Latina breast cancer survivors' lived experiences: diagnosis, treatment, and beyond

Latina breast cancer survivors are not benefiting from advances in psychosocial interventions. Despite their greater breast cancer burden, there is a dearth of information about this population. This qualitative study examined the experiences of 18 immigrant Latina breast cancer survivors along the survivorship continuum, from diagnosis to long-term survivorship. The authors conducted separate focus groups with women in the acute, reentry, and long-term survivorship stages. Through grounded theory analysis, the authors uncovered 5 themes of experience: perceptions of psychological well-being, impact of diagnosis, impact of treatment, need for social support, and development of new attitudes. Some themes were applicable across all survivorship stages, whereas others were more salient at a particular stage. Within themes, the authors identified experiences reported in the general literature (i.e., the debilitating effect of chemotherapy) and distinct cultural experiences (i.e., fear that a cancer diagnosis leads to certain death). Results suggest that treatments tailored for each survivorship stage are more likely to be effective than generic interventions. These findings have the potential to lessen health disparities in utilization of psychosocial treatments by Latina breast cancer survivors.     

Spiritual and religious experiences of adolescent psychiatric inpatients versus healthy peers

One hundred twenty-two adolescent psychiatric inpatients with depressive disorders and 80 healthy peers were administered the INSPIRIT, a measure of core spiritual experiences. Healthy adolescents reported a greater frequency of spiritual experiences and a more positive impact of such experiences on their belief in God than did their inpatient peers. Adolescent inpatients reported higher frequencies of experiencing angels, demons, God or guiding spirits; feeling unity with the earth and other living things; and with near death or life after death as compared to healthy peers. Overall, females reported higher frequency of spiritual experiences and higher impact of the experience on their belief in God than did males. It was concluded that the INSPIRIT is a feasible spiritual assessment tool for adolescent populations and may be used by chaplains as a means for guiding clinical conversations with adolescents.     

Loss Shapes Political Views? Terror Management,Political Ideology,and the Death of Close Others

This study used longitudinal data from a nationally representative sample to examine long-term effects of loss on political views. Drawing on terror management theory, it was predicted that individuals would reinforce their political views in response to the loss of relatives or close friends. Results were consistent with this hypothesis, though the effects were more pronounced among conservatives than liberals. By showing that the death of loved ones can shape political attitudes, the findings shed new light on the long-term effects of death confrontation.     

Do you look to the future or focus on today? The impact of life experience on intertemporal decisions

In this research, we investigate the impact of significant life experiences on intertemporal decisions among young adults. A series of experiments focus specifically on the impact of experiencing the death of a close other by cancer. We show that such an experience, which bears information about time, is associated with making decisions that favor the long-term future over short-term interests (Studies 1 and 2). Underlying this effect appears to be increased salience and concreteness regarding one’s future life course, shifting focus away from the present toward the long run (Studies 3 and 4). Finally, we explore the shift caused by a cancer death of a public figure and examine its stability over time (Study 5). Implications for research on intertemporal decision making and the impact of life events on perceptions and preferences are discussed.     

Does Piped Water Improve Happiness? A Case from Asian Rural Communities

This study explores whether piped water connection improves people’s happiness. To answer this question, the survey on rural households’ piped water connection situation along with happiness questions was conducted in the rural areas of Cambodia, China, and the Philippines. In these countries, it is common to find areas where some households have access to piped water system while similar households in the same vicinity do not. This allows us to directly test the impact of piped water connection on happiness. The findings of this study firmly suggest that piped water generally increase happiness mainly through convenience and time saving. These benefits are more pronounced in areas with no close substitutes for the connection. Using instrumental ordered probit model to account for endogeneity of the household income variable in the happiness equation, this study estimates the value of piped water connection to be about 30% of annual household income. This study also found that recent experiences, especially bad one, would influence reported global happiness. This finding is consistent with many studies in behavioral economics, which found that people give more attention to changes occurring in loss domain than those occurring in domain of gain. Variables that capture impacts of recent experiences would therefore be necessary in the happiness equation to avoid omitted variables bias.     

Incidence of near-death experiences following attempted suicide

Near-death experiences (NDEs), profound subjective experiences occurring during a close brush with death and containing transcendental or mystical elements, have been reported to reduce suicidal ideation, despite their "romanticization" of death. Among 61 consecutive hospital admissions for attempted suicide, 16 patients (26.2%) reported NDEs precipitated by the attempt. NDEs were not significantly associated with any demographic factors. In light of the frequency of NDEs following attempted suicide, further studies are indicated in regard to the effect of those experiences on subsequent suicidal behavior.     

