Relational Spending in Funerals: Caring for Others Loved and Lost

Funeral rituals perform important social functions for families and communities, but little is known about the motives of people planning funerals. Using mixed methods, we examine funeral planning as end-of-life relational spending. We identify how relational motives drive and manifest in funeral planning, even when the primary recipient of goods and services is dead. Qualitative interviews with consumers who had planned pre-COVID funerals (N = 15) reveal a caring orientation drives funeral decision-making for loved ones and for self-planned funerals. Caring practices manifest in three forms: (a) balancing preferences between the planner, deceased, and surviving family; (b) making personal sacrifices; and (c) spending amount (Study 1). Archival funeral contract data (N = 385) reveal supporting quantitative evidence of caring-driven funeral spending. Planners spend more on funerals for others and underspend on their own funerals (Study 2). Preregistered experiments (N = 1,906) addressing selection bias replicate these results and find generalization across different funding sources (planner-funded, other-funded, and insurance; Studies 3A–3C). The findings elucidate a ubiquitous, emotional, and financially consequential decision process at the end of life.     

Intensive Home Based Services Within a Comprehensive System of Care for Youth

Within a comprehensive mental health service array for youth, Intensive Home Based Services (IHBS) are designed to meet the needs of youth with significant emotional and behavioral problems in their home communities, avoiding the need for out-of-home services, particularly residential care. We examined youth receiving IHBS as their first service in the state of Hawaii system of care (N = 163) to determine how successful IHBS were in preventing the need for more restrictive services within 12 months of intake. Subsequently, we investigated characteristics that might be predictive of a youth’s need for service intensification within 12 months. Logistic regression analyses found that greater age, level of service need, and functional impairment at intake predicted use of more restrictive services within 12 months of intake, whereas gender, ethnicity, diagnosis, service intensity, and clinician credentials did not. Overall, our findings suggested that IHBS were reasonably successful in preventing residential placements, and provided some basis for determining characteristics of youth likely to require more restrictive placements within a one year period.     

Emotional support and counselling for people with visual impairment: Quantitative findings from a mixed methods pilot study

Aims: This paper reports on mainly quantitative findings from a mixed methods evaluation of a new model of emotional support and counselling for people with moderate visual impairment. Method: The CORE Outcome Measure was completed with service users at baseline and post‐intervention to assess the impact of the new service on psychological wellbeing and social functioning. Their perceived needs and expectations of the service were also explored. Results: Of the 35 individuals providing data at each assessment time, mean item scores on the CORE fell significantly (p<.001), taking the sample from within a clinical population before therapy, to a mean score below this following therapy. A more positive outlook accompanied this improvement in functioning. Discussion: Findings from the study augment the growing evidence that emotional support and counselling services can play an important role alongside and within related vision services. Implications for practice: The study indicates that therapeutic input for the visually impaired client group may need to target both wellbeing (feelings about oneself and the future) and problems (depression, anxiety, physical health, and trauma). Conclusions: Our findings suggest that a dual model of emotional support and counselling offers considerable benefit for people with visual impairment.     

The psychodynamics of forensic mental health nursing

Abstract

The aim of this paper is to clarify some important interpersonal dynamics that underpin forensic patients’ presentations within the clinical environment, in a way that is accessible to nurses. The world of forensic mental health nursing is often difficult to describe to those who have not experienced first hand prolonged clinical contact with patients at the therapeutic interface of secure services. Even then, the characteristic, intense emotional phenomena that tend to arise out of interpersonal relationships with patients and colleagues is not easy to articulate. Yet, for those of us who consider our professional identity to be one of “forensic mental health nurse,” it seems important to find a way to put words to what appears to occupy a large component of our working lives. More importantly, if we can develop a way to make sense of the way our work makes us feel and the way we can find ourselves relating to others within our professional roles, we will be in a better position to harness our energy and enthusiasm in the service of supporting forensic patients towards effective care and treatment pathways. Of course, forensic patients are supported through services with or without a framework for articulating emotional and interpersonal experiences. However, this frequently occurs in the context of significant struggle. For patients, this struggle is often characterized by difficulty communicating what their needs are, and for nurses this struggle is often characterized by feeling emotionally overwhelmed by their task of providing containing, therapeutic relationships for patients whose interpersonal needs are not clear to them. This article will use case examples to describe some of the complex interpersonal and emotional challenges faced by forensic nurses, and explain how a psychodynamic framework could support nursing practice in each of the case examples.     

