Assessing clinically significant religious impairment in clients: Applications from measures in the psychology of religion and spirituality

This article reviews measures in the psychological study of religion and spirituality (RS) in terms of Hathaway's (1999) conceptualization of clinically significant religious impairment (CSRI). It is maintained that RS can be regarded as an endogenous variable impaired by psychopathology. Specific RS measures are discussed in terms of how they may be used to assess RS impairment in clients in terms of performing RS activities, achieving RS goals, and experiencing desired RS states.     

The experiences of transgender and non-binary children and young people and their parents in healthcare settings in England,UK: Interviews with members of a family support group

Abstract

Background: Transgender and non-binary children and young people and their parents in England, UK are poorly served across a range of healthcare settings. Whilst UK equalities legislation and international guidance on transgender healthcare pathways protects this group from discrimination and mandates an affirmative approach, services in England are not keeping pace.

Aims: This study aims to draw on the experiences of transgender and non-binary children, young people and their parents in a support group in England in order to investigate their experiences of healthcare provision, and to develop some ideas for improvement.

Method: Data was collected with participants in a family support group which offers a parent helpline service, social groups for children and parents, and training for schools and other organizations. 65 parents and children from 27 families from the family support group attended participatory workshops where they were given a range of briefs: “health,” “family,” “friends,” and “education.” Their participation involved being asked to define their own interview questions and collect data by interviewing each other. Their interview notes constituted the raw data. Data was coded inductively by the author with respondent checking as a second stage.

Results: Results constitute the views of a small group of people, so cannot be generalized. However, they do illustrate some of the issues which may arise. Participants’ experiences elicited five key themes: professionals’ perceived lack of clinical and therapeutic knowledge; mental distress caused by excessive waiting lists; professionals’ stereotyped gender assumptions; direct discrimination within healthcare settings; and a lack of attention to parent and child voice, especially in terms of school-based experiences and where a patient had a diagnosis of autism.     

Perceptions of the behavioral influence of goals: A mediational relationship to exercise

Abstract

In the present study, it is argued that a more fundamental approach is necessary for the study of exercise goals and exercise behavior if we are to understand their relationship. The specific purposes of the investigation were to a) examine the relationships between perceptions of the behavioral influence of goals, moderators of goal influence (i.e., goal clarity) and perceptions of required exercise behavior (frequency and intensity), (b) examine changes that occurred over time to measures of goal-related variables and (c) describe various personal exercise goals and related action plans to achieve goals. Ninety-nine healthy adults in intermediate level university fitness classes were volunteers in this prospective study. The present study revealed that exercisers have multiple goals and action plans and are also knowledgeable about the specific behavioral strategies and exercise behaviors required to attain these goals. Also, the clarity, commitment, and perceived behavioral influence of goals increased as adherers gained experience with the exercise program. Finally, perceptions of the way goals influence behavior was found to mediate the goal clarity-exercise intensity and the goal commitment-exercise intensity relationships at the beginning of the exercise program but not at mid-program. Instead, independent relationships emerged at midprogram between goal clarity and goal influence, goal commitment and goal influence, goal clarity and exercise intensity, goal commitment and exercise intensity, and goal influence and exercise intensity. Results an discussed in terms of the complex and changing nature of the perceptions people hold of their goals and how these goals influence their exercise.     

Optimism,goals, and threats: How to conceptualize self-regulatory processes in the adoption and maintenance of health behaviors

Abstract

How individuals control themselves and their health behaviors can be better understood by examining their self-beliefs in terms of threats and goals. The distinction between self-regulatory threat appraisals and self-regulatory goal attainment may help to explain when individuals fall prey to defensive optimism and when they are guided by functional optimism. To underscore the notion of process-specific self-beliefs, a further distinction is made between goal-setting self-efficacy, action self-efficacy, coping self-efficacy, and recovery self-efficacy.     

Do people know how they’ve changed? A longitudinal investigation of volitional personality change and participants’ retrospective perceptions thereof

Prior research has found that most people want to change their personalities. Moreover, these change goals predict trait growth. The present study extended this by examining both actual change in self-report traits and people’s perceptions of how they have changed across 16 weeks. Results indicated moderate alignment between trait growth and perceived change (average r = 0.49)—with 39% of responses indicating perceived changes in the opposite direction of trait growth. Moreover, change goals predicted trait growth holding perceptions constant, and both trait growth and perceptions independently predicted well-being. These data elucidate how people perceive the process of volitional change. Moreover, these data suggest people change in desired ways, even if they do not perceive those changes.     

