Banking on brains: Insights of brain donor relatives and friends from an experiential perspective

Brain donation is critical to understand the pathological causes of neurodegenerative diseases. Increasing levels of donation requires an understanding of those factors that both encourage and deter donation. At present, there are few studies of how people understand, feel and decide about brain donation for scientific research. This qualitative experiential study contributes to the growing literature on brain donation through its specific focus on how the donation process is experienced from the perspectives of family members and friends. Nineteen semi-structured interviews were analysed using a phenomenologically informed thematic analysis. Four themes were derived from the analysis, three of which are described in detail: Making the decision to donate; a personal perspective on the donation process; the significance of the brain; beliefs about brain donation. In particular, the thematic analysis highlights the variation of individual decision making and the emotions and reasons underpinning such decisions. Key conclusions include the importance of integrated practice amongst relevant healthcare professionals as well as the need for supportive and informed communication. Also, in light of the finding that the brain assumed no special significance for most participants, the value of the distinction between brain donation for research purposes and organ transplantation is questioned.     

Neighbors,relatives, and friends: Finding constructive approaches to religious others

The way we approach, describe and interpret the faiths of others impact significantly on the relationship between different religious traditions. This article develops resources from Christian theology to show how it provides important elements for the development of constructive relationships. It also offers some comments on the present proposals put forward by the ELCA. By emphasizing how religious traditions orient and transform believers, it points to how practices can appear as meaningful across traditional borders. To develop constructive relationships with religious others is, fundamentally, a way to practice belief in God as love.     

Online guidance, advice, and support for problem gamblers and concerned relatives and friends: an evaluation of the GamAid pilot service

The paper reports one of the first ever studies to evaluate the effectiveness of an online help and guidance service for problem gamblers. The evaluation utilised a mixed methods design in order to examine both primary and secondary data relating to the client experience. In addition, the researchers posed as problem gamblers in order to obtain first-hand experience of how the service works in practice. A total of 80 participants completed an online evaluation questionnaire, and secondary data were gathered from 413 distinct clients who contacted an advisor. It was concluded that the service appears to be one of the few genuinely international guidance and 'counselling' services available to problem gamblers. Gambling online was the most preferred form of gambling and gambling location of GamAid clients. The service also appears to be favoured by females more than any other comparable service. Overall, the vast majority of clients were very positive about their experience of using GamAid, although there were some minor technical difficulties. In light of the findings, the utility of using online guidance and therapeutic services is discussed.     

An African perspective on the partiality and impartiality debate: Insights from Kwasi Wiredu's moral philosophy

In this article, I attempt to bridge the gap between partiality and impartiality in moral philosophy from an oft-neglected African perspective. I draw a solution for this moral-theoretical impasse between partialists and impartialists from Kwasi Wiredu's, one of the most influential African philosophers, distinction between an ethic and ethics. I show how an ethic accommodates partiality and ethics impartiality. Wiredu's insight is that partialism is not concerned with strict moral issues.     

Modulatory effects of happy mood on performance monitoring: Insights from error-related brain potentials

Goal-adaptive behavior requires the rapid detection of conflicts between actions and intentions or goals. Although many studies have focused in the past on the influence of negative affect on this cognitive control process (and more specifically, on error monitoring), little is known about the possible modulatory effects of positive affect on it. To address this question, we used a standard (positive) mood induction procedure (based on guided imagery) and asked participants to carry out a speeded go/no-go task while high-density electroencephalography was recorded concurrently. As a control condition, we used a group with neutral mood. Event-related potential results showed that the error-related negativity (ERN) component, reflecting early error detection within the dorsal anterior cingulate cortex, was not influenced by happy mood. In contrast, the subsequent error positivity (Pe) component, related to the appraisal of the motivational significance of errors, was reliably smaller in the happy than in the neutral mood group. Complementing source localization analyses showed that this effect was explained by decreased activation within the posterior cingulate and insular cortices. These results were obtained in the absence of group differences regarding behavioral performance and tonic arousal. These findings suggest that happy mood likely decreases and changes the motivational significance of worse-than-expected events (Pe), while leaving their earlier automatic detection (ERN) unaltered. We discuss these new results in terms of dynamic changes in the complex interplay of performance monitoring with motivation.     

