Developing and facilitating AIDS bereavement support groups

This article describes the components necessary to develop and facilitate effective AIDS bereavement support groups. Group purpose, establishment, composition, and leadership are detailed. Special features of AIDS bereavement are described.     

Positive aspects of caregiving and adaptation to bereavement

This study examined how positive aspects of caregiving affect adaptation to bereavement among older adults who cared for a family member with dementia. The sample consisted of 217 caregivers who were part of the Resources for Enhancing Alzheimer's Caregiver Health Study. Using pre- and postloss data, hierarchical regressions were carried out to examine the effects of positive aspects of caregiving (caregiving benefit) on postloss depression and grief. Findings show that preloss caregiving benefit was associated with higher levels of postloss depression and grief, even after controlling for caregiver demographic characteristics, contextual factors, and caregiving burden. This effect was particularly strong for the relation between benefit and grief. Results demonstrate the importance of studying both positive and negative aspects of caregiving and their relation to bereavement outcomes.     

持续性联结及其与丧亲后适应的关系

生者与逝者的关系不会因为死亡而终止, 在逝者离世之后, 生者可能继续与逝者保持持续的、内在的联结, 这被称为“持续性联结”。持续性联结在不同文化中均普遍存在, 已有研究从联结控制点、联结的引发者等维度对其进行分类, 近年来, 持续性联结对丧亲后适应的影响成为丧亲及哀伤研究中的热点。持续性联结与丧亲后适应的关系呈现出复杂且不一致的研究结论。未来的研究应该在本土文化背景下去探索持续性联结的表现及特定意义, 思考持续性联结的分类并编制本土化的测量工具, 与此同时, 应该在理论驱动下去开展持续性联结与适应关系的实证研究。     

Redefining membership in animal groups

Groups of animals—flocks, herds, shoals, and swarms—are often dynamical entities. Relative positions of group members change, and most groups divide and re-form on multiple timescales. Few studies, however, have attempted to define when an animal is or is not within a group. Most authors adopt arbitrary distance thresholds, such as the elective group size (EGS), which assume that animals closer than some threshold distance are in the same group. In the present article, we define a group-membership criterion derived from dynamical statistical considerations and based on detailed trajectories of all members of a moving group. We demonstrate the use of our criterion to track the comings and goings in shoals of zebrafish (Danio rerio) and the gradual dissolution of the shoal across multiple exposures to a testing tank. We present a novel measure of group cohesion based on our group membership criterion and demonstrate that excursions away from the shoal explain some previous observations of the dynamics of shoaling. Finally, we show that excursions away from a shoal are accompanied by an increase in swimming speed. Applying similar criteria to data from other species may clarify some of the common features of animal collective motion.     

Unexpected death,religious coping and conjugal bereavement outcomes in Africa (Togo)

This pioneering study in sub-Saharan African context examined the role played by religious strategies (religious coping, religious community support (RCS)) in the conjugal bereavement process and its outcomes depending on the expected or unexpected death. Based on cross-sectional approach, the study targeted Togolese bereaved spouses (N?=?162). The mean period of mourning was 112.52 months (SD?=?94.72). The results of a hierarchical regression revealed that RCS was positively associated with grief symptoms when the death was expected and, unsurprisingly, the negative religious coping predicted grief symptoms when the death was sudden and unexpected. Religious strategies would play a threefold role: providing refuge and comfort, regulating the bereavement distress and serving resources to give meaning to the loss of the beloved. Theoretical and clinical implications of these findings are discussed.     

Influence of social support on adaptation to surgery.

The authors investigated the influence of patients' social support on subjective and objective stress indicators before, during, and after surgery. The sample consisted of 42 male and 42 female patients. Social support as perceived by the patients was measured by a surgery-specific inventory with the Emotional Support and Informational Support subscales. Perioperative adaptation was assessed by self-reported anxiety, the amount of narcotics needed for anesthesia induction, and the length of the postoperative stay. Results demonstrated that patients who scored high on social support showed less anxiety, received lower doses of narcotics, and had a shorter hospital stay than did patients with low support. However, gender was a moderator of some of these associations. Compared with men, women exhibited more relationships that were in accordance with the hypotheses.     

