“I Am Just an Ordinary Person …”: Spiritual Reminiscence in Older People with Memory Loss

SUMMARY

One of the greatest challenges to people diagnosed with dementia is their search for meaning leading to the development of effective coping strategies as their memory loss and confusion progresses. The challenge for carers is to learn ways of entering the world of people who have difficulties communicating and have behaviour problems, assisting them to communicate more effectively by responding to their interests and needs, and listening to their emotions expressed in various ways. Strategies are being developed for supporting and affirming personhood in those people who are often isolated and withdrawn from even their closest friends and relatives. Spiritual reminiscence work is one way of helping older people with memory loss find meaning in their lives as they cope with the day to day difficulties of memory loss and prepare for death.

This paper will present the results from indepth interviews from 16 participants in a larger study exploring memory loss and spiritual reminiscence. Themes arising from the data analysis revolve around notions of relationships, loneliness, family and attendance at worship.     

The typology of parricide and the role of mental illness: Data-driven approach

Parricide is a rare type of homicide in which mental illness is often an important factor. The aims of this study were (a) to describe the characteristics of parricide offenders with a focus on mental illness and clinical care and (b) to examine Heide's widely used typology of parricide through a data-driven approach. We analyzed all homicides in England and Wales between 1997 and 2014. Parricide offenders in our sample were most often male, unmarried, and unemployed, with a third of offenders diagnosed with schizophrenia; 28% had been in contact with mental health services before the offense. The latent class analysis resulted in three types of parricide offenders: middle-aged with affective disorder, previously abused, and seriously mentally Ill, which confirmed, to an extent, Heide's typology. Health and social care services should actively engage with carers of people with mental illness and support to those caring for older relatives and victims of abuse.     

Evidence for a curvilinear dose-response relationship between avoidance coping and drug use problems among women who experience intimate partner violence

Women who experience intimate partner violence (IPV) are at heightened risk for drug use problems. While prevailing models of drug use suggest that IPV-exposed women use drugs in an effort to escape or avoid negative affect, a dearth of literature has examined the role of avoidance coping in drug use problems within this population. Given recent suggestions that flexible, situationally appropriate use of avoidance coping may be adaptive, particularly when confronted with highly stressful situations, we hypothesized that avoidance coping and drug use problems would demonstrate a curvilinear, U-shaped dose-response relationship. Participants were 147 community-recruited women experiencing IPV. Consistent with our hypotheses, moderate levels of avoidance coping were associated with lower levels of drug use problems, whereas high and low levels of avoidance coping were associated with higher levels of drug use problems. Findings highlight the complex relationship between avoidance coping and drug use problems and suggest that avoidance coping, when used in moderation, may be an adaptive strategy for coping with relational conflict among women who experience IPV.     

The impact of child problem behaviors of children with ASD on parent mental health: the mediating role of acceptance and empowerment

Raising a child with an autism spectrum disorder (ASD) has often been associated with higher levels of parenting stress and psychological distress, and a number of studies have examined the role of psychological processes as mediators of the impact of child problem behavior on parent mental health. The current study examined the relations among child problem behavior, parent mental health, psychological acceptance, and parent empowerment. Participants included 228 parents of children diagnosed with ASD, 6-21 years of age. As expected, psychological acceptance and empowerment were negatively related to the severity of parent mental health problems. When acceptance and empowerment were compared with each other through a test of multiple mediation, only psychological acceptance emerged as a significant partial mediator of the path between child problem behavior and parent mental health problems. As child problem behavior increased, parent psychological acceptance decreased, resulting in an increase in parent mental health problems. These findings suggest that for problems that are chronic and difficult to address, psychological acceptance may be an important factor in coping for parents of young people with ASD, in line with the growing literature on positive coping as compared with problem-focused coping.     

