Perceived positive and negative consequences after surviving cancer and their relation to quality of life

Surviving childhood cancer has multiple implications on both physical and psychological domains of the individual. However, its study and possible effects on health‐related quality of life (HRQoL) outcomes of adolescent survivors has been understudied. The objective of this study was twofold; to assess positive and negative cancer‐related consequences (psychosocial and physical) in a sample of adolescent cancer survivors and to explore their relationship with HRQoL outcomes. Forty‐one participants answered two questions about positive and negative consequences in the aftermath of cancer and filled in the KIDSCREEN‐52 self‐reported version. Data were analysed using mixed methods approach. Overall, 87.8% of the studied sample identified positive consequences and 63.4% negative consequences in survivorship. Four positive categories and five negative categories with regard to cancer‐related consequences were found. Changed perspectives in life narratives seem to be the positive consequence more related to HRQoL (physical well‐being, mood & emotions, autonomy, social support & peers), followed by useful life experience (physical well‐being, autonomy, social support & peers). Psychological impact was the most referred negative consequence with a significant detrimental effect on social support and peers HRQoL dimension. Even if the majority of survivors reported benefit finding in the aftermath of cancer, concomitant positive and negative consequences have been found. However, findings only reveal a significant relationship between positive narratives and HRQoL, and negative consequences do not seem to have a significant influence on overall HRQoL in survivorship.     

THE “NEGATIVE” AND “POSITIVE” ARGUMENTS OF MORAL MODERATES

According to Shelly Kagan, “ordinary” or “moderate” moralists must establish the existence of “options.” Kagan considers a “negative” and a “positive” argument, which he regards as the most promising means by which moral moderates might establish their position. He offers objections to both, and he concludes that the moderate position is indefensible. I argue that Kagan fails in his attempt to discredit the negative argument. I also argue that the positive argument is so implausible that Kagan's elaborate criticism of it is unnecessary. The positive argument is interesting nevertheless, because of why it cannot serve the moderate's purposes.     

Associations of positive and negative life changes with well-being in young and middle-aged adult cancer survivors

Both positive and negative changes are commonly reported by cancer survivors, and both may impact quality of life. Yet few studies have directly compared the associations of positive and negative changes across multiple life domains with multiple aspects of well-being. This study examined positive and negative changes and their conjoint relation to a range of well-being indices. We used correlational and regression analyses of data from 237 young to middle aged (X?=?45.3?years) cancer survivors, several years after treatment. Measures included demographic and medical variables, medical post-cancer positive and negative changes on multiple life domains, and a range of positive and negative adjustment indices. Demographic factors, especially income, related to both positive and negative outcomes. On average, participants reported no change on most life domains, although modest amounts of both positive and negative changes were reported. Negative change, rather than positive change, was closely associated with cancer survivors’ adjustment. Detailed measurement of both positive and negative changes – as well as lack of change – is important to advance understanding of cancer's impact on survivors.     

The “contact hypothesis”: Critical reflections and future directions

Research on intergroup contact has grown exponentially over the past decade. Such research has typically extolled the benefits of positive interaction between members of historically divided communities, particularly on outcomes related to prejudice reduction. Emerging work in the field, however, has qualified this optimistic picture by identifying three gaps in the existing literature. First, in everyday life, contact may be construed as a negative experience that increases rather than decreases responses such as prejudice, anxiety, and avoidance. Second, in real‐life settings, contact is often circumscribed by informal practices of (re)segregation that are easily overlooked if researchers rely primarily on examining structured contact and explicit processes using primarily laboratory and questionnaire methods. Third, positive contact may have “ironic” effects on the political attitudes and behaviors of the historically disadvantaged, undermining their recognition of social injustice and decreasing their willingness to engage in collective action to challenge the status quo. Although it is now a truism that intergroup contact can reduce intergroup prejudice, these developments emphasize the importance of maintaining a critical perspective on the “contact hypothesis” as a model for promoting social change in historically divided and unequal societies. They also lay the foundations for future developments in the field.     

