Elternschaft, Krebs und Kindersorgen

Background

The diagnosis of parental cancer may destabilize the whole family, parents and children as well. The Hamburg children of somatically ill parents (COSIP) intervention supports parental skills and adaptation of children to the situation. There is currently no evidence for criteria to determine which family members should be involved in the COSIP intervention, predominantly the parents (parent setting), the children (child setting) or both (family setting).

Aim of the study

Data from a multicentre study were analyzed with respect to the predominant intervention settings, the correlation between setting and aims of intervention as well as variables that predict the involvement of children in the intervention.

Material and methods

A total of 203 documented cases were analyzed. Different variables that had been documented by the therapists were included in a regression analysis model in order to identify predictive variables.

Results

In 142 cases the intervention was carried out in a specific intervention setting. In 57?% of the cases children were involved (32?% family setting and 25?% child setting). A systematic relationship between the reported intervention aims and the intervention setting was not detected. The most powerful predictor was the existence of emotional problems of children as reported by the child itself.

Conclusions

Decision-making on intervention settings should therefore take the assessment of emotional symptoms of children by the means of age-appropriate self-reporting tools into consideration. Further investigations are needed to reveal variables concerning needs, motivation and capabilities of the family members as well as institutional conditions.     

Is Europe, Along with its Bioethics, Still Christian? Or Already Post-Christian? Reflections on Traditional and Post-Enlightenment Christianities and Their Bioethics

This introduction explores the relationship between Europe andits Christianities. It analyses different diagnostic and evaluativeapproaches to Europe's Christian or post-Christian identity.These are grouped around the concepts of diverse traditional,and, on the other hand, post-Enlightenment Christianities. Whilethe first revolves around a liturgical and mystical accountof the church, a Christ-centred humanism, an emphasis on man'sfuture life, noetic theology and a foundationalist claim touniversal truth, the second endorses a moralization of the "Christianmessage," political implementation of "Christian goals," rationalism,a this-worldly humanism, and tolerance for religious diversity.Since even the concepts of "traditional" and "post-Enlightenment"Christianity turn out to be deeply ambiguous, the essay concludeswith exploring the different ways in which the Christianityof the Apostolic Church, the Enlightenment (along with the "Western"Christianities it shaped), and contemporary liberalism eachconceive of their respective endorsements of human freedom aseither normative, that is obligatory, value-laden, or contingent,and arbitrary. In each case, a different notion of "tradition"(as well as familial and church authority) is placed eitherin harmony or in opposition to such freedom. As a result ofthis conceptual analysis, the deeply fractured identity of Europe,as exemplified by the diverse bioethical positions adopted bythe authors in this issue, becomes visible.     

Effects of guided reflexivity and team feedback on team performance improvement: The role of team regulatory processes and cognitive emergent states

The effectiveness of decision-making teams depends largely on the quality of information processing. Prior research has shown that guided team reflexivity and team feedback are important means of advancing team information processing and outcomes. However, the nature of the relationships, and how these relate to team regulatory processes, cognitive emergent states, and ultimately team performance, is currently poorly understood. Drawing on reflexivity and team information-processing theory, we proposed and found that teams that received guided team reflexivity or a combination of both guided reflexivity and feedback showed higher levels of actual reflection than teams that received neither a reflexivity intervention nor feedback. Conditional process analysis showed that the effects of team reflection on team performance improvement were mediated by a path from shared team mental models to shared task mental models and to adaptation. Finally, we also expected that team reflection would be lower in virtual teams than in face-to-face teams. These hypotheses were tested experimentally among 98 student teams that communicated either face-to-face or virtual (via chat) while completing a collective decision-making task. The information distribution among team members constituted a hidden profile. The results supported all our hypotheses, except for the one relating to virtuality.     

Age differences in temporal discounting: the role of dispositional affect and anticipated emotions

We examined age differences in temporal discounting, the tendency to devalue delayed outcomes relative to immediate ones, with particular emphasis on the role of affective responses. A life-span sample completed an incentive-compatible temporal discounting task involving both monetary gains and losses. Covariates included demographic characteristics, cognitive functioning, personality traits, affective responses, and subjective health. Advanced age was associated with a lower tendency to discount the future, but this effect reached statistical significance only for the discounting of delayed gains. An examination of covariates suggested that age effects were associated with age differences in mental health and affective responses rather than demographic or cognitive variables.