Child development in the context of adversity: experiential canalization of brain and behavior

The authors examine the effects of poverty-related adversity on child development, drawing upon psychobiological principles of experiential canalization and the biological embedding of experience. They integrate findings from research on stress physiology, neurocognitive function, and self-regulation to consider adaptive processes in response to adversity as an aspect of children's development. Recent research on early caregiving is paired with research in prevention science to provide a reorientation of thinking about the ways in which psychosocial and economic adversity are related to continuity in human development.     

Humanistic‐experiential therapies in the treatment of generalised anxiety: A perspective

This study discusses the current status of evidence‐based psychological therapies for generalised anxiety disorder (GAD). It points to the dominance of cognitive‐behavioural therapies (CBTs) and compares this dominance with the position of humanistic‐experiential therapies (HEPs) in this area. The paper hypothesises several reasons for this situation, including historical developments as well as HEPs’ ambivalence around embracing mainstream mental health classification systems, and corresponding types of research. The paper then highlights some recent developments in HEPs for anxiety disorders (particularly emotion‐focused therapy; EFT); developments that are breaking new conceptual grounds while also generating new outcome research.     

Assessing aggressive and depressed children's social relations with classmates and friends: a matter of perspective

This study examined aggressive, depressed, and aggressive–depressed childrenr's peer relations from the children's own and from their peers' perspective. Participants were 819 fourth through sixth graders (50.2% girls) who were assessed twice during the same school year. Measures included children's aggression and depression, self-rated and peer-rated social acceptance, number of reciprocal friends, and self-rated and friend-rated friendship quality. Analyses revealed different patterns, depending on the perspective considered. Depression but not aggression was significantly related to difficulties with the peer group and with dyadic friends from the children's own perspective, whereas the opposite pattern was found according to the peers' view. The co-occurrence of aggression and depression entailed significant difficulties with peers regardless of perspective. The implications of these results for the links between children's aggression and depression and their interpersonal relationships are discussed.     

Understanding the effects of task-specific practice in the brain: Insights from individual-differences analyses

We used functional magnetic resonance imaging to study practice effects in different mental imagery tasks. The study was designed to address three general questions: First, are the results of standard group-based analyses the same as those of a regression method in which brain activation changes over individual participants are used to predict task performance changes? With respect to the effects of practice, the answer was clear: Group-based analyses produced different results from regression-based individual-differences analyses. Second, are all brain areas that predict practice effects consistently activated across participants? Again, the answer was clear: Most areas that predicted the effects of practice on performance were not activated consistently over participants. Finally, does practice affect different areas in different ways for different people in different tasks? The answer was again clear: The areas that predicted changes in performance with practice varied for the different tasks, but this was more dramatically and clearly revealed by the individual-differences analyses. In short, individual-differences analyses provided insights into the relation between changes in brain activation and changes in accompanying performance, and these insights were not provided by standard group-based analyses.     

Implications of phenomenological grounding in the "microscopic": an experiential relativity from the microcosmos

The implications of phenomenological grounding in the microscopic (atomic) level of reality are discussed. In such a state the body is experienced as process within an environment organized by "infinite" time. The world-self phenomenon is experienced as coconstituted, and the feeling of individuality is replaced by the experience of intimate integration.     

Prejudice against Women Leaders: Insights from an Indirect Questioning Approach

Sex Roles - To avoid social disapproval in studies on prejudice against women leaders, participants might provide socially desirable rather than truthful responses. Using the Crosswise Model, an...     

Discourse on medicine: meditative and calculative approaches to ethics from an international perspective

Heidegger’s two modes of thinking, calculative and meditative, were used as the thematic basis for this qualitative study of physicians from seven countries (Canada, China, India, Ireland, Japan, Korea, & Thailand). Focus groups were conducted in each country with 69 physicians who cared for the elderly. Results suggest that physicians perceived ethical issues primarily through the lens of calculative thinking (76%) with emphasis on economic concerns. Meditative responses represented 24% of the statements and were mostly generated by Canadian physicians whose patients typically were not faced with economic barriers to treatment due to Canada’s universal health care system.     

