Psychological experiences of renal transplant patients: A qualitative analysis

Introduction: Organ‐sourcing developments now permit increasing numbers of renal transplants. Recipients commonly experience negative affect pre‐ and/or post‐transplant yet research on patient experience is lacking. Aims: This study aims to develop theory based on the lived experience of recipients, and to guide psychological and support interventions by counsellors and professional carers for the benefit of patients. Methods: A sample of eight participants was interviewed about their transplant experiences. The interview data were analysed using grounded theory methodology. Uniquely the research was conducted by a renal transplant patient, which potentially adds interpretive insight. Results: The central finding is that the issues facing transplant patients before and after transplant may be summarised as living with paradox and conflict. Thus, recipients may need to juxtapose anger/sadness about losses with an adaptive attitude to making the most of a second chance at life, and negotiate a positive relationship with an ‘alien’ organ. Conclusions/implications: The study offers evidence‐based guidance to counsellors supporting recipients to adjust to a changing sense of self, and to form adaptive relationships with self, others and the new kidney. Finally the research recommends action on improving awareness of and access to counselling and other supports for renal transplantees, and the need for in‐depth experiential research in this expanding area.     

Being a good or a just teacher: Which experiences of teachers’ behavior can be more predictive of school bullying?

In two cross‐sectional questionnaire studies with N = 2,931 German students, aged between 12 and 17 years (M = 14.1, SD = 0.5), we investigated the relation between students’ bullying behavior and their personal belief in a just world (BJW). We considered students’ personal experience of teacher justice as a possible mediator in this relation and investigated whether the students’ experiences of their teachers’ classroom management explained bullying behavior in addition to personal BJW and teacher justice, while statistically controlling for sex and school type. In both studies, multilevel modeling results showed that the more students endorsed personal BJW and the more they evaluated their teachers’ behavior toward them personally as being just, the less likely they were to report that they bullied others. The students’ personal experience of teacher justice mediated the association of personal BJW with bullying. Furthermore, the students’ personal experience of classroom management significantly predicted bullying in addition to personal BJW and teacher justice. The observed relations were mainly significant at the individual level. The pattern of results persisted when we controlled for school type and when we considered student sex as a moderator. We discussed the adaptive functions of BJW and implications for future school research and practice.

     

Longitudinal development of manual motor ability in autism spectrum disorder from childhood to mid‐adulthood relates to adaptive daily living skills

Many individuals with autism spectrum disorder (ASD) exhibit motor difficulties, but it is unknown whether manual motor skills improve, plateau, or decline in ASD in the transition from childhood into adulthood. Atypical development of manual motor skills could impact the ability to learn and perform daily activities across the life span. This study examined longitudinal grip strength and finger tapping development in individuals with ASD (n = 90) compared to individuals with typical development (n = 56), ages 5 to 40 years old. We further examined manual motor performance as a possible correlate of current and future daily living skills. The group with ASD demonstrated atypical motor development, characterized by similar performance during childhood but increasingly poorer performance from adolescence into adulthood. Grip strength was correlated with current adaptive daily living skills, and Time 1 grip strength predicted daily living skills eight years into the future. These results suggest that individuals with ASD may experience increasingly more pronounced motor difficulties from adolescence into adulthood and that manual motor performance in ASD is related to adaptive daily living skills.     

In defense of adaptive preferences

An adaptive preference is a preference that is regimented in response to an agent’s set of feasible options. The fabled fox in the sour grapes story undergoes an adaptive preference change. I consider adaptive preferences more broadly, to include adaptive preference formation as well. I argue that many adaptive preferences that other philosophers have cast out as irrational sour-grapes-like preferences are actually fully rational preferences worthy of pursuit. I offer a means of distinguishing rational and worthy adaptive preferences from irrational and unworthy ones. The distinction is based on the agent’s own appraisal of the adaptive preference.

The effect of perceived stress on the relationship between perfectionism and burnout in coaches

Abstract

The effects of perceived stress (PS) on the relationship between adaptive and maladaptive forms of perfectionism and burnout were examined. Smith's (1986) stress appraisal model and Kelley, Eklund, and Ritter-Taylor's (1999) model of coach burnout were used to test two models of burnout in a sample of college coaches (N=177). The results indicated that there is an indirect effect of self-evaluative perfectionism (i.e., maladaptive form of perfectionism) on burnout through PS as well as a significant direct link to burnout, accounting for 56% of its variance. In contrast, conscientious perfectionism (CP) (i.e., adaptive perfectionism) did not directly impact burnout, nor was there an indirect effect through PS. Based on Lazarus's (1999) ideas about stress appraisal, the results suggested that maladaptive forms of perfectionism resulted in more threatening perceptions of stress, thus, potentially leading to the experience of burnout. However, adaptive forms of perfectionism did not seem to result in increased appraisals of stress or result in burnout. The results did indicate a significant correlation between the two forms of perfectionism, which may explain why CP did not significantly impact PS or burnout.     