Religious leaders' perceptions of their emotional and psychological needs

This study investigates religious leaders' perceptions of their emotional and psychological needs using a qualitative Interpretative Phenomenological Analysis design consisting of semi-structured in-depth interviews. This study found that there are different factors contributing to becoming a religious leader; the participants are seeing their profession as a vocation, a job, a service, a calling but not as a career. Participants indicated having emotional problems but also having strong commitment to continue their work. Religious leaders are shown to have role conflicts and are not finding it easy to maintain their relationships. And participants used different coping strategies to overcome their emotional problems. This is the first study in psychology to explore in detail how religious leaders perceive their own emotional problems and interpret their own experiences, and as a result, a number of implications of the findings and recommendations for future research are discussed.     

Strengthening the Capacity of Schools and Communities to Serve Students with Serious Emotional Disturbance

Target 2 of the National Agenda for Improving Results for Children and Youth with Serious Emotional Disturbance stipulates that communities and schools serve children and youth with emotional needs in their neighborhood homes and regular classrooms by developing the capacity of teachers, schools, and communities to provide supports and resources. This statement is partially based upon the idea that children and youth who are placed out-of-district for special needs and services are often alienated from their neighborhoods and their communities. The Westerly, RI, and Alliance, OH, school districts, service delivery agencies and families collaborated to implement system-wide change, so as to accomplish two main goals. First, they intended on retaining students with emotional needs in their neighborhood schools and in regular classrooms. Second, they aimed to increase their effectiveness in addressing the needs of all students by providing a range of integrated resources. Both communities were strongly driven by the underlying objective: to improve the educational, economic, and social outcomes for all children.     

Causal Inference from Noise

Correlation is not causation is one of the mantras of the sciences—a cautionary warning especially to fields like epidemiology and pharmacology where the seduction of compelling correlations naturally leads to causal hypotheses. The standard view from the epistemology of causation is that to tell whether one correlated variable is causing the other, one needs to intervene on the system—the best sort of intervention being a trial that is both randomized and controlled. In this paper, we argue that some purely correlational data contains information that allows us to draw causal inferences: statistical noise. Methods for extracting causal knowledge from noise provide us with an alternative to randomized controlled trials that allows us to reach causal conclusions from purely correlational data.     

Influence of children's emotional states on the recognition of emotion in peers and social motives to change another's emotional state

This experiment addressed the question of whether children's own emotional states influence their accuracy in recognizing emotional states in peers and any motives they may have to intervene in order to change their peers' emotional states. Happiness, sadness, anger, or a neutral state were induced in preschool children, who then viewed slides of other 4-year-old children who were actually experiencing each of those states. Children's own emotional states influenced only their perception of sadness in peers. Sad emotional states promoted systematic inaccuracies in the perception of sadness, causing children to mislabel sadness in peers as anger. Children had high base rates for using the label “happy,” and this significantly enhanced their accuracy in recognizing that state. Low base rates for labeling others as in a neutral state reduced accuracy in recognizing neutrality. Children were generally motivated to change sad, angry, and neutral states in peers, and they were most motivated to change a peer's state if they were to be the agent of such change. The results are discussed in terms of the limited role of children's own emotional states in their recognition of emotion in others or motives to intervene and in terms of factors influencing the perception of emotion, such as base rate preferences for labeling others as experiencing, or not experiencing, particular emotional states.     

Handling the stigma of handling the dead: Morticians and funeral directors

This paper analyzes the ways in which morticians and funeral directors—people who make their living by handling the dead—attempt to overcome the stigma associated with their work. It reflects over 2 years of field work involving extensive ethnographic interviews with 19 morticians and funeral directors in four different states. The qualitative analysis reveals that morticians and funeral directors are acutely aware of the stigma associated with their work, most of which comes from handling the dead and being viewed as profiting from death and grief. Within the general theoretical framework of symbolic interactionism, the author identifies and examines the symbolic and dramaturgical techniques employed by morticians and funeral directors to neutralize and diminish the stigma associated with their work. Among these are symbolically redefining their work, practicing role distance, emphasizing professionalism, cloaking themselves in the “shroud of service,” and enjoying socioeconomic status over occupational prestige. Morticians and funeral directors make special efforts to shift the emphasis of their work away from the handling of the dead to providing important and necessary services for the living.     