Individual Differences in Habitual Social Goals and Daily Well‐Being: The Role of Age and Relationship Closeness

There is a robust evidence that social approach goals (i.e. approach of positive social outcomes) have positive consequences and social avoidance goals (i.e. avoidance of negative social outcomes) have negative consequences for subjective well‐being in young adulthood. Little is known about individual differences in social goals in later life. The current diary study with young (n = 212), middle‐aged (n = 232), and older adults (n = 229) tested––and supported––the hypotheses that age (i) differentially predicts the strength of habitual approach and avoidance goals in close and peripheral relationships and (ii) moderates the relation of approach and avoidance goals in peripheral (but not close) relationships and daily outcomes (subjective well‐being, subjective health, and satisfaction with social encounters). Older adults compared to younger adults reported higher levels of avoidance goals in peripheral (but not close) relationships. Younger adults who reported high levels of approach goals and older adults who reported high levels of avoidance goals in peripheral relationships experienced the most positive daily outcomes. In addition, social goals moderated some of the associations between (positive and negative) daily interactions and daily outcomes. Results underscore the importance of the closeness of social partners for individual differences in social goals across adulthood. © 2019 European Association of Personality Psychology     

Associations of positive and negative life changes with well-being in young and middle-aged adult cancer survivors

Both positive and negative changes are commonly reported by cancer survivors, and both may impact quality of life. Yet few studies have directly compared the associations of positive and negative changes across multiple life domains with multiple aspects of well-being. This study examined positive and negative changes and their conjoint relation to a range of well-being indices. We used correlational and regression analyses of data from 237 young to middle aged (X?=?45.3?years) cancer survivors, several years after treatment. Measures included demographic and medical variables, medical post-cancer positive and negative changes on multiple life domains, and a range of positive and negative adjustment indices. Demographic factors, especially income, related to both positive and negative outcomes. On average, participants reported no change on most life domains, although modest amounts of both positive and negative changes were reported. Negative change, rather than positive change, was closely associated with cancer survivors' adjustment. Detailed measurement of both positive and negative changes - as well as lack of change - is important to advance understanding of cancer's impact on survivors.     

Violence and “Hyperbologic”: Lawlor on Time’s Relation to Metaphysics

In his recent work, Leonard Lawlor draws attention to the problem of “violence,” which is the “problem that provides the most food for thought.” This emphasis on the problem of violence and its connections to metaphysics understood as philosophy has been remarkably consistent over his career, and thinking through responses to “violence” has sustained Lawlor’s continued effort to think about what he calls “violent” relations between event and repeatability and ground these upon a critical phenomenology. This contribution to the discussion of Lawlor’s work focuses on his most recent book, From Violence to Speaking Out (2016), so as to suggest three important directions for this project and for philosophy’s response to violence. I first briefly trace the theme of violence in From Violence to Speaking Out , contextualizing it against the rest of his work, so as to draw out what he means by violence and its provocation to philosophy, with special attention to the way that the violence in question is figured as disrupting the transcendental and confronting philosophy with what Lawlor calls the “ultratranscendental.” Second, I link it to the theme of time by tracing Lawlor’s point about violence in relation to the breaking up of the transcendental subject from Kant into Heidegger. Third, I link these points to the negative movement of the dissolution of modes of repeatability. This dissolution is captured in a kind of “speaking‐out” that Lawlor detects in Foucault, Derrida, and Deleuze and Guattari, involving an excess over and above expression, which Deleuze calls “hyperbologic.”     

AN EXPERIMENTAL ANALYSIS OF “SPILLOVER” EFFECTS ON THE SOCIAL INTERACTION OF BEHAVIORALLY HANDICAPPED PRESCHOOL CHILDRENsp1

The effects of prompting and social reinforcement directed to target subjects on their social behavior and that of peers who never received prompting and reinforcement for positive social behavior, were examined. In a combined reversal and multiple-baseline design, three behaviorally handicapped preschool boys who exhibited divergent social behavior repertoires and varied histories with social reinforcement events, were sequentially exposed to intervention conditions in order to investigate “spillover” of treatment effects. Prompting and reinforcement increased positive social behavior and decreased negative social behavior emitted by all target subjects. The results also demonstrated a “spillover” effect on two target subjects, who at various times were not under intervention, and on the peers as well. The findings suggest that: (a) the direct and indirect effects of intervention procedures may be enhanced by designing treatment based on the social repertoire and reinforcement histories of the subjects; and (b) the treatment “spillover” effect may be increased by applying procedures to two children at once, rather than to one at a time.     

