Suffering for others as religious meaning-making: varieties,prerequisites, and functions in the coping process of a sample of practising Christians living with cancer

The coping method suffering for others as religious meaning-making (SORM) is analysed regarding its varieties, prerequisites, and functions in a group (n?=?10) of practising Christians living with cancer. In-depth interviews are featured in this qualitative, longitudinal study of the interdependence of religiosity and coping. A common feature of the analysed narratives is the idea that the informant's suffering would have – or at least had the potential to have – a positive effect on other individuals. This idea is identified as the “coping tool” of the coping method. Three different variants of SORM are identified, with a variety of prerequisites. The function in all cases is to conserve the significant object sense of meaning and, in some cases: survival. A case study is presented that shows how the coping method can be maintained over time by changing the coping tools of the method when they lose their efficacy in the coping process.     

Patterns of Coping Among Persons with HIV Infection: Configurations, Correlates, and Change

This study examines coping in response to HIV infection, using longitudinal data from a nationally representative sample (n = 2,864) of HIV-infected persons. We investigated configurations of coping responses, the correlates of configuration membership, the stability of coping configurations, and the relationship of coping to emotional well-being. Four coping configurations emerged from cluster analyses: relatively frequent use of blame-withdrawal coping, frequent use of distancing, frequent active-approach coping, and infrequent use of all three coping strategies (passive copers). Passive copers had few symptoms, high levels of physical functioning, and high emotional well-being; blame-withdrawal copers had the opposite pattern. Of those completing a second interview 1 year after baseline, 46% had the same coping configuration. Increases in the number of HIV-related symptoms raised the probability of blame-withdrawal coping at follow-up, whereas decreases raised the probability of passive coping. Infrequent use of coping responses at baseline was related to greater emotional well-being 1 year later. This result, in conjunction with the high levels of emotional well-being in the passive cluster, suggests that high levels of distress can induce blame-withdrawal coping whereas coping efforts are minimal when social support and emotional well-being are high. Results highlight issues in ascertaining the causal direction between coping and psychological outcomes, as well as in specifying the nature of stressful situations with which people are coping.     

Predicting adolescent posttraumatic stress in the aftermath of war: Differential effects of coping strategies across trauma reminder,loss reminder,and family conflict domains

Background and Objectives: The vast majority of youth who lived through the Bosnian war were exposed to multiple traumatic events, including interpersonal violence, community destruction, and the loss of a loved one. This study examined factors that predict post-war psychological adjustment, specifically posttraumatic stress, in Bosnian adolescents. Design: Regression analyses evaluated theorized differential relations between three types of post-war stressors – exposure to trauma reminders, loss reminders, and intrafamilial conflict – specific coping strategies, and posttraumatic stress symptom dimensions. Methods: We examined 555 Bosnian adolescents, aged 15–19 years, to predict their long-term posttraumatic stress reactions in the aftermath of war. Results: Findings indicated that post-war exposure to trauma reminders, loss reminders, and family conflict, as well as engagement and disengagement coping strategies, predicted posttraumatic stress symptoms. Secondary control engagement coping responses to all three types of post-war stressors were inversely associated with posttraumatic stress symptoms, whereas primary control engagement coping responses to family conflict were inversely associated with hyperarousal symptoms. Disengagement responses to trauma reminders and family conflict were positively associated with re-experiencing symptoms. Conclusions: These findings shed light on ways in which trauma reminders, loss reminders, and family conflict may intersect with coping responses to influence adolescent postwar adjustment.     

Reproductive loss: toward a theology of bodies

ABSTRACT

Reproductive loss—the loss of a pregnancy before 24 weeks—is estimated to occur in 20-50% of all pregnancies. It is a common human experience. However, it is an experience that is shrouded in silence and mystery. Not only is reproductive loss culturally taboo but given the marked absence of theological reflection on the experience, it would seem to be theologically taboo as well. The experience of reproductive loss raises profound theological questions about what it means to be (a gendered) human, issues of suffering, the providence of God, and eschatology. This research considers some of the reasons for this theological silence and begins to examine the experience of reproductive loss with the aim of taking the embodied experience of the miscarrying woman seriously as a site for theological reflection.     

Father and mother contributions to family functioning when the child has a mental delay

Less is known about the father's than the mother's role in family adaptation to children with disabilities. The purpose of this study was to examine relationships of both father and mother use of coping strategies and perceptions of the child with measures of family functioning style. Subjects were 26 families of 30-month-old children with a mental delay and a comparison group of 26 families of same-aged children with no delay. Functioning style for study families showed a balance of cohesion and adaptability; comparison families were more chaotically flexible on the adaptability scale. Mothers and fathers agreed on family functioning style. Study parents made the greatest use of external coping strategies, while in both groups mothers used more external and fathers more internal coping strategies. Relationships between coping and family functioning varied by parent and by group. Results suggest the need for further exploration of the separate needs of fathers and mothers in maintaining balanced family functioning.     

