Afterword: Elaborating Health and Medicine’s Publics

This essay argues that medical and health humanists interested in the rhetorical work of publics can extend their research by attending to embodiment and infrastructure. In addition to discussing how such strategies are illustrated in the essays appearing in this special issue, I relate them to the rhetorical study of personal health records (PHRs) as described in consumer-directed arguments. I conclude by posing two questions to health and medical humanists: “How do discursive constructions of publics and more specific instantiations of embodied experiences mutually shape each other?” and “What do the infrastructures of health and medical users look like and involve in their enactment?”     

Confronting misconduct in science in the 1980s and 1990s: What has and has not been accomplished?

In 1985, after nearly a decade of inconclusive professional response to public concern about misconduct in research, Congress passed legislation requiring action. Subsequent to this legislation, federal agencies and research universities adopted policies for responding to allegations of misconduct in research. Conferences, sessions at professional meetings, and special publications were organized. New educational initiatives were begun, many in response to a 1989 National Institutes of Health/ Alcohol, Drug Abuse, and Mental Health Administration requirement to include ethics instruction in training grants. Notwithstanding a few key unresolved issues, such as the lack of a uniform federal definition of misconduct in research, the years since 1985 have witnessed a marked change in the professional response to misconduct in research. This paper evaluates the change since 1985 from the perspective of three key goals: 1) confronting misconduct, 2) promoting integrity and 3) ensuring integrity. While significant progress has been made in achieving the first two goals, the third remains largely unaddressed. The latter is due to the fact that researchers have not been interested in studying the integrity of their own profession. It is therefore suggested that studies are needed of routine or normal research practices and their impact on integrity for use in making decisions about research conduct policy. An earlier version of this paper was presented at the symposium entitled “Misconduct in Science: A Decade of Progress or Merely Years of Controversy” held during the Annual Meeting of the American Association for the Advancement of Science, Philadelphia, Pennsylvania, 13 February, 1998.     

Personality Change in the Oldest‐Old: Is It a Matter of Compromised Health and Functioning?

The present longitudinal study investigates continuity and change in the personality dimensions of extraversion and neuroticism among the oldest‐old. Overall disease load, self‐rated health, functional capacity, impaired vision and hearing, self‐reported cognitive impairment, and measured cognitive status were tested for their role as potentially relevant late‐life predictors of personality change. The sample consists of 408 individuals aged 80–98 in the Swedish OCTO‐Twin Study who completed the Eysenck Personality Inventory at four measurement occasions during a 6‐year period. Growth curve analyses revealed an age‐related linear decrease in extraversion and stability in neuroticism. More extraverted individuals were more educated and perceived their health and cognition as better. Notably, only hearing impairment was found to be related to a steeper age‐related decline in extraversion. A life span developmental model focusing on health‐related changes can improve our understanding of personality change in late life.     

Coping and Personality: Third Time's the Charm?

ABSTRACT In this special issue, a third generation of research is represented which recognizes and demonstrates that individual differences in personality play an important role in the coping process. Although progress is apparent, there are several unresolved issues, including the best way to measure coping and whether "type of coping" matters in naturalistic settings. Three potentially important parameters of coping—range, patterning, and competence—are described, but only the first has received systematic empirical attention. The study of coping might also be advanced by researchers giving more attention to the differences between problem situations in which traits are more easily expressed ("weak" situations) versus those where normative criteria and constraints are explicit ("strong" situations).     

‘Personality in Its Natural Habitat’ Revisited: A Pooled,Multi-sample Examination of the Relationships Between the Big Five Personality Traits and Daily Behaviour and Language Use

Past research using the Electronically Activated Recorder (EAR), an observational ambulatory assessment method for the real-world measurement of daily behaviour, has identified several behavioural manifestations of the Big Five domains in a small college sample (N = 96). With the use of a larger and more diverse sample of pooled data from N = 462 participants from a total of four community samples who wore the EAR from 2 to 6 days, the primary purpose of the present study was to obtain more precise and generalizable effect estimates of the Big Five–behaviour relationships and to re-examine the degree to which these relationships are gender specific. In an extension of the original article, the secondary purpose of the present study was to examine if the Big Five–behaviour relationships differed across two facets of each Big Five domain. Overall, while several of the behavioural manifestations of the Big Five were generally consistent with the trait definitions (replicating some findings from the original article), we found little evidence of gender differences (not replicating a basic finding from the original article). Unique to the present study, the Big Five–behaviour relationships were not always comparable across the two facets of each Big Five domain. © 2020 European Association of Personality Psychology     

Television sex roles in the 1980s: Do viewers' sex and sex role orientation change the picture?