The effects of “phubbing” on social interaction

This research experimentally investigated the social consequences of “phubbing” – the act of snubbing someone in a social setting by concentrating on one's mobile phone. Participants viewed a three‐minute animation in which they imagined themselves as part of a dyadic conversation. Their communication partner either phubbed them extensively, partially, or not at all. Results revealed that increased phubbing significantly and negatively affected perceived communication quality and relationship satisfaction. These effects were mediated by reduced feelings of belongingness and both positive and negative affect. This research underlines the importance of phubbing as a modern social phenomenon to be further investigated.     

Exposing information sharing as strategic behavior: power as responsibility and “Trust” buttons

Online platforms' success depends on individual's information sharing (IS). However, previous research showed that “knowledge is power” is a default‐perception in organizations and that individuals share relatively unimportant information while keeping the important private information for themselves. Trust has also been identified as important enabler of IS. We examined the role of power construed as responsibility for others' outcomes and of a “Trust” button, a theory‐inspired technological feature, using a 2(Power construals: opportunity vs. responsibility) × 2(Buttons: “Like” vs. “Like‐or‐Trust”) × 2(Information sharedness as within‐subjects factor; public, private) design. Findings showed that construing power as responsibility and “Trust” button's presence increased the sharing of private information; clicking behavior yielded insights into the underlying mechanisms. Theoretical and practical implications are discussed.     

Healing Intergenerational Wounds: An Integrative Relational–Neurobiological Approach

Old resentments and unfinished business from the family of origin can constrain adults in current relationships with parents or siblings and negatively affect relationships with partners or children. This article explores how old wounds get reactivated in current relationships and contribute to the intergenerational transmission of painful legacies and trauma. Building on intergenerational family theory and interpersonal neurobiology, the dynamics of reactivity and pathways for growth are explored. While much of the time the human brain is on autopilot, driven by habits and emotional reactivity, we are capable of bringing prefrontal thoughtfulness and choice to close relationships. Rather than being victims of parents or our past, we can become authors of our own relational life. Interventions are offered to help adult clients “wake from the spell of childhood,” heal intergenerational wounds, and “grow up” relationships with family of origin. The damage caused by parent‐blaming in therapy is explored and contrasted with Ivan Boszormenyi‐Nagy's emphasis on rejunctive action and cultivating resources of trustworthiness in intergenerational relationships. The family is considered both in its cultural context—including stressors and resources for resilience—and in its life cycle context. Aging in the intergenerational family is discussed, focusing on ways adult children and their parents can grow and flourish with the challenges at this time of life. Throughout, the theme of relational ethics—how we can live according to our values and “reach for our best self” in intergenerational relationships—informs the discussion.     

Tom Morawetz's “Robust Enterprise”: Jurisprudence after Wittgenstein

I examine one theme within Tom Morawetz's complex jurisprudential work (stemming from Wittgenstein): the concept of a practice. After considering this theme in some detail, I then sketch a different jurisprudential approach that still proceeds within the inspiration of Wittgenstein's later philosophy. Here, I summarise Stanley Cavell's elaborate recounting of Wittgenstein's twin concepts, “criteria” and “grammar.” In a third and final section, I employ this alternative method to provide a brief example of how a Wittgensteinian approach might be made towards explicating and understanding Holmes’ classic claim regarding the need in jurisprudence to separate legal and moral concepts.     

A Response to “Participation: A Religious Worldview” by James M. Gustafson

This response offers an interpretation of James Gustafson's “Participation: A Religious Worldview,” which thinks with Gustafson on the theme of “participation,” while highlighting points where my own thoughts diverge from his. The essay begins by drawing the reader's attention to Gustafson's style, arguing that the simple elegance of his writing constitutes part of his larger claim about the need to remove ourselves from the center of our thought. Next, the essay analyzes Gustafson's use of “participation” by putting it in context and connecting it with his broader methodology. Finally, I draw the reader's attention to important loci in the text in order to show how Gustafson's essay helps address various extant misinterpretations of his thought but also to point to ways in which my “thinking with” Gustafson leads me to think otherwise than he does.     