Relationships between cognitive coping,self-esteem,anxiety and depression: A cluster-analysis approach

It is important for prevention efforts and for designing appropriate interventions to identify people at risk of depression while considering cognitive coping and individual characteristics. This study with 334 French adults examined the ways in which people may combine the use of several cognitive coping strategies and investigated whether depression, self-esteem, and state- and trait-anxiety would differ across distinctive cognitive coping profiles. A two-phased cluster analytic plan was employed to derive clusters of cognitive coping profiles. We identified three profiles that differed according to the levels of depression, self-esteem, and state- and trait-anxiety. Research should therefore not focus on a single cognitive coping strategy, but on all cognitive coping strategies that are used simultaneously to investigate the relation between cognitive coping and emotional problems. Cognitive coping profiles provided a deeper understanding of how different individuals cope with negative and unpleasant events, and they allowed us to identify targeted groups that are most likely to benefit from specific mental health promotion and prevention campaigns.     

A path analysis of factors associated with distress among first-degree female relatives of women with breast cancer diagnosis.

Patterns and predictors of psychological distress in first-degree female relatives (N = 624) of newly diagnosed breast cancer patients were explored. First-degree female relatives who were high monitors reported greater cancer-specific and general distress than did low monitors. Greater optimism was associated with lower cancer-specific distress. Optimism's effect on general distress was moderated by women's level of monitoring. Greater optimism was associated with lower general distress for both high and low monitors, but the effect was stronger for high monitors than for low monitors. Avoidance and engaged coping were associated with higher distress. A close relationship with the cancer patient was related to higher cancer-specific distress but lower general distress. Further understanding of the process of adjustment in these women awaits longitudinal study.     

Appraised changeability of a stressor as a modifier of the relationship between coping and depression: a test of the hypothesis of fit

The goodness of fit among the appraised changeability of a stressor, coping, and depression in people with psychiatric, physical health, work, and family problems was examined (N = 746). It was expected that problem-focused coping (as opposed to emotion-focused coping) would be used more and be more adaptive in situations appraised as changeable as compared with situations appraised as not changeable. Although few relationships existed between appraisal and coping, tests of fit between coping and depressed mood (maladaption) were much stronger. In people with nonpsychiatric conditions, problem-focused coping and depressed mood were negatively related when a stressor was appraised as changeable but were unrelated when a stressor was appraised as not changeable. Emotion-focused coping was positively related to depression when a stressor was appraised as changeable. No general relations were observed in the people with psychiatric conditions.     

"Living with" the past: coping and patterns in families of Holocaust survivors

This exploratory study looks at how families of Holocaust survivors work through the traumatic past by considering the coping patterns adapted by family members. Life-story interviews (Rosenthal, 1993) with 57 individuals from 20 families, in which there were two to three generations, were used in order to learn about the significance they attach to the Holocaust past. The interviews were analyzed using Rosenthal's methods and Danieli's (1988) typology of post-war adaptation (victim families, fighter families, those who made it, and numb families). Results showed that in order to differentiate between the coping styles exhibited by the families, two new categories had to be added to Danieli's typology. These were entitled "life goes on" and "split families." It was concluded that survivor families exhibit heterogeneity in the ways in which they cope with the Holocaust past.     

Hostility and health: Mediating effects of belief systems and coping styles

The present study investigates the relationship between hostility, health, belief systems, and ways of coping with anger, anxiety, and sadness in a college student sample. Hostility is of interest in the health psychology literature because it has been associated with coronary heart disease, other illnesses, and general mortality. The results reveal that relative to their low-hostility counterparts, individuals scoring high on the Cook and Medley Hostility Scale report poorer physical health and a belief system characterized by vindictiveness, pessimism, unrealistic expectations of the self and others, and a desire to avoid difficulties. They were also more likely to employ confrontive and escape-avoidance coping styles when dealing with anger and escapeavoidance strategies in coping with anxiety and sadness. Irrational beliefs and escapeavoidance coping with anger were found to play a mediating role in the relationship between hostility and health. Clinical implications of the findings are discussed.     