Never ready: Addictions counselors dealing with client death

This study explored the experiences of addictions counselors who have undergone client death and the immediate and long-lasting impacts of client death on addictions counselors through the consensual qualitative research (CQR) method. We conducted semistructured interviews with 10 participants exploring their lived, in-depth, experiences in working with clients with addictive disorders with focus given to the death of clients and how they responded to the experience. Results from a data analysis process using the CQR method indicate eight domains: (a) professional ethics, (b) coping skills, (c) client care, (d) preparation for profession, (e) experience of addiction, (f) agency impact, (g) exploring the death experience, (h) recommendations, and 28 categories embedded in each of these domains. Implications for counselor education, training, and practice are discussed.     

Children's Earliest Experiences with Death: Circumstances,Conversations, Explanations,and Parental Satisfaction

Parents (n = 140) of children 2 to 7 years responded to an online survey regarding their children's experiences and conversations about death. A total of 75% of parents indicated that they had spoken to their child about death, and the majority of conversations were first initiated when children were between 3 and 3.5 years of age. Binary logistic regression analysis was used to explore factors that could predict conversations about death. Parents (n = 88) provided narratives of the explanations of death that they gave their child and subsequently reported their level of satisfaction with their explanation. The content of the explanations was coded and examined in relation to children's age and parental satisfaction. Results revealed that parents who provided explanations to a continued existence after death reported significantly higher levels of satisfaction than those parents who discussed the absence of a future physical relationship after death. Finally, explanations of a continued existence were not always in reference to an afterlife and could include discussing the memory of the deceased or their continued impact even after death. Thus, when talking to young children about death, parents may feel greater satisfaction in finding ways to discuss the continued legacy of those who have died compared to more biological explanations. Copyright © 2014 John Wiley & Sons, Ltd.     

Life Experiences Throughout the Lifespan: What Do People Say (or Not) About Them?

Life experiences have been a topic of interest for researchers and clinicians for decades. Current knowledge is rooted in two distinct approaches, i.e., personality psychology and psychosomatics. Whereas the first is interested in ordinary life stories of nonclinical individuals, based on a more qualitative, in-depth, and person-driven approach, psychosomatics stresses negative events, mainly in clinical samples, and presents a more quantitative, general, and construct-driven approach. Consequently, available evidence is dispersed and unrelated and many basic questions remain unanswered. This study aimed to explore occurrence, developmental stage, valence, and impact of life experiences and to analyze critical answering patterns (i.e., “I don’t remember,” missingness). Through a cross-sectional retrospective design, 394 adults from the community answered the Lifetime Experiences Scale, which covers 75 life experiences organized in eight domains (i.e., school, job, health, leisure, living conditions, adverse experiences, achievements, and people and relationships). Occurrence of life experiences varied greatly, and the mean number of experiences reported was approximately 30. Regarding developmental stage, most experiences were reported in just one stage—mainly adulthood—however, some could be considered chronic. Globally, life experiences tended to be clearly rated as positive or as negative; additionally, assessed experiences were mainly appraised as positive. Moreover, participants presented their experiences as significant, rating them as high impact. Overall, critical answering patterns were not very expressive: “I don’t remember” and missing answers were below 2 and 5%, respectively, in the majority of experiences. These findings offer several important new insights, suggesting that life experiences are mainly an idiosyncratic topic.     

Incidence and impacts of psychotherapists' feelings toward their clients: A review of the empirical literature

The empirical literature examining the incidence and impacts of psychotherapists' feelings of fear, anger, and attraction toward clients is reviewed, including: (a) studies reporting the incidence of psychotherapists' feelings toward their clients; (b) studies investigating the measurable impact of psychotherapists' feelings on clients, psychotherapists, and the therapeutic process; and (c) examinations of the psychotherapist-factors that affect either the incidence or impact of psychotherapists' feelings toward their clients. Fear, anger, and attraction toward clients are common experiences for psychotherapists. Many psychotherapists report that they are confused, ashamed, and stressed by these feelings. These feelings, although occasionally an important therapeutic resource, were often reported to have a direct and negative impact on the therapeutic processes or cause behaviors that were destructive. Most psychotherapists feel that they were inadequately trained to acknowledge and successfully manage these common and stressful experiences. Recommendations for research and training are provided.     

Frequency and Impact of Interpersonal Trauma in Older Women

Interpersonal violence impacts the lives of many women in society. However, despite the proliferation of research in this area, there is limited information about the frequency and impact of interpersonal trauma experiences in late life. This study investigated the relationship between a history of interpersonal trauma and subsequent adjustment difficulties, including psychological distress and physical health, in women over the age of 60. Findings demonstrate that interpersonal trauma has a significant impact on later-life functioning. Additionally, the presence of multiple traumatization experiences was a critical factor in determining which individuals manifested long-term trauma symptoms.     

Cross-Cultural Comparisons of Adults’ Childhood Recollections: How are Peak-Experiences Described in China and Portugal?

