Individualism and Authoritarianism Shape Attitudes Toward Physician-Assisted Suicide1

We investigated the relation between value orientations and attitudes toward physician-assisted suicide (PAS) in 267 United States college students. We predicted that individualistic values, especially those having to do with control and self-determination, would lead to favorable attitudes toward PAS, and authoritarianism would lead to a rejection of PAS. A positive association between individualism and approval of PAS emerged which was moderated by attitude importance: People who did not endorse individualistic values did not have favorable opinions of PAS, regardless of how important the issue was to them. However, for individualists, PAS attitudes and attitude importance were positively related. Independent of individualism, authoritarianism was negatively related to PAS attitudes. Primarily for low authoritarianism, we found a correlation between attitude and attitude importance. The discussion focuses on the value-expressive function of death-related attitudes.     

Death Attitudes,Palliative Care Self-efficacy,and Attitudes Toward Care of the Dying Among Hospice Nurses

Journal of Clinical Psychology in Medical Settings - Previous research has linked death attitudes, palliative care self-efficacy, and attitudes toward care of the dying among nursing students and...     

Physician-Assisted Suicide and Public Policy

Philosophical Studies -     

Religion, Ethnicity, and Attitudes Toward Psychotherapy

Many presume that White culture supports psychotherapy utilization. However, cultural analyses suggest that many aspects of White culture are antithetical to the values and practices underlying psychotherapy, which appear more congruent with Ashkenazic Jewish attitudes and values. The current research empirically tested this possibility by comparing older Jewish White people, non-Jewish Whites, and Black participants on attitudes relevant to psychotherapy. Results indicated that Jews had greater confidence in a therapist's ability to help, were more tolerant of stigma, and more open to sharing their feelings and concerns than participants in the other groups. Furthermore, initial differences between Whites and African Americans were lessened when Jewish identity was included in the analysis. Results suggest that Jewish culture is relatively accepting of psychotherapy, and that previous reports of different rates of mental health seeking attitudes and utilization by Whites and Blacks may be due, in part, to the inclusion of Jewish individuals in these samples.     

The Many Faces of Physician-Assisted Suicide

Physician-assisted suicide is a complex and controversial issue that touches on standards of medical practice, the balance between individual rights and the rights of the state, and our fears of death and pain. Supporters of assisted suicide propose it as an alternative to a lingering, highly technological death, and define it as the act of a physician who prescribes a lethal dose of a medication for a terminally ill patient, with the knowledge that the patient intends to commit suicide. The recent U.S. Supreme Court ruling upheld prohibitions against assisting in a suicide, but left open the possibility that in certain specific cases assisted suicide might be constitutionally protected. The Supreme Court's refusal to extend constitutional protection to assisted suicide was done in part to insure that public debate and legislative fact-finding would continue. As stated in Justice Rehnquist's majority opinion, ...Americans are engaged in an earnest and profound debate about the morality, legality and practicality of physician-assisted suicide (Washington v. Glucksberg, 96-110—Opinion, 1997, p. 26). As researchers, policy makers, and health care providers, we have an obligation to insure that political debate and empirical research are continuing and productive, and that this issue becomes more than just an occasion to play out ideological or personal differences.     

Counselors and the Legalization of Physician-Assisted Suicide

With the shift in Americans' beliefs regarding legalizing physician-assisted suicide for the terminally ill, counselors must be prepared to counsel clients who have decided to end their lives. For counselors to avoid violating the ethical guidelines established by the American Counseling Association (ACA) regarding counseling these clients, a reevaluation of the ACA ethical standards may be needed.     

Religion and Attitudes Toward Abortion and Abortion Policy in Brazil

This study examines the association between religion and attitudes toward the practice of abortion and abortion policy in Brazil. Drawing upon data from the 2002 Brazilian Social Research Survey (BSRS), we test a number of hypotheses with regard to the role of religion on opposition to the practice of abortion and its legalization. Findings indicate that frequently attending Pentecostals demonstrate the strongest opposition to the practice of abortion and both frequently attending Pentecostals and Catholics demonstrate the strongest opposition to its legalization. Additional religious factors, such as a commitment to biblical literalism, were also found to be significantly associated with opposition to both abortion issues. Ultimately, the findings have implications for the future of public policy on abortion and other contentious social issues in Brazil.     

