Awareness of Death Among Children: Does a Life-Threatening Illness Alter the Process of Discovery?

The authors review studies on death awareness among children who are healthy, chronically ill, and terminally ill. The review suggests that children with life-threatening diseases demonstrate increased understanding of death compared with children who are either healthy or chronically ill. In particular, children with terminal illness, especially during the end stage of their disease, show an advanced understanding of the death concepts of irreversibility and finality. In contrast, healthy and chronically ill children appear to require certain age, cognitive developmental level, or intelligence thresholds to understand these concepts. Possible explanations for the findings in this literature are discussed. The implications of death awareness research for counselors are used as a base for suggesting counseling strategies.     

Physiological,affective, and behavioral responses to interpersonal conflict among males from families with different levels of cohesion and adaptability

To examine the relation between characteristics of a person's family of origin and cardiovascular, behavioral, cognitive, and affective response to interpersonal conflict, responses of 15 young males from families rated as extreme (EXT) on scales of cohesion (enmeshed or disengaged) or adaptability (chaotic or rigid) were compared to those of 25 young males from families rated as balanced (BAL) on measures of cohesion and adaptability. Subjects participated in two interpersonal role-play conflict situations, one with a male confederate and the other with a female confederate. Measures of heart rate (HR), blood pressure, and indices of both positive and negative verbal and nonverbal behaviors were obtained during each scenario and self-reported measures of positive and negative cognitive self-statements and affective response were obtained following each conflict scene. Results showed that, in contrast to BAL males, EXT males exhibited more negative verbal and nonverbal behavior, less positive nonverbal behavior, higher ratings of state anxiousness during conflict, and higher HR responses during the interaction with the male confederate than the female confederate. These findings suggest that exposure to a family environment with extreme levels of cohesion and adaptability impacts how an individual responds to interpersonal conflict in young adulthood.     

The Ethical, Legal, and Social Implications Research Program at the National Human Genome Research Institute

Organizers of the Human Genome Project (HGP) understood from the beginning that the scientific activities of mapping and sequencing the human genome would raise ethical, legal, and social issues that would require careful attention by scientists, health care professionals, government officials, and the public. The establishment of the ELSI (ethical, legal, and social implications) programs at the National Human Genome Research Institute (NHGRI) and the Department of Energy (DOE) was thought to be vital to the success of the HGP in the United States. It also provided a novel approach to the simultaneous study of ethical, legal, and social issues and basic scientific issues. Eric Juengst, the first director of the ELSI program, described its origins in a previous issue of the Kennedy Institute of Ethics Journal (Juengst 1991). Now in its seventh year, the ELSI program has accomplished much. This article summarizes the evolution and goals of the ELSI program at NHGRI, outlines the program's current research priorities with examples of activities within each priority area, and provides a look to the future, including the initiation of a strategic planning process.     

A New Typology of Religion Based on Needs and Values

Religious experience is notoriously difficult to classify, though various attempts have been made. This article presents a new typology based on Maslow's theory of motivation (popularly known as the ‘hierarchy of needs'), which places needs and values at the forefront of human psychology. I argue that his model can be applied to religion to help explain spiritual choices and consequently the interrelation between demand and supply, thus accounting for the diversity of religion available in contemporary society. The model is particularly applicable to new religious movements (NRMs) in which membership is by voluntary choice. Needs and values are the key factors determining why people join an NRM and which movement they choose.     

The Correlation Between Depression and Headache: The Role Played by Generational Changes in Female Achievement

The relationship between depression and somatic symptoms such as headache has never been explained. Both depression and headache appear to become more prevalent among women than among men only for cohorts that reach adolescence during periods of great change in opportunities for a female's academic achievement. In Studies 1a and 1b, the same pattern was found to apply to the correlation between depression and headache. In Studies 2a and 2b, self-report measures of depression and headache were found to share significant variance only among female adolescents who reported concerns regarding the limited achievements of their mothers. These females may view the roles of adult women as being limited and may experience stress and low self-esteem associated with depressive and somatic symptomatology.     

