Parent–Child Roles in Decision Making About Medical Research

Our objective is to understand how parents and children perceive their roles in decision making about research participation. Forty-five children (ages 4–15 years) with or without a chronic condition and 21 parents were the participants. A semistructured interview assessed perceptions of up to 4 hypothetical research scenarios with varying levels of risk, benefit, and complexity. Children were also administered the Peabody Picture Vocabulary Test, Third Edition, to assess verbal ability, as a proxy for the child's cognitive development. The audiotaped interviews were transcribed and analyzed for themes related to parent and child decision-making roles. Both parents and children varied in their perceptions of decision-making roles. Child perceptions of parental influence on decision making as knowledge-based increased with cognitive development, whereas perceptions of parental influence as power-based decreased. Both children and parents commented that they would collaborate with each other when making decisions. Collaborative decision making appeared to increase with cognitive development. These findings suggest that approaches to child assent and parent permission should consider the parent–child relationship and how children and families typically make decisions. Future research is necessary to explain variation in the process of research decision making across children and families, explore the role of collaboration on children's decision-making skills, and understand developmental trajectories and mechanisms related to research decision making.     

Religion and Decisions About Marriage,Residence, Occupation,and Children

Using data from the first wave of the Portraits of American Life Study (PALS), we consider the extent to which people report that religious factors influence their decisions about career choice, marriage, residency, and number of children. We find significant positive relationships between the importance of religion or religious faith and the perceived influence of religious factors on one's choice of occupation, decision about whether or whom to marry, decision about where to live, and decision about how many children to have. We also observe significant interactions between the importance of religion or religious faith and religious tradition, but we find no consistent patterns across our decision‐making outcomes. Our preliminary conclusions raise significant questions about the broader relationship between religion, perception, and decision making.     

The changing nature of the parent-adolescent relationship from early to late adolescence

This research analyzes changes in the parent-child relationship that help clarify the balance between individuation and cohesiveness over the period from age 11 to 17. Data were collected from mothers, fathers, and oldest children in 110 families whose oldest child was 11, 14 or 17. Three methods were involved: a survey of attitudes about family decision making, independence, love, understanding, and satisfaction with parenting; Loevinger's measure of ego level for parents and children; and an open-ended assessment of qualities family members admired in one another. The results provide insight into expectations and processes involved in revising the quality of parent-child relationships during early adolescence.     

网络环境下第三方评论对冲动购买意愿的影响机制：以产品类别和评论员级别为调节变量

采用问卷调查和实验研究的方法, 构建了以情感为中介的第三方正面评论与网络消费者冲动购买意愿的关系模型, 并检验了产品类别和评论员级别对该模型的调节效应。研究结果表明：第三方评论的好评度、好评数、时效性直接正向影响冲动购买意愿; 好评度以快乐和唤起情感为中介、好评数以快乐情感为中介间接正向影响冲动购买意愿; 消费者购买低涉入度(VS：高涉入度)产品和阅读高级(VS：初级)评论员发布的评论时, 第三方正面评论对冲动购买意愿的影响更强。     

Consumer decision making in low‐income families: The case of conflict avoidance

• This paper explores consumer decision making in low‐income families. The focus is on the issue of conflict avoidance within the family when making consumption choices. Whereas previous studies have focused on conflict resolution strategies, this paper considers the ways in which families prevent conflict from arising in the first instance. These include individual control in purchasing and budgeting decisions, giving in to the requests of children and ensuring open communication about the family's financial situation. Importantly, the connections between the poverty narrative and the family decision making narrative are considered as the decision making strategies employed are not only aimed at avoiding conflict but also making experiences of poverty more manageable.

Copyright © 2009 John Wiley & Sons, Ltd.     

时间压力下你想听什么? 参照组影响对冲动购买的调节

本文研究时间压力下消费者冲动性购买怎样受参照组的影响。通过二手数据和实验的方法发现时间压力和参照组影响类型对冲动性购买具有交互作用:时间压力低,信息性影响更能激发冲动性购买;时间压力高,规范性影响更能起作用;即时喜悦和规范性评估起中介作用。而且不同的信息性影响类型也会产生差异:时间压力高,数量性信息更容易使消费者冲动性购买;时间压力低,内容性信息更能起作用。本文的研究丰富了冲动性购买的相关理论和管理经验。     

Putting families in the center: family perspectives on decision making and ADHD and implications for ADHD care

Objective: To examine components of family-centered care in families' stories about treatment decision making for their child with ADHD. Method: Twenty-eight families participated in qualitative interviews that addressed families' perspectives on (a) the treatment decision-making process, (b) the cause and impact of their child's symptoms, and (c) treatment goals and preferences. Results: The majority of families preferred to be primary or shared decision makers regarding treatment decisions. Families' perspectives on the cause of the child's symptoms varied and often were not consistent with a biomedical framework. Families described multiple areas of impairment on child, family relationships, and family functioning. Perspectives toward evidence-based treatments were mixed, with families also expressing interest in and pursuing interventions not delineated in current treatment guidelines. Conclusion: These findings reinforce the importance of eliciting families' perspectives and involving these important stakeholders in shared decision making as critical components of family-centered care for children with ADHD.     

