A dual-process model of defense against conscious and unconscious death-related thoughts: an extension of terror management theory

Distinct defensive processes are activated by conscious and nonconscious but accessible thoughts of death. Proximal defenses, which entail suppressing death-related thoughts or pushing the problem of death into the distant future by denying one's vulnerability, are rational, threat-focused, and activated when thoughts of death are in current focal attention. Distal terror management defenses, which entail maintaining self-esteem and faith in one's cultural worldview, function to control the potential for anxiety that results from knowing that death is inevitable. These defenses are experiential, are not related to the problem of death in any semantic or logical way, and are increasingly activated as the accessibility of death-related thoughts increases, up to the point at which such thoughts enter consciousness and proximal threat-focused defenses are initiated. Experimental evidence for this analysis is presented.     

Cancer and the threat of death: the cognitive dynamics of death-thought suppression and its impact on behavioral health intentions

Five studies examined the cognitive association between thoughts of cancer and thoughts of death and their implication for screening intentions. Study 1 found that explicit contemplation of cancer did not increase death-thought accessibility. In support of the hypothesis that this reflects suppression of death-related thoughts, Study 2 found that individuals who thought about cancer exhibited elevated death-thought accessibility under high cognitive load, and Study 3 demonstrated that subliminal primes of the word cancer led to increased death-thought accessibility. Study 4 revealed lower levels of death-thought accessibility when perceived vulnerability to cancer was high, once again suggesting suppression of death-related thoughts in response to conscious threats associated with cancer. Study 5 extended the analysis by finding that after cancer salience, high cognitive load, which presumably disrupts suppression of the association between cancer and death, decreased cancer-related self-exam intentions. Theoretical and practical implications for understanding terror management, priming and suppression, and responses to cancer are discussed.     

A time to tan: proximal and distal effects of mortality salience on sun exposure intentions

According to the dual defense model of terror management, proximal defenses are engaged to reduce the conscious impact of mortality salience, whereas thoughts of death outside of conscious awareness motivate distal defenses aimed at maintaining self-esteem. Two experiments examined these ideas by assessing women's intentions to engage in tanning-related behavior. In Study 1, when concerns about death (relative to dental pain) were in focal attention, participants increased intentions to protect themselves from dangerous sun exposure. In contrast, when thoughts about death were outside of focal attention, participants decreased interest in sun protection. In Study 2, participants primed to associate tanned skin with an attractive appearance responded to mortality concerns outside of focal attention with increased interest in tanning products and services. These findings are discussed in relation to the dual-defense model of terror management, societal determinants of self-esteem, and implications for health risk and promotion.     

Effectively using death in health messages: Social loss versus physical mortality salience

Research based on the terror management health model demonstrates that highlighting death as a consequence of risky behavior can lead to unintended responses to health communications. In two studies, we investigate whether a form of social loss message frame can motivate someone to change his or her behavior to prevent negative health consequences. In Study 1, we compare social loss and physical mortality print messages in the context of “texting while driving.” Overall, social loss as opposed to physical mortality messages facilitate greater intent to reduce risky health behaviors when death‐related cognitions have been removed from conscious awareness. In Study 2, we manipulate message framing and self‐affirmation in the context of “smoking.” We find that highlighting family members' inability to cope when one dies can result in health messages that facilitate the acknowledgment of the health risk and reduce risky health behaviors. This effect is enhanced when individuals affirm on the importance of “relationships with family and friends” prior to viewing health messages. The implications for the terror management health model are discussed noting that death can be effectively used in health communication when framed as relationship protection rather than one's physical mortality.     

Self-regulatory processes defend against the threat of death: Effects of self-control depletion and trait self-control on thoughts and fears of dying

Nine studies (N = 979) demonstrated that managing the threat of death requires self-regulation. Both trait and state self-control ability moderated the degree to which people experienced death-related thought and anxiety. Participants high (vs. low) in self-control generated fewer death-related thoughts after being primed with death, reported less death anxiety, were less likely to perceive death-related themes in ambiguous scenes, and reacted with less worldview defense when mortality was made salient. Further, coping with thoughts of death led to self-regulatory fatigue. After writing about death versus a control topic, participants performed worse on several measures of self-regulation that were irrelevant to death. These results suggest that self-regulation is a key intrapsychic mechanism for alleviating troublesome thoughts and feelings about mortality.     

