Relational ties of love – A psychosocial proposal for ethics of compassionate care in health and public services

Market-based freedom of choice and user autonomy occupies a prominent position on the policy-maker agendas in many countries, increasingly more so than equity of access or equality of opportunity. The essay discusses how the introduction of market logic and consumerism in public health care services relies on, and taps into, unconscious dynamics and fantasies of invincibility while ignoring precariousness of life and our infinite potential to experience vulnerability. This creates toxicity in organisations and corrupts the moral institutional fabric. Drawing on psychosocial approaches inspired by various strands of psychoanalysis, and the theory of affective attachments to social norms offered by Judith Butler, I propose an ethics of relationality and compassionate care for the unknown ‘other’, as a way of counteracting these developments.     

Separate or together? Women-only public spaces and participation of Saudi women in the public domain in Saudi Arabia

Gender segregation in the public domain has become a cornerstone of the Saudi interpretation of Islam (Doumato 2009). It is a development that has led to the coming about of extensive separate public spaces that are only for women (Doumato 2009; Hamdan 2005; Le Renard 2008, 2014). In these women-only public spaces, women undertake activities that are by them and for them, therewith reinforcing the existence of these separate structures. This institutionalisation and practice of women-only public spaces, as well as its opposite phenomenon of ‘mixing’ between the two sexes (ikhtilā?) however is contested and led to a heated debate. This debate centres around the question of whether and if so, how women should participate in the public domain. Starting with an overview of the historical development of women-only public spaces and ikhtilā? in Saudi Arabia, I will show how these have evolved. Drawing on fieldwork among urban, educated Saudi women, I shed light on how attitudes and strategies of female respondents regarding women-only public spaces and ikhtilā? are related to their ideas about their presence in the public domain and notions of ‘the liberation of women’, ‘empowerment’, and ‘the rise of women’. I conclude by demonstrating how ideas about the participation of women in the public sphere are positioned as part of the construction of a local, ‘enchanted’ modernity (Deeb, 2006) that has a material and a spiritual dimension.     

Joining and leaving a new religious movement: A study of ex-members’ mental health

The impact of membership in new, often socially contested, religious movements (NRMs) on mental health of members and ex-members is still a controversial question in the psychological literature. In the present study, we interviewed 20 ex-members of various NRMs who also completed questionnaires measuring several cognitive (need for closure, world assumptions) and affective-emotional (parental and adult attachment, social relationships, depression) constructs. Ex-members were then compared with current NRM members and with individuals not involved in NRMs. It appeared that NRM membership compensated for some previously existing vulnerabilities reported by members (insecure attachment in childhood, few social relationships, negative life events). However, this supportive effect did not persist after the destabilizing experience of disaffiliation. Yet, ex-members remained strong believers and were very inclined to spirituality.     

Spirituality and mental health among children and youth – a Swedish point of view

There is growing evidence that spirituality and spiritual development are important for the health and mental well-being of children and youth. In individualistic and secularised countries, resources and language adequate for securing this right to spirituality is shrinking. Sweden is regarded as one of the most secularised and individualised countries in the world, and the article argues that Sweden could be described as ‘spiritual illiterate’. Increasing mental ill-health among youth is discussed in relation to a heightened privatisation of religion, ‘state individualism’, and a growing performance culture. It is argued that strong cultural ideals like independence and self-realisation repress children’s and youth’s spirituality and spiritual development. Further research is called for in order to explore the complex interplay between individualisation, spirituality and mental ill-health among children and youth in today’s Sweden.     

Pharmaceutical companies and access to medicines – social integration and ethical CSR resolution of a global public choice problem

This article argues that effective corporate social responsibility (CSR) of multinational pharmaceutical companies in developing countries should reflect context, opportunity, proximity, time and impact in accordance with the social integration and ethical approaches to CSR. It proposes a CSR model expressed as CSR=COPTI+SI+E, which acknowledges access-to-medicines as a matter in the global public domain, a public choice problem and a moral responsibility issue for multinational pharmaceutical companies. This model recognises the globalisation of the principle of humanity in communities of place and communities of interest as highlighted by the Global Economic Ethic Manifesto 2009 as an integral part of the responsibilities of multinational pharmaceutical companies. The model reflects a global application of the concept of disadvantaged consumer already known to some national laws. The article suggests an access-to-medicines CSR framework for pharmaceutical companies which may include pricing, patents, testing and clinical trials, research and development, joint public private initiative and appropriate use of drugs.     