Motivation in Masters sport: Achievement and social goals

ObjectiveThis study examined the collective relationships amongst achievement goals, social goals and motivational correlates in Masters sport.MethodThe participants were 373 (184 females; 189 males) Masters athletes from six sports. Ages ranged from 29 years to 77 years (mean=48 years). Cluster analysis was employed to identify ‘goal profiles’ of two achievement goals (task and ego) and three social goals (affiliation, recognition, status). MANOVA was employed to examine the goal profiles for differences on self-perceptions, affect, and motivation.ResultsFive goal profiles were identified and labeled as follows: Cluster 1 (Lo-Aff) low affiliation, moderate task, ego, status, and recognition; Cluster 2 (Lo-Val) low ego, status, and recognition, moderate task and affiliation; Cluster 3 (Hi-Social) high affiliation and status, moderate recognition and task, and low ego; Cluster 4 (Lo-Ach) low task and ego, moderate affiliation, status, and recognition; and Cluster 5 (Hi-Ach) high task, ego, and recognition, moderate affiliation and status. MANOVA revealed that Cluster 3 (Hi-Social) was highest on enjoyment and perceived belonging, while Clusters 3 and 5 (Hi-Ach) were highest on intrinsic motivation, commitment, and perceived ability. Clusters 1 (Lo-Aff) and 4 (Lo-Ach) had lower levels of enjoyment and commitment.ConclusionIn general, these Masters athletes enjoyed their participation, they were committed, they had high perceptions of ability and belonging, and they were predominantly intrinsically motivated. The implications of these motivational profiles for Masters athletes are discussed from both theoretical and applied perspectives.     

When,why, and how do People Deviate from Physical Distancing Measures During the COVID-19 Pandemic: A Mixed-Methods Study

Introduction:To limit the spread of COVID-19, many countries, including Belgium, have installed physical distancing measures. Yet, adherence to these newly installed behavioral measures has been described as challenging and effortful. Based on the Health Action Process Approach (HAPA) model, this study performed an in-depth evaluation of when, why, and how people deviated from the physical distancing measures.Methods:An online mixed-method study was conducted among Belgian adults (N = 2055) in the beginning of May 2020. Participants were recruited via an open call through email and social media platforms, using snowball sampling. Conditions wherein people deviated from the physical distancing measures were assessed by means of an open-ended question. HAPA determinants were assessed in a quantitative way.Results:Half of the sample reported to deviate from the measures. Further, deviation from the measures was associated with each determinant outlined by the HAPA. Findings highlight that many people deviated from the measures because of their need for social contact. The majority of the people who deviated from the measures stated that they carefully weighed the risks of their behavior.Conclusions:Need for social contact pushed people to deviate from physical distancing measures in a deliberate manner. Potential areas for future interventions aimed at promoting adherence to physical distancing measures and enhancing psychosocial well-being are discussed.     

The Roles of Personality Traits and Vocational Interests in Explaining What People Want Out of Life

Life goals reflect people’s aspirations of what they want to become and what kind of life they want to live. In two student samples from the United States (N = 385) and Iceland (N = 1338), we used hierarchical regression and relative weights analyses to first replicate Roberts and Robins (2000) finding that Big Five personality traits predict major life goals, and then to test whether vocational interests have incremental validity in explaining major life goals over and above personality traits. Overall, vocational interests explained larger amounts of variance in major life goals than personality traits, and added incremental validity above and beyond personality traits. Expectations about specific linkages were largely confirmed across the two samples, providing implications for theory and practice.     

Exploring the place of financial status in the good life: Income and meaning in life

Abstract

Two studies examined the association between income and meaning in life (MIL). Study 1 (N = 781) demonstrated that income and other measures of financial status are positively associated with MIL and other aspects of well-being. The association between income and MIL was partially explained by autonomy, competence, and perceptions of control. Study 2 (N = 123) examined people’s forecasts of how financial status would affect their future well-being. Having a middle class or upper-middle class income in the future was expected to result in higher MIL, happiness, and need satisfaction than a life with a low income, showing that people perceive income as tied to meaning. These studies demonstrate how financial status can contribute to actual and expected MIL.     

“Openness and progress with communication and confidence have all gone hand in hand”: Reflections on the experience of transitioning between concealment and openness among adults who stutter

PurposeThe purpose of this study was to gain a deeper understanding of the experience of people who stutter as they navigate through the growth process from concealment to openness.MethodTwelve adults who stutter who are active in self-help/support groups for stuttering described their experiences of concealment and openness in a semi-structured interview. Purposeful selection was utilized to recruit participants who could comment thoughtfully on previous concealing, but became more open about their stuttering. A phenomenological approach was utilized to gain a deeper understanding of how people who stutter experience the transition from concealment to openness regarding their stuttering and identity. Thematic analysis contributed to identification of themes and subthemes describing participants’ experiences.ResultsParticipants described precursors to concealment that led to hiding and avoidance, which grew in strength until they reached a turning point. They then changed how they related to their stuttering by changing their behaviors and perceptions of stuttering, which led to increased openness about their identity. This process of continued adaptation to stuttering was ongoing and non-linear, but suggested general trends from concealment to more openness over time. Level of openness was impacted by situational context and individual differences.ConclusionsThe findings extend our understanding of how people who stutter navigate transitions from concealment to openness. This deeper understanding could be helpful in explaining the complexities involved in managing the identity of a person who stutters, and the process of adapting to living with stuttering over time.     