Hard to decide? The effect of imagery perspective and construal level on decision difficulty

This research designed three experiments to investigate the mechanism of how imagery perspective influences decision difficulty, which increases consumers' willingness to postpone making choices based on the construal level. Studies 1, 2, and 3 demonstrated that imagining from the actor's perspective lowers one's construal level, and thus leads to greater decision difficulty and willingness to postpone making choices. In comparison, those taking the observer perspective represent things at higher construal levels and have less difficulty making decisions or willingness to postpone making choices. Moreover, the derived results showed the need for cognition to moderate the relationship between imagery perspective and construal level. The findings herein extended the physical buying situation to online consumption, providing implications for marketers to further explore consumer behavior.     

Intra-Household Arrangements and Economic Satisfaction

This paper studies the nature of intra-household arrangements in Mexico on the basis of the relationship between a person’s economic satisfaction and her household income. It also studies different theories of the family. The main results support the argument that Mexican families are mostly altruistic and communitarian, with the evidence rejecting a cooperative-bargaining model in Mexican families. Special consideration is given to the situation in low-income families, where marginalization from the household’s economic resources may expose a person to substantially severe economic deprivation. Intra-household arrangements may vary across countries and cultures. Thus, their understanding is crucial for making cross-country comparisons based on household income and per-capita income measures.     

Better to Decide Together: Shared Consumer Decision Making,Perceived Power,and Relationship Satisfaction

Shared consumer decisions, particularly those made with a relationship partner, can be very different from decisions that are made alone. Across multiple studies, we investigate how shared consumer decision making affects perceptions of power and relationship satisfaction. We integrate two streams of research to create a novel theory about consumer decision making and perceived power. Specifically, we suggest that shared consumer decision making combines two necessary components of power—an individual's influence over and a partner's engagement in the decision—and that these combined components drive power perceptions. In other words, individuals who relinquish some control and make a decision with their partner, ironically, perceive having greater power than if they had made the decision alone. We further find that shared decision making and greater perceived power lead to greater satisfaction with the relationship in which the decisions are made. By focusing on consumer decision making within relationships, the current research contributes to the literatures on decision making, social influences in consumer behavior, close relationships, consumer well-being, and power.     

The Angry Juror: Sentencing Decisions in First‐Degree Murder

A great deal of research in legal decision making has overlooked the influence of affect on the decision‐making process. The present study measured the fluctuation of emotions across five time points of a capital trial and tested the overall relationship between changes in emotion and sentencing decisions. The results showed that across all participants, anger initially increased and then decreased during the course of a capital punishment trial. Most importantly, the more individual mock jurors' anger increased during any stage of the trial, the more likely they were to assign a death sentence. Furthermore, when jurors' anger increased, they rated mitigating factors presented by the defense as weaker and the weaker mitigation mediated the relationship between change in anger and sentencing. The paper ends with a discussion of theoretical explanations and policy implications. Copyright © 2012 John Wiley & Sons, Ltd.     

Why older adults make more immediate treatment decisions about cancer than younger adults

Literature relevant to medical decision making was reviewed, and a model was outlined for testing. Two studies examined whether older adults make more immediate decisions than younger adults about treatments for prostate or breast cancer in authentic scenarios. Findings clearly showed that older adults were more likely to make immediate decisions than younger adults. The research is important because it not only demonstrates the consistency of this age-related effect across disease domains, gender, ethnic groups, and prevalent education levels but begins to investigate a model to explain the effect. Major reasons for the effect focus on treatment knowledge, interest and engagement, and cognitive resources. Treatment knowledge, general cancer knowledge, interest, and cognitive resources relate to different ways of processing treatment information and preferences for immediate versus delayed decision making. Adults with high knowledge of treatments on a reliable test tended to make immediate treatment decisions, which supports the knowledge explanation. Adults with more cognitive resources and more interest tended to delay their treatment decisions. Little support was found for a cohort explanation for the relationship between age and preference for immediate medical decision making.     

Examining the unfolding of moral decisions across time using the reach-to-touch paradigm

Abstract

Recent theories of decision making are characterised by a growing emphasis on understanding the cognitive mechanisms that produce decisions. This has seen a growth in methods that allow for the continuous collection of data during reasoning. Current applications of these methods to complex decision making have been limited in their ability to examine the dynamics of responding across time. In the current study we address this issue by examining the online dynamics of moral decisions. Participants were required to respond to moral dilemmas that differed according to harm or intention by reaching out and touching one of two response panels. Utilitarian and deontological responses to personal moral dilemmas were found to differ across time. Utilitarian decisions did not emerge more slowly overall, but rather emerged across a wider (less consistent) time period. Importantly, this result did not generalise to a set of standardized moral scenarios. Taken together these findings highlight how dilemma-specific variables can significantly influence moral reasoning and emphasize the importance of using well controlled stimuli together with a measure capable of examining decisions as they unfold over time.     