Are we pushing the limits of public health interventions for smoking cessation?

The phenomenon of smoking cessation that takes place outside formal programs, which serve a small proportion of smokers, is an important public health issue. Self-help strategies represent an approach to potentially cost-effective smoking intervention that can be conveniently used by large groups of smokers. In this issue of Health Psychology, Gritz, Berman, Bastani, and Wu (1992) demonstrate that the mailing of self-help smoking cessation materials to nonvolunteer women in a health maintenance organization, without any personal contact, produces little behavior change beyond what occurs in the environment without such distribution. This outcome is not surprising and does not illiminate the possibility of efficacious use of self-help materials with a nonvolunteer population. An essential question is: Could these materials have been distributed in such a way as to increase their use and eventual efficacy? Efforts to attract more smokers to use existing materials are an essential element of self-help strategies. An effective public health approach is a comprehensive one that successfully engages the individual and, through multiple channels in the community, provides reinforcement, supports, and norms for not smoking.     

Holistic movement practices – An emerging category of physical activity for exercise psychology

BackgroundExercise psychology has an interest in physical activity behaviour and the psychological dimensions of physical activity delivery and outcomes. Holistic movement practices (HMPs) can be defined as physical practices embedded in holistic philosophies of well-being. As such, they go beyond what is typically offered in exercise contexts to purposefully include mental, emotional, social and/or spiritual components. Traditional Eastern movement practices (e.g., Yoga, Tai Chi, Qigong) are examples of HMPs, but a range of lesser known “Western-born” HMPs (e.g., 5Rhythms, Biodanza) also exist. HMPs have not yet received much structured attention within exercise psychology.ObjectiveTo analyse the nature of HMPs and discuss their relevance to the field of exercise psychology, with a view to raising awareness of HMPs within exercise psychology as well as encouraging and supporting future research.ContentWe discuss what we see as commonalities among HMPs and argue that it is useful to treat HMPs as a category of physical activity for exercise psychology, not only because they are forms of physical activity but also because psychological dimensions are an integral and purposeful part of these practices. We provide a tentative conceptualization of HMP philosophies, with brief examples, and consider how exercise psychology's subfields of participation behaviour, delivery parameters, outcomes, and mechanisms are applicable to the study of HMPs. Last, we briefly explore research issues, including HMPs' multicomponent nature, selected potential mechanisms, and methodologies.ConclusionHMPs are part of the leisure-based physical activities landscape in many modern societies, and deserve attention by exercise psychologists. Their embeddedness in holistic philosophies and multicomponent nature provide unique opportunities and challenges for research in exercise psychology.     

The effects of mindfulness-based interventions for health and social care undergraduate students – a systematic review of the literature

Health and social care undergraduate students experience stress due to high workloads and pressure to perform. Consequences include depression and burnout. Mindfulness may be a suitable way to reduce stress in health and social care degree courses. The objective of this systematic review is to identify and critically appraise the literature on the effects of Mindfulness-Based Interventions for health and social care undergraduate students. PubMed, EMBASE, Psych Info, CINAHL, The Cochrane Library and Academic Search Complete were searched from inception to 21st November 2016. Studies that delivered Mindfulness-Based Stress Reduction, Mindfulness-Based Cognitive Therapy, or an intervention modelled closely on these, to health or social care undergraduate students were included. Eleven studies, representing medicine, nursing and psychology students met the inclusion criteria. The most commonly used measurement tools were; the Five Facet Mindfulness Questionnaire and the General Health Questionnaire. Short term benefits relating to stress and mood were reported, despite all but one study condensing the curriculum. Gender and personality emerged as factors likely to affect intervention results. Further research with long-term follow-up is required to definitively conclude that mindfulness is an appropriate intervention to mentally prepare health and social care undergraduate students for their future careers.     

