Grief and mourning reactions following abortion and miscarriage

Abstract

The loss of an unborn child, like the loss of a child through death, may cause both normal and pathological grief reactions. This paper explores the current research of psychological reactions following induced and spontaneous (miscarriage) abortions. Examples of studies wherein reserachers have, based their understanding of the experience on a loss model are provided. Possible reasons for the apparent inattention to grief reactions following this type of loss are explored. An alternative model based on loss and acknowledging social, political, and interpersonal stigmas is offered. Although these findings do not suggest that abortions should be made unavailable, they demonstrate a need for alertness to possible negative psychological sequelae as well as possible negative physical sequelae.     

A qualitative analysis of the role of emotions in different patterns of long-term weight loss

Objective: To explore participant perspectives of the impact emotions have on weight loss.

Design: A qualitative design gathered data through semi-structured interviews with participants in a weight management programme. The interview addresses the following research questions: (1) how do individuals working to lose weight perceive the impact emotions have on their long-term success, and (2) what strategies do more or less successful participants use to regulate their emotions? Researchers conducted and transcribed the interviews then completed content analysis to create and organise themes.

Results: Two broad themes emerged through the interviews with 21 participants: emotional impact and emotional regulation. Further subthemes captured emotions blocking action toward goals, strategies for regulating emotions (e.g. exercise, food) and the need for new strategies to regulate emotions. Themes were also split in to three groups based on weight outcomes: regainer, moderate success (3–6% loss) and large success (>7% loss). More successful participants, compared to regainers, shared being aware of the impact of their emotions and made efforts to develop healthy regulation strategies.

Conclusions: Emotional awareness and regulation play an important role in participant’s weight management experience. Taking time to build emotional awareness and strategies to manage emotions is important to participants in weight management.     

NEED FOR EXPLANATIONS IN GRAPHIC ORGANIZER RESEARCH

ABSTRACT

Research relating to graphic organizers was reviewed. The findings suggest that currently there is no systematic approach to analyzing graphic organizer research resulting in a lack of explanations for why graphic organizers work or do not work. The primary difficulty to provide explanations was found to be due to the lack of consistent operational criteria in studies using graphic organizers. Further, instructional implications are tenuous at best due to the lack of explanations of how graphic organizers work or do not work. One method of analysis would be to examine previous graphic organizer studies using a relational grammar. This would allow for identifying the structure and content of text used in graphic organizer studies, the graphic organizer itself, and the measurement or evaluation instrument. This analysis would allow for a comparison of the structure and content of the different organizer studies and allow for an explanation of the cognitive processes that readers evoke in developing mental representations of ideas contained in text.     

Acute stress disorder among civilians during a war and post-traumatic growth six years later: the impact of personal and social resources

Background and Objectives: Various studies suggest a link between stress response to a traumatic event and post-traumatic growth (PTG), but little is known about their long-term relationship. In this study, the relationship between acute stress disorder (ASD) among civilians during a war on the home front and PTG six years later was examined for the first time. Based on the conservation of resources (COR) theory, the role of personal and social resource loss and gain as moderating factors was investigated. Design and Methods: At Time 1 of the research (the Second Lebanon War in 2006), a structured questionnaire was administered to 370 civilians living within rocket range. At Time 2, 6 years later, 301 participants from Time 1 were again examined. The data analysis refers to the 301 respondents who participated at Time 2. Results: The findings indicate a significant relationship between ASD and PTG. Examination of the interaction revealed that resource gain (but not resource loss) moderates (strengthens) the relationship between the two. Conclusions: These findings are not consistent with the COR view that resource loss has a greater effect on stress responses than resource gain.     

Effects of and attention to graphic warning labels on cigarette packages

Objective: The present study investigates the effects of graphic cigarette warnings compared to text-only cigarette warnings on smokers’ explicit (i.e. ratings of the packages, cognitions about smoking, perceived health risk, quit intentions) and implicit attitudes. In addition, participants’ visual attention towards the graphic warnings was recorded using eye-tracking methodology.Design and methods: Sixty-three smokers participated in the present study and either viewed graphic cigarette warnings with aversive and non-aversive images or text-only warnings. Data were analysed using analysis of variance and correlation analysis.Results: Especially, graphic cigarette warnings with aversive content drew attention and elicited high threat. However, whereas attention directed to the textual information of the graphic warnings predicted smokers’ risk perceptions, attention directed to the images of the graphic warnings did not. Moreover, smokers’ in the graphic warning condition reported more positive cognitions about smoking, thus revealing cognitive dissonance.Conclusion: Smokers employ defensive psychological mechanisms when confronted with threatening warnings. Although aversive images attract attention, they do not promote health knowledge. Implications for graphic health warnings and the importance of taking their content (i.e. aversive vs. non-aversive images) into account are discussed.     