God died and nobody gave a funeral

When childhood abuse trauma occurs in a Christian environment, the god representation is disrupted. Despite counseling, the impact of the god of childhood on the lives of child abuse survivors is often not resolved. The impact of the accumulation of child abuse trauma can seriously impair the development of the god image or even cause the god image to die. If a member of the family dies, there is a funeral and a period of socially supported grieving. When god dies, no one holds a funeral. The nature of the Christian god representation necessitates that Christian child abuse survivors grieve the loss of their childhood god if they are to resolve spiritual issues.An earlier form of this paper was given at the American Academy of Religion, November 1994.     

How to Do Things with Emotional Expressions: The Theory of Affective Pragmatics

It is widely accepted that emotional expressions can be rich communicative devices. We can learn much from the tears of a grieving friend, the smiles of an affable stranger, or the slamming of a door by a disgruntled lover. So far, a systematic analysis of what can be communicated by emotional expressions of different kinds and of exactly how such communication takes place has been missing. The aim of this article is to introduce a new framework for the study of emotional expressions that I call the theory of affective pragmatics (TAP). As linguistic pragmatics focuses on what utterances mean in a context, affective pragmatics focuses on what emotional expressions mean in a context. TAP develops and connects two principal insights. The first is the insight that emotional expressions do much more than simply expressing emotions. As proponents of the Behavioral Ecology View of facial movements have long emphasized, bodily displays are sophisticated social tools that can communicate the signaler's intentions and requests. Proponents of the Basic Emotion View of emotional expressions have acknowledged this fact, but they have failed to emphasize its importance, in part because they have been in the grip of a mistaken theory of emotional expressions as involuntary readouts of emotions. The second insight that TAP aims to articulate and apply to emotional expressions is that it is possible to engage in analogs of speech acts without using language at all. I argue that there are important and so far largely unexplored similarities between what we can “do” with words and what we can “do” with emotional expressions. In particular, the core tenet of TAP is that emotional expressions are a means not only of expressing what's inside but also of directing other people's behavior, of representing what the world is like and of committing to future courses of action. Because these are some of the main things we can do with language, the take home message of my analysis is that, from a communicative point of view, much of what we can do with language we can also do with non-verbal emotional expressions. I conclude by exploring some reasons why, despite the analogies I have highlighted, emotional expressions are much less powerful communicative tools than speech acts.     

Intervention or Involvement: A Video Observational Analysis of Bouncers in Aggressive Encounters

ABSTRACT

Little is known about how bouncer–patron interactions may influence a bouncer’s use of physical aggression. To address this gap, we offer a micro-interactional analysis examining real-life aggressive bouncer behavior captured by venue surveillance cameras. Quantitative results show that bouncer physical aggression is associated with interactions in which bouncers are directly involved as a conflict party, but not with interactions where they solely intervene as a third-party. Further, a qualitative analysis of emotional cues identifies anger as a plausible mechanism underpinning bouncer aggression. We consider the implications of these findings for night-time economy violence prevention strategies and discuss the relevance of video data for barroom research.     

Distress and emotional well-being in breast cancer patients prior to radiotherapy: an expectancy-based model

Understanding precursors to distress and emotional well-being (EWB) experienced in anticipation of radiotherapy would facilitate the ability to intervene with this emotional upset (i.e. higher distress, lower EWB). Thus, this study tested an expectancy-based model for explaining emotional upset in breast cancer patients prior to radiotherapy. Women affected by breast cancer (N?=?106) were recruited and participants completed questionnaires prior to commencing radiotherapy. Structural equation modelling was used to test a cross-sectional model, which assessed the ability of dispositional optimism (Life Orientation Test-Revised – two factors), response expectancies (Visual Analog Scale items), medical (type of surgery, cancer stage and chemotherapy history) and demographic (age, race, ethnicity, education and marital status) variables to predict both EWB (Functional Assessment of Chronic Illness Therapy – Emotional Well-being Subscale) and distress (Profile of Mood States – short version). The model represented a good fit to the data accounting for 65% of the variance in EWB and 69% in distress. Significant predictors of emotional upset were pessimism, response expectancies, Latina ethnicity, cancer stage and having had a mastectomy. These variables explained a large portion of emotional upset experienced prior to radiotherapy for breast cancer and are important to consider when aiming to reduce distress and improve EWB in this context.     

Serving Culturally Diverse Children with Serious Emotional Disturbance and Their Families

Over the coming decades, we can expect that cultural diversity will abound within the U.S. population and the imagery of an American melting pot will long be discarded. One significance of this trend will be the imperative to account for cultural diversity in assessing the needs of children with serious emotional disturbance (SED), to ensure that assessments, diagnoses, and treatments are accurate, fair, and meaningful. To achieve that end, however, will first require that all persons in the fields of education, mental health, social services, and juvenile justice become fully prepared to support children with SED and their families, prepared to bring to the process a sophisticated understanding of the interplay between culture and social behaviors. Nothing less than that level of preparedness will enable practitioners to develop unbiased interventions that competently and sensitively weigh cultural influences and target the needs of diverse students with emotional and behavioral difficulties. In this paper, we present the need for culturally competent practitioners in the area of SED, ways in which service providers can increase their cultural knowledge, and strategies for more effective service with this population.     

