findings from three longitudinal studies that examined aspects of religiousness as determinants of stress-related growth, as well as the potential mediation by religious coping, are presented. Results suggest that the influences of religiousness on growth vary by sample and by type of (...) stressor. Further, religious coping was found to mediate influences of religious orientations on growth for students and for older adults dealing with a variety of problems, but was unrelated to growth following bereavement in a second sample of students. Together, these studies provide support for the notion that religiousness influences growth in complex ways, only some of which are mediated through religious coping. Future research considerations are discussed. (shrink)

Individuals’ coping strategies have a profound effect on how well they respond to negative life events. Despite this, most coping strategies instruments that are available currently have been developed exclusively in Western contexts. In the present study, a Coping Strategies Scale for use with Chinese participants was developed and validated based on responses from 734 Chinese university students. Results supported a seven-factor structure for the CSS, which included the dimensions of Withdrawal, Positive Adaptation, Problem-solving, Disengagement, Prosocial (...) Focus, Seeking Emotional Support, and Self-regulation. The results supported the validity of the seven-factor CSS in terms of its content, associated response processes, internal structure, and relationships with other variables. Based on these results, the CSS provides a psychometrically sound instrument for assessing the coping strategies used by Chinese adults in confronting potentially adverse psychological events. (shrink)

ObjectiveThis study aims to investigate the lived experience in patients with obstructive sleep apnea syndrome and comorbid obesity following after continuous positive airway pressure therapy made with the disease the device, and to identify barriers and facilitators to the use of CPAP to improve rehabilitation provision and aid in disease self-management.MethodsQualitative research was conducted using three focus groups with a representative sample of 32 inpatients undergoing a 1-month pulmonary rehabilitation program at the IRCSS Istituto Auxologico Italiano San Giuseppe Hospital, Verbania, (...) Italy. The focus groups were recorded on tape, and contemporaneous notes were made. The tapes were transcribed verbatim, and Interpretative Phenomenological Analysis was used to develop themes.ResultsSix main themes were extracted: Living the diagnosis as a shock; You should not sleep on it: the importance of prevention; The adjustment to CPAP; Barriers and facilitators to the use of CPAP; Three in a bed; and The relationship with the healthcare system.ConclusionResults of this study suggest potential avenues for interventions to increase adherence to CPAP, including the provision of information and continued support. Individual counseling providing strategies aimed at helping the person to cope with the emotional problem and relational difficulties associated with the use of CPAP, and at strengthening self-efficacy and self-management skills are also encouraged for optimal care during the rehabilitation program. (shrink)

Biases in cognition are ubiquitous. Social psychologists suggested biases and stereotypes serve a multifarious set of cognitive goals, while at the same time stressing their potential harmfulness. Recently, biases and stereotypes became the purview of heated debates in the machine learning community too. Researchers and developers are becoming increasingly aware of the fact that some biases, like gender and race biases, are entrenched in the algorithms some AI applications rely upon. Here, taking into account several existing approaches that address (...) the problem of implicit biases and stereotypes, we propose that a strategy to cope with this phenomenon is to unmask those found in AI systems by understanding their cognitive dimension, rather than simply trying to correct algorithms. To this extent, we present a discussion bridging together findings from cognitive science and insights from machine learning that can be integrated in a state-of-the-art semantic network. Remarkably, this resource can be of assistance to scholars (e.g., cognitive and computer scientists) while at the same time contributing to refine AI regulations affecting social life. We show how only through a thorough understanding of the cognitive processes leading to biases, and through an interdisciplinary effort, we can make the best of AI technology. (shrink)

IntroductionIndividuals with high scores of perceived stress are more likely to develop arterial hypertension than those with low levels of stress. In addition to this, AH and stress are both independent risk factors for executive function impairment and worse quality of life. Therefore, strategies to control and cope with emotional stress are of paramount importance. However, less is known about the association of PS with EF, QoL, and coping in individuals with hypertension. This study aimed to evaluate the association (...) of PS with EF performance, coping strategies use, and QoL in a sample of hypertensive patients.MethodsWe assessed a group of 45 hypertensive individuals. The EF evaluation was: Frontal Assessment Battery; Controlled Oral Word Association Test—FAS; Letter-Number Sequencing subtest from the Wechsler Adult Intelligence Scale—Third Edition ; Digit Span subtest from the Wechsler Memory Scale-Revised and Wisconsin Card Sorting Test. The type and frequency of coping strategies used were measured by the Brief Coping with Experienced Problems Scale. The World Health Organization Quality of Life Questionnaire Bref was applied to measure QoL. The associations of the PS with EF performance, coping strategies, and QoL were investigated using univariate and multiple linear regression models adjusted for age, sex, education, systolic pressure, and depression symptoms.ResultsIn the multivariate analyses, higher PS was an independent predictor for a lower frequency of emotion-focused strategy use. However, PS was not significantly related to EF and Qol in this sample. The lower the PS, the greater the use of emotion-focused coping.ConclusionHypertensive individuals with high PS use less frequently positive emotion-focused coping strategies. (shrink)

Despite changes in their representation and visibility, there are still serious concerns about the inclusion and day-to-day workplace challenges various groups face (e.g., women, ethnic and cultural minorities, LGBTQ+, people as they age, and those dealing with physical or mental disabilities). Men are also underrepresented in specific work fields, in particular those in HEED (Health care, Elementary Education and the Domestic sphere). Previous literature has shown that group stereotypes play an important role in maintaining these inequalities. We outline how insights (...) from research on stigma, social-identity, and self-regulation together increase our understanding of how targets are affected by and regulate negative stereotypes in the workplace. This approach starts from the basis that members of negatively-stereotyped groups are not just passive recipients of negative attitudes, stereotypes, and behaviors, but are active individuals pursuing multiple goals, such as goals for belonging and achievement. We argue that it is only by understanding stigma from the target’s perspective (e.g., how targets are affected and respond) that we can successfully address workplace inequality. Key in this understanding is that stereotypes, prejudice and discrimination have taken on much more subtle forms, with consequences for the way members of stigmatized-groups cope. These insights lead us to propose an approach to understanding barriers to workplace equality that highlights four key aspects: a) the different (often subtle) potential triggers of identity-threat in the workplace for members of stigmatized-groups, b) the ways in which members of stigmatized-groups cope with these threats, c) the role of supportive factors that mitigate potential threats and affect self-regulation, and d) potential hidden costs for the self or others of what appears at first to be effective self-regulation. The focus on threats, coping, support, and potential hidden costs helps us understand why current diversity efforts are not always successful in increasing and maintaining members of stigmatized-groups in organizations, and provides insight into how we can aid efforts to effectively lower barriers to workplace equality. (shrink)