Peak experiences are joyous and fulfilling moments in life, and thought to be associated with happiness and well-being. However, whether peak experiences vary from culture to culture is still under-researched. The current study investigated the autobiographical memories of peak experiences in Portugal and China. College students from Portugal and Mainland China (N = 161) reported their memory of a peak-experience occurring before the age of 14 and provided a self-rating on its enduring impact. We found that participants from Portugal reported peak-experiences involving a developmental landmark more frequently than did Mainland Chinese. In contrast, Mainland Chinese reported peak-experiences involving serenity more frequently than did Portuguese participants. Although Mainland Chinese provided more details about their peak-experiences, their narratives were more generic and emotionally mild. In particular, memory specificity (specific vs. general) significantly mediated the association between culture and developmental landmark, whereas memory emotionality (low arousal emotions) significantly mediated the link between culture and serenity. This study extends previous research on youthful peak-experiences to a cross-cultural context by incorporating measures of autobiographical memory to analyze variations between these two cultural groups.     

Psychodynamic Improvement in Eating Disorders: Welcoming Ignored,Unspoken, and Neglected Concerns in the Patient to Foster Development and Resiliency

ABSTRACT

Drawing upon case examples from their clinical, supervisory, and teaching experience, the authors suggest eating disorder treatment that primarily addresses behavioral change and is relatively short term leaves many patients behind in the search for a fuller sense of self and resilience. They have found that improvement rests upon ferreting out developmental deficits and other factors in early life that have been ignored, unspoken, and neglected; and without reflecting on, working through, and integrating these early experiences patients feel a part of themselves is still missing after symptom reduction. The authors assert that longer-term psychodynamic treatment facilitates therapeutic improvement by addressing six major domains: 1) mitigation of shame; 2) integration of split off affects and defenses; 3) achievement of greater intimacy and/or capacity to play; 4) confrontation of the tendency to spoil forward movement and self-sabotage; 5) identification with benign introjects and amelioration of a primitive, highly punitive superego; and 6) recognition and confrontation of denial of death. By describing the benefits of longer-term work with eating disorder patients, the authors hope to encourage others to expand the knowledge base of what constitutes therapeutic improvement and resilience, leading to lives that that are fuller, more creative, and productive.     

Primary-secondary school transition under Covid-19: Exploring the perceptions and experiences of children,parents/guardians,and teachers

The transition from primary to secondary school is a major life event for eleven-year-old children in the United Kingdom, where they face simultaneous changes. Following the outbreak of Covid-19, transfer children face additional uncertainty on top of this. Negotiation of the multiple challenges, combined with the reduced support associated with Covid-19, could have a negative impact on children’s school adjustment and mental health. Given the rapidity of changes associated with Covid-19, there are key empirical and practical gaps on how best to support children as they negotiate these two key events. To date, there is no published research which has explored the experiences of transfer children, and that of their parents and teachers during this time. The present research aimed to narrow this research gap by answering the research question: What are parents’, children’s, and teachers’ experiences of primary-secondary school transition during Covid-19? This research used a series of UK wide surveys to gather data from 101 Year 7 children, 88 Year 7 parents, 26 primary school teachers, and 40 secondary school teachers using a mixture of open and closed questions. The data were analysed using Thematic Framework Analysis, taking an inductive-open coding approach. All three stakeholders reported negative impacts of Covid-19 on the transition, for example, in terms of missed opportunities. There were also many comments about the emotional impact of Covid-19 on children, parents, and teachers. Numerous strategies were reported that were used to meet children’s needs pre and post-transition, highlighting areas of good practice, along with practical suggestions for how to approach transition in the future. The study has identified ways that transition can be managed more effectively, thus, having short term implications in providing an evidence base to support transfer children this year, and long-term implications for future transition years.     

Perceived emotional and life change impact of AIDS on homosexual men in two countries

Abstract

A comprehensive self-administered life event inventory examining both general life stress and stress from events specific to the homosexual and bisexual male population was developed in order to assess the impact of AIDS and HIV infection on homo- and bisexual men. Ranking of questions revealed that while general stressors affected homosexuals similarly to heterosexuals, there were critical stressors affecting homosexuals not measured by conventional inventories. Specifically, emotional distress from receiving an HIV antibody positive result was not significantly different to that caused by a diagnosis of AIDS or ARC, the diagnosis of AIDS in a lover or the death of a lover. A sharp discrepancy in emotional distress between current safer sex behaviour and current unsafe sexual behaviour was also found, and the implications for behavioural modification in this area noted. Those who were HIV antibody positive tended to evaluate the anticipated impact of further AIDS related diagnoses as having a greater emotional impact than those who had tested negative. There would appear to be a closer relationship between emotional distress and life change in homosexual men than in heterosexual samples. The relative emotional impacts and life change assessments of AIDS and HIV infection are discussed.     