Death Unto Life: The Power of the Incarnation

Black families traditionally print photographs, poems, songs and sayings in funeral programs as a tribute to the deceased. These artistic expressions, which are part of the black funeral tradition, communicate a theology of death and the afterlife. Yet, the contributions of black, feminist, womanist and pastoral theologies are conventionally ignored in the development of theologies of death. This essay explores the practical implications of using elements of these theologies—black, feminist, womanist and pastoral—to effectively minister to a person with fears, doubts, and questions, and who is facing death. These theologies reveal that death is not the enemy of the dying person who taps into the power of the Incarnation—the “erotic power” housed in human flesh that overcomes and triumphs over death.     

What is an emotional feeling? Lessons about affective origins from cross-species neuroscience

Cross-species affective neuroscience aspires to provide an evidence-based foundation for understanding the primary-process emotional networks that concurrently control instinctual emotional actions and affective feelings—direct emotional circuit mediated ‘rewards’ and ‘punishments’. In humans and other mammals, the ancestral subcortical regions of the brain are central to such affective BrainMind functions (a monistic term, here used synonymously with MindBrain, depending on stylistic needs). Although these circuits cannot be ‘identical’ across species (that would be incompatible with evolutionary principles) they are sufficiently similar, anatomically, neurochemically and functionally, to allow animal brain research to illuminate (yield testable predictions) about homologous human mind functions. Primal emotional feelings (affects) are inbuilt value functions of the brain that energize and inform the rest of the mental apparatus about basic survival values, thereby promoting secondary-process learning/memory functions and tertiary-process cognitive thinking-ruminative functions, yielding bottom-up evolutionary controls that ultimately allow top-down regulatory controls. As we envision how such “nested” hierarchies—two-way paths of causality—reflecting both bottom-up and top-down functions—we will need disciplined distinctions between cognitions and emotions at the primary-process level, while also accepting total interpenetrance of cognitions and affects at the tertiary-process level of MindBrain organization. This allows full and synergistic integration of basic and dimensional approaches to emotions. Here the primal emotional networks, so critically important for understanding ‘human-nature’ and psychiatric disorders, are discussed didactically in ways that can minimize dilemmas that non-evolutionary, non-hierarchical perspectives are subject to in modern emotion research.     

Emotional stressors among volunteers operating a diaconal suicide-prevention crisis line in Norway: a qualitative study

ABSTRACT

Despite the worldwide proliferation of suicide-prevention crisis-line networks, there is limited in-depth knowledge of how the volunteer call responders experience and manage emotional stressors. The study’s purpose was to explore emotional stressors related to operating a diaconal suicide-prevention crisis line, and how these are managed in daily operations. In this qualitative study, 27 volunteers were interviewed in four focus groups. The material was analysed using systematic text condensation. The participants experienced emotional stressors related to being unable to actively intervene, encountering traumatised callers and feeling uncertain about representing the Church. They used a combination of personal coping strategies and organisational support factors. Implications for training and practice are further discussed.     

Supervisor ostracism and defensive silence: a differential needs approach

This study investigates the sequential mediating effects of threats to efficacy needs and defensive silence between supervisor ostracism and emotional exhaustion, explained through need-threat/need-fortification framework. We collect time-lagged data at two measurement points from 300 employees working in service sector organizations in Pakistan. We find that supervisor ostracism threatens employees’ efficacy needs which results in reduced evaluation of resources. Consequently, employees seek to fortify these endangered needs through defensive silence, a proactive and self-protective behaviour. However, defensive silence affects employees’ trust, morale, motivation and eventually elicits emotional exhaustion. Our results show that supervisor ostracism, threat to efficacy needs and defensive silence contribute towards emotional exhaustion, and we offer several corrective options. We believe that one direct path involves actions that discourage supervisor ostracism through training and role plays. Another indirect step highlights competence of firm to create a perception of high status and influence. It may even involve managers to improve employees’ perception of work control through job redesign. Finally, we propose that supervisors may anticipate motives for defensive silence and plan targeted strategies to facilitate employees’ psychological safety.