Double trouble: restrained eaters do not eat less and feel worse

Objective: While high levels of dietary restraint do not appear to reflect actual caloric restraint, it has been found to be a risk factor for a wide array of maladaptive eating patterns. These findings raise the question what, if not caloric restriction, dietary restraint entails. We propose that the very finding that restrained eaters do not eat less than they intend to do can provide an answer. Based on this disparity between the intention to restrain oneself and actual behaviour, we therefore hypothesised that high levels of restraint are associated with eating-related guilt.

Method: Three studies (N?=?148) using unobtrusive measures of food intake; different restraint scales; and different measures of guilt tested whether restraint is related to eating-related guilt.

Results: Results indicated that restraint was not associated with food intake, but instead was associated with increased levels of guilt after eating. Guilt was explicitly related to food intake. Moreover, the observed guilt could not be attributed to a general increase in negative affect.

Conclusion: The results of these studies suggest that restraint is not an indicator of actual restricted food intake, but rather a reflection concerns about food and eating manifested in eating-related guilt.     

Gaining and losing weight: Identity transformations

Individuals who experience weight problems frequently have a long history of weight gain and weight loss. Based on observation and participation, this study follows a group of dieters in a weight loss clinic over a period of one year. The findings suggest that social factors in the dieter's world have a significant impact on the degree of success experienced. Of particular significance are the perceptions of others once extensive weight loss occurs. It is argued that the loss of weight is only one of a number of issues that the heavy person deals with as he or she moves into the thin world.     

Expanding understandings of the body,food and exercise relationship in distance runners: A narrative approach

ObjectivesAdditional forms of theorizing and methodologies are warranted to expand understandings of the body, food and exercise relationship in physically active individuals.DesignA narrative approach grounded in social constructionism was used to explore the meaning-making process around this relationship in male and female distance runners.MethodNarratives around the body, food and exercise were elicited from nine recreational male and female distance runners (n = 5 males, 4 females). The sociocultural construction of meaning was explored through a thematic and dialogic/performance analysis of 17 in-depth interviews (2 interviews per person, with one exception) (see Riessman, 2008).ResultsFindings indicated that male and female runners drew upon one of two running narratives – ‘just do it’ and ‘just do it better’ – in constructing meanings around the body, food and exercise. Meanings shifted based upon the gendered narratives and cultural discourses. The specific narratives and meanings within them had implications for the runners' experiences and behaviors around their bodies, food and exercise in empowering/healthy and/or disempowering/unhealthy ways.ConclusionsThis study highlights the complexity of the body, food and exercise relationship in male and female distance runners, demonstrating that athletes' eating and exercising practices are socially and culturally formed in and through particular narratives and cultural discourse. These findings also add to the genre of cultural sport psychology research and a growing body of qualitative literature on disordered eating in the physical activity realm.     

Nonword repetition and identification skills in Kannada speaking school-aged children who do and do not stutter

PurposeThe present study employed nonword repetition and nonword identification tasks to explore the phonological working memory (PWM) abilities and its interaction with speech motor control in school-aged children who do and do not stutter.MethodParticipants were 17 children who stutter (CWS) (Age range = 7–12) and 17 age and gender-matched children who do not stutter (CWNS). For the nonword repetition task, the participants repeated sets of 2-, 3-, and 4-syllable nonwords (n = 12 per set). The participants silently identified a target nonword from a subsequent set of three nonwords (n = 12 per 2-, 3- and 4-syllable length) for the nonword identification task. The performance of CWS on the nonword repetition task was compared with the CWNS for the mean number of accurate repetitions, number of trials taken, number of accurate repetitions on initial trial, and number of fluent repetitions across the three-syllable conditions for the tasks. For the nonword identification task, the number of nonwords identified accurately by the two groups were subjected to analysis.ResultsCWS were significantly less accurate on the initial production of nonwords and required significantly more number of attempts to repeat the nonword accurately. Further for the nonword identification task, CWS were significantly less accurate than CWNS in correctly identifying the target nonword.ConclusionsThe present findings suggest that, in addition to limitations in PWM capacity, an unstable speech motor control system in CWS may lead to dysfluent speech.     