Physician-Assisted Suicide: A Mental Health Perspective

Despite their wealth of relevant clinical and research experience, mental health professionals have contributed relatively little to the active and ongoing debate about physicians assisting in the suicide of their patients. Methodologies developed for the study of completed suicide, the knowledge they have revealed, and the complex questions that remain unanswered, all must be considered. Similarly, psychiatry's extensive contributions to our understanding of the doctor-patient relationship, fundamental to the practice of psychodynamically informed treatments, have been almost completely ignored. Mental health care providers have much to contribute to, and should become actively involved in, this important public health and policy debate.     

Religion and Attitudes Toward Family Planning Issues Among US Adults

Although religion is an important influence on a variety of social attitudes, the relationship between religion and views on family planning remains underexplored, especially in terms of attitudes relating to public policy. Using data from a nationally-representative survey (N = 1,500) fielded in 1998, we examine the influence of religious affiliation, subcultural identification, and attendance on three aspects of attitudes toward contraception in the public sphere. Specifically, we explore opinions regarding the public consequences of contraception and the responsibility for making contraception available as part of health care services in the United States. More frequent religious attendance is linked to less-approving opinions about contraception and less support for its provision by the US government and health insurers. Catholic affiliation is not consistently associated with the examined opinions, and we find mixed results for conservative Protestants. Including religious subcultural identities yields additional information, with born-again Christians reporting less positive opinions about the consequences of contraceptive availability, while evangelical identity is linked to negative views on policy aimed at increasing access to family planning services. These findings contribute to knowledge about the relationship between religion and attitudes toward policy-relevant aspects of contraception, as well as the broader social influences of religious subcultural identification.     

Religion and Suicide

Religion impacts suicidality. One’s degree of religiosity can potentially serve as a protective factor against suicidal behavior. To accurately assess risk of suicide, it is imperative to understand the role of religion in suicidality. PsycINFO and MEDLINE databases were searched for published articles on religion and suicide between 1980 and 2008. Epidemiological data on suicidality across four religions, and the influence of religion on suicidality are presented. Practice guidelines are presented for incorporating religiosity into suicide risk assessment. Suicide rates and risk and protective factors for suicide vary across religions. It is essential to assess for degree of religious commitment and involvement to accurately identify suicide risk.     

Changes in Attitudes Toward Religion Among Those with Mental Illness

Despite the increased attention given to the religious experiences of those with mental illness, the specific nature of the changes in religious attitudes that occur within this population remain yet unknown. In this study, 406 individuals with persistent mental illness who attended one of 13 Los Angeles County Mental Health facilities completed a demographic questionnaire, an adapted version of the Religious Coping Index, and the Symptom Checklist 90-R. Over 54% of the participants reported a change in their religious beliefs such that their faith became stronger or weaker as a result, and 66% perceived these changes to be positive in nature. Qualitative codings suggest that a constructive or destructive use of religion and the quality of one's self-image and relationship with God are the primary themes underlying these changes. Those changes that were predominantly positive were associated with less severe symptomatology and more religious coping when compared to predominantly negative changes. These findings suggest that religious attitudes may be an ongoing and dynamic part of the experience of mental illness that should be considered in the treatment and research afforded by mental health professionals.     

Religion, Plausibility Structures, and Education's Effect on Attitudes Toward Elective Abortion

This study tests three hypotheses derived from Berger's (1967) plausibility theory. The first hypothesis states that among people who attend church frequently, education's liberalizing effect on attitudes toward elective abortion is weakest among conservative Protestants and Catholics, intermediate among moderate Protestants, and strongest among liberal Protestants and Jews. Hypotheses 2 states that education's effect is weaker among frequent than infrequent attenders in all religious groups except liberal Protestants and Jews, and Hypothesis 3 states that education's effect does not vary by religious group among infrequent attenders. Using General Social Survey data, I found strong support for Hypotheses 1 and 2 and partial support for Hypothesis 3. I discuss the implications of the findings for plausibility theory.     