Near-Death Experiences in a Multi-religious Hospital Population in Sri Lanka

Near-death experiences (NDEs) are a wide range of experiences that occur in association with impending death. There are no published studies on NDEs in general hospital populations, and studies have been mainly conducted on critically ill patients. We assessed the prevalence of NDEs and its associations in a multi-religious population in a general hospital in Sri Lanka. A randomised sample of patients admitted to the Colombo North Teaching Hospital was assessed using the Greyson NDE scale and clinical assessment. Out of total 826 participants, NDEs were described by 3%. Compared to the NDE-negative participants, the NDE-positive group had a significantly higher mean for age and a ratio of men. Women reported deeper NDEs. Patients of theistic religions (Christianity, Islam and Hinduism) reported significantly more NDEs compared to patients from the non-theistic religious group (Buddhism). NDE-positive patient group had significantly higher reporting of a feeling ‘that they are about to die’, the presence of loss of consciousness and a higher percentage of internal medical patients. This is the first time that NDEs are assessed in a general hospital population and NDEs being reported from Sri Lanka. We also note for the first time that persons with theistic religious beliefs reported more NDEs than those with non-theistic religious beliefs. Medical professionals need to be aware of these phenomena to be able to give an empathic hearing to patients who have NDE.     

The asymmetric connection between money and material vs. experiential purchases

We examined the relationship between having a monetary mindset and the pursuit of material goods over experiences and found that people tend to think of their material purchases more in monetary terms than their experiential purchases. Purchase price correlated more highly with participants’ satisfaction with their material goods than their experiences (Study 1) and participants reported that the amount spent on significant components of a purchase (Study 2) would have more impact on their satisfaction with material goods than with experiences, as would a change in purchase price (Study 3). When the same purchase (a 3D TV) was framed in material terms (vs. experiential terms), participants reported that a price change would have a greater impact on their satisfaction. These findings suggest experiences suffer less than material possessions from the extrinsic psychology that comes with thinking about purchases in monetary terms.     

Self-Confrontation and Confrontation With Another as Determinants of Long-Term Value Change1

An experiment was carried out to determine whether attempts to change values would be less successful under conditions of confrontation with a significant other than under conditions of private self-confrontation. Rokeach's value change procedure was used to induce self-dissatisfaction in two experimcntal groups, one under anonymous conditions and the other under non-anonymous, face-to-face interaction with the experimenter. The rcsults confirm previously reported findings that significant long-term changes in values can be brought about by inducing feelings of self-dissatisfaction about contradictions within one's value-attitude system. The findings also showed that changes in equality and freedom 8 to 9 weeks after the experiment were equally great under both anonymous and non-anonymous conditions compared with a control condition. The results are discussed especially in relation to their practical implications for psychotherapy.     

The Development of Coping Resources in Adulthood

ABSTRACT We examined three community samples to determine whether stressful episodes form a context for the development of coping resources in adulthood. The first study found that 81.9% of a sample of 845 older men reported drawing upon prior experiences in coping with a recent problem. Content analysis revealed that only 22.7% drew upon similar stressful episodes; the rest drew upon problems from work, the military, illnesses, deaths, etc. The second study replicated the earlier findings in 102 men and women, ages 24 to 84, who reported on a recent low point in semistructured interviews. In addition, 75% reported long-term effects, equally split between negative, positive, and mixed effects. Those individuals who perceived advantages from the low point were significantly more likely to report positive long-term effects. The third study replicated the findings from the first two studies in a sample of 941 men and women ages 23 to 62. Path analyses showed that coping strategies differentially predicted perceived positive or negative outcomes, which in turn predicted current mastery and depression levels. While the findings are cross-sectional and causality cannot be inferred, they are nonetheless supportive of the effects of stress and coping on personality.     

Psychoonkologische Therapie und Psychoanalyse: ein Widerspruch?

Psycho-oncological psychotherapy and therapeutic work with severely somatically ill patients seems to be an area of limited interest in psychoanalysis. For example, case reports of psychoanalytic treatment with terminally ill patients are rare. This stands in contradiction to the importance of the fear of dying and death (wish) in psychoanalytic theory construction (e.g. narcissism theory). In addition to the obvious differences between psycho-oncological therapy and psychoanalysis, such as limited time perspective, the need for a flexible setting and dealing with the depth of regression, there are also important similarities and in particular the therapeutic work on early unconscious defence processes and coping with the fear of death. The theoretical and clinical work of the French psychoanalyst Michel de M’Uzan on experiences in psychoanalytic treatment of dying patients are an important example but are not well known in the German psychoanalytic community. The way psychotherapists deal with their own separation anxiety and fear of death is still a major issue and a barely appropriately reflected phenomenon, which possible represents a mutual confrontation (or an impossibility?) of psychotherapeutic work with dying patients.