Traumatic Loss: Conceptual and Empirical Links Between Trauma and Bereavement

Abstract

This article focuses on conceptual issues and empirical studies regarding the topic of traumatic loss (i.e., loss that occurs suddenly and under violent circumstances) as a method for linking the field of trauma, and that of grief and bereavement. Several definitions of trauma are presented that include the concept of loss, and additional concepts are suggested that may be helpful in thinking about the two areas together. Also, modes of death associated with poor recovery are noted, and it is argued that these modes are those that make a bereavement more “traumatic”. Some empirical studies on the psychological outcomes associated with traumatic loss are reviewed, and preliminary findings from a new study of traumatically bereaved women are briefly presented     

The impact of maternal postnatal depression on men and their ways of fathering: an interpretative phenomenological analysis

Objectives: Postnatal depression affects approximately 15% of women in Western countries. There are conflicting findings about the effects on fathers as well as the extent to which fathers buffer against the negative effects of depression on children. This study sought to understand the ways in which maternal postnatal depression affects men and their ways of fathering.

Design: Narrative interviews were conducted with 14 British fathers (mean age?=?33.9?years) whose (ex)partners had experienced at least one episode of postnatal depression. Interviews explored how their partner’s depression affected them, the partner relationship, their children and their ways of fathering. Data were analysed with interpretative phenomenological analysis.

Results and Conclusions: Men felt that their partner’s depression led to significant physical and/or psychological maternal absence as well as a fracturing of the family unit, which had been an important ideological foundation for men’s fathering. Unequal divisions of labour, unfulfilled expectations, a thwarting of preferred ways of fathering and preoccupation with their partner’s depression took some men away from fathering. Others reported adaptation by accepting the loss of shared parenting and investing in an exclusive father–child relationship. Fathering appears to be particularly affected by the loss of a close adult relationship.     

Exogenous verbal response inhibition in adults who do and do not stutter

IntroductionBehavioral and questionnaire-based studies suggest that children who stutter (CWS) exhibit poorer response inhibition than children who do not stutter (CWNS). However, the behavioral findings in adults who stutter (AWS) are less unequivocal and mainly based on manual response inhibition. Further study is therefore needed, especially given the lack of studies on verbal response inhibition among these groups.MethodsThirteen AWS and 14 adults who do not stutter (AWNS) participated in a verbal stop signal task (SST) in which they were asked to read aloud six Chinese characters as fast as possible during the go-signal and ignore-signal trials and refrain from naming them during the stop-signal trials.ResultsThe two groups showed a comparable response reaction time in the go-signal and ignore-signal trial conditions. Furthermore, there were no significant differences in terms of the stop-signal reaction time (SSRT) and accuracy. However, a significant positive correlation was found between SSRT and the frequency of stuttering in conversation but not in reading.ConclusionCurrent findings seem to provide additional support that exogenously triggered response inhibition among AWS does not differ from AWNS. The association between stuttering frequency and SSRT seems to suggest that individuals with more severe stuttering in conversational speech have reduced exogenous response inhibition. However, this finding needs to be further explored in future studies using different measures of stuttering severity.     

Emotion processing in children who do and do not stutter: An ERP study of electrocortical reactivity and regulation to peer facial expressions

PurposeEvent-related brain potentials (ERPs) were used to investigate the neural correlates of emotion processing in 5- to 8-year-old children who do and do not stutter.MethodsParticipants were presented with an audio contextual cue followed by images of threatening (angry/fearful) and neutral facial expressions from similarly aged peers. Three conditions differed in audio-image pairing: neutral context-neutral expression (neutral condition), negative context-threatening expression (threat condition), and reappraisal context-threatening expression (reappraisal condition). These conditions reflected social stimuli that are ecologically valid to the everyday life of children.ResultsP100, N170, and late positive potential (LPP) ERP components were elicited over parietal and occipital electrodes. The threat condition elicited an increased LPP mean amplitude compared to the neutral condition across our participants, suggesting increased emotional reactivity to threatening facial expressions. In addition, LPP amplitude decreased during the reappraisal condition— evidence of emotion regulation. No group differences were observed in the mean amplitude of ERP components between children who do and do not stutter. Furthermore, dimensions of childhood temperament and stuttering severity were not strongly correlated with LPP elicitation.ConclusionThese findings are suggestive that, at this young age, children who stutter exhibit typical brain activation underlying emotional reactivity and regulation to social threat from peer facial expressions.     