This study investigated viewer perceptions of female and male television characters as a result of viewer sex and sex role orientation. Young adult viewers (N=677) rated television characters and themselves using the Personal Attributes Questionnaire (PAQ). Viewers were classified as feminine, masculine, androgynous, or undifferentiated in their PAQ orientations. The television characters were four men and four women who shared the lead and a working relationship on crime action shows. Results indicated that viewers rated all the male characters as stereotypical masculine, but only one female character as stereotypical feminine. Viewer sex and sex role orientations did affect ratings. Viewer sex had a greater impact on the ratings of female characters than on the ratings of male characters. Female viewers tended to rate female characters as higher in instrumental and masculine traits than male viewers did. Results based on sex role orientation of the viewer were inconsistent across characters, but in general, undifferentiated viewers rated both male and female characters as low in expressive and instrumental traits compared to how androgynous viewers rated them. Further, a masculine sex role orientation appeared to block perception of expressive traits in both male and female characters.This research was supported in part by a University of Akron faculty research grant.     

Is Laughter the Best Medicine? Humor, Laughter, and Physical Health

This article examines research evidence for the popular idea that humor and laughter have beneficial effects on physical health. Potential theoretical mechanisms for such effects are discussed first. Empirical evidence for beneficial effects of humor and laughter on immunity, pain tolerance, blood pressure, longevity, and illness symptoms is then summarized. Overall, the evidence for health benefits of humor and laughter is less conclusive than commonly believed. Future research in this area needs to be more theoretically driven and methodologically rigorous.     

Higher Order Structure of Personality and Mental Health: Does General Affectivity Matter?

The higher order personality model, namely the Big Two, was tested in 2 studies (Ns = 878 and 467, respectively) by controlling for the effects of both general affectivity and common method variance. Study 2 also examined the associations of the metatraits with different mental health indicators through regression analyses. The results consistently provided support for the validity of the Big Two model in the latent space, with and without the effects of general affectivity and the common method variance. Moreover, in both studies, the high correlation between stability and plasticity decreased when these 2 method effects were controlled statistically. The regression analyses also showed that the associations of plasticity and stability with the indicators of both subjective and psychological well-being, as well as psychopathology, were consistent with the theoretical arguments behind the Big Two.     

What's in a title? Personality,job aspirations,and the nontraditional woman

The vocational interests and job aspirations of traditional and nontraditional women in a single work environment were examined in a study of 258 paying-and-receiving tellers. Nontraditionality was operationally defined as choosing the honorific “Ms.” when given the opportunity to do so. Even with a variety of demographic characteristics statistically controlled, nontraditional women scored higher than traditional women on Vocational Preference Inventory Investigative and Enterprising scales. Nontraditional women also aspired to occupations employing a greater percentage of men, but no reliable difference in the prestige level of future aspirations was found. Implications for counseling and the study of career development are discussed.     

How popular is the Personality Assessment Inventory in practice and training?

A review of recent survey data indicates that the Personality Assessment Inventory ranks among the most frequently used objective personality tests in practice and clinical training.     

Promotion of Sexual Health and Sexual Responsibility in Women’s Health and Men’s Health Magazines

This study analyzed the promotion of sexual health and sexual responsibility in Women’s Health and Men’s Health magazines as characterized by the Surgeon General’s Call to Action along with sexual health objectives targeted by Healthy People 2020 and sexual healthy behavior outcomes established by the Centers for Disease Control and Prevention. This study also identified the most frequently addressed sexual health topics included in Women’s Health and Men’s Health. Two coders conducted a content analysis of a total of 599 articles from 64 issues (32 Women’s Health and 32 Men’s Health) published between January 2009 and November 2012. More than half of all articles addressing sexual health were found to promote sexual health (57 %). Promotion of sexual responsibility was rare with variables such as ensuring that pregnancy occurs only when desired, recognition and tolerance for diversity, limiting the number of sexual partners, and using birth control consistently each mentioned in <3 % of articles in this study sample. Among topics coded, improving sex life (29 %), what men like (19 %), and what women like (18 %) were the most common in Women’s Health while What women like (46 %), improving sex life (27 %), and other men’s sexual health (16 %) were the most frequent topics in Men’s Health. Among the least common topics mentioned were homosexuality (0.16 %) and HIV/AIDS (0.33 %). No articles addressed rape or dating violence.     

Hitting the Bull’s Eye in Personality Disorders Psychotherapy

Psychotherapy of personality disorders (PD) is gaining momentum, though the progress has been mostly concerned borderline PD, with the other disorders largely neglected. In parallel, many empirically tested approaches focus on a limited understanding of psychopathology, for example poor mentalization or affect dysregulation, while PD are complex entities; they require clinicians paying attention to multiple therapy targets in order to be treated effectively and for a hope of actual recovery. I contend here that a more comprehensive account of psychopathology is needed; therefore the papers in this special issue focus on some of these aspects, such as difficulties in mental state understanding, dysfunctional representations of self with others, poor affect regulation and lack of access to adaptive and healthy self-aspects. The papers included in this special issue try and provide the readers with an intensive qualitative account of how therapists can act and yield improvements in these domains, with the hope of improving clinicians’ abilities to treat PD no matter what their preferred orientation is.     