Predictors and correlates of bereavement in suicide support group participants

A sample of 210 survivors of suicide, all participants in suicide support groups, was studied. Associations between demographic factors, circumstances surrounding the suicide, and overall levels of grief (using the Grief Experience Questionnaire) were calculated. Results showed that seeing the body at the scene of the death was the most significant predictor of high levels of distress, and support from family and friends was the strongest protective factor. Time since the death (for women) and attendance at Alcoholics Anonymous meetings (for those participating in nonsuicide support groups) were also significantly related to level of grief. For men, a moderate level of participation in other support groups, as compared with none, was associated with higher levels of grief. All other variables were not significant. Results suggest that a model that combines posttraumatic reactions and grief is most appropriate for the aftermath of suicide.     

From fault line to group fission: understanding membership changes in small groups

Group fissions occur when two or more members leave a parent group to either form a new group or join an existing group. This article investigates the interplay between two factors: the presence of an intragroup conflict and subgroup boundaries on the group fission process. It is hypothesized that subgroup divisions act as potential fault lines along which groups split after they experience conflict. The results of three experiments, one scenario study and two laboratory studies involving small task groups, support the group fault line hypothesis. The authors discuss the implications of these findings for theory and research on membership changes in small groups.     

Social support and adaptation to stress by the elderly

The first of a two-phase project is reported that examined the prospective effects of stress and social support on the physical and mental health of the elderly. A sample of 50 elderly subjects was assessed at two points in time over a 6-month period. Results indicated that social support was a significant predictor of physical health status, whereas mental health was related to the Stress X Social Support interaction term. These latter results were consistent with the buffering hypothesis, in that high levels of social support served to reduce the negative impact of stress on mental health. Individuals who were in better mental health at the initial assessment experienced fewer stressful events and higher levels of social support over the subsequent 6-month period. The implications of these findings for research and theory regarding the relation between stress and social support are discussed.     

Attachment and loss: a test of three competing models on the association between attachment-related avoidance and adaptation to bereavement

It is widely assumed that emotionally avoidant or defensive individuals will have a difficult time adjusting to the loss of a loved one. However, recent research suggests that defensive individuals tend to adapt quite well to loss. Such findings pose a number of challenges to attachment theory--a theory that has traditionally held that emotional avoidance is indicative of poor psychological adjustment. In this article, the authors argue that contemporary models of individual differences in adult attachment allow the derivation of at least three competing hypotheses regarding the relationship between avoidant attachment and adaptation to loss. These hypotheses are tested using two-wave data on 59 bereaved adults. Results indicate that whereas some avoidant individuals (i.e., those who are fearfully avoidant) have a difficult time adapting to the loss of a loved one, other avoidant adults (i.e., those who are dismissingly avoidant) show a pattern of resilience to loss.     

A modern psychoanalytic approach to caregiver support groups

Caregiver support groups traditionally focus on education, reduction of social isolation, and supportive sharing. However, the support group literature has increasingly reflected an interest in the emotional effects of caregiving. While some authors promote the therapeutic value of supporting defenses against painful feelings, others have documented the value of encouraging their expression in groups. This paper is based on the author’s experience in co-leading an Alzheimer’s family support group, using a modern psychoanalytic approach which encourages the full expression of the caregivers’ emotional experience. Using emotional communication to explore resistances to intimacy and aggression in groups, the author demonstrates how the interplay of co-leadership and Modern Psychoanalytic theory and techniques promotes group cohesion and encourages maturational growth in group members. This model is also prescribed as an antidote to leader “burnout,” a not uncommon phenomenon for leaders of such emotionally charged groups. Private Practice, New York, New York.     

Resistance in long-term cancer support groups

This article describes the common resistance patterns that occur in ongoing cancer support groups. These resistances, which can often go unrecognized, are a normal part of group development and group life in such groups, rather than the result of a few "problem" group members. The thesis of this article posits that the identification and working through of these resistances creates openings to deeper engagement among members and to overall greater group cohesion. Technical guidelines are offered for working with these resistances in the group-as-a-whole, in members, and also in the therapist.     

Social support, life events, and stress as modifiers of adjustment to bereavement by older adults

As part of a larger panel study, interviews were obtained from 3 samples of older adults: 45 persons who had recently lost a spouse, 40 who had lost a parent or child, and 45 who were not bereaved. Assessments were conducted before and after the deaths. In the widowed sample, health remained quite stable, but depression increased sharply, then remained elevated. Changes were minimal in the sample who had lost a parent or child and in the nonbereaved sample. Multiple regression procedures were used to identify factors that contribute to depression and health 9 months after the spouse's death. Postbereavement depression was associated with higher prebereavement depression, higher financial pressures, higher global stress, fewer new interests, and lower social support. Health was a function of prebereavement health, new interests, financial pressures, and global stress. In general, life events and resources had stronger effects in the widowed sample than in the comparison samples.     

