A qualitative analysis of attitudes to face transplants: contrasting views of the general public and medical professionals

While there has been a considerable criticism and debate about face transplantation from ethicists, surgeons and psychologists, little is known about the attitudes of medical professionals and the general public whose support will be necessary if face transplants are to be accepted. This study therefore conducted in-depth, semi-structured interviews with medical professionals (8) and the general public (8) to explore their understanding of and attitudes to face transplants. A thematic analysis was used to analyse these data. Five overarching themes were identified including agreement in principal, caveats and conditions, medical and technical difficulties, function and appearance, and the significance of the human face. The analysis revealed overwhelming support in principle for face transplants, but with important caveats and conditions. Both groups shared clear representations of deserving and undeserving candidates, and concerns about psychological adjustment. The general public sample demonstrated little understanding of medical implications or the consequences of a failed graft, which did concern the medical professionals. Neither group showed a clear understanding of the psychological or social factors required to predict best outcomes and identify suitable candidates. Analyses revealed a stereotypical belief from both groups that the life of a severely disfigured recipient is intolerable without this operation.     

The Role of Attitudes in Reactions Toward Diversity in Workgroups1

The present study examined attitudes toward diversity as a moderator of outcomes of diversity in workgroups. Two studies were conducted that focused on the development of the Attitudes Toward Diverse Workgroups Scale (ADWS) and on the impact of diversity attitudes on task performance and psychological reactions in actual face‐to‐face diverse brainstorming groups. The first study supported the internal consistency and stability of the ADWS and revealed that it was related, in the predicted way, to the Big Five and general prejudice. The second study revealed that high scores on the productive and affective dimensions of the ADWS enhanced brainstorming performance (quality of ideas) in actual diverse groups and positive psychological reactions to the group experiences, respectively.     

Modelling decisions to undergo genetic testing for susceptibility to common health conditions: an ancillary study of the Multiplex Initiative

New genetic tests reveal risks for multiple conditions simultaneously, although little is understood about the psychological factors that affect testing uptake. We assessed a conceptual model called the multiplex genetic testing model (MGTM) using structural equation modelling. The MGTM delineates worry, perceived severity, perceived risk, response efficacy and attitudes towards testing as predictors of intentions and behaviour. Participants were 270 healthy insured adults aged 25-40 from the Multiplex Initiative conducted within a health care system in Detroit, MI, USA. Participants were offered a genetic test that assessed risk for eight common health conditions. Confirmatory factor analysis revealed that worry, perceived risk and severity clustered into two disease domains: cancer or metabolic conditions. Only perceived severity of metabolic conditions was correlated with general response efficacy (β?=?0.13, p<0.05), which predicted general attitudes towards testing (β?=?0.24, p<0.01). Consistent with our hypothesised model, attitudes towards testing were the strongest predictors of intentions to undergo testing (β?=?0.49, p<0.01), which in turn predicted testing uptake (OR 17.7, β?=?0.97, p<0.01). The MGTM explained a striking 48% of the variance in intentions and 94% of the variation in uptake. These findings support use of the MGTM to explain psychological predictors of testing for multiple health conditions.     

Stéréotypes et préjugés à l’égard de personnes atteintes de cancer : étude auprès d’une population générale et de professionnels de santé

In a national context of the fight against cancer, it is crucial to better understand the attitudes of the public and health professionals about the disease. This study aims to examine the contents of stereotypes and prejudices of the general population and health professionals with regards to cancer patients. The execution of the study was conducted by questionnaire survey of 142 health professionals and 190 people from the general population. The results confirm the existence of a stereotype associated with cancer both in the general population and health professionals. However, there are differences on measures of attitudes about people with cancer showing a greater distancing of health professionals. The implications for health professionals and prevention programs and information about cancer are discussed.     