Attitudes Toward Religion Scale: development and initial psychometric evaluation among Chinese college students

The Attitudes Toward Religion Scale (ATRS) was developed to access the level of interest in and position toward the five state-approved religions in China. Data were analysed across two samples of Chinese college students. With Sample 1 (N = 278), exploratory factor analyses were used to select the 10 ATRS items corresponding to two factors: Interest and Position. With Sample 2, confirmatory factor analyses (N = 270) cross-validated the two-factor oblique model as well as a bifactor model. Cronbach alphas of ATRS subscale scores in the two samples ranged from .75 to .85. ATRS-Interest and Position were both positively associated with number of close relationships with religious people. In addition, negative attitudes toward religion was associated with being religiously proselytised by strangers. Moreover, female students reported more favourable attitudes toward religion compared to their male counterparts. The overall results support ATRS as a psychometrically strong and promising measure.     

Grief and Attitudes Toward Suicide in Peers Affected by a Cluster of Suicides as Adolescents

Eighty‐five young adults exposed to a cluster of peer suicides as adolescents completed measures of attitudes toward suicide, grief, and social support. Closeness to the peers lost to suicide was positively correlated with grief and the belief that suicide is not preventable, with grief further elevated in close individuals with high social support from friends. Overall, social support was related to healthy attitudes about suicide including preventability, yet it was also related to some stigmatizing beliefs. Compared with 67 young adults who had not been exposed to a suicide cluster, the exposed sample was more likely to think that suicide is normal but more likely to think of it as incomprehensible.     

Religion and Support for Suicide Attacks

ABSTRACT— In four studies carried out across different cultural, religious, and political contexts, we investigated the association between religion and popular support for suicide attacks. In two surveys of Palestinians and one cognitive priming experiment with Israeli settlers, prayer to God, an index of religious devotion, was unrelated to support for suicide attacks. Instead, attendance at religious services, thought to enhance coalitional commitment, positively predicted support for suicide attacks. In a survey of six religions in six nations, regular attendance at religious services positively predicted a combination of willing martyrdom and out-group hostility, but regular prayer did not. Implications for understanding the role of religion in suicide attacks are discussed.     

Equality, Justice, and Paternalism: Recentreing Debate about Physician-Assisted Suicide

abstract   Debate about physician-assisted suicide has typically focused on the values of autonomy and patient wellbeing. This is understandable, even reasonable, given the import-ance of these values in bioethics. However, these are not the only moral values there are. The purpose of this paper is to examine physician-assisted suicide on the basis of the values of equality and justice. In particular, I will evaluate two arguments that invoke equality, one in favour of physician-assisted suicide, one against it, and I will eventually argue that a convincing equality-based argument in support of physician-assisted suicide is available. I will conclude by showing how an equality-based perspective transforms some secondary features of debate about this issue.     

Bereavement after a Physician-Assisted Suicide: A Speculation Based on Theory

Despite the recent Supreme Court ruling upholding the ban on physician-assisted suicide, the practice continues in the United States. A majority of Americans support physician-assisted suicide, and several surveys document its use by physicians and nurses. This article explores the anticipated bereavement experience of significant survivors following a physician-assisted suicide. Theoretical approaches to bereavement frame the discussion of possible reactions to suicidal death: (1) psychodynamic, (2) attachment theory, (3) crisis theory, and (4) cognitive theory. Three case scenarios illustrate potential survivor reactions, with suggested intervention approaches.     

Religion and Whites’ Attitudes Toward Interracial Marriage with African Americans,Asians, and Latinos

Religious factors have been shown to influence whites’ attitudes toward interracial marriage, but this relationship has yet to be studied in depth. This study examines how religious affiliation, beliefs, practices, and congregational composition affect whites’ attitudes toward interracial marriage with African Americans, Asians, and Latinos. Employing data from Wave 2 of the Baylor Religion Survey, I estimate ordered logit regression models to examine the influence of religious factors on whites’ attitudes toward racial exogamy, net of sociodemographic controls. Analyses reveal that, relative to evangelicals, religiously unaffiliated whites report greater support of intermarriage with all minority groups. Biblical literalists are less likely to support interracial marriage to Asians and Latinos. However, whites who frequently engage in devotional religious practices are more likely to support interracial marriage with all racial groups, as are whites who attend multiracial congregations. My findings suggest that the relationship between religion and whites’ attitudes toward racial exogamy is more complex than previously thought and that the influence of religious practices and congregational composition should not be overlooked.