Predictors of cancer survivors’ response to a community-based exercise program

ObjectiveTo explore the degree to which sociodemographic (i.e., age, sex, ethnicity, weight status, vocational status, marital status), medical (i.e., stage of cancer, treatment status, comorbidity burden), functional (i.e., self-rated health, exercise capacity), cognitive (i.e., exercise self-efficacy beliefs), and behavioural (i.e., program adherence, extra-curricular exercise) factors predicted cancer-related fatigue and quality of life among 224 cancer survivors who participated in the community-based Wellspring Cancer Exercise Program (WCEP).DesignProspective, quasi-experimental single-group repeated measures design.MethodData on predictors and outcomes were collected using self-report and objective measures upon enrollment in the program (week 0), every 10 weeks until program completion (weeks 10, 20, 30), and at 16-weeks follow-up (46 weeks). Data were analyzed using multilevel modeling.ResultsIn general, participants who were working or transitioning to work, rated their health better, and had higher exercise self-efficacy beliefs had lower cancer-related fatigue, and those who rated their health better and had higher exercise self-efficacy beliefs had higher quality of life. Also, there was a significant interaction between time and exercise self-efficacy beliefs for cancer-related fatigue and quality of life such that greater improvements were observed among participants with higher exercise self-efficacy beliefs.ConclusionCancer survivors’ perceptions of their health and their ability to exercise should be fostered to ensure they respond positively to exercise programs in terms of cancer-related fatigue and quality of life.     

Believing in a Positive Future as a Form of Stigma Resistance: Narratives of Denied Expungement-Seekers

ABSTRACT

A large body of work documents how people contest and refute stigmatized definitions of themselves. Yet, research that examines the role of emotion displays in stigma resistance remains sparse. To begin to fill this gap, I analyze follow-up interview data with 17 people who, because of their past felony convictions, were deemed ineligible for expungement, a court-ordered destruction of the criminal record history. Overall, participants seized on the interview setting to challenge stigmatizing definitions of themselves. There were two key ways in which this occurred. First, participants offered optimistic accounts of their future well-being. These hopeful narratives suggested that, although they were aware of how people with criminal records are devalued, they did not accept a view of themselves as damaged. Second, participants drew on emotion displays of anger with the criminal justice system to underscore that they were not deserving of the discrimination they faced. Implications for research on the sociology of stigma and emotions are discussed.     

Hope,goals, and pathways: Further validating the hope scale with observer ratings

ABSTRACT

Objective: For the past two decades, hope theory has been an important framework for conceptualizing goal pursuits. Surprisingly there has been little effort to test the underlying suppositions of hope theory or to further validate the Hope Scale.

Method: In Study 1, participants (N = 162, M_age = 19, 61% female) completed the Hope Scale and nominated goals they would like to accomplish in the next few months. Goals were coded on several dimensions. In Study 2, participants (N = 118, M_age = 19, 59% female) completed the Hope Scale, measures of optimism and self-efficacy, and generated workable pathways for achieving standardized goals.

Results: Hope scores predicted setting objectively important, prosocial, long-term, and challenging goals. Hope (but not optimism or self-efficacy) was associated with generating more pathways for standardized goals.

Conclusions: The results of these studies generally support the tenets of hope theory and provide further validation for the Hope Scale. As expected, people with higher hope were more likely than their lower-hope counterparts to engage in what has been considered successful goal-setting behavior. Hope is associated with important goal-relevant behaviors and efforts to increase hopeful thought may be important in helping individuals to move toward important life outcomes.     

Regulatory Focus and the Interpersonal Dynamics of Romantic Partners’ Personal Goal Discussions

Guided by regulatory focus theory, we examined how romantic partners’ chronic concerns with promotion (advancement) and prevention (security) shape the interpersonal dynamics of couples’ conversations about different types of personal goals. Members of 95 couples (N = 190) first completed chronic regulatory focus measures and then engaged in videotaped discussions of two types of goals that were differentially relevant to promotion and prevention concerns. Participants also completed measures of goal‐ and partner‐relevant perceptions. Independent observers rated the discussions for support‐related behaviors. Highly promotion‐focused people approached their partners more, perceived greater partner responsiveness, and received more support when discussing goals that were promotion‐relevant and that they perceived as less attainable. When partners’ responsiveness to promotion‐relevant goals was low, highly promotion‐focused people reported greater self‐efficacy regarding these goals. Highly prevention‐focused people perceived more responsiveness when partners were less distancing during discussions of their prevention‐relevant goals, and greater responsiveness perceptions reassured them that these goals are less disruptive to the relationship. These findings suggest that chronic concerns with promotion and prevention orient people to their relationship environment in ways that are consistent with these distinct motivational needs, especially when discussing goals that increase the salience of these needs.     