Childhood Healthcare Experience,Healthcare Attitudes,and Optimism as Predictors of Adolescents’ Healthcare Behavior

Late adolescence and early adulthood is a time when people establish many of their life-style behaviors. Thus, in order to promote optimal health, it is important to identify factors predictive of young adults’ healthcare behavior. This study evaluated the relationship between measures of childhood healthcare experience, healthcare attitudes, and optimism with young adults’ healthcare behavior in a sample of college students (n = 100). Results suggested that prior healthcare experience, attitudes about healthcare, and optimism are associated with current healthcare behavior. In addition, the relation between childhood healthcare experience and current healthcare behavior was moderated by optimism, such that those who reported both more negative childhood healthcare experiences and low levels of optimism reported the least adaptive healthcare behaviors and those who reported the most positive childhood healthcare experience and the highest levels of optimism reported the most adaptive healthcare behavior.     

Effects of Changed Item Order: A cautionary note to practitioners on jumping to computerized adaptive testing for personality assessment

This study aims to investigate the effects of item order used with computerized adaptive testing (CAT) in the domain of personality assessment. Based on items from the German version of the Eysenck Personality Profiler, four test versions were designed from seven scales and presented to four experimental groups (n=362). One conventional and three adaptive versions were created, each beginning with items representing either medium or extreme trait levels. Results showed significant differences in average gained person parameters for three out of seven scales between the adaptive versions, as well as differences in average reaction times for answering the items. Results indicated context effects as a problem for using CAT to measure personality.     

Sensibility and the otherness of the world: Levinas and Merleau-Ponty

Sensibility has traditionally been defined as a relation with the world’s exteriority. However, a certain post-husserlian phenomenology tends to reverse this definition and to redefine sensibility as an internal relation that takes place from within the world. This article focuses on this phenomenological concept of “sensibility” in Levinas and Merleau-Ponty and intends to show that this concept rests upon the presupposition of an alternative according to which we would have whether a sensible experience of identity, or an acosmic experience of otherness—whether a wordly experience of the same or a worldless experience of otherness. Yet, by reducing sensibility to the experience of the world’s interiority and rejecting otherness beyond any worldly experience, this conception fails to account for a significant dimension of sensibility—namely, sensibility as the experience of the world’s own otherness, foreignness or exteriority. It is our hope that, from the critical exposition of this alternative, will eventually appear in conclusion the significant part of this forgotten dimension of sensibility.

     

Reappraising Past and Future Transitional Events: The Effects of Mental Focus on Present Perceptions of Personal Impact and Self‐Relevance

This research examined how instructions to focus on the concrete details (experience focus) versus broader life significance (coherence focus) influence present perceptions of transitional impact and self‐relevance for past and future transitional events. Participants (Study 1, N = 119; Study 2, N = 251) selected a past or future transition and wrote about it using either an experiential or coherence focus. Participants then rated the event on transitional impact, self‐relevance, and other phenomenological characteristics. Individuals instructed to use a coherence focus on a past transition reported higher levels of material and psychological impact and rated the event as more self‐relevant, compared to those instructed to use an experiential focus. The manipulation did not influence ratings for future events. Controlling for temporal distance and emotional valence did not alter the findings. Future transitions were regarded as more personally important than past transitions. Appraisals of the impact and self‐relevance of transformative past events (but not future events) are affected by the mental focus adopted at retrieval. The findings are considered in light of essential differences between remembering and forecasting and support the notion that a coherence focus promotes adaptive self‐reflection by affording people the cognitive means with which to reconcile transitional experiences.     

THE ELUSIVENESS OF MASCULINITY: PRIMORDIAL VULNERABILITY,LACK, AND THE CHALLENGES OF MALE DEVELOPMENT

Reaching beyond the Oedipus prototype to address the unrepresentable vulnerability founded on the boy's infantile helplessness in contact with the mother's body, the author aims to identify the inherent tensions and enigmas of being male. He proposes that both the repudiation of femininity and the overvaluation of phallicity are unconsciously constructed to withstand the fundamental deficiency grounded in the asymmetry of the boy's prephallic relation with his primary object. This bodily based primordial vulnerability, marked by absence and lack, remains elusive—an unsymbolizable experience that provides the archaic matrix for adaptive and defensive phallicism, the oedipal complex, and genital progression. A clinical vignette is presented to illustrate these concepts.     