The economics and philosophy of the brain drain: A critical perspective from the periphery

The paper provides a critical perspective on recent contributions to the economics literature, and associated philosophical arguments, that downplay negative effects of skilled migration on developing countries. The assertion that such migration incentivises investment in human capital is shown to rely on shaky theoretical foundations and weak empirical evidence. The associated economic literature suggesting a net positive effect of brain drain is at odds with literatures on the positive effects of human capital and education on economic growth. The manner in which net effects are determined also demonstrates that such contributions are utilitarian in nature. Identifying those who are the worst affected by brain drain, as well as the possible decision of a citizen placed behind the veil of ignorance, supports the view that opposing barriers to brain drain is inconsistent with a Rawlsian social welfare function. The undermining of institutions by skilled emigration is a fundamental consideration neglected by the economics literature without justification and, again, contradicts literatures on growth and institutions within economics. The economic theory of education can also be shown to support the view that depriving governments of the power to limit migration undermines states’ ability to resolve market failures. A number of other issues are identified that deserve greater consideration, including reflexivity in research on brain drain, the political economy of skilled migration and the philosophical status of nation-states. Despite unreliable econometric evidence, there is sufficient basis and justification to act. The paper concludes by briefly sketching possible actions under different degrees of international cooperation.     

An affective-experiential perspective on reactions to fair and unfair events: Individual differences in affect intensity moderated by experiential mindsets

The present paper focuses on what psychological processes are driving people’s reactions to fair and unfair events. Specifically, by extending on ideas that people’s reactions to fair and unfair events consist at least partly of affect-related responses, and by adopting the assumption made in cognitive-experiential self-theory that the operation of experiential mindsets is intimately associated with affect-related experiences, we formulate the hypothesis that individual differences in affect intensity will moderate reactions to fair and unfair events. Introducing a novel manipulation of experiential and rationalistic mindsets to the research literature, the findings of two studies indeed reveal that especially for people in experiential (vs. rationalistic) mindsets negative affective reactions to fair and unfair events increase with high (vs. low) scores on affect intensity. Implications for the literature on social justice, experiential mindsets, and affect intensity are discussed.     

Attraction and altruism: With a little help from my friends

The present experiment was designed to determine whether the reinforcement value of an altruistic response is a function of attraction toward the victim and/or the affective state of the subject. Subjects (N = 95) received positive or negative evaluations from a victim or from a bystander and subsequently performed an altruistic response which terminated shock delivery to a victim on a series of 14 trials. Analyses of variance indicated that the acquisition of an altruistic response was greatest when attraction toward the victim was most positive (p < .0001) and nonexistent when attraction toward the victim was least positive. The results were consistent with the proposition that attraction rather than affect mediates altruistic reinforcement. Those subjects receiving negative evaluations from the victim failed to acquire the altruistic response, suggesting that failure to help may function as a form of passive aggression.     

Psychotropic medication from an object relations theory perspective: an analysis of vignettes from group psychotherapy

In this article we explore the content and dynamics of patients' verbalizations within a "living with medications" group. Patients' perceptions of their psychotropic medications are interpreted and classified within the framework of object relations theory. One's perception of the role of medication in one's life can serve as a gateway to one's inner world and the way that he or she perceives authority figures, peers, and oneself. We suggest that working through patients' relationships with their medications can help them to achieve better integration of internal object relations. Discussing patients' views about medications should therefore be seen as an important part of psychotherapy with many individuals. Such a discussion may enhance and improve efficacy of both psychotherapy and pharmacotherapy. It is of particular importance in group therapy, within milieu environments and with individuals reluctant to explicitly discuss interpersonal matters. Vignettes from the group sessions illustrate the way in which discussing medication advances group process.     

A lesson from Katrina: pastoral care from an Asian theological perspective

Situating pastoral caregivers in the dramatic catastrophe caused by hurricane "Katrina" in New Orleans, this article attempts to address some appropriate pastoral responses toward the disaster from an Asian theological perspective. The article highlights the significance of remembrance and connection rather than repression and forgetfulness in order to bring justice to all victims of Katrina. It builds on Jacoby's "social amnesia," calls for redefining the meaning of community, and attempts to address the human predicaments on the surface of Katrina through an Asian perspective. In order to address pastoral responses, the article builds upon Martin Luther King, Jr.'s concept of interrelatedness and shared destiny. It critically examines Jung Young Lee's theology of marginality, and draws the pastoral implications of this theology of marginality with respect to Katrina.