Wisdom at the end of life: Hospice patients’ reflections on the meaning of life and death

The processes of aging and confronting mortality are often accompanied by unique psychological challenges. From the perspective of positive psychology, such challenges can yield opportunities for growth, including increased wisdom. This qualitative study explored 15 terminally ill hospice patients’ perspectives on wisdom, the dying process, and the meaning of life using consensual qualitative research methods. Most participants cited humility as a key component of wisdom, emphasizing that “Wisdom is when we realize ‘I don’t really know much’.” Other components of wisdom included self-knowledge, rationality, experiential learning, listening to and learning from others, and sharing knowledge with others. Participants also suggested that the process of facing illness and death presents opportunities for positive growth, including changing priorities and learning to appreciate life more fully in the present moment. In considering the sources of meaning in their lives, participants emphasized relational connections, personal growth, spirituality, vocational fulfilment, and living a full life. Participants also shared their reflections on important past experiences and regrets. Lastly, participants offered advice to others based on their experiences facing illness and mortality. Implications for psychological care of the dying and future research are discussed.     

How Hebrew were the Hebrew Christians?

This article demonstrates how Hebrew Christians – or Jews who converted to Christianity but retained Jewish identity – resonated with the claims of the Zionist movement in its first decades, particularly with regard to its notion of Hebrew identity. In their espousal of Zionist ideals and their attempts to join Zionist efforts, Hebrew Christian notions of Hebrewness reflected the multivalence of Hebrew identity in the Zionist movement itself, and particularly the understanding of Hebrewness as racial, ethnic, and cultural. The influence of the Zionist movement upon Hebrew Christians was especially evident in Hebrew Christian attempts to form their own institutions. These organizations promoted Jewish national culture dissociated from Judaism, expressed assertive and even aggressive motivations (what I term “Muscle Hebrew Christianity”), and recognized the ineluctability of anti-Semitism regardless of Jewish religious beliefs. Examining the somewhat obscure movement of Hebrew Christianity can ultimately help us to better understand the ways Zionism was interpreted in its formative stages, especially in light of its own divisions and various emphases.     

Is the good life characterized by self-control? Perceived regulatory success and judgments of life quality

To what extent do people view self-control as central to achieving a healthy, high-quality life? While scientific evidence strongly supports the notion that self-control is associated with successful adaptation and optimal functioning, we examine whether individuals connect this trait with positive outcomes. In Study 1, participants rated the likelihood that an individual with high self-control (or self-esteem) would experience good health and a high-quality life. Studies 2–3 experimentally portrayed a target person as high or low in self-control (and self-esteem) before participants rated the target on an array of positive outcomes. Across studies, self-control was perceived as less strongly connected with a high-quality life than self-esteem. Mediation analyses suggest that people link self-esteem (but not self-control) with healthy behaviors that, in turn, lead to superior perceived physical and psychological health. While self-esteem is strongly associated with lay concepts of the good life, the importance of self-control may be comparatively under-recognized.     

Combining the judgments of experts: How many and which ones?

R. M. Hogarth (1978, Organizational Behavior and Human Performance, 21, 40–46) presents an analytical model which, under certain conditions, may be useful for estimating both the number of experts to include in a staticized group and which experts. This paper reports a study of an important real-world judgment task used to evaluate (1) the extent to which the specified conditions hold and (2) the effect of violations of the conditions on the ability of the model to approximate the actual empirical validities that result from forming such groups. The results indicate that, although the specified conditions hold only moderately well, the model suggested by Hogarth provides a remarkably good approximation to the actual empirical validities of the staticized groups.     

How should libertarians conceive of the location and role of indeterminism?

Libertarianism has, seemingly, always been in disrepute among philosophers. While throughout history philosophers have offered different reasons for their dissatisfaction with libertarianism, one worry is recurring: namely a worry about luck. To many, it seems that if our choices and actions are undetermined, then we cannot control them in a way that allows for freedom and responsibility. My fundamental aim in this paper is to place libertarians on a more promising track for formulating a defensible libertarian theory. I begin by arguing that Robert Kane's influential formulation of libertarianism actually generates an acute worry about luck, showing specifically that Kane's recipe for solving the problem of luck and his attendant conception of the location and role of indeterminism derived from it are deeply problematic. I then offer a reformulation of libertarianism – particularly a new conception of the location and role of indeterminism – that is capable of avoiding the problems that beset Kane's theory and that, I argue, places libertarians on a more promising track for formulating a defensible theory.     

How automatic are social judgments?

Do people infer personality dispositions automatically when they encode behavior? Tulving's encoding-specificity paradigm was adapted to test three operational indicants of automatism: absence of intention, of interference from other mental activity, and of awareness. Recruited for a digit-recall study, subjects read sentences describing actions during the retention interval of either an easy or a difficult digit recall task. Later, sentence recall was cued by (a) disposition cues, (b) strong semantic associates to the sentence actor, or (c) words representing the gist of the sentence, or (d) sentence recall was not cued. Awareness was measured immediately after the last sentence was read. Disposition-cued recall was higher than (b) or (d) and was unaffected by digit recall difficulty. Awareness of making dispositional inferences was only weakly correlated with disposition-cued recall. Results suggest that disposition inferences occurred at encoding, without intention, without interference by differential drain on processing capacity, and with little awareness. Thus, making dispositional inferences seems to be largely, but not entirely, automatic.     

How should utilitarians think about the future?