The use of focus groups is a well‐established qualitative research method in the social sciences that would seem to offer scope for a significant contribution to the advancement of knowledge and understanding in the field of business ethics. This paper explores the potential contribution of focus groups, reviews their contribution to date and makes some recommendations regarding their future use. We find that, while the use of focus groups is not extensive, they have been utilised in a non‐negligible number (...) of studies. Focus groups are usually used as a supplementary method, often as part of the development of a research instrument. Whether used on their own or in conjunction with other methods, we find that in the majority of cases there is insufficient information for a reader to judge that the method has been carried out well and hence that the ‘findings’ may be trusted. Nor is it easy for future researchers to learn about the practical application of the method in business ethics contexts. We therefore recommend improved reporting in future published studies. Based on an analysis of a subsample of papers that provided a reasonable level of methodological detail, we provide further insights into, and recommendations for, the use of focus groups in business ethics research. (shrink)

In this study, we develop a new theoretical framework of Coping Intelligence which examines relationships between coping strategies and organizational commitment among boundary spanning employees. We collected data from 452 boundary spanning salespeople using multiple sources. Results demonstrate that a formative model of Coping Intelligence is superior to a reflective model and that problem-focused coping contributes to CI which, in turn, is related to affective and normative commitment. Further, our more parsimonious formative model illustrates (...) that positive problem-focused coping and negative emotion-focused coping contribute to both affective and normative commitment. After controlling for gender and salespeople’s commission in separate analyses, results remain significant. We provide additional insights: Females are likely to use emotion-focused coping than males, but gender is not related to organizational commitment. Salespeople’s commission is positively related to both affective and normative commitment but unrelated to coping strategies. We shed new lights on boundary spanning employees’ Coping Intelligence and organizational commitment and offer theoretical, empirical, and practical implications to coping strategies and business ethics. (shrink)

The fear of death resists philosophical attempts at reconciliation. Building on theories of emotion, I argue that we can understand our fear as triggered by a de se mode of thinking about death which comes into conflict with our will to live. The discursive mode of philosophy may help us to avoid the de se mode of thinking about death, but it does not satisfactorily address the problem. I focus instead on the voluntary diminishment of one’s will to live. (...) I argue that we can encourage a natural tendency for the will to live to decline as we approach death. I then consider two objections: Is not the will to live too fundamental for us to control? And even if we can control it, would not a declining will to live result in a general despair that it is better to resist? I argue that both of these objections can be overcome. (shrink)

In the context of office work, learning to handle an Enterprise Resource Planning system is important as implementation costs for such systems and associated expectations are high. However, these expectations are often not met because the users are not trained adequately. Electronic Performance Support Systems are designed to support employees’ ERP-related problem-solving and informal learning. EPSS are supposed to enhance employees’ performance and informal workplace learning through task-specific and granular help in task performance and problem-solving. However, there is (...) little empirical research on EPSS. Two survey studies addressed this research gap. In the first study, 301 people working in Human Resource -related positions and functions evaluated the learning potential of EPSS as well as potential advantages and obstacles concerning the implementation and use of EPSS. Though other measures are currently assessed as more important for learning, HR employees expect a strong increase in the significance of EPSS for employee learning. In the second study, 652 users of ERP software completed a questionnaire on characteristics of their daily work tasks, team characteristics, individual dispositions, their coping with ERP-related problems, and characteristics of EPSS. Findings indicate that the most frequently available and used approach when dealing with an ERP-related problem is consulting colleagues. Three EPSS types can be distinguished by their increasing integration into the user interface and their context-sensitivity. While external and extrinsic EPSS are available to many users, intrinsic EPSS are less common but are used intensively if available. EPSS availability is identified to be a strong positive predictor of frequency of EPSS use, while agreeableness as well as the task complexity and information-processing requirements show small negative effects. Moreover, more intensive ERP users use EPSS more frequently. In general, ERP users value, features such as context-sensitivity, an integration of the EPSS into the ERP system’s user interface, the option to save one’s own notes, and information displayed in an extra window. It is expected that EPSS will play an important role in workplace learning in the future, along with other measures. (shrink)

BackgroundMental health problems have emerged as a significant health complication in United States colleges during COVID-19, and as a result, they have been extensively investigated in the United States and internationally. In contrast, research on coping among the college population during the pandemic is scant. Hence, this study investigated coping strategies proposed by undergraduate students attending a Midwestern university.ObjectivesThe purpose of this preliminary study was to obtain college students’ feedback/opinions about coping strategies for mental health problems, suicide (...) ideation, and self-harm during COVID-19.MethodsIn December 2021, one-hundred and four undergraduate students completed an online survey on coping strategies using Qualtrics. Major topics included: Types of coping strategies/styles expressed by students for general mental health problems, Types of coping strategies for suicide ideation and self-harm behaviors, Preferred platforms for receiving coping therapy, and Reasons for accepting or refusing parent involvement with mental health problems.ResultsThe most beneficial coping strategies for mental health were ranked by college students as follows: a skills training development program, meditation, and mindfulness exercises, and physical education. The respondents’ best coping strategies for preventing self-harm and suicide ideation/behaviors during COVID-19 were ranked as: improving support from friends, building self-esteem, and addressing anger, depression, stress, and loneliness. Finally, a total of 50% of participants felt that parents should be involved in college student interventions. Students stated that the most important type of support that they received from their parents were: emotional support, direction and/or assistance with solutions, and problem-solving.ConclusionThis study identified potential avenues which could be implemented into action during future outbreaks. Specifically, employing interventions that: train undergraduate students to employ more effective skills training coping strategies or practicing mindfulness or meditation; integrate mental health, suicide, and self-harm prevention into the curriculum; offer more in-person campus services targeted toward the psychological and emotional effects of a pandemic, and involve support persons in students’ lives to enhance their well-being during and after COVID-19. (shrink)