Central neuronal motor behaviour in skilled and less skilled novices – Approaching sports-specific movement techniques

Research on motor behavioural processes preceding voluntary movements often refers to analysing the readiness potential (RP). For this, decades of studies used laboratory setups with controlled sports-related actions. Further, recent applied approaches focus on athlete-non-athlete comparisons, omitting possible effects of training history on RP. However, RP preceding real sport-specific movements in accordance to skill acquisition remains to be elucidated.Therefore, after familiarization 16 right-handed males with no experience in archery volunteered to perform repeated sports-specific movements, i.e. 40 arrow-releasing shots at 60 s rest on a 15 m distant standard target. Continuous, synchronised EEG and right limb EMG recordings during arrow-releasing served to detect movement onsets for RP analyses over distinct cortical motor areas. Based on attained scores on target, archery novices were, a posteriori, subdivided into a skilled and less skilled group. EMG results for mean values revealed no significant changes (all p > 0.05), whereas RP amplitudes and onsets differed between groups but not between motor areas. Arrow-releasing preceded larger RP amplitudes (p < 0.05) and later RP onsets (p < 0.05) in skilled compared to less skilled novices. We suggest this to reflect attentional orienting and greater effort that accompanies central neuronal preparatory states of a sports-specific movement.     

Self-Efficacy for Affect Regulation as a Predictor of Future Life Satisfaction and Moderator of the Negative Affect—Life Satisfaction Relationship

Life satisfaction is an important index of mental health and also predicts other important outcomes such as longevity and decreased mortality. Negative affect has a unique inverse relationship with life satisfaction across the life span. Therefore, determining psychological factors that uniquely predict future life satisfaction and that reduce the trait negative affect—life satisfaction relationship is theoretically and clinically important. In light of recent evidence from long-term longitudinal studies that self-efficacy for regulation of negative emotions (SERN) predicts higher future life satisfaction, as well as evidence from a cross-sectional study that a subtype of SERN—self-efficacy for regulating anger—buffers the relationship between trait negative affect and life satisfaction, we tested whether SERN and subtypes of SERN predicted higher life satisfaction and buffered the negative affect—life satisfaction relationship longitudinally over short time periods. After controlling for time 1 life satisfaction, higher time 1 self-efficacy for regulating despondency and distress (SEDes) predicted higher future life satisfaction over average time periods of 17 days (N = 127), 32 days (N = 83), and 41 days (N = 65) among college students. However, in post hoc exploratory regressions that included self-efficacy for experience and expression of positive emotions (SEPos), SEDes predicted higher time 2 life satisfaction, but only SEPos uniquely predicted higher time 3 and time 4 life satisfaction.     

Laterality of repetitive finger movement performance and clinical features of Parkinson’s disease

Impairments in acoustically cued repetitive finger movement often emerge at rates near to and above 2 Hz in persons with Parkinson’s Disease (PD) in which some patients move faster (hastening) and others move slower (bradykinetic). The clinical features impacting this differential performance of repetitive finger movement remain unknown. The purpose of this study was to compare repetitive finger movement performance between the more and less affected side, and the difference in clinical ratings among performance groups. Forty-one participants diagnosed with idiopathic PD completed an acoustically cued repetitive finger movement task while “on” medication. Eighteen participants moved faster, 10 moved slower, and 13 were able to maintain the appropriate rate at rates above 2 Hz. Clinical measures of laterality, disease severity, and the UPDRS were obtained. There were no significant differences between the more and less affected sides regardless of performance group. Comparison of disease severity, tremor, and rigidity among performance groups revealed no significant differences. Comparison of posture and postural instability scores revealed that the participants that demonstrated hastening had worse posture and postural instability scores. Consideration of movement rate during the clinical evaluation of repetitive finger movement may provide additional insight into varying disease features in persons with PD.     

Do Positive and Negative Stereotypes of Gay and Heterosexual Men Affect Job-Related Impressions?

Sex Roles - Traditional gender stereotypes encompass (typically masculine) agency, comprising task-related competence, and (typically feminine) communion or warmth. Both agency and communion are...     

Use of electronic games by young children and fundamental movement skills?