Self-affirmation and mortality salience: affirming values reduces worldview defense and death-thought accessibility

To the extent that cultural worldviews provide meaning in the face of existential concerns, specifically the inevitability of death, affirming a valued aspect of one's worldview should render reminders of death less threatening. The authors report two studies in support of this view. In Study 1, mortality salience led to derogation of a worldview violator unless participants had first affirmed an important value. In Study 2, self-affirmation before a reminder of death was associated with reduced accessibility of death-related thoughts a short while thereafter. The authors propose that actively affirming one's worldview alters reactions to reminders of mortality by reducing the accessibility of death-related thoughts, not by boosting self-esteem. These studies attest to the flexible nature of psychological self-defense and to the central role of cultural worldviews in managing death-related concerns.     

Exploring the effects of self-esteem and mortality salience on proximal and distally measured death anxiety: a further test of the dual process model of terror management

The dual process model of terror management theory posits that proximal and distal defenses prevent death-related cognition from leading to death-anxiety. Further, the theory identifies self-esteem as a trait level resource that helps people avoid the awareness of death-anxiety. However, to date, no studies have examined the proximal and distal effects of death-related cognition and self-esteem on death-anxiety. In the present study, we assessed trait self-esteem, manipulated the awareness of death (mortality salience), and measured death-anxiety either immediately (proximally) or after a delay/distraction task (distally). Mortality salience did not lead to increased death-anxiety immediately after the mortality salience, but did so after a delay. Furthermore, this distal increase in death anxiety was only observed at low levels of self-esteem.     

The association between vivid thoughts of death and authenticity

Many theoretical perspectives link death-related thoughts to authenticity; however, there is little empirical research directly examining this association. The current studies examined how recalling a vivid experience associated with mortality relates to outcomes indicative of authentic engagement. In Study 1, participants described an experience that made them think about their mortality, indicated how vivid their recollection was, and completed measures of authenticity and goal-pursuit. Results indicated that how vividly a mortality experience was recalled predicted greater authenticity and more important goal-pursuits. Study 2 replicated many of the findings and found a similar pattern when individuals vividly recalled a mortality experience of a close other. Study 3 again replicated these results after controlling for a host of death-related variables. Exploratory analyses further revealed that ruminating about death was often negatively associated with authenticity. Implications for the role of death-related thoughts in authentic and alienated becoming are discussed.     

Racism as a transference state: episodes of racial hostility in the psychoanalytic context

Episodes of racial prejudice emerging in the context of a psychoanalytic therapy suggest that racism can be thought of as a regressed state of transference, characterized by polarized representations of self and other, categorical thinking, and the predominance of splitting and projection as defenses. The author suggests that activation of racial hostility in the clinical situation occurs as a result of events and processes not atypical in an analytic process. Though such states occurring outside of the analytic context are more likely made conscious in certain situations and in certain persons, the author suggests that racism can be more generally described as an ever-potential state of mind for most people living in racialized contexts.     

Does the thought of death contribute to the memory benefit of encoding with a survival scenario?

Four studies tested whether the thought of death contributes to the survival processing advantage found in memory tests (i.e., the survival effect). In the first study, we replicated the “Dying To Remember” (DTR) effect identified by Burns and colleagues whereby activation of death thoughts led to better retention than an aversive control situation. In Study 2, we compared an ancestral survival scenario, a modern survival scenario and a “life-after-death” scenario. The modern survival scenario and the dying scenario led to higher levels of recall than the ancestral scenario. In Study 3, we used a more salient death-thought scenario in which people imagine themselves on death row. Results showed that the “death-row” scenario yielded a level of recall similar to that of the ancestral survival condition. We also collected ratings of death-related thoughts (Studies 3 and 4) and of survival-related and planning thoughts (Study 4). The ratings indicated that death-related thoughts were induced more by the dying scenarios than by the survival scenarios, whereas the reverse was observed for both survival-related and planning thoughts. The findings are discussed in the light of two contrasting views of the influence of mortality salience in the survival effect.     