Effects of group membership and identification on categorization and subtyping in memory

A meta-analysis (N=229) was performed to test effects of group membership and identification on the use of (sub)categories across five of our own experiments. In each experiment a name matching paradigm was used to investigate the extent to which (sub)categories were used to organize social information in memory. Four subcategories (male students, female students, male teachers, female teachers) were available to categorize the stimulus persons, as a result of crossing sex and academic status. Comparing findings over studies yielded (a) a strong tendency to use subtypes to organize social information in memory; (b) no support for the prediction of stronger subtyping of ingroup members than of outgroup members; (c) support for the prediction that subjects high on identification with own-sex group would use subtypes within gender categories to a lesser extent than subjects low on identification with own-sex. (d) In addition, it appeared that sex and academic status were used as independent overall categorizations as well, although superordinate categorization effects were caused for a large part (75–87 per cent) by name-confusions within subcategories, which suggests a preference for the use of subtypes over superordinate categories. © 1998 John Wiley & Sons, Ltd.     

Effects of attachment bereavement and pre-event conditions on subsequent depressive symptoms in older adults

A sample of 1,411 older adults (age 55+) who had been interviewed both prior to and after bereavement were studied, allowing for pre-event controls. Those who had lost a parent, spouse, or child had the strongest depressive reactions, as predicted by an attachment-bonding hypothesis; however, material losses were also related to depression. Although bereavement/loss events were clearly related to subsequent depression even after pre-event depression, resources, and events were controlled, certain pre-event characteristics were predictive of the bereavement/loss events, including prior undesirable events, age, and urban/rural residency. A further analysis of 1,007 persons with two post-event interviews (at 6-month to 1-year follow-up) revealed an initial depressive reaction to a bereavement/loss event, which then dissipated completely within 1 year's time. Generally, bereavement appeared to have limited etiologic importance.     

The triadic legitimacy model: Understanding support to disobedient groups

In a social-psychological perspective, many scholars have argued that disobedience plays a significant role in avoiding the degeneration of the authority into autocracy and in promoting social change. In particular, the tripolar model (minority-majority-population) proposed by Mugny (1982) emphasized the role of the population for the stability or the progress of every society. Authority may indeed preserve the status quo only on the grounds of its influence on a large population. Likewise, protesters may achieve social change only by influencing and involving a large part of the population in their struggles. In understanding why people decide to join a protest, the aim of this article is to integrate Kelman and Hamilton's (1989) analysis of legitimacy with the tripolar model on social influence. The model we propose – namely the triadic legitimacy model (TLM) – explains the dialectic between social stability and social change by considering both authority's and disobedient groups' legitimacies.     

Family and social networks after bereavement: experiences of support,change and isolation

The role of family and social support networks on grief experiences following the death of a family member in a road traffic accident is explored. Twenty‐one bereaved informants were interviewed and the data analysed using grounded theory methodology. We outline the ways in which a crash fatality impacts upon familial and social relationships. The data clearly demonstrate that although the death of a loved one precipitated closer familial and social bonds in some instances, it was more common that those relationships deteriorated and collapsed. Implications for service delivery, grief education and research are discussed.     

Effects of preliminary class membership on subsequent stimulus equivalence class formation

The present study examined the effects of including stimuli previously trained as members of functional classes or equivalence classes on subsequent equivalence class formation, and isolated the effects of preliminary training from those of the acquired function stimuli. Fifty-six adults were assigned to 1 of 5 conditions. The control group (CONT) received no preliminary training prior to the terminal phase. Participants in the other 4 groups learned two 3-member functional classes and two 3-member equivalence classes during the preliminary phase. The terminal equivalence phase trained two 5-member classes (A → B → C → D → E) comprising abstract forms; the C stimuli in the terminal phase were (a) from the preliminary functional classes for 1 group (ACQ-F), (b) from the preliminary equivalence classes for the second experimental group (ACQ-E), (c) pictures of everyday objects for the picture control group (PIC), and (d) novel, unfamiliar stimuli for the preliminary training control group (PRE-CONT). Class formation yields were 100% in the PIC condition and 11% in the CONT condition; however, low yields in the PRE-CONT, ACQ-F, and ACQ-E conditions were unexpected, suggesting that procedural variables in preliminary training account for more of the subsequent effects on class formation than the stimulus control properties of the acquired function stimuli.