Loci of stuttering of English- and Korean-speaking children who stutter: Preliminary findings

PurposeThe purpose of the study was to determine whether differences exist between young English- and Korean-speaking children who stutter (CWS) in the loci of stuttering.MethodParticipants were 10 Korean-speaking and 11 English-speaking CWS between the ages of 3 and 7 years. Participants produced narratives while viewing various picture scenes and a wordless picture book.ResultsFindings indicated that Korean-speaking CWS stuttered more on content than function words whereas English-speaking CWS stuttered more on function than content words. Furthermore, both Korean- and English-speaking CWS tended to stutter more on utterance-initial words. These findings appear to be related to the differences in linguistic/syntactic structures between Korean and English. Specifically, in the Korean-speaking CWS’s narratives, most utterance-initial words (73.60 %) were content words whereas in the English-speaking CWS’s narratives, most utterance-initial words (83.57 %) were function words.ConclusionThese preliminary findings, although in need of replication with a larger sample size, seem to suggest that the word class (i.e., content/function words) contributions to stuttering loci are more language-specific whereas the word position (i.e., utterance-initial position) contributions to stuttering loci are more language-nonspecific. Given that the true characteristics of stuttering may be rather language-nonspecific than language-specific, further research may need to focus more on stuttering loci related to word position than word class.     

How does mindfulness modulate daily stress response: evidences from ambulatory assessment

Objective: Mindfulness has been found to be associated with less adverse stress response. However, little is known about how mindfulness modulates stress response in the real daily life. The current study investigated the relation between daily stress and negative emotions, and explored a mediational link via perceived loss of control, and moderation by dispositional mindfulness, to better understand this association. Design: A total of 95 college students were recruited to complete a questionnaire and to report on their stress, perceived loss of control and negative emotions in daily life. Main Outcome Measures: Mindful Attention Awareness Scale (MAAS) was used to assess dispositional mindfulness. Stress, perceived loss of control and negative emotions were assessed by ambulatory assessment. Results: Stress was positively related with negative emotions at within-person level. Perceived loss of control mediated the relationship between stress and negative emotions. Furthermore, participants with higher levels of dispositional mindfulness showed an attenuated association between stress and anger, and also attenuated associations between perceived loss of control, and anger and fatigue at within-person level. Conclusion: These findings point to perceived loss of control as an important key factor in daily stress effects. Dispositional mindfulness appears to have beneficial effects in that it attenuates the impact of daily stressors on individuals’ wellbeing. Clinical implications and limitations are discussed.     

Attributional style and athletic performance: Strategic optimism and defensive pessimism

ObjectivesTwo studies examined the relationship between explanatory style measured with the Attributional Style Questionnaire (ASQ), Peterson, Semmel, von Baeyer, Abramson, Metalsky, and Seligman (1982. The Attributional Style Questionnaire. Cognitive Therapy and Research, 6, 287–299) and athletic performance.DesignCorrelational designs were used to examine relationships between the predictor variables of attributional style and dispositional optimism and the criterion variable of athletic performance. Study one also examined the effect of soccer match outcome as a moderational factor.MethodFor study 1, 20 male soccer players completed the ASQ and their performance across eight matches was videotaped and coded on a variety of measures (goals, fouls, attempted passes, completed passes). For study 2, 18 female basketball players completed both the ASQ and the Life Orientation Test (LOT), Scheier and Carver (1978. Optimism, coping and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219–247). Relationships between these scales and a variety of performance measures were examined.ResultsConsistent with findings from Seligman, Nolen-Hoeksema, Thornton, N., and Thornton, K. (1990. Explanatory style as a mechanism of disappointing athletic performance. Psychological Science, 1, 143–146), a significant positive relationship was found between the ASQ measure of optimism and athletic performance among the soccer players in study 1. In addition, optimistic soccer players demonstrated better performance during a loss than did pessimists, whereas no significant performance differences were found between these two groups during a subsequent win. Findings from study 2 were less consistent, revealing both positive (optimists had more assists and steals) and negative (optimists had fewer rebounds and more fouls) relationships. A subsequent content analysis of the open-ended responses on the ASQ suggests that the observed negative relationships were a function of these female athletes attributing negative outcomes to lack of effort (defensive pessimism) as opposed to lack of ability (depressive pessimism).ConclusionsThe findings highlight the need to differentiate between these two forms of pessimism and their differential impact on performance. The importance of including an assessment of perceived controllability as an attributional dimension in future research is discussed.     