The Electoral Impact of Public Opinion on Religious Establishment

While previous work has examined the structure of public opinion on church and state, to date there has been little effort to connect public opinion on this group of issues to vote choice. I begin by hypothesizing that attitudes on religious establishment are distinct from attitudes on more often studied issues like abortion and gay marriage. Second, I argue that religious establishment meets the conditions for partisan voting: the parties and candidates have taken distinct, highly public stands on religious establishment, and the issue is highly salient among a certain segment of voters. Finally, I develop a theory that establishment attitudes should exert a greater impact among those individuals who feel that their values are threatened in contemporary society because such individuals may see religious accommodation as a means of returning to their understanding of traditional values. I test these hypotheses using data from the 2008 Cooperative Campaign Analysis Project, and I find considerable support for my argument.     

Informal and Professional Support for Solving Psychological Problems Among Korean‐Speaking Immigrants

Korean American immigrants rated the helpfulness of various sources of social support in addressing 3 psychological problems. Traditionalism was not related to perceived helpfulness of professionals but was significantly related to perceived helpfulness of informal support. Path analysis revealed that traditionalism and attitudes toward professionals mediated the effects of personal variables on the perceptions of social support.     

The Madonna-Whore Dichotomy: Men Who Perceive Women's Nurturance and Sexuality as Mutually Exclusive Endorse Patriarchy and Show Lower Relationship Satisfaction

The Madonna-Whore Dichotomy (MWD) denotes polarized perceptions of women in general as either “good,” chaste, and pure Madonnas or as “bad,” promiscuous, and seductive whores. Whereas prior theories focused on unresolved sexual complexes or evolved psychological tendencies, feminist theory suggests the MWD stems from a desire to reinforce patriarchy. Surveying 108 heterosexual Israeli men revealed a positive association between MWD endorsement and patriarchy-enhancing ideology as assessed by Social Dominance Orientation (preference for hierarchical social structures), Gender-Specific System Justification (desire to maintain the existing gender system), and sexist attitudes (Benevolent and Hostile Sexism, Sexual Objectification of Women, and Sexual Double Standards). In addition, MWD endorsement negatively predicted men’s romantic relationship satisfaction. These findings support the feminist notion that patriarchal arrangements have negative implications for the well-being of men as well as women. Specifically, the MWD not only links to attitudes that restrict women’s autonomy, but also impairs men’s most intimate relationships with women. Increased awareness of motives underlying the MWD and its psychological costs can help practice professionals (e.g., couple therapists), as well as the general public, to foster more satisfying heterosexual relationships.     

Active Coping and Perceived Social Support Mediate the Relationship Between Physical Health and Resilience in Liver Transplant Candidates

Without a transplant, end-stage liver disease is associated with significant morbidity and mortality. Transplant candidates endure physical and psychological stress while awaiting surgery, yet little is known about the relationship between physical health and psychological resilience during the wait-list period. This study examined predictors of psychological resilience and mediators of the relationship between physical health and psychological resilience in liver transplant candidates. Wait-listed candidates (N?=?120) from a single Northeast transplant center completed assessments of physical functioning, coping, perceived social support, and resilience. Findings revealed that physical functioning, active coping, and perceived social support were positively associated with resilience; maladaptive coping was negatively associated with resilience. Perceived social support and active coping partially mediated the relationship between physical functioning and resilience. Transplant center care providers should promote active coping skills and reinforce the importance of effective social support networks. These interventions could increase psychological resilience among liver transplant candidates.     

Anatomy Responses in the Rorschach Test

Investigated medical and psychological help-seeking attitudes and behaviors as a function of liberal-conservative attitudes toward women. Subjects participated in a structured interview concerning their attitudes toward and experiences with physicians and psychotherapists, and completed the Attitudes toward Women Scale. Compared to conservatives, liberals readily seek mental health services, stay in psychotherapy longer, and have relatively negative attitudes toward physicians in general. Conservatives endorse positive attitudes toward seeking psychological help but are less likely to visit a psychotherapist for psychological problems and more likely to have a physician available to consult about medical problems. The study suggests differential help-seeking tendencies among liberals and conservatives for medical and psychological problems, and affirms the utility of the Attitudes toward Women Scale in predicting such tendencies.     