A Comparison of Alternative Models of Coping: Identifying Relationships Among Coworker Support, Workload, and Emotional Exhaustion in the Workplace

Over the past 20 years, hundreds of studies have examined the construct of coping and its role in the stressor-strain relationship. Although coping is commonly viewed as a buffer in the stressor-strain relationship, multiple alternative models—buffering and direct effects—have been proposed. This study reviews alternative models of coping and then discusses the nature of the empirical support for these models. As a means of efficiently testing the relative soundness of these models, 3 work-related variables that represent a subset of all possible coping mechanisms, stressors, and strains (coworker support, workload, and emotional exhaustion, respectively) are employed. The results suggest that coping resources tend to serve as direct deterrents of strain and, thus, are general health maintenance mechanisms independent of preexisting levels of stressors.     

Occupational Stressors, Stress Responses, and Alcohol Consumption Among Professional Firefighters: A Prospective, Longitudinal Analysis

This dual-site longitudinal prospective study monitored and measured change in self-reported occupational stressors, emotional trauma, symptoms of stress, and alcohol consumption in urban firefighters. Study participants were 188 firefighters employed by two urban fire departments. The results showed that of 19 occupational stressors examined, only 5 (26%) changed significantly over time, and of those 5, only two—job skill concerns and concerns regarding reduction in force and benefits—decreased, reflecting less bothersome subjective ratings. Of the 12 measures of posttraumatic and other symptoms of stress, 9 (75%) increased significantly over time and none decreased significantly, whereas alcohol consumption was stable over time. Job stressors, trauma caseness, and stress response symptoms at baseline were strongly and significantly associated with the same measures at the two-year follow-up. The implications of the findings for prevention and remediation of stress disorders in fire service personnel are considered. It can be concluded that the stressful nature of urban firefighting is significantly associated with negative health outcomes, including the potential overreliance on alcohol use.     

工作压力的研究现状与方向

工作压力的研究在西方已经进行了多年,并受到越来越多的注意,但在我国研究还较少。本文从工作压力的定义、对于工作压力的测量、影响工作压力产生的因素、工作压力的后果、以及应对这几个方面介绍这一领域目前的研究现状并提出作者认为这一领域现存的问题和今后的研究方向。     

Care for the Caregiver: Clues for the Pastoral Care of Clergywomen

In this article, we report the results of a qualitative study on the special challenges faced by clergywomen: the impact of gender, work demands, and personal and professional stressors, and the positive and negative coping strategies these clergywomen employed. We include a discussion of the pastoral care issues that emerged from the study and make recommendations for ways pastoral counselors may care for their own.     

Young infants' vocalizations towards mother versus stranger: associations with the infant–mother relationship

Infants' differential vocal response (DVR) towards their mother and a female stranger at 3 months of age has been predominantly investigated as an index of early cognitive functioning. The present study explored the relationship between DVR and different infant and mother indicators of the developing relationship quality in a sample of 23 mother–infant dyads. Mother–infant interactions and stranger–infant interactions were videotaped during home visits when the infants were 3 months old. At the age of 12 months, infants' behaviour was assessed in the Ainsworth's strange situation. In both assessments, mothers noted the infants' behavioural states on 3 successive days. Results revealed a specific relation between DVR and the emotional atmosphere of the early mother–infant interaction. Particularly, DVR was less pronounced in favour of the mother when the mother displayed emotional expressions defined as rejection. DVR is discussed as an index that may indicate both infant emotional engagement and infant cognitive competencies. Copyright © 2005 John Wiley & Sons, Ltd.     

On the vicissitudes of early primary surrogate mothering II: loss of the surrogate mother and arrest of mourning

Among the catastrophic events experienced by infants and young children, one of the most frequent is the loss of an early primary surrogate mother (EPSM). Usually permanent, the loss is often followed by the advent of a new, "replacement" caregiver. One aspect of the emotional environment is unique to this kind of caregiving situation: that parents are often unable to validate the true nature of their child's relationship with the EPSM or, ultimately, the trauma experienced by the child when the EPSM leaves. The marked discrepancy between the parent's and the infant or child's experience of the surrogate mothering leads to an arrest of the child's mourning process, with the potential for serious developmental consequences. Issues related to EPSM loss and its aftermath are examined in the light of two examples. Further exploration of the environment of this kind of caregiving directs attention to the critical need to nurture and protect the attachments of both the infant or child and the parent to the ESPM.     

Stress in Doctors: A Pilot Study of the University Teaching Hospital,Lusaka, Zambia

This study had the objective of explored the stressful aspects of a doctor's job at the University Teaching Hospital (UTH) in Lusaka, Zambia. Stress can have a serious effect on the work output of a doctor and on their physical and mental health. The data were collected from 41 doctors at UTH using the Perceived Stress Scale and a stress check list. The results revealed that out of the list of 14 possible stressors, Zambian doctors in this sample identified an average of 7.3 aspects of their job (SD=2.7) as being stressful. Lack of resources to carry out their job, the workload, the low level of reward and the long working hours were most frequently identified as stressors.     