Coping in adolescent children of HIV-positive and HIV-negative substance-abusing fathers

The authors examined coping in the adolescent children of drug-abusing fathers who have, or are at risk for contracting, human immunodeficiency virus (HIV). The ability to cope is an important factor in the adolescent's own risk behaviors, including drug use and associated problems. Each father and his adolescent child were separately administered a structured interview regarding personality, drug use, relationships, coping, and other behaviors. Adolescent adaptive coping was found to be related to greater conventionality, less marijuana use, fewer intra- and interpersonal problems, paternal adaptive coping, and a close father-child bond. Moreover, analysis using a risk factor index indicated an exponential increase in adolescent maladaptive coping with each additional psychosocial risk. Implications for policy and intervention are also discussed.     

Hostility and health: Mediating effects of belief systems and coping styles

The present study investigates the relationship between hostility, health, belief systems, and ways of coping with anger, anxiety, and sadness in a college student sample. Hostility is of interest in the health psychology literature because it has been associated with coronary heart disease, other illnesses, and general mortality. The results reveal that relative to their low-hostility counterparts, individuals scoring high on the Cook and Medley Hostility Scale report poorer physical health and a belief system characterized by vindictiveness, pessimism, unrealistic expectations of the self and others, and a desire to avoid difficulties. They were also more likely to employ confrontive and escape-avoidance coping styles when dealing with anger and escapeavoidance strategies in coping with anxiety and sadness. Irrational beliefs and escapeavoidance coping with anger were found to play a mediating role in the relationship between hostility and health. Clinical implications of the findings are discussed.     

Coping with coping assessment: A critical review

The recent literature on self-report measures of coping reactions and strategies is reviewed and critically evaluated. Most of the coping research has focused on assessing several basic coping behaviours or reactions. These include dimensions such as task-oriented coping, emotion-oriented coping, and avoidance-oriented coping. In general, most of the coping scales that have been developed have a variety of psychometric inadequacies. This state of affairs has created at least two major problems in the coping literature: (1) The proliferation of problematic coping scales, sometimes measuring different constructs, makes it difficult to generalize from one population and/or one health problem to another. (2) Since psychometrically sound instruments are a precondition for studying the relationships among coping, personality, and health, scales with psychometric problems preclude obtaining valid and generalizable information about coping behaviour. Methodological problems in the area have seriously restricted the development of a systematic body of theory and empirical knowledge about coping.     

Quality of Life and Multiple Sclerosis: Comparison Between People with Multiple Sclerosis and People from the General Population

This paper evaluated the quality of life (QOL) of people with multiple sclerosis (MS) and people from the general population. Gender differences between the 2 groups of respondents and the influence of coping style on adjustment were also evaluated. The participants were 381 (144 males, 237 females) people with MS, and 291 (101 males, 190 females) people from the general population. The results demonstrated that people with MS experienced lower levels of QOL than people from the general population for both the objective and subjective dimensions of all domains (physical health, psychological adjustment, social relationships, environmental adjustment). All coping strategies (problem-focused, focusing on the positive, detachment, wishful thinking, seeking social support) were important predictors of QOL for both males and females with MS, with wishful thinking being the strongest predictor of poor QOL. These results are discussed in terms of the various factors that impact on QOL among people with MS, and the types of coping strategies that are most adaptive in improving the QOL of people with this illness.     

Approach-avoidance goals and relationship problems,communication of stress,and dyadic coping in couples

Partners in romantic relationships differ in the extent to which they are oriented towards positive outcomes (e.g., intimacy) or away from negative outcomes (e.g., conflict). The present study examines these approach-avoidance relationship goals in relation to self-reported relationship problems, stress communication, and dyadic coping. Hypotheses were tested on a dyadic level (Actor-Partner Interdependence Model) using data from 368 couples. As expected, people endorsing approach goals reported fewer relationship problems, more effective stress communication, and better dyadic coping. People endorsing avoidance goals reported more relationship problems and poorer dyadic coping. Further, approach-oriented people tended to perceive their partner as being more communicative and more supportive, whereas avoidance-oriented people tended to perceive their partner as more communicative but less supportive. Reports by partners agreed with the self-reports of approach- and avoidance-oriented spouses concerning stress communication and dyadic coping. These findings highlight motivational factors in general, and orientation towards approach-avoidance goals in particular, as key features in understanding relationship maintenance.     