On surviving suicide in South India – exploring support mechanisms from the perspectives of survivors and service providers

The suicide rate in India (15.84) currently exceeds the global average (11.23) making suicide a significant public health concern. Although suicides in India are debated on medico-legal, socio-cultural, economic and political fronts, the help that is offered to people during times of crisis, before and after the attempt is very minimal. The paper aims to explore support mechanisms from the perspectives of 15 survivors, eight mental health professionals and seven traditional healers in south India. The data were analysed thematically and explored using Bourdieu’s theoretical concepts. Data indicated medical intervention as a prominent method with reservations towards psychological therapies. Reliance upon religious and traditional healing systems was culturally accepted source of support. The social and cultural power experienced by service users and service providers demonstrated a potential to influence behaviours, attitudes, decisions, approaches to services and strategies for support.     

A Review on Spinal Muscular Atrophy: Awareness,Knowledge, and Attitudes

Spinal Muscular Atrophy (SMA) is one of the most common genetic causes of infant death. There is presently no cure, but the therapeutic pipeline is promising. Given the prevalence of SMA coupled with the potential for new treatment options, universal carrier screening, and newborn screening, we conducted a literature review of the awareness, knowledge, and attitudes held by the public and non-geneticist clinicians about various aspects of SMA. We then identify recommendations for targeting additional research, training, and educational efforts to increase awareness. In the limited available literature, we found that the public is generally unfamiliar with SMA but has favorable views of carrier and newborn screening. Clinicians also had limited understanding of SMA. Further research into knowledge and attitudes of healthcare providers and the general public will help develop a better understanding of education gaps and inform outreach efforts. These educational efforts are needed to complement the momentum as treatments are being developed and tested. Furthermore, professional societies are proposing routine carrier screening and SMA may achieve newborn screening status, which will change the SMA landscape for genetics professionals and families. Thus, it is important to explore knowledge and attitudes about SMA to allow us to prepare for when SMA attains higher public and clinician recognition.     

Policy Frames, Metaphorical Reasoning, and Support for Public Policies

This article evaluates the predictive value of a new theory for understanding public support for alternative solutions to policy problems, which we call policy metaphors. A policy metaphor represents a particular form of cognitive framing that makes use of commonly understood social institutions and judgments about their effectiveness to form "archetypes" against which proposed solutions to new policy problems are compared. We test the extent to which both understanding of and preference for particular policy frames predicts the nature and strength of policy choices by a representative sample of the American public. After controlling for factors that past research has shown to be important in understanding public opinion, including general partisan and ideological attitudes, self-interest, political values, and emotions, the cognitive frames specified by the general theory of policy metaphors are shown to strongly predict public support for hypothetical solutions to three different policy problems. These frames also predict support for President Clinton's 1993–94 health care reforms after controlling for those same conventional predictors. Most importantly, we demonstrate that these cognitive frames help constrain the beliefs of even the least politically aware members of the general public. Discussion centers on the implications of this new approach for understanding public opinion.     

Responsibility Attribution For Violence Against Women: A Study Of Chinese Public Service Professionals

This study examined how Chinese public service professionals attributed responsibility to victims and perpetrators of violence against women (VAW). A total of 2,308 Chinese public service professionals in Hong Kong completed questionnaires on attitudes toward women, VAW–related perceptions, and assignment of responsibility to actors in written VAW vignettes. Compared to agency professionals consisting of medical doctors, lawyers, and police officers, communal professionals consisting of psychologists, social workers, and nurses attributed a higher level of responsibility to VAW victims and perpetrators. For both professional groups, attitudes toward women and educational attainment were the most salient predictors of responsibility attribution to VAW victims and perpetrators. Perceived VAW effects on victims were also a robust predictor of responsibility attribution to perpetrators. With regard to group differences, gender was predictive of responsibility attribution for communal but not for agency professionals. Except for perpetrator responsibility attribution for agency professionals, age was also predictive of how professionals assigned responsibility to VAW victims and perpetrators.     

Kandidaten in psychotherapeutischer Ausbildung

In the context of the discussion about a reform of psychotherapeutic training in Germany the question arises, which factors influence the decision of psychologists and physicians for a particular training. 343 candidates in psychodynamic, behavioural or psychoanalytic training were asked about their motives for the training, their professional objectives in general and their satisfaction with their choice of training. The candidates' decision for a particular training was associated with personal attitudes and professional goals, with the given information about psychotherapeutic treatment within their studies and with their field of study. For the most part, the respondents are not satisfied with the quality and quantity of information on psychotherapeutic treatment within their studies. Candidates in analytic training are altogether more satisfied with their choice of training and do not plan to start an additional psychotherapeutic training as often as candidates in behavioral training. The consequences of these results in particular for the medical and psychological curricula (a more balanced representation of psychotherapeutic methods) are discussed.     

