Parental coping with their child's death

The impact of the death of 19 children form malignancy on subsequent patterns of parental coping was evaluated in a retrospective study of 33 Dutch parents, who had been bereaved for 19 months on average. Parents who had lost older children were compared with those who had lost younger ones on the Utrecht Coping List, which has been compared with a Dutch norm group. Coping styles of the bereaved parents differed significantly from those of the norm group. These differences were associated with the poorer mental health of the bereaved group as a whole. Parents of older children coped less well than those of younger ones.     

Subject Competence and Minimization of the Bystander Effect

While performing a drawing task, either alone or in the presence of an observer, high- and low-competent subjects heard a workman fall off a ladder in an adjoining room. As expected, high-competent subjects (Registered Nurses) who witnessed the emergency with another bystander helped as frequently as subjects who witnessed the emergency alone; low-competent subjects (general students) evidenced the familiar bystander effect. Responses to the post-emergency questionnaire indicated that at the time of the emergency both high- and low-competent subjects felt strongly that they should do something to help the workman. The minimization of the bystander effect for the high-competent subjects was mediated by confidence in their ability to help the workman and in knowing what steps to take to help. Discussion focused on the role of subject competency in bystander intervention, effective debriefing, and the subjects' positive reactions to participating in a bystander experiment.     

Coping and Defense Mechanisms: What's the Difference?

Defense mechanisms and coping strategies are discussed as two different types of adaptational processes. They may be clearly differentiated on the basis of the psychological processes involved, but not on the basis of their relation to outcome measures. Criteria that critically differentiate between defense and coping processes include the conscious/unconscious status and the intentional/nonintentional nature of the processes. Criteria based on the dispositional or situational status of the process, and on the conceptualization of the processes as hierarchical, are found to be more a matter of emphasis than of critical difference. A criterion that attempts to differentiate between defense and coping processes on the basis of their relation to psychological or physical health is found to be without support once the bias in self-report outcome measures is recognized.     

Attitudes towards marital counselling and the Family Law Act (1996) in a British Asian community

People of South Asian origin represent one of the largest ethnic minority population in Britain. However, research into the marital beliefs and attitudes towards relationship dissolution of British South Asians has tended to conflate together different South Asian groups of different religious and geographic origins. This study focused on one large religious group originating from one region (Hindus from Gujarat) resident in one large British town. 70 married couples participated in detailed interviews describing their attitudes to the use of formal and informal support counselling services available in times of marital crisis, and their response to the provisions of the new Family Law Act (1996) in Britain. Findings indicate that, whilst most British Hindu-Gujaratis are willing in principle to use counselling services to save a failing marriage, there are age, occupational and caste differences in knowledge of, and attitudes towards, counselling provision. Furthermore, there were important reservations across the sample about the location of services and the ethnic background of the counsellor employed.     

Towards assessing the therapeutic value of Rogers's core conditions

Despite the considerable research generated by Roger's hypothesis that the only factor responsible for therapeutic effectiveness is the degree to which the patient perceives the therapist as being unconditionally accepting, empathic and congruent, an adequate test of the causal nature of this proposition has not as yet been carried out. Consequently, the therapeutic value of these core conditions remains unknown. The way in which the causal nature of this hypothesis should be investigated is discussed, pointing out mistaken proposals made by earlier reviewers and drawing attention to the ethical and practical difficulties which manipulation of the core conditions may entail. In the absence of stronger support for the therapeutic role of the core conditions, it is argued that it may be preferable to initially explore the causal nature and relative strengths of their effects by conducting a more naturalistic panel study in which both the core conditions and therapeutic outcome are assessed at two or more points in the course of therapy. The most appropriate statistical techniques for analysing such panel data are outlined.     

Helpful Actions of Close Friends to Personal Problems and Distress

Interviews with 26 participants produced 32 responses from close friends said to be helpful in coping with personal problems and distress. The presence and helpfulness of these 32 actions were rated by 150 and 156 volunteers respectively for these two situations. Separate factor analyses of these responses resulted in three factors called Acceptance, Guidance, and Reassurance, which were used to summarise the data into three scales. Acceptance was seen as being the most common and the most helpful reaction to both these situations. It was also the only factor which was significantly positively correlated with the outcome of such support in both situations and with psychological well-being as assessed by self-esteem, even when the attributed helpfulness of these factors was controlled. Contrary to expectations, responses to the two situations did not differ, apart from Guidance being judged to be slightly more helpful for personal problems than for personal distress.     

Children's defensive responses and emotional upset following a disaster: a projective assessment

Projective stories were used to assess the defense mechanisms of 27 preadolescent boys who were victims of a lightning strike in which one boy died. Denial, projection, and identification, in combination, were found to be inversely related to clinical upset, as was the age and sex-appropriate individual defense of projection. In addition, low-defensive boys' self-reports of fears agreed more often with their parents' reports of sleep and somatic disturbances than did high-defensive boys' self-reports. The findings provide support for the validity of the Defense Mechanism Manual (Cramer, 1982) and raise the issue of defense mechanisms as moderator variables in self-report questionnaires.     

Therapeutic relationship and outcome seen by clients in first and third session of individual therapy

Rogers' assertion that therapeutic improvement results from clients seeing their therapist as genuinely empathic and unconditionally accepting was explored in the first and third session of individual therapy with 24 clients. This proposition was partly supported in that higher combined levels of these therapist qualities as seen by clients after session one was associated with higher self-esteem and lower need for approval after session three, when these two variables after session one were respectively controlled. However, no support for this assumption was found for depression and anxiety, in that lower depression and greater anxiety after session one was associated with higher levels of these therapist qualities after session three. These latter two findings imply that the subsequent therapist qualities may have resulted from earlier anxiety and depression.     

Living alone,marital status,gender and health

Non-married people have generally been found to be less healthy than the married. It has been suggested that this difference may be brought about by the greater lack of social integration of those living alone. This hypothesis was tested by comparing the health of those living alone with those living with another person in the four non-married categories of never married, separated, divorced and widowed for women and men separately, initially controlling for age, education and income and subsequently adding five proximate indices of social integration. The person lived with was further categorized as an adult, cohabitee, child aged 4 or under, child aged 5 to 17, adult child, parent, relative or non-relative. The three indices of health were the 30-item General Health Questionnaire of psychological distress. a 15-item checklist of common physical symptoms and alcohol intake. The main differences obtained were that women living alone drank more alcohol than those cohabiting or living with a child aged 4 or under, and that widowers living alone were more psychologically distressed than those living with an adult child, even when social integration was controlled. The results suggested that living alone was not generally associated with poor health and so could not account for the difference between the married and non-married.