“SECRET TESTS”

The current study was undertaken to develop a typology of “secret tests,”—that is, social strategies that people use to acquire knowledge about the state of their opposite-sex relationships. Furthermore, the influences of relationship type and respondent sex on strategy use were assessed. Both qualitative and quantitative methods were employed with data obtained from a total of 181 respondents. Findings suggest 14 basic categories of “secret tests” that comprise 7 cluster types in a two-dimensional spatial representation. Passive, active, and interactive strategy types were evident. Females reported more secret test strategies than did males, and people in opposite-sex relationships that were in transition from platonic to romantic reported more strategies than people in either platonic cross-sex or romantic cross-sex relationships. Differences were found as well in the type of secret test most likely to be employed as a function of respondent sex and relationship type.     

The Liberation of Caring; A Different Voice For Gilligan's “Different Voice”

Recent literature portrays caring as a psychological, social, and ethical orientation associated with female gender identity. This essay focuses on Giliigan's influential view that “care” is a broad theme of moral development which is under-represented in dominant theories of human development such as Kohlberg's theory. An alternative hypothesis is proposed portraying care development as a set of circumscribed coping strategies tailored to dealingwith sexism. While these strategies are practically effective and partially “liberated,” from the moral point of view, they also reflect the debilitating influences of sexist socialization even at the highest level. Gilligan and her colleagues seem to misidentify these inadequacies of mature care. This alternative hypothesis is briefly related to the critical and feminist tradition. Then it is supported with Gilligan's own research and interpretive text.     

“Innocent Victims” of AIDS: Identifying the Subtext1

References to “innocent victims” of AIDS in the media and public discourse imply that other people with AIDS or HIV are blameworthy. In the present study, college undergraduates read two newspaper articles about an “innocent victim” of AIDS, and were required to report what they understood to be the “victim's” message. Very few participants reported the subtext without prompting. When asked directly, however, most respondents (88%) agreed that the “victim” was making an implicit statement about other people with AIDS, and 70% of this subgroup correctly identified the subtext. Compared to other respondents, those who identified the subtext had more positive attitudes toward homosexuals.     

Wittgenstein on the Place of the Concept “Noticing an Aspect”

Seeing aspects is a dominant theme in Wittgenstein's 1940s writings on philosophy of psychology. Interpreters disagree about what Wittgenstein was trying to do in these discussions. I argue that interpreting Wittgenstein's observations about the interrelations between “noticing an aspect” and other psychological concepts as a systematic theory of aspect‐seeing diminishes key lessons of Wittgenstein's explorations: these interrelations are enormously complicated and “noticing an aspect” resists neat classification. Further, Wittgenstein invites us to engage in his “placing activity,” and by doing so we are building a skill that is valuable for enabling us to help ourselves when we encounter conceptual difficulties.     

“Pain is forgotten where gain follows:” The masking effect of positive outcomes on emotional suffering

Previous research has shown that people tend to overstate or understate their past feelings in memory when asked to recall their past emotional experiences. Drawing from cognitive reappraisal theory and mood congruence theory, we presented an integrative explanation that the type of outcome of stressful events influences the magnitude and direction of bias in emotional memory. The results of two studies showed that individuals who succeeded in a postgraduate recruitment interview or a job interview tended to overstate positive emotions and understate negative emotions. In contrast, individuals who failed in an interview understated positive emotions and overstated negative emotions. This phenomenon can be named “pain is forgotten where gain follows.” These results shed light on the controversy between mood congruent theory and the appraisal model as well as application values in intervention research on emotional biases.     

Ibsen's Nora and the Confucian Critique of the “Unencumbered Self”

Criticisms of the liberal‐individualist idea of the “unencumbered self” are not just a staple of communitarian thought. Some modern Confucian thinkers are now seeking to develop an ethically particular understanding of social roles in the family that is sensitive to gender‐justice issues, and that provides an alternative to liberal‐individualist conceptions of the “unencumbered self” in relation to family roles. The character of Nora in Henrik Ibsen's A Doll's House seemingly exemplifies such conceptions of the unencumbered self in her rejection of her housewife role for a more authentic selfhood. Drawing upon the capabilities approach to justice, and positive early Japanese bluestockings’ responses to Ibsen's play, I argue that Nora's character is better understood as exemplifying an ethically compelling disencumbered self in potentially cross‐cultural circumstances: a self criticizing and rejecting social roles that are found to be unjust according to universal, as opposed to particularist, “Confucian” ethical standards.