The particular design of any technology may have profound social implications. Computing technologies are deeply intermeshed with the activities of daily life, playing an ever more central role in how we work, learn, communicate, socialize, and participate in government. Despite the many ways they have improved life, they cannot be regarded as unambiguously beneficial or even value-neutral. Recent experience shows they can lead to unintended but harmful consequences. Some technologies are thought to threaten democracy through the spread of propaganda on (...) online social networks, or to threaten privacy through the aggregation of datasets that include increasingly personal information, or to threaten justice when machine learning is used in such high-stakes, decision-making contexts as loan application reviews, employment procedures, or parole hearings. It is insufficient to ethically assess technology after it has produced negative social impacts, as has happened, for example, with facial recognition software that discriminates against people of color and with self-driving cars that are unable to cope with pedestrians who jay-walk. Developers of new technologies should aim to identify potential harmful consequences early in the design process and take steps to eliminate or mitigate them. This task is not easy. Designers will often have to negotiate among competing values—for instance, between efficiency and accessibility for a diverse user population, or between maximizing benefits and avoiding harm. There is no simple recipe for identifying and solving ethical problems. -/- Computer science education can help meet these challenges by making ethical reasoning about computing technologies a central element in the curriculum. Students can learn to think not only about what technology they could create, but also whether they should create that technology. Learning to reason this way requires courses unlike those currently standard in computer science curricula. A range of university courses on topics in areas of computing, ethics, society and public policy are emerging to meet this need. Some cover computer science broadly, while others focus on specific problems like privacy and security; typically, these classes exist as stand-alone courses in the computer science curriculum. Others have integrated ethics into the teaching of introductory courses on programming, artificial intelligence, and human-computer interaction. (shrink)

The recent discussions about alternative sources of human embryonic stem cells , while stirring new interest in the developmental potential of the various abnormal embryos or constructs proposed as such sources, also raise questions about the potential of the derived embryonic stem cells. The data on the developmental potential of embryonic stem cells that seem relevant for ethical considerations and aspects of patentability are discussed. Particular attention is paid to the meaning of “totipotency, omnipotency and pluripotency” as (...) illustrated by a comparison of the developmental potential of three-dimensional clusters of blastomeres , embryonic stem cells, somatic or stem cells or other somatic cells. This paper focuses on embryoid bodies and on direct cloning by tetraploid complementation. Usage and patenting of these cells cannot be considered to be ethically sound as long as totipotency and tetraploid complementability of embryonic stem cells are not excluded for the specific cell line in question. Testing this poses an ethical problem in itself and needs to be discussed in the future. (shrink)

The recent discussions about alternative sources of human embryonic stem cells , while stirring new interest in the developmental potential of the various abnormal embryos or constructs proposed as such sources, also raise questions about the potential of the derived embryonic stem cells. The data on the developmental potential of embryonic stem cells that seem relevant for ethical considerations and aspects of patentability are discussed. Particular attention is paid to the meaning of “totipotency, omnipotency and pluripotency” as (...) illustrated by a comparison of the developmental potential of three-dimensional clusters of blastomeres , embryonic stem cells, somatic or stem cells or other somatic cells. This paper focuses on embryoid bodies and on direct cloning by tetraploid complementation. Usage and patenting of these cells cannot be considered to be ethically sound as long as totipotency and tetraploid complementability of embryonic stem cells are not excluded for the specific cell line in question. Testing this poses an ethical problem in itself and needs to be discussed in the future. (shrink)

The internet has considerably changed epistemic practices in science as well as in everyday life. Apparently, this technology allows more and more people to get access to a huge amount of information. Some people even claim that the internet leads to a democratization of knowledge. In the following text, we will analyze this statement. In particular, we will focus on a potential change in epistemic structure. Does the internet change our common epistemic practice to rely on expert opinions? Does (...) it alter or even undermine the division of epistemic labor? The epistemological framework of our investigation is a naturalist-pragmatist approach to knowledge. We take it that the internet generates a new environment to which people seeking information must adapt. How can they, and how should they, expand their repertory of social markers to continue the venture of filtering, and so make use of the possibilities the internet apparently provides? To find answers to these questions we will take a closer look at two case studies. The first example is about the internet platform WikiLeaks that allows so-called whistle-blowers to anonymously distribute their information. The second case study is about the search engine Google and the problem of personalized searches. Both instances confront a knowledge-seeking individual with particular difficulties which are based on the apparent anonymity of the information distributor. Are there ways for the individual to cope with this problem and to make use of her social markers in this context nonetheless? (shrink)

Coping with a relative with a learning disability could be a stressful experience for family members. The present study is aimed at exploring the coping strategies adopted by families in trying to make meaning of their situation. A qualitative study design using focus group discussions was adopted. Ten FGD sessions were held with family members of persons with a learning disability. Findings revealed patterns of family coping to include problem-focused, emotion-focused, and spiritual/religious-focused. Also, (...) coping responses to a learning disability varied based on the level of information available to families about the condition of their relative. In some cases, interspousal relationship was strained due to stress. It was recommended that families of persons with a learning disability need social support and professional help from social workers to facilitate the adoption of more positive-oriented coping strategies by family members. (shrink)

The paper investigates whether the changes in cognitive appraisal and coping strategies related to initiation of insulin treatment onset mediate the effect of temperament on changes in positivity ratio among diabetic patients. Temperament, cognitive appraisal, coping strategies and positivity ratio were assessed among 278 patients: just before conversion to insulin therapy and then one month later. Mediation analysis indicated that endurance and briskness were directly connected to changes in positivity ratio, whilst the effect of perseveration on positivity ratio (...) was indirect via changes in negative appraisal, emotion- and problem-focused coping. The results confirm the stressful nature of the initiation of insulin treatment, and the assumptions of Lazarus’ model of stress and regulative role of temperament. (shrink)