Abstract

Utilitarians must think collectively about the future because many contemporary moral issues require collective responses to avoid possible future harms. But current rule utilitarianism does not accommodate the distant future. Drawing on my recent books Future People and Ethics for a Broken World, I defend a new utilitarianism whose central ethical question is: What moral code should we teach the next generation? This new theory honours utilitarianism’s past and provides the flexibility to adapt to the full range of credible futures – from futures broken by climate change to the digital, virtual and predictable futures produced by various possible technologies.     

Occupational stress. Spice of life or kiss of death?

Work-related psychosocial stressors originate in social structures and processes, affect the human organism through psychological processes, and influence health through four types of closely interrelated mechanisms--emotional, cognitive, behavioral, and physiological. The health outcome is modified by situational (e.g., social support) and individual factors (e.g., personality, coping repertoire). The work-environment-stress-health system is a dynamic one with many feedback loops. There is little but increasing direct evidence of a causal relationship between work-related psychosocial stressors and the incidence and prevalence of occupational morbidity and mortality. But, a substantial body of indirect evidence strongly suggests that such associations exist and emphasizes the need to better understand their role. Accordingly, research and health action should aim at being systems-oriented, interdisciplinary, intersectorial, health- (and not only disease-) oriented, and participative.     

How many dimensions underlie judgments of learning and recall? Evidence from state-trace methodology

The authors used state-trace methodology to investigate whether a single dimension (e.g., strength) is sufficient to account for recall and judgments of learning (JOLs) or whether multiple dimensions (e.g., intrinsic and extrinsic factors) are needed. The authors separately manipulated the independent variables of intrinsic and extrinsic cues, determining their state traces for recall and JOLs. In contrast to the supposition that intrinsic cues have similar effects on both recall and JOLs whereas extrinsic cues affect JOLs less strongly than recall (i.e., 2 dimensions underlying recall and JOLs), the authors found repeated support for the sufficiency of a single dimension for both recall and JOLs (not only immediate JOLs but also delayed JOLs) across a variety of intrinsic and extrinsic cues.     

How Do Fundamental Christians Deal With Depression?

Drawing from published sources and my own experience as a pastoral counselor with more recent specialization in spousal abuse and anger management, this article gives an explanation of developmental dynamics in the experience of fundamental Christians that provoke reactive depression. Depressant retardant defenses against depression that have been observed in the Christian fundamentalist subculture are described. Four interventions conclude this article.     

Is defining life pointless? Operational definitions at the frontiers of biology

Despite numerous and increasing attempts to define what life is, there is no consensus on necessary and sufficient conditions for life. Accordingly, some scholars have questioned the value of definitions of life and encouraged scientists and philosophers alike to discard the project. As an alternative to this pessimistic conclusion, we argue that critically rethinking the nature and uses of definitions can provide new insights into the epistemic roles of definitions of life for different research practices. This paper examines the possible contributions of definitions of life in scientific domains where such definitions are used most (e.g., Synthetic Biology, Origins of Life, Alife, and Astrobiology). Rather than as classificatory tools for demarcation of natural kinds, we highlight the pragmatic utility of what we call operational definitions that serve as theoretical and epistemic tools in scientific practice. In particular, we examine contexts where definitions integrate criteria for life into theoretical models that involve or enable observable operations. We show how these definitions of life play important roles in influencing research agendas and evaluating results, and we argue that to discard the project of defining life is neither sufficiently motivated, nor possible without dismissing important theoretical and practical research.     

Is a life without meaning satisfying? The moderating role of the search for meaning in satisfaction with life judgments

Results from two studies revealed that the relation between meaning in life and life satisfaction was moderated by the extent to which the rater was searching for meaning in his or her life. In Studies 1a and 1b, the presence of meaning was more strongly related to life satisfaction for those who were actively searching for meaning in life than for those who were not. Study 2 extended the finding to judgments concerning a fictitious target's life satisfaction based on experimentally manipulated information regarding meaning in life. Thus, the role of meaning in life satisfaction judgments varies across individuals, depending on the level of search for meaning in life. These results suggest that search for meaning behaves like a schema increasing the salience of meaning-relevant information, and provides new ways of understanding people's efforts to establish meaningful lives.     

How does repetition affect memory? Evidence from judgments of recency

Four experiments were done to investigate the effects of repetition on judgment of recency (JOR). Experiment 1 showed that repetition can make an item seem either more recent or less recent than a nonrepeated item, depending on presentation spacing. Experiments 2-4 showed that subjects are able to judge the recency of a repeated item’s first presentation or of its second presentation with a high degree of independence, especially if they report that the item occurred twice. The data are more consistent with an independent-trace explanation of JOR and repetition than with a cumulative-strength account, but neither hypothesis explains how repetition can make an item seem less recent. It is proposed that the findings as a whole can be better explained by a hypothesis based on recursive reminding.     

Does mood influence the realism of confidence judgments?

Previous research has shown that mood affects cognition, but the extent to which mood affects meta-cognitive judgments is a relatively over-looked issue. In the current study we investigated how mood influences the degree of realism in participants' confidence judgments (based on an episodic memory task). Using music and film in combination, we successfully induced an elated mood in half of the participants, but failed to induce a sad mood in the other half. In line with previous research, the participants in both conditions were overconfident in their judgments. However, and contrary to our prediction, our data indicated that there was no difference in the realism of the confidence between the conditions. When relating this result to previous research, our conclusion is that there is no, or very little, influence of mood of moderate intensity on the realism of confidence judgments.