This study investigated associations between pre-school children's time spent playing electronic games and their fundamental movement skills. In 2009, 53 children had physical activity (Actigraph accelerometer counts per minute), parent proxy-report of child's time in interactive and non-interactive electronic games (min./week), and movement skill (Test of Gross Motor Development-2) assessed. Hierarchical linear regression, adjusting for age (range = 3-6 years), sex (Step 1), and physical activity (cpm; M=687, SD=175.42; Step 2), examined the relationship between time in (a) non-interactive and (b) interactive electronic games and locomotor and object control skill. More than half (59%, n=31) of the children were female. Adjusted time in interactive game use was associated with object control but not locomotor skill. Adjusted time in non-interactive game use had no association with object control or locomotor skill. Greater time spent playing interactive electronic games is associated with higher object control skill proficiency in these young children. Longitudinal and experimental research is required to determine if playing these games improves object control skills or if children with greater object control skill proficiency prefer and play these games.     

Adolescents’ movement towards cessation of smoking: Role and relative value of the processes of change and nicotine dependence

The present study addresses the applicability of the Transtheoretical Model's processes of change in explaining adolescents’ readiness to quit smoking. Furthermore, the association between nicotine dependence and readiness to quit was assessed both directly, as well as indirectly through the processes of change. A cross-sectional survey was conducted, identifying 1547 weekly smokers aged 14–18 years. Structural equation modelling showed that the processes of change were only marginally associated with readiness to quit. Adding nicotine dependence to the model showed a direct association between nicotine dependence and readiness to quit. Only one process of change, self-liberation (i.e. choice/commitment to change and belief in the ability to change), was found to mediate this association. Nicotine dependence appeared to be highly important in adolescents’ readiness to quit.     

The doubled movement of infinity in Kierkegaard and in Sūfism

S?ren Kierkegaard was a very rigorous critic of traditional philosophical thinking and speculative systems. According to his theory it is possible that there is a logic system, but not a system of life. If such a system exists, it can be known only to God. Man can attain the meaning of life only by his own relationship to God. However, this relationship cannot be explained by philosophy because it has to do with a transcendent ‘double movement of infinity’ which takes place between God and the individual. Like philosophy, mysticism cannot explain one's relationship to God. The difference is that philosophy neglects God as the absolute starting point, while mysticism forgets that an individual—after he has experienced divinity—may return to the real world. The self need not disappear in divinity. The dialectic of the relationship between God and man implies that both poles (God and man) are present, thus ‘the infinite difference between God and man’ does not disappear. Since Sūfism is a type of Islamic mysticism, it may be said that a Sūfi cannot witness God's truth if he remains in his union with God. It is therefore relevant to draw some parallels between Kierkegaard's view and a comparable Sūfi view about the human relationship to God.     

Modernity and Happiness – The Case of Germany

The question asked in this article is whether modern societies enable the individual to lead a happier life. It was hoped during the Age of the Enlightenment that rationally designed social conditions would lead in the future to greater prosperity, more security and increased happiness for all. Only a little of this optimism has survived into the twentieth century. In their studies on anomie, sociologists such as Durkheim, Merton and Sennett have drawn attention to the darker sides of progress. Current theories of anomie – explicit social critiques – entirely ignore the successes of modernity and discuss only its crises. In these theories, anomie is described as a structural feature of modern societies, whose destructive consequences are manifested by growing alienation, increasing social isolation and rising suicidality. Empirical analyses of data from Germany show, however, that these theses diverge from the reality. Despite rapid processes of modernisation, anomic patterns of perception and behaviour have not become more widespread over the last 20 years; on the contrary, in some areas anomie has decreased significantly. Proceeding from this insight, this article proposes a correction of those models of anomie that are blind to progress. The crises of modernity are confronted with its successes, which have helped considerably to reduce anomic reactions and to stabilise subjective well-being at a high level. Finally, the article points out that this is not a stable equilibrium, rather that temporal and structural imbalances may occur in the course of modernisation processes, whose magnitudes may, however, be curbed – albeit not entirely or in every respect.     

Current issues and new direction in Psychology and Health: Epidemiology and health psychology – please bridge the gap

Epidemiology has and continues to play a vital role in furthering our understanding of risks for disease development. Large scale studies provide the necessary statistical power to identify biological and environmental factors associated with disease onset and severity. However, association does not confirm causality and in theoretical terms, epidemiology is somewhat limited. In this editorial, we argue that bringing together the methodological strengths of epidemiology with the theoretical rigour of psychology enables researchers to go beyond risk-finding and develop causative [or explanatory] models of disease development which pave the way for directed, evidence-based interventions to improve health.