During the COVID-19 pandemic, the media have repeatedly praised healthcare workers for their ‘heroic’ work. Although this gratitude is undoubtedly appreciated by many, we must be cautious about overuse of the term ‘hero’ in such discussions. The challenges currently faced by healthcare workers are substantially greater than those encountered in their normal work, and it is understandable that the language of heroism has been evoked to praise them for their actions. Yet such language can have potentially negative consequences. Here, I (...) examine what heroism is and why it is being applied to the healthcare workers currently, before outlining some of the problems associated with the heroism narrative currently being employed by the media. Healthcare workers have a clear and limited duty to treat during the COVID-19 pandemic, which can be grounded in a broad social contract and is strongly associated with certain reciprocal duties that society has towards healthcare workers. I argue that the heroism narrative can be damaging, as it stifles meaningful discussion about what the limits of this duty to treat are. It fails to acknowledge the importance of reciprocity, and through its implication that all healthcare workers have to be heroic, it can have negative psychological effects on workers themselves. I conclude that rather than invoking the language of heroism to praise healthcare workers, we should examine, as a society, what duties healthcare workers have to work in this pandemic, and how we can support them in fulfilling these. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Prelude to Tackling Contemporary Crises: William James and a Psychological Springboard to Political ChangePaul Croce (bio)“That selective industry of the mind,... incessantly deciding, among many things,... which ones for it shall be realities.”—William James, 1892 (PBC, 167)“[N]either the whole of truth, nor the whole of good, is revealed to any single observer.”—William James, 1899 (TT, 149)The modern world has witnessed tremendous increases in prosperity, and that material abundance has (...) spurred great achievements. But these successes have also brought enormous and troubling side effects. Climate change, biodiversity loss, social inequality, and more problems have grown into crises with potential to challenge the achievements themselves. Alongside these challenges, many outstanding proposals have also emerged for dealing with our present crises. The crises and the insights for addressing them are in a harrowing competition, reminiscent of what H. G. Wells called “a race between education and catastrophe.” During recent chapters of this contest, especially in the United States, sound suggestions for halting or reversing environmental deterioration and for reducing class and racial inequities have gained some public and political support but have also met considerable resistance.1 While direct work to [End Page 26] address the crises is important, those efforts can be supported with understanding of the people and ideologies resisting that work. In fact, neglect of these impediments, which can further enable them to reduce abilities or willingness to address problems or even notice them, may be the biggest crisis of all.Just as medication can directly heal an illness while rest and self-care can build up general strength to support recovery, so coping with crises calls for both grappling with them directly and also consideration of the impediments that reduce the strength of those steps toward social healing. The inquiry here serves as a complement to sound proposals for immediate action by diagnosing what has hindered their realization. Outcries against injustice and creative interventions address the acute conditions of current crises, while cultural assessments of ways those responses gain or lose attention serve as prescriptions for addressing the chronic conditions that have exacerbated the crises through distraction. As with medical issues, long-term and preventive care of chronic problems can support acute treatment, even as they do not displace the need for immediate action.This article confronts a puzzle about why so many people do not pay attention to such large problems in nature and society and what steps can be taken to bridge that divide between the committed and the distracted. The emphasis here on attention shifts focus away from ideological differences and toward the values selections that drive the ideological differences. This article portrays James’s own path as he learned from differences before explaining how his theories offer insights on how selective choices shape the assumptions supporting ideologies that so often form into hostile contrasts.2 In addition to these alerts about the challenges of disagreement, he also presents methods to encourage listening across differences for chances to turn some of those commitments into constructive possibilities rather than treating them as reasons [End Page 27] to fight. These ways to evaluate cultural and political debates and increase understanding about selective choices can shed light on how so many people have been unwilling or unable to pay attention to the mounting problems, and through encouragement of more listening with respect, these methods can encourage more support for addressing the crises themselves.I. Jamesian Ways to Listen Across DifferencesCharles Taylor calls William James (1842–1910) “our great philosopher of the cusp.” This brief, elegant expression depicts a borderland thinker adept at mediating contrasting ideas. James’s often-difficult experiences in development toward that way of thinking and that reputation provide more depth about the contrasts that he experienced on the way toward his creative syntheses in psychology and philosophy.3 His wrestling with different interpretations serves as a microcosm for the challenges and rewards of listening for potential insights on each side of even hostile contrasts. He designed deliberate ways to reckon with differences, considering each to be a partial yet valuable window into the human condition. In his youth, he was torn between the competing perspectives of religious thought... (shrink)

One critique of experimental philosophy is that the intuitions of the philosophically untutored should be accorded little to no weight; instead, only the intuitions of professional philosophers should matter. In response to this critique, “experimentalists” often claim that the intuitions of professional philosophers are biased. In this paper, we explore this question of whose intuitions should be disqualified and why. Much of the literature on this issue focuses on the question of whether the intuitions of professional philosophers are reliable. In (...) contrast, we instead focus on the idea of “muddled” intuitions—i.e. intuitions that are misdirected and about notions other than the ones under discussion. We argue that the philosophically untutored are likely to have muddled intuitions and that professional philosophers are likely to have unmuddled intuitions. Although being umuddled does not, by itself, establish the reliability of the intuitions of professional philosophers, being muddled is enough to disqualify the intuitions of the philosophically untutored. We then turn to the charge that, despite being unmuddled, professional philosophers still have biased intuitions. To evaluate this charge, we switch focus from the general notion of biased intuition to the more specific notion of theory-laden intuition. We argue that there is prima facie evidence—in the form of the presence of conflicts of intuition—for thinking that at least some of the intuitions of professional philosophers are theory-laden. In summary, we conclude that that there is no clean and easy answer to the question of whose intuitions should matter. (shrink)