Changing Notions of Defense Within Psychoanalytic Theory

Psychoanalysis began with a focus on how the "intrapsychic" defense mechanisms of the individual helped to reduce and control conflict. More specifically, defenses were seen as helpful in managing the intensity of needs, desires, and affects that inevitably lead to conflict as the individual encounters the needs and desires of others around him. While the earliest theory of defenses focused more on maintaining internal equilibrium, contemporary theories of defense are seen as part of a set of relational and cognitive patterns that develop in the context of close relationships with important others. In the more contemporary psychodynamic approach to defense, many defenses are seen as protecting the self-esteem of an individual rather than axiomatically protecting an individual from becoming conscious of thoughts or ideas that would cause anxiety were they to be remembered or recognized. The shift to more object relational and interpersonal approaches for the understanding of defense has had major implications for clinical treatment, which are examined in this article.     

Improving the efficacy of appearance-based sun exposure interventions with the terror management health model

The terror management health model (TMHM) suggests that when thoughts of death are accessible people become increasingly motivated to bolster their self-esteem relative to their health, because doing so offers psychological protection against mortality concerns. Two studies examined sun protection intentions as a function of mortality reminders and an appearance-based intervention. In Study 1, participants given a sun protection message that primed mortality and shown a UV-filtered photo of their face reported greater intentions to use sun protection on their face, and took more sunscreen samples than participants shown a regular photo of their face. In Study 2, reminders of mortality increased participants’ intentions to use facial sun protection when the UV photo was specifically framed as revealing appearance consequences of tanning, compared to when the photo was framed as revealing health consequences or when no photo was shown. These findings extend the TMHM, and provide preliminary evidence that appearance-based tanning interventions have a greater influence on sun protection intentions under conditions that prime thoughts of death. We discuss implications of the findings, and highlight the need for additional research examining the applicability to long-term tanning behaviour.     

Existential function of babies: Babies as a buffer of death-related anxiety

The present study examined babies as death anxiety buffers with Chinese participants in three experiments. In Experiment 1, death-related thoughts increased college-aged participants' interest in human babies. In Experiment 2, images of newborn animals reduced the number of death-related thoughts recorded by college-aged participants. In Experiment 3, female factory workers who read news articles describing deaths of babies had pessimistic estimations of their own life expectancies. An explanation of these results is provided within a terror management theory framework, with a primary focus on how babies reinforce cultural worldviews and enhance self-esteem via the notion of symbolic immortality. Thus, the anxiety-buffering function of baby is subsumed under cultural worldviews validation and self-esteem enhancement.     

Death thoughts mediate ostracism mood reduction: The moderating role of marital status

Ostracism is known to cause psychological distress; however, it remains unclear why ostracism evokes this response. Two experiments tested empirically whether fear of death mediates ostracism distress (mood) and whether marital status moderates this role. A total of 345 participants played Cyberball with two other ostensible players. After the game, accessibility of death-related thoughts was assessed by a word completion task, and a mood questionnaire was used to measure their distress. Death thoughts fully mediated ostracism distress. Marital status moderated this mediation effect in that no moderation was observed in married participants, suggesting that marriage may buffer death anxiety. The discussion centers on the ways in which these findings contribute to the ostracism and terror management literature by providing empirical evidence that death thoughts mediate ostracism distress, and the moderating effects of marriage on this mediation effect.     

The dead donor rule: lessons from linguistics?

American society traditionally has assumed a univocal notion of "death," largely because we have only one word for it and, until recently, have not needed a more nuanced notion. The reality of death-processes does not preclude the reality of death events. Linguistically, "death" can be understood only as an event; there are other words for the process. Our death vocabulary should expand to reflect multiple events along the process from sickness to decomposition. Depending on context, some death-related events may constitute a more obvious discontinuity than others and more justifiably may be considered "death" within that context. There is no reason to assume a priori that there must be an overarching, unitary concept of death from which all diagnostic criteria must derive. Regarding organ transplantation, the relevant question is not "Is the patient dead?" but rather "Can organs X, Y, Z ... be removed without causing or hastening death or harming the patient?"     