Age differences in stress and coping processes

The dramatic increase in the numbers of people who are living into old age has been accompanied by a growing interest among psychologists and health care professionals in their sources of stress and how they cope with them. Despite this interest, little is known about normative stress and coping patterns and the ways in which these patterns differ in older and younger people. This study, which draws on stress and coping theory, compares younger and older community-dwelling adults in daily hassles and eight kinds of coping. Two interpretations of age differences are evaluated: a developmental interpretation, which says that there are inherent, stage-related changes in the ways people cope as they age, and a contextual interpretation, which says that age differences in coping result from changes in what people must cope with. The findings indicate that there are clear age differences in hassles and coping. Overall, the findings tend to support the developmental interpretation, although the contextual interpretation also applies.     

中小学教师应对方式相关因素研究

本文通过对530名中小学教师应对方式、一般自我效能感、社会支持的测试,探讨了三者之间的关系。结果表明：(1)教师一般自我效能感、社会支持对教师采用何种应对方式具有间接或直接的预测作用,且它们可能分别对某种类型的应对方式更具重要性。(2)高自我效能感、高社会支持的教师更倾向于采用适应性应对方式;低自我效能感、低社会支持的教师更倾向于采用情绪指向的应对方式。(3)教师一般自我效能感、社会支持的增加有助于教师压力的缓解和适应性应对方式的采用。     

Life threatening emergencies involving children in the literature of the doctor

Life threatening emergencies involving infants and children are inherently dramatic, tension-filled situations. It is no wonder, then, that depictions of such events can be found in literature by and about doctors. In many ways, too, such depictions can illuminate key aspects of such events, such as the physician's own anxiety and the tensions between the various people involved, better than the medical literature. Hence it is suggested that the study of literary depictions of pediatric emergencies might be a useful adjunct for those, physicians and other health care providers, who are called upon to manage them.     

Parental stress, coping styles, and social supports in chinese families with hepatitis-b-carrying children

The purpose of the study was to examine the hypothesis that parents’ psychological well-being can be affected by a child’s illness and their social situations. In this study, we discuss the roles of coping, social support and situational context related to stress. These factors cannot only affect stress levels but can also influence whether the individual adopts a certain type of coping style for stressful events. Parental stress, coping styles and social support were compared between groups of parents of Hepatitis B virus (HBV) carrier children or healthy children. Results showed that parents of affected children were significantly more stressed and psychologically at risk, and tended to mobilize personal resources and to rely more on themselves to solve stressful life events. They also sought help from social resources more often than did parents of healthy children. Parents of healthy children had a higher number of close friends and relatives available to them. Ninety Chinese parents and their HBV or healthy children participated in this study. These families were all living in the city of Guangzhou, China.     

EVOLUTION AND THEODICY: HOW (NOT) TO DO SCIENCE AND THEOLOGY

This article uses Christopher Southgate's work and engagement with other scholars on the topic of evolutionary theodicy as a case study in the dialogue of science and Christian theology. A typology is outlined of ways in which the voices of science and the Christian tradition may be related in a science–theology dialogue, and examples of each position on the typology are given from the literature on evolution and natural evil. The main focus is on Southgate's evolutionary theodicy and the alternative proposal by Neil Messer. By bringing these two accounts into dialogue, some key methodological issues are brought into focus, enabling some conclusions to be drawn about the range and limits of fruitful methodological possibilities for dialogues between science and Christian theology.