Psychoanalysis and Family Systems Revisited: the Old,Old Story?

This paper explores some commonalities in the current state of psychoanalysis and family therapy in Britain. It argues that there have been social changes within Britain that have increased the popularity of the practices and concepts of psychotherapy and counselling. The methods and ideas of psychoanalysis seem to be the major influence in this process which is manifest, for the most part, within private therapy and counselling and in the universities. It appears that family therapists and the institutes of psychoanalysis act as if unaware of this pragmatic acceptance of psychoanalytic thinking. The two disciplines of family therapy and psychoanalysis remain organizationally and conceptually disassociated from each other despite the two subjects having considerable overlap, plying adjacent trades and using theoretical ideas which show considerable parallels. The paper proposes that postmodern thinking is, potentially, an evolving link between the two forms of thinking and therapy but that the theories of both psychoanalysis and family therapy require empirical evaluation.     

Forced-Choice Personality Tests: A Measure of Personality and Cognitive Ability?

This study examined the effects of item format (single-stimulus vs. forced-choice) and response motivation (honest vs. applicant) on scores for personality scales measuring Conscientiousness and Openness to Experience. Consistent with the hypotheses, cognitive ability was related to forced-choice personality scores in the applicant condition but not in the honest condition. Cognitive ability was unrelated to single-stimulus personality scores in both the applicant and honest conditions. The results suggest that controlling for cognitive ability can reduce the incremental predictive validity of forced-choice personality scales in applicant settings. Findings are discussed in terms of the importance of considering how item format influences the construct and criterion-related validity of personality tests used to make selection decisions.     

The Perspective of Psychosomatic Medicine on the Effect of Religion on the Mind–Body Relationship in Japan

Shintoism, Buddhism, and Qi, which advocate the unity of mind and body, have contributed to the Japanese philosophy of life. The practice of psychosomatic medicine emphasizes the connection between mind and body and combines the psychotherapies (directed at the mind) and relaxation techniques (directed at the body), to achieve stress management. Participation in religious activities such as preaching, praying, meditating, and practicing Zen can also elicit relaxation responses. Thus, it is time for traditional religions to play an active role in helping those seeking psychological stability after the Great East Japan Earthquake and the ongoing crisis related to the nuclear accident in Fukushima, Japan, to maintain a healthy mind–body relationship.     

Revisited: Muslim Women’s agency and feminist anthropology of the Middle East

This article locates imaginative aspects of human subjectivity as a feminist issue by reviewing the concept of agency in the genealogy of Muslim and Middle Eastern women in anthropological and ethnographic literature. It suggests that, if feminist scholarship of the Middle East would continue approaching to Muslim women’s agency -as it has been doing for decades-, it should do so as an epistemological question and thus expand the limits of ethnographic and analytical focus beyond the broader systems, such as family, nation, religion, and state. As an example to this proposition, the article then discusses the recent work on aspects of selfhood that escape from the structures, rules, systems, and discursive limits of life but captures imaginations, aspirations, desires, yearnings, and longings.     

Personality: a vulnerability factor in rhinitis?

Personality traits were assessed in 63 patients with persistent allergic or non-allergic rhinitis with the Karolinska Scales of Personality, developed with the aim of measuring psychobiological vulnerability factors, and were compared with a reference group comprising a random sample of 400 sex- and age-stratified subjects. The patients' personality profile differed slightly - within one standard deviation - but significantly from the reference group on a number of factors together suggestive of a disinhibitory disposition, an inclination to express anxiety through somatic rather than psychological channels, difficulties in maintaining emotional distance to others, and a limited awareness of aggressive affect, a pattern that suggests that they expose themselves to more stimulation than they can process in terms of thought and feelings, generating sustained physiological arousal that may contribute to the development of their intolerance reactions.     

Gender Differences in Personality and Interests: When,Where, and Why?

How big are gender differences in personality and interests, and how stable are these differences across cultures and over time? To answer these questions, I summarize data from two meta-analyses and three cross-cultural studies on gender differences in personality and interests. Results show that gender differences in Big Five personality traits are ‘small’ to ‘moderate,’ with the largest differences occurring for agreeableness and neuroticism (respective ds = 0.40 and 0.34; women higher than men). In contrast, gender differences on the people–things dimension of interests are ‘very large’ (d = 1.18), with women more people-oriented and less thing-oriented than men. Gender differences in personality tend to be larger in gender-egalitarian societies than in gender-inegalitarian societies, a finding that contradicts social role theory but is consistent with evolutionary, attributional, and social comparison theories. In contrast, gender differences in interests appear to be consistent across cultures and over time, a finding that suggests possible biologic influences.