Speed isn't everything: complex processing speed measures mask individual differences and developmental changes in executive control

The rate at which people process information appears to influence many aspects of cognition across the lifespan. However, many commonly accepted measures of ‘processing speed’ may require goal maintenance, manipulation of information in working memory, and decision‐making, blurring the distinction between processing speed and executive control and resulting in overestimation of processing speed contributions to cognition. This concern may apply particularly to studies of developmental change, as even seemingly simple processing speed measures may require executive processes to keep children and older adults on task. We report two new studies and a re‐analysis of a published study, testing predictions about how different processing speed measures influence conclusions about executive control across the lifespan. We find that the choice of processing speed measure affects the relationship observed between processing speed and executive control, in a manner that changes with age, and that choice of processing speed measure affects conclusions about development and the relationship among executive control measures. Implications for understanding processing speed, executive control, and their development are discussed.     

Paternal and maternal influences on family functioning among Hong Kong Chinese families

The linkages between dyadic relationships in the family and family functioning were examined in 378 Chinese families on two occasions. The following dyadic relationships were investigated: (a) parent-child relationship qualities reported by adolescent children (questionnaire and interview measures of parenting style, parent-adolescent conflict, parent-adolescent communication, and parent-adolescent relationship) and by their parents (questionnaire measures of parent-child relationship quality and demand); and (b) marital quality reported by the parents via questionnaire measures. Results showed that parents' and children's views of family functioning were longitudinally related to dyadic relationships in the family. Relative to mother-adolescent relationship and mothers' report of marital quality, father-adolescent relationship and fathers' report of marital quality were generally found to have a stronger association with perception of family functioning and its change over time.     

Age differences in financial decision making: The benefits of more experience and less negative emotions

The emerging literature on aging and decision making posits that decision‐making competence changes with age, as a result of age differences in various cognitive and noncognitive individual‐differences characteristics. In a national life‐span sample from the United Kingdom (N = 926), we examined age differences in financial decisions, including performance measures of sunk cost and credit card repayment decisions, and self‐report measures of money management and financial decision outcomes. Participants also completed four individual‐differences characteristics that have been proposed as relevant to financial decision making, including two cognitive ones (numeracy and experience‐based knowledge) and two noncognitive ones (negative emotions about financial decisions). First, we examined how age was related to the four financial decision‐making measures and the four individual‐differences characteristics. Older age was correlated to better scores on each of the four financial decision‐making measures, more experience‐based knowledge, less negative emotions about financial decisions, whereas numeracy and motivation were not significantly correlated with age. Second, we found that considering both the two cognitive and the two noncognitive individual‐differences characteristics increased predictions of financial decision making, as compared with considering either alone. Third, we examined how these four individual‐differences characteristics contributed to age differences in financial decision making. Older adults' higher levels of experience‐based knowledge and lower levels of negative emotions seemed to especially benefit their financial decision making. We discuss implications for theories on aging and decision making, as well as for interventions targeting financial decisions.     

Deciding Between Work and Family: An Episodic Approach

This study examined work–family conflict decision‐making based on a within–person, episodic approach. Based on 274 episodes across 78 individuals, we investigated the frequency of decisions that result in work interference with family (WIF) versus family interference with work (FIW), as well as the relation of work and family situational variables and previous work–family conflict (WFC) episodes on those decisions. No difference in the frequency with which participants reported WIF episodes versus FIW episodes was observed. Results indicated that work/family role sender pressure, work/family instrumental support, work/family activity importance, work emotional support, and the direction of the previous WFC decision each predicted WFC decisions. Dominance analysis indicated that role sender pressure was the most important predictor. In addition, we compare and discuss within‐person variation with between‐person variation. Contributions of the study to work–family research and practice are discussed.     

决策渐进调整过程的个案研究

许多以全面理性为基础的决策理论都倾向于把决策者对事物的认识作为决策的前提,认为一项好的决策只有在充分认识了事物的情况下才是可能的.许多心理学的研究发现,这种假设并不符合实际的情况.本研究以"行动理性"为出发点,运用个案分析技术,深入剖析了某电子原件厂历时半年的生产经营决策过程,揭示了决策在执行的过程中逐步调整和发展的特征.研究发现,作为决策的前提的认识,实际上是在该决策的执行过程中不断发展和完善的.决策者是在决策执行结果的评价基础之上,逐步深入地认识决策的关键问题,包括(1)决策所要解决的问题,(2)决策方案会产生什么样的结果,(3)决策执行方法是否适当,(4)决策应采取什么样的程序和方法,(5)决策的形势和条件如何.正是这些"后见",使决策者能够逐步调整决策,实现决策的"渐进发展".这种行动决策的思想,把决策者的认识、决策和决策执行三者的关系看做一种循环发展的过程.     

Ethical decision making in family therapy

In family therapy, effective clinical decisions promote the welfare and interests of the family and its individual members. However, the needs of the family and its individual members are often in conflict. Resolving this conflict is an ethical as well as a therapeutic dilemma. Kitchener has developed a model of ethical decision making that we have found useful in teaching students and supervisees how to resolve conflicts between the family's needs and the needs of its members. The purpose of this article is to discuss this model and show how it can be applied to clinical decision making.