Shame in Physician–Patient Interactions: Patient Perspectives

This study estimated the extent to which shame is elicited in physician–patient interactions and examined the emotional and behavioral reactions of patients to such interactions. A large adult sample (N = 915) reported on their shame-provoking experiences in interactions with physicians through an anonymous survey. Half of all respondents (n = 456) recalled one or more interactions with a physician that left them feeling ashamed, with significantly more women (59%) than men (39%) reporting this. Forty-five percent of those reporting such experiences stated they terminated treatment with, avoided, or lied to their physician to avoid experiencing further shame. However, 33% believed the shame-provoking interaction provoked useful behavioral changes, and 46% were, on balance, grateful to the physician. Women, relative to men, reported that the interaction led to more negative emotional and behavioral consequences. The type of health issue involved in the interaction also was associated with differential outcomes. Thus, it appears that inducing shame in medical contexts is widespread and may well have both positive and negative effects.     

Interpersonal Sensitivity,Partner Support,Patient–Physician Communication,and Sexual Functioning in Men Recovering From Prostate Carcinoma

Twenty men and twenty women were tested to determine patterns of latent hostility toward the Deity figure with a view governed by sex difference. It was found that men exhibited a consistently rigid pattern while women tended to move from lower to higher means on the “B” or benevolence scale. There was little differentiation on the “P” or potency scores. The technique utilized ink blot interpretations with subsequent ranking from the one most, to the one least, suggesting God. This attachment of symbol on a known factor to one of an unknown dimension has been labeled the technique of symbolic equivalence.     

Perceived Parental Control and Parent–Child Relational Qualities in Early Adolescents In Hong Kong: Parent Gender, Child Gender and Grade Differences

This study examined parent gender, child gender and grade differences in perceived parental control and parent–adolescent relational qualities in early adolescents in Hong Kong, People’s Republic of China. Utilizing a longitudinal research design, 2,559 Chinese secondary school students responded to instruments assessing perceived parental behavioral control, parental psychological control, and parent–child relational qualities over three consecutive years. Results showed that there were parent gender and child gender differences in parental control and parent–adolescent relational qualities, but interaction effects of parent gender and child gender were also found. These findings strongly challenge the traditional Chinese cultural belief of “strict fathers, kind mothers”. Results also consistently showed that the levels of perceived parental behavioral control and parent–child relational qualities gradually declined from grades 7 to 9 in early adolescent years in the Chinese culture.     

Kansas Physician Assistants’ Attitudes and Beliefs Regarding Spirituality and Religiosity in Patient Care

Research indicates patients want to discuss spirituality/religious (S/R) beliefs with their healthcare provider. This was a cross-sectional study of Kansas physician assistants (PA) regarding S/R in patient care. Surveys included questions about personal S/R beliefs and attitudes about S/R in patient care. Self-reported religious respondents agreed (92%) they should be aware of patient S/R; 82% agreed they should address it. Agreement with incorporating S/R increased significantly based on patient acuity. This research indicates Kansas PAs’ personal S/R beliefs influence their attitudes toward awareness and addressing patient S/R.     

Empathy,Emotion, and <Emphasis Type="Italic">Ekstasis</Emphasis> in the Patient–Physician Relationship

The place of clinical empathy in humanizing the medical encounter is discussed. Clinical empathy is viewed as having both cognitive and affective elements. It is argued that genuine empathy involves recognizing what the suffering of the patient feels like. This reaching out to the patient is connected with the Christian theological concept of ekstasis. Ekstasis has as its goal the establishment of communion. It is further argued that ekstasis and communion are the fundamental moments in clinical empathy.     

Gender differences in conversation topics, 1922–1990

Gender differences in conversation topics were first systematically studied in 1922 by Henry Moore, who theorized that the gender differences in topic choice he observed in a field observation study would persist over time, as they were manifestations of men's and women's original natures. In this paper, I report a 1990 replication of Moore's study, in which similar but smaller gender differences in topic choice are found. In order to explore further the apparent trend toward smaller gender differences, reports of quantitative observation studies conducted between 1922 and 1990 are examined. Other explanations besides change over time—such as variations in conversation setting and audience, target populations, and researcher's intentions—may account for the decline in gender differences in topic choice. Social influences are seen more clearly in the discourse about gender differences in conversation than in gender differences in conversation topics themselves.I am grateful to Renee Anspach, Maria Krysan, Howard Schuman, and Candace West for their many helpful suggestions. I also thank the Research Methods students in Howard Schuman's course who, with Maria Krysan, executed the study described in this paper. The Social Sciences and Humanities Research Council of Canada provided support for this project.     

Gender,Risk, and Religiousness: Can Power Control Provide the Theory?

Collett and Lizardo (2009) offer a model of gender differences that revisits and expands earlier research, in particular nascent ideas used by Miller and Hoffmann (1995) that were borrowed, in part, from a power-control theory of delinquency and crime. However, I am skeptical of their attempt to apply power-control theory as a general explanation of gender differences in religiousness. In this response piece, I first set the context by describing how Alan Miller and I initially approached our risk and religion work. I then point out where I think the research stream went awry and why recent studies of risk preferences and religion have failed to provide convincing evidence one way or the other. Finally, I offer an appraisal of Collett and Lizardo's work, with particular attention to why adopting power-control theory should be viewed with caution. I conclude with suggestions for future research on gender and religiousness.     