Lukasiewicz's Many-valued Logic and Neoplatonic Scalar Modality

This paper examines the role of ‘situations’ in John Dewey's philosophy of logic. To do this properly it is necessary to contrast Dewey's conception of experience and mentality with views characteristic of modern epistemology. The primary difference is that, rather than treat experience as peripheral and or external to mental functions (reason, etc.), we should treat experience as a field in and as a part of which thinking takes place. Experience in this broad sense subsumes theory and fact, hypothesis and evidence, reason and observation, thought and perception. Logic in this view is a formal study of the generic features of all possible kinds of experience in this broad (thick, deep, wide, multifaceted) sense. The goal of this paper is to explain what Dewey thinks a situation is in the context of this view of experience, and to argue for the fundamental importance of that idea for logic and philosophy in general.     

Poaching,promiscuity, and deceit: Combatting mating rivalry in same‐sex friendships

If humans faced recurrently over evolutionary history the adaptive problem of competition with same‐sex friends for mates, they may have evolved psychological mechanisms designed to prevent and combat mating rivalry with same‐sex friends. Four studies were conducted to test hypotheses about the design of these mechanisms. In Studies 1 and 2 (N= 406 and N= 342, respectively) we found that, as predicted, people experience more upset in response to imagined rivalry from a friend than from a stranger. In Study 3 (N= 455), in which a between‐subjects design was utilized, we found that women's, but not men's, willingness to become friends with a member of the same sex is lower when the person is described as sexually promiscuous. In Study 4 (N= 169) we found that people report being deceived by friends about mating rivalry more often than they themselves report engaging in deceit about rivalry, and women more than men deceive each other about how sexually experienced and promiscuous they are. Discussion addresses implications of the findings and the use of an evolutionary approach for understanding conflict in same‐sex friendship.     

Gratitude across the life span: Age differences and links to subjective well-being

Abstract

Gratitude has been described as an adaptive evolutionary mechanism that is relevant to healthy psychological and interpersonal outcomes. Questions remain as to whether the presence and benefits of gratitude are consistent from young adulthood to old age; prior research has yielded mixed evidence. We examined the magnitude and direction of age differences in gratitude in three samples (combined N = 31,206). We also examined whether gratitude was associated with greater/lesser well-being at different periods in the life course. We found that the experience of gratitude was greatest in older adults and least in middle aged and younger adults. Further, we found that the associations between gratitude and subjective well-being remained relatively constant across the lifespan. Findings are discussed from a developmental perspective.     

The Effect of Team Mental Models Divergence on Creative Performance During Situational Changes

This study developed a model of team mental models’ influence on team adaptive performance at different stages. It proposed that mental models have different relationships with adaptive performance as a function of the performance stage when teams experience changes: early on (i.e., during situation assessment) more divergent mental models are needed for performance; later on (i.e., during plan execution) more convergent mental models are needed. The model was tested in an experiment with 33 teams (N= 99) faced with unforeseen change at task midway. Partially supporting the predictions of a divergence-convergence model, at situation assessment, teams that developed more dissimilar mental models attained a higher performance originality, but not higher efficiency or usefulness. However, at plan execution, team mental models’ convergence did not lead to higher performance. Implications for research on team mental models are discussed.     

Conceptualizing psychopathic traits from an evolutionary-based perspective: An empirical study in a community sample of boys and girls

Although psychopathy has historically been associated with a lack of emotion, recent research has suggested that psychopathy may represent a tendency to externalize the experience of unpleasant emotions, including shame, which could be seen as an adaptive strategy within an evolutionary framework. However, more empirical research is needed to build on this argument. This study tested a novel evolutionary-based model involving pathways associating the impact of harsh rearing experiences (warmth and safeness experiences and traumatic shameful experiences) with psychopathic traits as well as the indirect effects of external shame and shame coping strategies in this association. This study also tested the invariance of this model across gender. A youth community sample (N = 703; 58.9% girls) completed self-report questionnaires on the impact of harsh rearing experiences, external shame, shame coping strategies, and psychopathic traits. The results suggested that the impact of harsh rearing experiences was directly and indirectly (through external shame and shame coping strategies) associated with psychopathic traits. The model partially explained the endorsement of psychopathic traits in boys and girls, although gender differences were found in some of the pathways. These findings offer support for conceptualizing psychopathic traits as an adaptive strategy to cope with the impact of harsh rearing experiences, opening new perspectives for prevention and treatment.