Evidence suggests that self-focused attention and cognitive failures may have disruptive effects on the use of specific coping strategies in stressful situations. In this study the personality factors of private self-consciousness (dispositional self-attention) and cognitive failures were investigated in relation to coping processes in specific stressful episodes reported by 139 female nurses. Multiple regression analyses were run to test for personality predictors of problem-focused coping, emotion-focused coping, and suppression-coping strategies. In examining (...) the relationship between personality factors and coping the possible mediational role of subjects' appraisals (importance of the episode and perceptions of control) were investigated. The results showed significant negative correlations between self-attention and emotion-focused and problem-focused coping only in mixed controllability situations. A significant negative correlation between cognitive failures and suppression was similarly dependent on subjects' situation specific control appraisals. The specificity of these relationships is interpreted in terms of the different effects which self-focus, cognitive failures, and control appraisals have on attention. (shrink)

ABSTRACT:Suicide is a worldwide public health issue, and suicide ideation and behavior among adolescents, females in particular, have been increasing. Focusing on the risk factors that are unique to adolescents and adolescent females can help tailor and inform prevention strategies. There are unique biological, psychological, social, and societal factors that contribute to suicide ideation and behavior among adolescent females. Some of these include hormonal fluctuations and sensitivity, developing brain systems, impacts of social media, maladaptive coping, and peer influence. These (...) changes do not occur in a vacuum and have recently been impacted by the COVID-19 pandemic, which has been associated with increased social isolation and decreased mental health. By identifying how these factors coalesce and interact to drive suicide ideation and behavior, we can derive potential solutions to this problem. Given the variability in individuals, families, and communities, and the interacting and reinforcing nature of these risk factors, a multi-pronged approach that incorporates multiple interventions and involves families, schools, and communities is needed. (shrink)

Oncological treatments are responsible for many of the physical changes associated with cancer. Because of this, cancer patients are at high risk of developing mental health problems. The aim of this study is to propose an innovative Virtual Reality training that uses a somatic technique to create a bridge with the bodily dimension of cancer. After undergoing a psycho-educational procedure, a combination of exposure, out-of-body experience, and body swapping will gradually train the patient to cope with cancer-related difficulties, increasing stress (...) tolerance, and patient empowerment. The most engaging step of this advanced form of Stress Inoculation Training is the body swapping experience, which will guide the patient in embodying a resilient cancer patient who is facing similar difficulties. Through the VR ability to simulate the human brain functioning, and the potential of embodiment to hook to the somatic dimension of illness, we expect that once the concepts endured through the patient’s experience of resilience are triggered, the patient will be more prone to implement functional coping strategies in real life, reaching empowerment and adjusting to the post-treatment difficulties. When the scenarios are built and the training tested, our intervention could be used to support patients with different oncological diseases and who are treated in different cancer hospitals, as well as patients with other non-oncological problems. Future research should focus on using our paradigm for other clinical populations, and supporting cancer patients in coping with different distressing situations. (shrink)

Mediating role of coping styles in the relationship between anxiety and health behaviors of obese adolescents Obesity is one of the major health problems in adolescents. Health-detrimental lifestyle as well as maladaptive styles of coping with stress are regarded as belonging among determinants of obesity. The aim of the study was to establish factors mediating between anxiety and diet-related health behaviors. Participants in the study were 113 adolescents with obesity whose body weight was over 97th centile. They were (...) examined using a set of self-report questionnaires to measure anxiety, coping styles and health behaviors. Emotion-focused coping and seeking social contacts were found to act as mediators between adolescents' trait anxiety and their health behaviors. The findings suggest that to enhance obese adolescents' health-promoting behaviors appropriate conditions should be ensured that would not only enable them to express their emotions, but also promote their socializing with peers. (shrink)

This paper focuses on a puzzling but familiar strategy for coping with procrastination that has not yet been analyzed in the literature on that topic. The strategy involves leveraging control. In employing the strategy, we take advantage of the possibility that poor self-control can be a local trait rather than a robust character trait.

In lieu of an abstract, here is a brief excerpt of the content:Commentary on “Towards a Design-Based Analysis of Emotional Episodes”Cristiano Castelfranchi (bio) and Maria Miceli (bio)Keywordsgrief, suffering, attachment, agent architectureThis paper is significant in many respects: its approach (the design-based analysis); its proposed architecture; its description of grief; and its self-control/perturbance theory. We would offer some remarks on each of these aspects.AI: Back to the FutureAfter some years of crisis, AI seems now to have recovered its original challenging attitude (...) and its identity. In particular all the original ambitions of AI have been renewed under the label of “autonomous agents” (see, for example, Russell and Norvig 1995; Wooldridge and Jennings 1995). This paper and its authors are good representatives of this challenging attitude. Of course, the AI appearing at century’s end is different from, say, the AI of the 1980s. AI systems and models are now conceived for reasoning and acting in open unpredictable worlds, with limited and uncertain knowledge, in real time, with bounded (both cognitive and material) resources, with hybrid architectures, interfering—either co-operatively or competitively—with other systems. The new password for the AI of the 1990s is interaction (Bobrow 1991): interaction with an evolving environment; among several, distributed and heterogeneous artificial systems in a network; with human users; and among humans through computers.This renewed AI, however different though it is in some ways, can be understood as returning to its original aim of modeling “intelligence”: not only static and isolated sub-functions of intelligence but the integrated and pragmatic functioning of autonomous agent architectures as against algorithms. Our renewed AI, based on architectures, can again have important exchanges with other (psychological and social) sciences. This paper is a good example of the fruitful cross-fertilization of ideas which may result from such exchanges. It was indeed just this which originally gave rise to cognitive science.The ArchitectureThe proposed architecture, although quite speculative, and—as the authors themselves emphasize—very much a first sketch, is directly relevant to this new AI. In fact, recent research efforts in the agent-architecture domain are focused exactly on the problem of “goal dynamics” [End Page 129] or “motive processing,” which is the core of this architecture, and on the problem of integrating reactivity and deliberation. Compared with current AI architectures (for example, BDI systems) it is important to note that this “motive-processing” architecture is not yet formalized or implemented to the same extent. On the other hand, it is more interesting from a psychological point of view, and is already able to give us some important insights into human emotions, in particular those emotions (like grief) that involve all or total loss of control of management processes.The Report-Based Analysis of GriefThe report-based description of grief provides a persuasive and rich basis for both modeling and discussing the model. The relevant features of this emotion are well characterized with reference to the self-control problem and motive-processing (though, as we shall see, to use grief as an example of those emotions that involve all or total loss of control of thought processes may provide a partially distorted view of grief itself). In particular, we would stress the relevance of the “intrusive” character of grief-related contents; the rejection of certain beliefs due to the psychic pain they cause; the coping strategies people describe; and the second order motivations related to the control of the emotional state. We believe that psychological models especially of these aspects are usually less specific and explanatory.Let us now try to synthesize some criticisms one could advance of this analysis. We will first address two core notions of the model—perturbance and self-control—and then consider more specifically the treatment of grief.PerturbanceThis notion is potentially very interesting, unless it is reduced to an information processing perspective (e.g., perturbance of attentive processes). An information processing perspective is much more limited than a motive-processing one—at least in the limitative sense of the term, as it is generally used in the psychology of cognitive processes—and is in our view insufficient for understanding human emotions and their role. This limiting interpretation of perturbance fails... (shrink)