You can say what you think: vindicating the effability of our thoughts

The thesis of Ineffability has it that no proposition can be fully expressed by a sentence, this meaning that no sentence-type, or even sentence-token whose indexicality and ambiguities have been resolved, can fully encode a proposition. The thesis of the propositionality of thoughts has it that thoughts are propositional. An implication of the joint endorsement of these two theses is that thoughts are ineffable. The aim of this paper is to argue that this is not the case: there are effable thoughts, and we can even safely say that, generally, thoughts are effable. In order to defend this insight, I first counter the thesis of the propositionality of thought by bringing some counterexamples to it, which amount to cases of non-fully propositional thought. I then argue that, if thoughts can be and often are non-fully propositional, they can be expressed by sentences that fail to fully express a proposition. I also show that the propositional thoughts that we can entertain are after all effable (in a suitable, relevant sense) and resist some alleged examples of insurmountable ineffability.     

Personality and coping: A context for examining celebrity worship and mental health

The adaptational‐continuum model of personality and coping suggests a useful context for research areas that emphasize both personality and coping. The present paper used Ferguson's (2001) model integrating personality and coping factors to further conceptualize findings around celebrity worship. Three hundred and seventy‐two respondents completed measures of celebrity worship, personality, coping style, general health, stress, positive and negative affect and life satisfaction. Celebrity worship for intense‐personal reasons is associated with poorer mental heath and this relationship can be understood within the dimensions of neuroticism and a coping style that suggests disengagement. Such findings suggest the utility of examining the relationship between celebrity worship and mental health within both personality and coping variables, which have practical implications for understanding and addressing mental health problems that may occur as the result of engaging in celebrity worship for intense‐personal reasons.     

The worm at the core: A terror management perspective on the roots of psychological dysfunction

A growing body of research derived from terror management theory [e.g., Solomon, S., Greenberg, J., & Pyszczynski, T. (1991). A terror management theory of social behavior: The psychological functions of self-esteem and cultural worldviews. In M. P. Zanna (Ed.), Advances in experimental social psychology: vol. 24 (pp. 93–159). New York: Academic Press] suggests that the human struggle with the awareness of inevitable death can greatly impact people's physical and psychological well-being. The current article reviews converging lines of research that investigate the role of terror management processes in physical and mental health. Specifically, we present research that elucidates the role of death concerns in (1) conscious threat-focused defenses, (2) self-esteem striving, (3) depression, (4) anxiety disorders, (5) discomfort with the physicality of the body and (6) neuroticism. We conclude that terror management theory builds upon the work of other existential scholars and mental health perspectives to provide a broad conceptual and empirically based account of how deeply rooted existential fears manifest in ways that prove both psychologically and physically problematic. We also suggest how future research and social interventions can be employed to help individuals manage basic fears in ways that do not compromise their psychological and physical health.     

Mortality salience and the desire for offspring

Research on terror management theory (TMT) illustrates that following mortality salience (MS) people defend their cultural worldviews and bolster self-esteem to transcend death. Recently, research additionally showed that MS increased self-reports of the number of children desired in Dutch men but not in Dutch women. We conducted three studies to further investigate the role of desire for offspring in terror management. In Study 1, we conceptually replicated previous findings for Germany and found increased desire for offspring following MS in both men and women. Extending prior research Study 2 revealed that following MS not only was the accessibility of death-related thoughts increased, but also the accessibility of thoughts related to offspring. Finally, Study 3 suggested that the MS effect on ingroup bias was eliminated under conditions of offspring salience. Relating these findings to TMT, anticipated or actual offspring is discussed as a buffer against existential anxiety.     

Successfully challenging fundamentalist beliefs results in increased death awareness

Terror management theory argues that human understanding of mortality creates an existential anxiety that must be kept under constant control. Defenses—such as beliefs that provide permanence, predictability, and meaning—are erected whose function is in part to keep thoughts about death as far removed from consciousness as possible. The current study investigated the defensive function of Christian fundamentalist belief in managing death-awareness. The general hypothesis of the study is that challenges to such beliefs undermine one’s ability to control cognitions related to mortality. More specifically, it was hypothesized that successful challenges to this form of religious belief would make death-related cognitions more accessible to consciousness. Self-identified Christians, both fundamentalists and non-fundamentalists, encountered material that challenged the fundamentalist belief that the Christian Bible is free of inconsistencies and contradictions. Consistent with expectations, under these conditions higher levels of accessibility of death-related cognition were found among fundamentalist Christians, but not their non-fundamentalist counterparts.