Children's active play imagery

ObjectiveThe purpose of the present study was to examine how children's use of imagery in their active play can facilitate Deci and Ryan's (2002) three basic psychological needs (i.e., competence, relatedness, and autonomy) in their active play. A secondary purpose was to examine the content of children's mental images associated with their active play.DesignFocus Groups.MethodOne hundred and four participants (male and female) aged 7–14 years old were recruited from various summer camps.ResultsThe results indicated children use active play imagery and their use of imagery facilitates the satisfaction of the three basic needs (i.e., imagery → behaviour → need satisfaction). With respect to autonomy, children imaged activities that are their favourite, enjoyable, and they do often. For relatedness they imaged friends, family, and others (e.g., professional athletes), while for competence they imaged themselves being good at the activity. Age and gender differences emerged for relatedness and competence. Furthermore, the content of children's images included when participants imaged as well as the speed of their images (i.e., slow motion, real time, or fast).ConclusionThese findings may enable the development of imagery interventions to increase children's motivation to be physically active.     

Past tense marking in the spontaneous speech of preschool children who do and do not stutter

PurposeThe aim of this study was to identify whether different patterns of errors exist in irregular past-tense verbs in children who stutter (CWS) and children who do not stutter (CWNS).MethodSpontaneous language samples of thirty-one age- and gender-matched pairs of children (total N = 62) between the ages of 24 months and 59 months were analyzed.ResultsResults indicated that children who do and do not stutter over-regularize irregular past-tense verbs (i.e., saying runned for ran) with comparable frequency. However, two nonsignificant trends which suggest possible intra-group differences were noted. First, irregular past tense verbs represented a greater portion of total verbs for CWS than for CWNS. Second, CWS appeared to double-mark (i.e., say ranned for ran) more often than CWNS. Results are discussed in light of theories about the acquisition of the irregular past-tense and about differences in language skills between CWS and CWNS.Educational objectives: After reading this article, the reader will be able to: (a) summarize previous findings about connections between stuttering and language in CWS and CWNS; (b) describe similarities and differences between irregular past-tense verb use and errors in CWS and CWNS; (c) discuss possible connections between the declarative–procedural model and stuttering.     

Shifts in Perceived Job Content during Early Employment

Abstract

This paper focuses on shifts in perceived job content among two occupational panels (office technology workers and machine operators) during the first year of their professional career. A shortened version of Fine's Functional Job Analysis is used to measure perceived job content, and at each of the two time stages (i.e. stage T1 and stage T2) the data related to the three domains of People, Things, and Data are optimally scaled and then recoded to a categorical indicator of job content complexity. Shifts in perceived job content are studied by application of log-linear analysis to the multidimensional contingency table obtained by the cross-tabulation of the T1 and the T2 data. The results indicate that there is no general progress or decline in job content activities over time, except for the Things domain. The findings also suggest that there is a substantial symmetry between job progression and degression, and that the bulk of content switches is to adjacent levels of complexity.     

Origin and Pawn scaling for adults who do and do not stutter: A preliminary comparison

PurposeIn order to determine whether adults who stutter (AWS) would show changes in locus of causality during stuttering treatment and approximate those of adults who do not stutter (AWNS) this preliminary study compared the locus of causality as indicated by Origin and Pawn scaling procedures from two groups of young adults who do and do not stutter.MethodA total of 20 age- and gender-matched undergraduate and graduate students who did (n = 10) and did not (n = 10) stutter participated. The AWS took part in a three week intensive stuttering treatment provided by the American Institute for Stuttering (AIS). Along with measures of treatment outcome, writing samples were analyzed for Origin and Pawn statements that indicated the participant's locus of causality.ResultsAt the outset of treatment the AWS showed significantly greater Pawn scores than the control group of AWNS and similar occurrences of Origin statements. The AWS showed a statistically significant increase in pre- to post-treatment Origin scores and a statistically significant decrease in Pawn scores. Following treatment the AWS showed the Origin and Pawn score ratios similar to those of AWNS.ConclusionA pattern of increasing Origin and decreasing Pawn scores may indicate a pattern of increasing agency during successful stuttering treatment. Moreover the post-treatment Origin and Pawn score ratios of AWS, which were not significantly different from those of AWNS, may indicate a change trend toward normalization. Further research will determine whether such change patterns are predictive of long-term maintenance.Educational Objectives: By reading this article the reader will be able to: (a) describe advantages of content analysis measure such as the Origin and Pawn Scales; (b) discuss the purposes and procedures of the Origin and Pawn Scales; (c) describe typical change pattern of Origin and Pawn scores of adults who stutter while receiving treatment; (d) discuss how successful treatment for stuttering can result in the normalization of one's locus of causality.