Patient Perspectives on the Learning Health System: The Importance of Trust and Shared Decision Making

We conducted focus groups to assess patient attitudes toward research on medical practices in the context of usual care. We found that patients focus on the implications of this research for their relationship with and trust in their physicians. Patients view research on medical practices as separate from usual care, demanding dissemination of information and in most cases, individual consent. Patients expect information about this research to come through their physician, whom they rely on to identify and filter associated risks. In general, patients support this research, but worry that participation in research involving randomization may undermine individualized care that acknowledges their unique medical histories. These findings suggest the need for public education on variation in practice among physicians and the need for a collaborative approach to the governance of research on medical practices that addresses core values of trust, transparency, and partnership.     

Psychological similarities and dissimilarities between left-wing and right-wing populists: Evidence from a nationally representative survey in France

Research in political science has focused on definitions of populism, platforms of populist parties, and demographic characteristics of those who support populist parties. Yet little is known about the psychological characteristics of populist supporters and how they might differ as a function of left-right ideology. Using a measure of populist attitudes in general, we investigated the role of Big Five personality traits as well as authoritarianism, social dominance, and system justification in a nationally representative sample of French respondents. We observed meaningful variability in relations between psychological characteristics and the endorsement of populist attitudes as a function of left-right ideological orientation, as well as variability in the psychological predictors of support for Jean Luc Mélenchon (a left-wing populist) and Marine LePen (a right-wing populist). We conclude that left-wing and right-wing populists are not the same, psychologically speaking, and that the differences are consistent with the distinction between inclusionary and exclusionary forms of populism.     

常人疾病观及其对医患关系的影响

常人疾病观是普通人对于某一疾病的认知、解释和态度的集合。与专业医务人员相比, 普通人更关注心理、家庭和社会因素而非生物学因素的致病作用, 就医选择多元而并不遵循标准化的就医模式, 同时更愿意将疾病体验视为个人生活的特殊问题加以建构性理解。常人疾病观与科学医学观之间的不一致性可能降低患者的就医满意、对医信任和医嘱依从性, 从而影响治疗效果。立足中国社会的医学文化与医疗制度, 研究中国人的常人疾病观, 并探讨其对医患关系的影响作用与社会心理机制, 可为改善当下中国医患关系紧张现状提供有益建议。     

Professional support of self-help groups: a support group project for Chronic Fatigue Syndrome patients

Professionals are involved in self-help groups in a variety of roles as advising experts, facilitators and even as group leaders. A few studies focus on attitudes toward professional involvement, but very little is known about the nature of this collaboration. The study follows a collaborative support group project between a team of health professionals at a regional hospital in Norway and a Chronic Fatigue Syndrome patients' group. It is arguably an advantage for professionals to decide upon the aim of a joint intervention in dialogue with the participants, but simply asking the participants what their aims are does not guarantee actual agreement. As this case study demonstrates, participants may have reason to conceal their objectives.     

Kashmiri women's perceptions of their emotional and psychological needs,and access to counselling

This paper explores the meaning of mental illness for Kashmiri women, the issues that cause them distress, their coping mechanisms, and their perceptions and understanding of counselling. Interviews were used to compare the experiences and attitudes of two groups of Kashmiri women: those born in Britain and those who had been brought up in Kashmir and had settled in Britain as adults. It was found that Kashmiri women in this study had a clear understanding of mental illness, with little difference in beliefs between those born and raised in the UK and those brought up in Kashmir. In both groups the majority of those who were not aware of formal counselling still wanted to talk to a professional about their emotional distress. The majority of UK born women, and a smaller proportion of Kashmiri born women, were aware of counselling. Most women associated it with talking to someone about one's feelings, about problems in one's heart, in one's mind, and as a means of support when experiencing distress. The implications of these findings for practice are discussed.