The experiences of gender diverse and trans children and youth considering and initiating medical interventions in Canadian gender-affirming speciality clinics

Abstract

Background: Canadian specialty clinics offering gender-affirming care to trans and gender diverse children and youth have observed a significant increase in referrals in recent years, but there is a lack of information about the experiences of young people receiving care. Furthermore, treatment protocols governing access to gender-affirming medical interventions remain a topic of debate.

Aims: This qualitative research aims to develop a deeper understanding of experiences of trans youth seeking and receiving gender-affirming care at Canadian specialty clinics, including their goals in accessing care, feelings about care and medical interventions they have undergone, and whether they have any regrets about these interventions.

Methods: The study uses an adapted Grounded Theory methodology from social determinants of health perspective. Thirty-five trans and gender diverse young people aged 9 to 17?years were recruited to participate in semi-structured interviews through the specialty clinics where they had received or were waiting for gender-affirming medical interventions such as puberty blockers, hormone therapy, and surgery.

Results: Young people felt positively overall about the care they had received and the medical interventions they had undergone, with many recounting an improvement in their well-being since starting care. Most commonly shared frustrations concerned delays in accessing interventions due to clinic waiting lists or treatment protocols. Some youth described unwanted medication side-effects and others said they had questioned their transition trajectory at certain moments in the past, but none regretted their choice to undergo the interventions.

Discussion: The results suggest that trans youth and gender diverse children are benefiting from medical gender-affirming care they receive at specialty clinics, providing valuable insight into their decision-making processes in seeking care and specific interventions. Providers might consider adjusting aspects of treatment protocols (such as age restrictions, puberty stage, or mental health assessments) or applying them on a more flexible, case-by-case basis to reduce barriers to access.     

Automatic affective-motivational regulation processes underlying supportive dyadic coping: the role of increased implicit positive attitudes toward communal goals in response to a stressed relationship partner

Background and objectives: We examined the implicit affective mechanisms underlying provision of support in intimate dyads. Specifically, we hypothesized that in individuals with high relationship satisfaction, the perception that one’s partner is stressed leads to increased implicit positive attitudes toward communal goals. In turn, this change in implicit attitudes facilitates supportive behavior.

Design and methods: In two studies, we induced partner stress by instructing participants to either recall a situation where their partner was highly stressed (Study 1; N?=?47 university students) or imagine a specific stressful event (excessive workload; Study 2; N?=?85 university students). Subsequently, implicit attitudes toward communal goals were assessed with an Implicit Association Test.

Results: In both studies, we found that among participants with high relationship satisfaction partner stress increases preferences for communal goals. In addition, implicit preferences for communal goals predicted stronger inclinations to engage in supportive dyadic coping (Study 2).

Conclusions: The current findings provide important insights into the implicit cognitive-affective mechanics of dyadic coping. Moreover, they can explain how people manage to avoid experiencing motivational conflicts between partner-oriented and self-oriented goals in situations characterized by high partner stress.     

The Impact of Power on Information Processing Depends on Cultural Orientation

Two studies show that different culturally based concepts of interpersonal power have distinct implications for information processing. People with a vertical individualist (VI) cultural orientation view power in personalized terms (power is for gaining status over and recognition by others), whereas people with a horizontal collectivist (HC) cultural orientation view power in socialized terms (power is for benefitting and helping others). The distinct goals associated with these power concepts are served by different mindsets, such as stereotyping others versus learning the individuating needs of others. Therefore, for high-VI individuals, making personalized power salient increases stereotyping in processing product information. That is, they recognize better information that is congruent with their prior product expectations, relative to their recognition of incongruent information. In contrast, for high-HC people, making socialized power salient increases individuating processes, characterized by better memory for incongruent information.     

Evidence for blatant dehumanization of mental illness and its relation to stigma

ABSTRACT

People with mental illness face stigma, and due to their low social status, they may also face blatant dehumanization that denies their status as fully evolved human beings. In the current research, three studies documented the existence of blatant dehumanization of mental illness. Study 1 (N = 112) showed that participants rated people with mental illness in general as being significantly less human than other dehumanized social groups such as Mexican immigrants and Muslims. Study 2 (N = 158) showed that dehumanization occurs for specific mental disorders but that the level of dehumanization varies widely among disorders. Study 3 (N = 223) documented significant correlations between dehumanization of mental illness and standard measures of stigma such as fear, pity, and social distance. Overall, the results establish the relevance of blatant dehumanization to mental illness stigma and suggest new directions for understanding stigma.