The Default Position: Optimizing Pediatric Participation in Medical Decision Making

Inclusion of children in medical decision making, to the extent of their ability and interest in doing so, should be the default position, ensuring that children are routinely given a voice. However, optimizing the involvement of children in their health care decisions remains challenging for clinicians. Missing from the literature is a stepwise approach to assessing when and how a child should be included in medical decision making. We propose a systematic approach for doing so, and we apply this approach in a discussion of two challenging clinical cases. The approach is informed by a literature review, and is anchored by case studies of teenagers' refusal of clinical care, regulatory requirements for research assent, and the accepted approach to involving cognitively impaired adults in medical decisions.     

An Investigation of a Polish Version of the Parentification Inventory

Journal of Child and Family Studies - Parentification is defined as a pattern of family interactions in which children and adolescents are required to engage in adult-like roles and...     

Environmental Correlates of Adolescent’ Materialism: Interpersonal Role Models,Media Exposure,and Family Socio-economic Status

Journal of Child and Family Studies - The present study examined how adolescents’ materialism relates to interpersonal materialism role models (i.e., mothers’, fathers’,...     

Devotion of a Jain minister: Discovering the complex identities of Vastupāla (13th century)

ABSTRACT

This article explores the multidimensional poetics of devotion in medieval accounts of the Jain minister Vastupāla, who emerges as a paradoxical figure and defies the other characters’ expectations. It argues that the portrayal of Vastupāla as a model devotee of the Jina is contingent upon his affinity to a K?atriya king and god incarnate, as in Jain ritual culture celestial kings and queens embody the paragon of devotion. This depiction of Vastupāla, a bureaucrat (niyogin) and merchant (va?ik), ultimately re-inscribes the standard cultural paradigm in which heroism and divine status are solely the purview of a K?atriya king.     

Work with dying patients: Team dynamics and team work

SUMMARY

This paper addresses some issues in palliative-care work that emerged in a short-term staff-support group, and shows that work with terminally-ill cancer patients had an impact on the staff and team as a whole. In dealing with distressing and disturbing feelings related to work with dying patients, the staff used manic defences and denial of differences within the team.     

Effects of a Self-Efficacy Intervention on Exercise: The Moderating Role of Diabetes and Cardiovascular Diseases

The paper examines the influence of a brief tailored intervention on exercise levels and self-efficacy beliefs in the context of participants' health status. We hypothesised that the effects of a self-efficacy intervention targeting more frequent exercise would be larger among people with diabetes or cardiovascular diseases (CVD), compared to the effects of the intervention among individuals without such diseases. The treatment was tailored to participants' self-efficacy and was delivered by e-mail. Data from 187 adults were collected at two measurement points, with a 6-month follow-up. Participants reported their exercise frequency and self-efficacy scores, along with several social-cognitive variables, such as risk perception and intentions. Besides the influence of the intervention on exercise and self-efficacy, we found that the treatment effects were moderated by diabetes or CVD: Participants with those illnesses benefited from the intervention, compared to people without such diagnosis. Among participants with CVD or diabetes the effects of the intervention on behavior were mediated by changes in efficacy beliefs. The results indicated that a parsimonious treatment may contribute to change in exercise over the longer term, in particular among individuals with a disease related to the respective behavior. Changes in behavior may be explained by changes in respective beliefs.     

DOES CLEAVAGE WORK AT WORK? MEN, BUT NOT WOMEN, FALSELY BELIEVE CLEAVAGE SELLS A WEAK PRODUCT

We examined whether men, but not women, would be distracted by a female sales representative's exposed cleavage, leading to greater perceived efficacy for a weak, but not for a strong product. A community sample of 88 men and 97 women viewed a video of a female pharmaceutical sales representative who (a) had exposed cleavage or dressed modestly and (b) pitched an ineffective or effective product. Although men were not more distracted or persuaded by cleavage, they gave the cleavage-exposed (versus nonexposed) sales representative more favorable hiring recommendations in the ineffective-drug condition and less favorable ratings in the effective-drug condition. Women generally rated the sales representative similarly regardless of cleavage exposure. On a postexperimental questionnaire, men, but not women, believed that female sales professionals ought strategically to use sex appeal to distract from a weak (but not a strong) product.     

The Interplay between Conscious and Automatic Self-Regulation and Adolescents' Physical Activity: The Role of Planning, Intentions, and Lack of Awareness

This study investigated the interplay between conscious and automatic self‐regulatory variables and adolescents’ physical activity. It was hypothesised that intention, planning, and lack of awareness would predict adolescents’ behaviour. One hundred and fifty‐five individuals (aged 13 to 17 years) completed questionnaires in two waves (with a time gap of 10 days). The results of cross‐lagged panel analysis suggested that both past behaviour and planning predicted physical activity at follow‐up, whereas physical activity predicted intention. Although lack of awareness, a facet of automatic processes, was negatively related to physical activity, the nested model comparison analysis indicated that the relation between lack of awareness and physical activity might be negligible. Among the self‐regulatory processes, planning was found to be the most important predictor of adolescents’ physical activity, although past behaviour remained the strongest predictor of future behaviour. Cette recherche porte sur l’interaction entre les variables autorégulatrices conscientes et automatiques et l’activité physique des adolescents. On a fait l’hypothèse que l’intention, la planification et l’absence de prise de conscience allaient prédire le comportement des adolescents. 155 individus âgés de 13 à 17 ans ont rempli des questionnaires en deux temps avec un intervalle de dix jours. Les résultats d’une analyse en panel retardé croisé montrent que la conduite antérieure et la planification prédisent l’activité physique qui s’ensuit alors que l’activité physique prédit l’intention. Bien que le manque de prise de conscience, une facette des processus automatiques, soit négativement corréléà l’activité physique, l’analyse de variance indique que la relation entre l’absence de prise de conscience et l’activité physique pourrait être négligeable. Des différents processus d’autorégulation, c’est la planification qui est apparue comme étant le prédicteur majeur de l’activité physique des adolescents, bien que la conduite passée reste le prédicteur le plus fiable du comportement à venir.