Adolescents with Poorly Controlled Type 1 Diabetes can Benefit from Coaching: A Case Report and Discussion

Traditional interventions aimed at improving patient self-management and at motivating the patients to change behaviour seem to be insufficient in adolescents with very high HbA1c. In this paper we present a case consisting of nine adolescents with poorly controlled diabetes type 1. They had previously shown continuously high levels of HbA1c for 2 years despite intensive follow-up and were therefore invited to participate in a coaching program. The coaching program was conducted by professional certified coaches and consisted of two group and eight individual coaching sessions. After completing the coaching sessions, HbA1c had decreased significantly in six out of nine of the adolescents. The participants were interviewed twice following the coaching sessions. All participants reported that they found the sessions very rewarding, and several explained that they now saw themselves differently and had gained more self-esteem and more energy.     

Pardoning Puritanism: Community,Character, and Forgiveness in the Work of Richard Baxter

The English Puritan Richard Baxter (1615–1691) developed an account of forgiveness that resonates with twentieth‐century virtue ethics. He understood forgiveness as one component of a larger disposition of character developed in community as human beings recognize themselves as sinful creatures engaged in complex relationships of dependency and responsibility, with both God and one another. In the midst of these relationships, persons experience divine and human forgiveness and discover opportunities to practice forgiveness in return. Baxter thus negotiated a distinctive relationship between Christian hope for reconciliation and more stereotypical Puritan emphases on punishment, civil order, and justice. At the same time that recent moral reflection allows us to raise questions about some features of Baxter's argument (such as his treatment of anger), his work provides important resources for correlating dispositions with concrete obligations, establishing a place for forgiveness in the public realm, and counterbalancing the modern emphasis on individual rights.     

Examining Relations between Aging,Life Story Chapters,and Well‐Being

Socio‐emotional selectivity theory holds that older age is associated with a sense of limited remaining time. We suggest that life story chapters may be involved in this experience. In this first study on the connection between socio‐emotional selectivity theory and chapters, we examined whether older age is associated with fewer, temporally less distant, and less positive future chapters. We also examined relations between chapters and subjective well‐being. Two samples (18–84 years) described past and future chapters and completed well‐being measures. Older age was associated with fewer, less temporally extended, and less positive future chapters. Less positive past chapters was most consistently related to lower subjective well‐being, but less positive future chapters also predicted lower subjective well‐being in some analyses. Copyright © 2017 John Wiley & Sons, Ltd.     

Age and gender differences in negative affect—Is there a role for emotion regulation?

Elderly people report less negative affect than the young, and women report more negative affect than men. This study investigated whether age and gender differences in negative affect could be explained by emotion regulation, measured as defensiveness and rumination, while controlling for the influence of life events. One-hundred-and-ninety-five young (20–35 years) and 302 elderly (70–85 years) men and women completed the Emotional Control Questionnaire-Rehearsal, Marlowe–Crowne Social Desirability Scale, Profile of Mood States, Beck’s Depression Inventory and List of Recent Experiences. Hierarchical regressions with negative affects as dependent variables showed that age was reduced to non-significance when controlling for defensiveness, and gender was reduced to non-significance when controlling for the interaction between age and gender, which in turn was reduced when entering rumination. Life events also influenced the association between age and negative affect. The results indicate that age differences in negative affect are mediated by defensiveness and life events and that when these two influences are accounted for elderly people score higher on sadness. Gender differences in negative affect were due to the young women’s higher scores on negative affect and this is partly explained by rumination.     

Do people ruminate because they haven’t digested their goals? The relations of rumination and reflection to goal internalization and ambivalence

In three studies it was investigated whether rumination was related to less internalized self-regulation and goals and whether reflection was related to more internalized self-regulation and goals. In all studies students completed questionnaires measuring rumination, reflection, and internalization of self-regulation and goals. In Study 1, rumination was related to less internalized self-regulation, whereas reflection was related to more internalized self-regulation. In Study 2, rumination was related to less internalized self-regulation and goals as well as to more avoidance- and extrinsic content of goals. Reflection was related to more internalized self-regulation and goals as well as to less avoidance content of goals. In Study 3, goal-specific rumination was related to less internalized goals and goal-specific reflection was related to more internalized goals. Collectively, the studies suggest that internalization of self-regulation and goals is critical for distinguishing between unconstructive and constructive self-focused repetitive thoughts.     

Reweighing the Ethical Tradeoffs in the Involuntary Hospitalization of Suicidal Patients

Suicide is the 10th leading cause of death in the United States and the second cause of death among those ages 15–24 years. The current standard of care for suicidality management often involves an involuntary hospitalization deemed necessary by the attending psychiatrist. The purpose of this article is to reexamine the ethical tradeoffs inherent in the current practice of involuntary psychiatric hospitalization for suicidal patients, calling attention to the often-neglected harms inherent in this practice and proposing a path for future research. With accumulating evidence of the harms inherent in civil commitment, we propose that the relative value of this intervention needs to be reevaluated and more efficacious alternatives researched. Three arguments are presented: (1) that inadequate attention has been given to the harms resulting from the use of coercion and the loss of autonomy, (2) that inadequate evidence exists that involuntary hospitalization is an effective method to reduce deaths by suicide, and (3) that some suicidal patients may benefit more from therapeutic interventions that maximize and support autonomy and personal responsibility. Considering this evidence, we argue for a policy that limits the coercive hospitalization of suicidal individuals to those who lack decision-making capacity.     

Relationships among Personal Life Stories,Vicarious Life Stories about Mothers and Fathers,and Well-being

We examined whether vicarious life stories about mothers and fathers differed in their relationships with personal life stories and well-being. Seventy-six emerging adults completed scales measuring well-being and described three chapters in their personal, mothers’, and fathers’ life stories. Chapters were self-rated and content coded for emotional tone and positive/negative person change. Characteristics of personal life stories were positively correlated with characteristics of vicarious life stories for mothers and fathers. Personal life stories were higher on positive person change than vicarious life stories about mothers and fathers. Higher well-being was related to rating all three life stories as more positive, but results for content coding were more mixed. The results indicate that vicarious life stories for mothers and fathers are related in similar ways to personal life stories and well-being.