The welfare state, once seen as the best institutional response to people in need, has steadily come under pressure, as much from shrinking state capacities as from neo-liberal advocates of individual responsibility. Still, despite decline of the post-war consensus on the efficacy of the welfare state, social ‘vulnerability’ still remains the key focus of public policy. However, though much in use in contemporary political discourse, the logical and practical implications of social vulnerability remain unclear. Its essential subjectivity – it is (...) the ‘feeling of vulnerability’ which makes one vulnerable – turns the concept into a catch-all variable, impeding rigorous theoretical and empirical analysis. I respond to this problem with a ‘vulnerability-responsibility’, model. Its parameters include a ‘responsive’ state, an active civil society and a participatory political environment, bolstered by the assertion of agency of the vulnerable. With India as an empirical exemplar, the essay shows how ‘nested’ vulnerability – a community of pro-active citizens in need of urgent and vital assistance - in the backdrop of a responsive state and competitive, robust and resilient political participation, can generate a sustainable, context-relevant process to cope with the problem of social vulnerability. The model, currently aimed at vulnerable citizens in a democratic state, has the potential of being extended to non-democracies as well as vulnerable non-citizens into its domain. (shrink)

Murray Jardine’s The Making and Unmaking of Technological Society further develops several of the author’s political and economic concerns articulated in his earlier Speech and Political Practice. It probes the impact and implications of both Christianity and modern technology for our understanding of, and ability to cope with, problems that have become endemic to Western and, specifically, American culture. Jardine’s major continuing themes include: the importance to a well-formed self and society to be concretely grounded in a sense of place; (...) the participation of the knower in the dynamic processes of creativity and discovery; how even a highly literate culture is nourished and equipped for its communal endeavors by the temporal and tensional vestiges of its oral beginnings; and how the crucial element of faith, understood as trust and commitment, gives to speech acts the power to shape self, society, and history. The major new focus of this book is suggested in the subtitle: How Christianity Can Save Modernity From Itself. More thoroughly than in Speech and Political Practice, Jardine elaborates how Christianity is important in shaping our understanding of the speech act as a creative force. He outlines how Christianity and the Greek tradition have been significant forces shaping modernity; he argues that Christianity offers potential for addressing the nihilism found in the consumer society of post-modernity. Jardine is critical of those who are unable to recognize the perversions of Jesus’ message in Western history, but he is also critical of those who attribute virtually all positive developments during the past two millennia to Christianity. Nevertheless, he emphasizes the positive difference that Christian values and doctrine have made in the course of the past two thousand years. As in his earlier work, Jardine draws from an impressive range of sources, in order to make an original contribution. He is especially indebted to William Poteat, Michael Polanyi, and Ludwig Wittgenstein; his teacher Poteat’s influence is pervasive. (shrink)

Increasing societal concerns regarding the potential deleterious effects of future climate change have galvanized efforts to manage the problem both through reduction of greenhouse gases and through development of plans to reduce the impacts of climate change that cannot be avoided. These critical activities require making decisions under conditions of considerable uncertainty regarding future conditions in physical and human systems. As the focus on providing information about future climate for taking actions to cope with climate change, the science (...) of uncertainty of climate change will develop more and more with the needs of decision makers in mind. (shrink)

Background:Nurses working within acute psychiatric settings often face multifaceted moral dilemmas and incompatible demands.Methods:Qualitative individual and focus group interviews were conducted.Ethical considerations:Approval was received from the Norwegian Social Science Data Services. Ethical Research Guidelines were followed.Participants and research context:Thirty nurses working within acute psychiatric wards in two mental health hospitals.Results:Various coping strategies were used: mentally sorting through their ethical dilemmas or bringing them to the leadership, not ‘bringing problems home’ after work or loyally doing as told and trying to (...) make oneself immune. Colleagues and work climate were important for choice of coping strategies.Discussion:Nurses’ coping strategies may influence both their clinical practice and their private life. Not facing their moral distress seemed to come at a high price.Conclusions:It seems essential for nurses working in acute psychiatric settings to come to terms with distressing events and identify and address the moral issues they face. As moral distress to a great extent is an organisational problem experienced at a personal level, it is important that a work climate is developed that is open for ethical discussions and nourishes adaptive coping strategies and moral resilience. (shrink)

Designed as a textbook for courses in political theory, political sociology and comparative politics, and as a contribution in its own right, this book explores the role of elite relations as a key to understanding democracy. Following a critical review of the literature on classes, democracy and elites, the author argues that although Western democracy is not `governed by the people' and has not created equality, it is unique in that it has generated a relative separation of power holders, or (...) a relative autonomy of elites and sub-elites in the control of resources. Developing this argument the author discloses strengths and weaknesses in democracy's infrastructure. The Elite Connection contains a warning that a major danger to democracy stems from the tendency of elites to make incursions into the autonomy of other elites, and to develop excessively close dependency relations, either in subjugation of them, or in collusion with them, which result in threats to civil liberties and to the very foundations of democracy. It argues, however, that democracy has the built-in potential to counter its own subversions. Although it focuses on elites, the book has an egalitarian perspective: it concludes with the argument that the separation of elites makes possible struggles for greater equality. The still relatively independent elites of social movements have the potential of pushing democracy towards greater participation and equality. (shrink)