Culture,control, and coping: New perspectives on social support

Researchers have offered various explanations for inconsistent findings in the social support literature. Some contend that the detection of either buffering or direct effects depends on the mode of measurement. Others have demonstrated that person variables (e.g., locus of control) moderate support utilization during stressful times. This study attempts to integrate the issues of measure type, locus of control orientation, and cultural influence in a comprehensive study comparing Anglo-Americans and Chinese nationals. Measures appropriate for testing the stress-buffering model of social support were given to 198 students in a Midwestern university and 200 students in mainland China. Both measure type and locus of control orientation mediated the process of support utilization in each culture, but not in the same manner across cultures. For Anglos, stress-buffering effects of both perceived and received support were found only with internals. For Chinese, main effects and a buffering pattern from perceived support were found only with externals. The received support measure yielded negative buffering effects with the latter culture.     

How resilience is strengthened by exposure to stressors: the systematic self-reflection model of resilience strengthening

Background: Exposure to demands is normally considered to drain resources and threaten wellbeing. However, studies have indicated a resilience-strengthening role for stressors.

Objectives: This paper introduces a unifying model, including five testable hypotheses regarding how resilience can be strengthened progressively via exposure to life-stressors.

Methods: We review and synthesize relevant scholarship that underpins the Systematic Self-Reflection model of resilience-strengthening.

Results: The model highlights the importance of a specific meta-cognitive skill (self-reflection on one’s initial stressor response) as a mechanism for strengthening resilience. The Systematic Self-Reflection model uniquely proposes five self-reflective practices critical in the on-going adaptation of three resilient capacities: (1) coping resources, (2) usage of coping and emotional regulatory repertoire, and (3) resilient beliefs. The self-reflective process is proposed to strengthen a person’s resilience by developing insight into their already-present capacities, the limitations of these capacities, and by stimulating the search for person-driven alternative approaches.

Conclusion: This model extends the existing scholarship by proposing how the experience of stressors and adversity may have resilience-strengthening opportunities. The implication of this model is that engaging with stressors can have positive consequences for longer-term healthy emotional development if scaffolded in adaptive reflective practices.     

Community psychology,digital technology,and loss: Remembrance activities of young adults who have experienced the death of a close friend

We argue for community psychology to include digital communications technology in research on ways that the social environment shapes fundamental human experiences. We present a qualitative study that examined the narrative accounts of 20 young adults who experienced the death of a close friend to describe both traditional and digital forms of remembrance in coping with loss. Findings suggest that young adults' activities both online and offline were intended to acknowledge the loss, exchange social support, create and sustain memories of their deceased friend, and facilitate continued communication with the deceased. Participants described both costs and benefits to their real and virtual remembrance activities. Findings illustrate ways that the study of digital technology adds to our understanding of grief and bereavement and contributes to dominant cultural narratives about coping with death. Implications of findings for research in community psychology are discussed.     

Posttraumatic symptoms,posttraumatic growth,and internal resources among the general population in Greece: A nation-wide survey amid the first COVID-19 lockdown

Scarce and inconclusive evidence exists on the mental health consequences of the COVID-19 lockdown. This study examined the psychological impact of the lockdown in Greece, resilience levels, use of coping strategies, and identified high-risk groups. A sample of 1661 participants (mean age = 39.5, SD = 12.2; 75.5% females) completed a web-based survey, which was distributed through social networking sites, webpages, and personal contacts. Posttraumatic symptoms, posttraumatic growth, resilience, and coping strategies were assessed. Different population subgroups suffered the impact of lockdown disproportionately. Healthcare workers, females, younger, less educated, and those living alone reported higher rates of posttraumatic stress symptoms. Females achieved more posttraumatic growth and were using coping strategies more frequently than men. Men, older, healthcare workers, and those with a partner were more resilient. Interventions need to be developed to target personal resources, protect vulnerable populations, facilitate posttraumatic growth, and ameliorate wellbeing and quality of life.     

Coping with traumatic stress in journalism: a critical ethnographic study

Journalists who witness trauma and disaster events are at risk for physical, emotional, and psychological injury. The purpose of this paper is to present the results of a critical ethnographic study among 31 Canadian journalists and photojournalists with regard to coping strategies used to buffer the effects of being exposed to trauma and disaster events and work-related stress. The findings are the result of in-depth individual interviews and six workplace observations with journalists across Canada. The most commonly reported coping strategies were: avoidance strategies at work, use of black humor, controlling one's emotions and memories, exercise and other physical activities, focusing on the technical aspects, and using substances. Recommendations for addressing the effects of work-related stress within this population are provided.     

Past Trauma and Current Stress and Coping: Toward a General Model

Studies find trauma to both sensitize and steel its victims to subsequent stress, but results are specific to certain populations, traumas, or indices of stress and coping. Here, a general population sample (N = 255) completed comprehensive measures of trauma, stress, and coping to suggest a general model of their relationships. Regressions showed childhood—but not lifetime—trauma linked to avoidant coping and greater stress, indicating a partial mediation model. Structural equation modeling (SEM) verified that childhood trauma predicted adult stress both directly and through avoidance. Limitations of present methods, and suggestions for continuing the development of a general trauma-coping-stress model, are discussed.