Prototypical similarity,self-categorization,and depersonalized attraction: A perspective on group cohesiveness

In contrast to traditional approaches that widely equate group cohesiveness with interpersonal attraction, self-categorization theoryargues that self-categorization depersonalizes perception in terms of the group prototype, and transforms the basis of interindividual attitude (liking) from idiosyncracy into prototypicality. An implication is that while attraction in interpersonal relationships relates to overall similarity, attraction among group members is based on prototypical similarity. To test this idea, subjects (N = 219) participated in an experiment in which they reported their attitude towards an individual who would be their partner, or a fellow group member (of either group ‘Visual’ or group ‘Tactile’) for a subsequent task. Subject-target similarity varied on each of two dimensions: dimension ‘A’ was more prototypical of group ‘Visual’, and dimension ‘F’ of group ‘Tactile’. The independent variables of social orientation (interpersonal, group ‘Visual’, group ‘Tactile’), similarity on dimension A (A ±), and dimension F(F±) were manipulated in a 3 × 2 × 2 design. The three hypotheses tested in this experiment were generally supported. Subjects preferred prototypically similar group members to interpersonal partners, and downgraded prototypically dissisimilar group members (HI). Identification was positively related to target evaluation (H2), more strongly for prototypically similar than dissimilar targets (H3), and the identification-attraction relationship was mediated by perceived prototypical similarity. Group-based effects were independent of perceptions of overall similarity.     

Negative social interactions,distress, and depression among those caring for a seriously and persistently mentally III relative

Investigated both positive and negative social interactions and their effect on mental health for 106 individuals caring for a seriously mentally ill family member. Results from mixed-model (hierarchial and stepwise) multiple regression analyses in which caregiver age, socioeconomic status, caregiving demand, and severity of patient symptoms was controlled showed that negative social interaction accounted for a significant portion of variance in the caregivers' feelings of distress and depression. Moderated multiple regression analyses showed that under conditions of high negative interaction, the relationship between demand and distress was intensified. Implications of these findings for the conceptualization and measurement of negative social interaction as well as its clinical implications were discussed. The research for this paper was supported by funds from the Provost's office, University of Pittsburgh, School of Social Work. The authors thank the Pennsylvania Alliance for the Mentally Ill for their support of, and participation in, the study.     

PHYSICAL AND PSYCHIATRIC CORRELATES OF GENDER DISCRIMINATION

We tested the model that sexist discrimination, measured by the Schedule of Sexist Events (SSE), would account for additional variance in women's physical and psychiatric symptoms, above and beyond that accounted for by generic stressors. A series of hierarchical regression analyses, predicting symptoms on 10 different symptom outcome measures from generic stress and sexist stress (discrimination) were conducted, with the generic stressors entered on the first step and sexist discrimination on the second. Results revealed that sexist discrimination contributed significantly to the variance in women's symptoms, accounting for additional variance in those symptoms. Furthermore, sexist discrimination accounted for more of the variance than did generic stressors in premenstrual, depressive, obsessive-compulsive, somatic, and total psychiatric and physical symptoms. These findings varied with the age and ethnicity of the women and with the symptom measure used, but nonetheless suggest that sexist discrimination plays a significant role in women's most prevalent symptoms.     

Activation of emotion information in text among younger and older adults

The ability to represent emotions is an important capacity for the understanding of discourse. In the current literature, it is unclear whether older adults represent emotion information in the course of language processing, in particular as it relates to developing an adequate mental model of characters in narratives. We addressed this issue in two studies, one assessing emotion activation at the word level and the other at the mental model level. In the first experiment, subjects performed a lexical decision task in which words were drawn from both logic- and emotion-based categories. For both category types, priming was evident for young and old. In the second experiment, subjects read passages with emotion information that was consistent or inconsistent with the implied emotional tone. Both age groups showed an increase in reading time in response to inconsistent emotion information, indicating that the protagonist's emotional state was represented while reading. Results of these studies generally suggest age preservation in the activation of emotion information in language processing.