Individuals in capitalist societies are increasingly exposed to market risks. Luck egalitarian theories, which advocate neutralizing the influence of luck on distribution, fail to cope with this problem, because they focus on the wrong kinds of distributive constraints. Rules of distributive justice can specify (1) acceptable procedures for allocating goods, (2) the range of acceptable variations in distributive outcomes, or (3) which individuals should have which goods, according to individual characteristics such as desert or need. Desert-catering luck egalitarians offer (...) rules of the third type. Their theories fail because considerations of market efficiency, freedom, and dignity undermine the claims of desert to inform standards of justice for society as a whole. Responsibility-catering luck egalitarians offer rules of the first type. Their theories fail because such rules don’t constrain the downside risks of market choices. To solve this problem, we need rules of the second type, which allow market forces, and hence luck, to influence distributive outcomes, but only within an acceptable egalitarian range. The ideal of equality in social relations helps us devise acceptable constraints at the top, bottom, and middle of the income range. (shrink)

The paper focuses on an employee’s perception of his or her own labour market outcome. It proposes that the basic earnings function, by adopting an approach that ignores perception effects, is likely to result in biased results that will fail to understand the complexities of the wage distribution. The paper uses an orthodox job search framework to illustrate the nature of this problem and then adapts the model to take onboard the theory of cognitive dissonance. The search model indicates (...) how workers may adopt a coping strategy in order to reduce the disutility associated with the wage underpayment that develops. Then, by modelling cognitive dissonance, the paper highlights the weaknesses of using purely human capital proxies to understand labour market outcome. The analysis goes some way to explaining why individuals with equivalent human capital investment can have disparate earnings profiles. (shrink)

One of the fundamental problems in the philosophy of psychology is to determine the relation between personal and subpersonal explanations of human behavior. The problem of determining the relation between the personal and subpersonal levels is called the “interface problem”. This paper has two goals. The first is to introduce the domestic reader to the interface problem from the perspective of the philosophy of psychology. The second goal is to show that insufficient focus on the interface (...) class='Hi'>problem and its potential solutions can lead to uncritical and fallacious reasoning that can have significant consequences for particular debates in philosophy of medicine and philosophy of law. (shrink)

The present theory section deals with learned helplessness produced by pervasive experiences of failure or negative events, leading to decreased motivation and risk for depression. In their target article, Boddez, van Dessel, and de Houwer apply this concept to different forms of psychological suffering and propose a goal-directed mechanism –generalisation over similar goals. Duda and Joormann define goal similarity by action-outcome contingencies and highlight individual differences in attribution styles. Brandstätter proposes incentive classes as the organising principle for goal similarity and (...) explores outcomes such as deterioration of cognitive ability. Mikulincer and Lifshin focus on differences between goals and introduce the notion of motivated helplessness, serving as an anxiety buffer in uncontrollable life settings. Finally, potential contributions from emotion science are outlined, in particular individual differences and biases in appraising goals and coping potential likely to produce negative emotion dispositions. In conclusion, the need to elaborate a more comprehensive theoretical framework for helplessness that can guide empirical studies using multifactorial and longitudinal designs is emphasised. Given the strong increase in the prevalence of anxiety and depression worldwide, better understanding of predispositions and eliciting factors is needed for early diagnosis and the development of intervention programmes to reduce psychological suffering. (shrink)

Deliberative democracy, it is claimed, is essential for the legitimisation of public policy and law. It is built upon an assumption that citizens will be capable of constructing and defending reasons for their moral and political beliefs. However, critics of deliberative democracy suggest that citizens’ emotions are not properly considered in this process and, if left unconsidered, present a serious problem for this political framework. In response to this, deliberative theorists have increasingly begun to incorporate the emotions into their (...) accounts. However, these accounts have tended to focus only upon the inclusion of emotions in the external-collective exchange of reason between citizens. Little work has been done on how the individual will actually cope with emotions internally within their own minds. There has been no consideration of the capacities that citizens will need to perceive, understand and regulate emotions as they formulate reasons both by themselves and with others. Moreover, there has been little consideration of how these capacities might be educated in children so that emotionally competent deliberative citizens can be created. In this paper, emotional intelligence is presented as an essential capacity that can fulfil this role for the deliberative citizen and deliberative democracy more generally. The ‘deliberative school’ is suggested as a potential site for this transformation that can progress from generation to generation, cultivating citizens that are increasingly better equipped to handle emotionally-laden deliberative engagement. (shrink)

Objectives: To explore the effect of social support and ability perception on stress coping strategies for competitive stress, and to reveal the mediating effects of primary and secondary evaluation, so as to further improve the theoretical model of stress coping in soccer players.Methods: A total of 331 male athletes from 22 teams in the Chengdu Middle School Campus Football League were taken as survey samples, and surveys were conducted on their stress experience, social support, ability perception, cognitive assessment, (...) and coping strategies for competition stress. SPSS 21.0 and AMOS 21.0 statistical analysis software were used. Descriptive statistics, correlation analysis, exploratory factor analysis, and confirmatory factor analysis were used to process the obtained data.Results: Positive primary assessment acted as a full mediator in the relationship between social support and secondary assessments, and negative primary assessment acted as a partial mediator in the relationship between competence perception and secondary assessments; Secondary assessment played a partial mediating role between positive primary assessment and positive coping strategies, and a full mediating role between negative primary assessment and positive coping strategies; Secondary assessments played the mediator neither between social support and a coping strategy for stress nor competence perception and a coping strategy for stress; Positive primary assessment, positive negative assessment, and secondary assessment all had significant positive benefits for positive coping. Still, the impact of positive primary assessment on positive coping was significantly better than negative primary assessment and secondary assessment.Conclusion: The coping strategy for the competitive stress model proposed by this study has a very good fit for the causal model. It can be used to explain the observed data from soccer players in middle schools. The primary and secondary assessments play different roles in the model. The combination of problem focuses and emotional focus on the positive stress coping strategy is suitable in the field of competitive sports. Still, the relevant research results need to be further explored and verified in the future. (shrink)