     

Profiles of dyadic adjustment for advanced prostate cancer to inform couple-based intervention

Objective: The purpose of the study is to describe from a relational perspective, partners’ psychological adjustment, coping and support needs for advanced prostate cancer.

Design: A mixed methods design was adopted, employing triangulation of qualitative and quantitative data, to produce dyadic profiles of adjustment for six couples recruited from the urology clinics of local hospitals in Tasmania, Australia.

Methods: Dyads completed a video-taped communication task, semi-structured interview and standardised self-report questionnaires.

Results: Themes identified were associated with the dyadic challenges of the disease experience (e.g. relationship intimacy, disease progression and carer burden). Couples with poor psychological adjustment profiles had both clinical and global locus of distress, treatment side-effects, carer burden and poor general health. Resilient couples demonstrated relationship closeness and adaptive cognitive and behavioural coping strategies. The themes informed the adaption of an effective program for couples coping with women’s cancers (CanCOPE, to create a program for couples facing advanced prostate cancer (ProCOPE-Adv).

Conclusion: Mixed method results inform the development of psychological therapy components for couples coping with advanced prostate cancer. The concomitance of co-morbid health problems may have implications for access and engagement for older adult populations in face-to-face intervention.     

Productive procrastination: academic procrastination style predicts academic and alcohol outcomes

Productive procrastination replaces one adaptive behavior with another adaptive—albeit less important—behavior (e.g., organizing notes instead of studying for an exam). We identified adaptive and maladaptive procrastination styles associated with academic and alcohol outcomes in 1,106 college undergraduates. Cluster analysis identified five academic procrastination styles—non‐procrastinators, academic productive procrastinators, non‐academic productive procrastinators, non‐academic procrastinators, and classic procrastinators. Procrastination style differentially predicted alcohol‐related problems, cravings, risk of alcohol use disorders, and grade point average (all ps < .01). Non‐procrastination and academic productive procrastination were most adaptive overall; non‐academic productive procrastination, non‐academic procrastination, and classic procrastination were least adaptive. Productive procrastination differed from other procrastination strategies, and maladaptive procrastination styles may be a useful risk indicator for preventative and intervention efforts.     

Cumulative neurological factors associated with long-term outcomes in adult survivors of childhood brain tumors

Prior research has demonstrated the reliability and validity of the Neurological Predictor Scale (NPS) in relation to childhood brain tumor survivor outcomes; however, its use has not been examined in adult long-term survivors. The current study examines the concurrent validity of the NPS with long-term intellectual and adaptive outcomes in adult survivors of childhood brain tumors relative to individual variables alone. A total of 68 adult survivors of childhood brain tumors (M = 24 years old, SD = 4) almost 16 years post diagnosis (SD = 6) completed intellectual evaluations using the Wechsler Abbreviated Scale of Intelligence (WASI). Survivors’ adaptive functioning skills were assessed via informant structured clinical interviews (SIB-R). NPS scores were computed from data acquired from medical records. The NPS was significantly associated with intellectual (R² = 0.208, p < .05) and adaptive outcomes (R² = 0.30, p < .05) over and above individual risk factors. Approximately 18% of long-term survivors were identified as impaired in intellectual outcomes, and 29% were identified as impaired in adaptive functioning in everyday life skills. The NPS quantifies the cumulative effects of treatment and neurological sequelae experienced by both short- and long-term survivors of childhood brain tumors. It is a useful and easy measure to employ in clinical research that focuses on quantifying the neurological risk factors associated with long-term intellectual and adaptive functioning outcomes in adult survivors of childhood brain tumors.     

The Understanding and Experience of Mixed Emotions in 3–5-Year-Old Children

The term mixed emotions refers to the presence of two opposite-valence emotions toward a single target. Identifying when children begin to report experiencing and understanding mixed emotions is critical in identifying how skills such as adaptive functioning, coping strategies, environmental understanding, and socioemotional competence emerge. Prior research has shown that children as young as 5 years old can understand and experience mixed emotion, but perhaps appropriately sensitive methodologies can reveal these abilities in younger children. The present study evaluated 57 children between 3 and 5 years old for mixed emotion experience and understanding using an animated video clip in which a character experiences a mixed emotional episode. Ordinal logistic regression was utilized to examine the relation of gender, attention, and understanding of content to experience and understanding of mixed emotion. While only 12% of children reported experiencing mixed emotion while watching the clip, 49% of children—some as young as 3 years old—were able to recognize the mixed emotional experience of the character. Thus, mixed emotion understanding emerges earlier than previously identified and the expression of understanding may develop independently of the ability to report mixed emotion experience. These findings are discussed in relation to cognitive and developmental considerations.