Age and Gender Differences in Morningness–Eveningness During Adolescence

Morningness–eveningness was assessed in a large sample of adolescents and young adults. Morningness decreased from 12 to 15 years, and then remained on a stable level until about 20 years, when a turn back to morningness occurred. Boys and men were on average more evening-oriented than were girls and women. In detail, significant differences existed at the ages of 16, 18, and 19 years. A quadratic function explained more variance than a linear regression. Composite Scale of Morningness scores are related to puberty scores in boys and girls, and when combining data (i.e., higher pubertal development was related to eveningness).     

Patient–Provider Communication About Sexual Health: The Relationship with Gender, Age, Gender-Stereotypical Beliefs, and Perceptions of Communication Inappropriateness

This investigation examined patient–provider communication about sexual health related to gender and age. Data were collected from 277 individuals, aged 18–60, via convenience and snowball sampling at a large university in southwestern United States. Results indicate women are more proactive about their sexual health than men and tested for STDs more frequently. Women, more than men, initiate discussions with their healthcare provider about sexual health matters and healthcare providers are more likely to initiate communication about such matters with women than men. Men hold stronger gender-stereotypical beliefs than women, are less likely to initiate conversations about sexual issues with their provider, and believe sexual discussions with their partner are inappropriate. Age relates to sexual activity initiation and perceived STD risk.     

Women Behaving Badly: Gender and Aggression in a Military Town, 1653–1781

Magistrates records from the English town of Portsmouth show the towns women to have been exceptionally violent. Women accounted, on average, for just over 31% of all assaults on record for the years 1653 to 1781. We used a combination of quantitative and qualitative methods to compare the fighting styles of men and women and to examine the extent to which these were gendered. Particular attention was paid to levels of violence between pairs of brawlers. The most common form of violence was male-on-male (2,666 cases), followed by female-on-female (1,690), male-on-female (1,675), and female-on-male (299). Of these pairings, female-on-male assaults were the most violent, as measured by the types of weapons used by the aggressors, and female-on-female pairings were the least violent.Funding was provided by grant 410-2000-0467 from the Social Sciences and Humanities Research Council of Canada. The authors are profoundly grateful to the gracious and highly capable staff of Portsmouths Museums and Records Service, including, most notably, Michael Gunton, Diana Gregg, Donna Malcolmson, and Sarah Speller. Special thanks also go to the team of volunteers who transcribed the towns sessions papers, thus greatly facilitating our entry of the same into a database. They were, in alphabetical order, Kate Beatty, Barbara Gower, Ursula Heinrich, Pam Honeysett, George Hothersall, Marjorie Hothersall, Una Lowe, Betty Richardson, Marjorie Ripper, and Brenda Whorton. There was one other volunteer: an inmate at the Kingston Prison just outside Portsmouth. Back in Toronto, several more people assisted in entering the records into a database. They were, in alphabetical order, Joanne Cordingley, James Hewitson, Allyson Lunny, Yvonne Pelletier, and Victoria Vaag.     

Gender Differences in Elaborative Parent–Child Emotion and Play Narratives

Reminiscing about the past is an everyday activity that has implications for children’s developing memory and socioemotional skills. However, little research has systematically examined how mothers and fathers may differentially elaborate and engage their daughters and sons in reminiscing. In this study, we asked 42 broadly middle-class, highly educated U.S., mostly Caucasian mothers and fathers from the same families, living in the southeastern U.S., to reminisce about a happy, sad, peer conflict, parental conflict, playground and special outing experience with their 4-year-old child. Narratives were coded for parental styles of cognitive elaboration and joint engagement. Results indicated that mothers are both more elaborative and engaged with children than fathers are, especially about negative emotional and positive play experiences. Thus, mothers appear to be helping children recount and understand their personal past more than fathers, and specifically, in working through difficult emotions that may facilitate emotion regulation skills.     

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.     

The Cultural Divide and Changing Beliefs about Gender in the United States, 1974–2010

The present paper examines claims of a growing cultural divide in the United States. We analyze social change in beliefs about gender over a period of 36 years (from 1974 to 2010) in the United States using data from the nationally representative General Social Survey (GSS). We find evidence of growing gender egalitarianism until the mid-1990s, with a reversal between 1996 and 2000, and a decline in state differences in beliefs about gender over time in our decomposition analysis and multilevel models. Although we find significant differences in gender beliefs among states in the 1970s based on their voting record on the Equal Rights Amendment and based on patterns of family formation and family life associated with the Second Demographic Transition, these differences among states decreased or disappeared entirely by the early years of the twenty-first century. We highlight the implications of our findings for the ongoing public and academic debate surrounding growing cultural differences among states.     

Muslim–Paulician Encounters and Early Islamic Anti-Christian Polemical Writings

This article investigates the portrayals of the Paulicians in early Islamic sources and specifically analyses the role that Paulician religious views play in Islamic anti-Christian writings. The study also gives insights into the nature of materials that were available to Muslim scholars and the strategies they applied in constructing coherent arguments to refute certain Christian religious beliefs. In doing so, the study touches upon Muslims’ religious needs and scholarly curiosity, which sheds light on their intellectual interactions with non-Islamic religious beliefs and philosophical ideas. The article demonstrates that references to Paulician religious beliefs can be found primarily in early Christian–Islamic polemics. Muslim polemicists, most of whom were Mu?tazilites, attempted to demonstrate the soundness and the coherence of Islamic tenets vis-à-vis inadequacies and contradictions in Christian doctrines. The reliance of Muslim polemicists on heresiographical discourse therefore constituted an important strategy to substantiate their polemical arguments. Two major issues stand out in Islamic portrayals of Paulician doctrines: the centrality of Paul of Samosata in the history of the sect, and his association with the view that Jesus was a human being devoid of divinity.