Referees are essential participants in the sport of football. They are responsible for enforcing the rules and achieving the necessary impartiality for the matches. Referees are often target of hostile reactions from fans, players, and coaches. However, few studies have focused on these experiences and the strategies they use to manage them. In order to fill this gap, a qualitative interview-based study was developed to explore the experiences of a group of football referees on aggression, violence, and coping. (...) A thematic analysis was developed combining inductive and deductive processes. Results indicated that the most frequent aggressions experienced were verbal abuse. Most of the aggressions from spectators were of a sexist nature. When aggressions were considered normal by referees, symbolic violence emerged. Racist aggressions were directed to the two Moroccan participants. Problem and emotional-focused coping strategies were identified. The two most common referee responses to coaches’ and players’ verbal abuse were penalties and send-off calls. Smiling and not considering insults as a personal matter were two emotional-focused coping strategies used toward spectator aggressions. Implications for the referees’ job and well-being as well as the quality of football competitions were highlighted to reduce aggressions and violence and to help referees to cope with hostile behaviors. (shrink)

Children who live on the margins of society are disadvantaged in achieving their developmental potential because of the lack of a necessary stable environment and nurturing care. Many early prevention programs aim at mitigating such effects, but often the evaluation of their long-term effect is missing. The aim of the study presented here was to evaluate such long-term effects in two prevention programs for children-at-risk growing up in deprived social environments focusing on child attachment representation as the primary outcome (...) as well as on self-reflective capacities of teachers taking care of these children. The latter was a key component for promoting resilient behavior in children. Five hundred and twenty-six children aged 36 to 60 months at risk due to immigration status, low family socio-economic status and child behavior were examined in a cluster-randomized study comparing two preventions, the psychodynamic, attachment-based holistic approach EARLY STEPS (ES) with the classroom based FAUSTLOS (FA) for their efficacy. Primary outcome was the child attachment representation measured by the Manchester Child Attachment Story Task (MCAST). Secondary outcomes were derived from (a) the Caregiver-Teacher Report Form (C-TRF: problem behaviors, including anxiety/depressive symptoms, emotional-reactive and somatic problems, social withdrawal, aggressive behavior, and attention deficit), from (b) the Strength and Difficulties Questionnaire (SDQ, parent version: resilience and wellbeing) and (c) Self-Reflective Scales for teachers (SRS: self-reflective capacities of teachers). Compared to baseline, attachment and behavioral problems improved in both programs. ES led to more secure and more organized attachment representations (medium effect sizes). Aggressive behavior and externalizing problems were reduced in the FA group compared with ES, particularly in boys (medium effect sizes). Self-reflective capacities of the teachers increased only in the ES group. High correlation between children’s attachment type with the number of social risk factors and the increase of problematic social behavior strongly indicate that an increase in teachers’ self-reflective capacities helps to change children’s attachment patterns which thus strengthens the resilience of these children-at-risk [An ethical vote from LPPKJP 2009-02-25 was obtained and the trial registered; Clinical trial registration information: The trial was registered 14.02.2012 (DRKS00003500;https://www.drks.de)]. (shrink)

Background: Previous research has identified a link between the loss of a significant person, grief complications, and substance abuse. People with substance use disorder are more vulnerable to complicated grieving symptoms following loss. From sociocognitive theories, the model of coping with stress assumes that substance use is one of the responses used to cope with traumatic life events. The main objective of this study is to identify the coping strategies of people with SUD and to analyze their relationship (...) to complicated grief.Methods: A sample of 196 bereaved drug-dependent patients was assessed, after providing written consent, in sociodemographic variables, drug and bereavement related characteristics, CG symptomatology and coping strategies.Results: There are differences in relation to the coping strategies used among patients with CG, using more those focused on emotional expression, social withdrawal, wishful thinking, and self-criticism.Conclusion: We can conclude that, in general, CG in patients with SUD is more associated with the use of less adaptive coping strategies. This data can contribute to a better understanding of the different variables involved in the grieving process among people with SUD. It is important to point out the clinical implications of addressing what the coping strategies associated with improved grief outcomes among people with addiction problems are. (shrink)

The law applicable to genomics in the United States is currently in transition and under debate. The rapid evolution of the science, burgeoning clinical research, and growing clinical application pose serious challenges for federal and state law. Although there has been some empirical work in this area, this is the first paper to survey and interview key scientific and legal stakeholders in the field of genomics to help ground identification of the most important legal problems that must be solved to (...) successfully integrate genomics into clinical care. The respondents in this study identified a wide range of interconnected issues, focusing specifically on the need for clear guidelines about how to use these data, fear of liability for those who use these data, and the need to protect patients from use of this information particularly by insurers, while endorsing data sharing. Developing legal strategies to support appropriate use of genomics now and in the future clearly will require making trade-offs, taking into account the full complexity of this legal ecosystem. (shrink)

Bootstrapping is a suspicious form of reasoning that verifies a source's reliability by checking it against itself. Theories that endorse such reasoning face the bootstrapping problem. This article considers which theories face the problem, and surveys potential solutions. The initial focus is on theories like reliabilism and dogmatism, which allow one to gain knowledge from a source without knowing that it is reliable. But the discussion quickly turns to a more general version of the problem that (...) does not depend on this allowance. Five potential solutions to the general problem are evaluated, and some implications for the literature on peer disagreement are considered. (shrink)

The paper focuses on a difficult problem when formalizing knowledge: What about the possible concepts that didn’t make it into the formalization? We call such concepts the unconsidered context of the formalized knowledge and argue that erroneous and inadequate behavior of systems based on formalized knowledge can be attributed to different states of the unconsidered context; either while formalizing or during application of the formalization. We then propose an automatic strategy to identify different states of unconsidered context inside a (...) given formalization and to classify which parts of the formalization to use in a given application situation. The goal of this work is to uncover unconsidered context by observing sucess and failure of a given system in use. The paper closes with the evaluation of the proposed procedures in an error diagnosis scenario featuring a plan based user interface. (shrink)