Differential impact of abortion on adolescents and adults.

The purpose of this study was to compare adolescent and adult reactions to abortion. A sample of 252 women from 42 states was obtained from a national survey of organizations serving as support groups for women who have had negative reactions to abortion. The age analysis was run using t-tests. Results indicated that the adolescents were significantly more likely to be dissatisfied with the choice of abortion than were the older subjects, to have abortions later in the gestational period, to be dissatisfied with services at the time of the abortion, to feel forced by circumstances to have the abortion, to report being misinformed at the time of the abortion, and to report greater severity of psychological stress. The conclusions suggest that the adolescents' problems may be due to a combination of developmental limitations and the nature of counseling at the time of the abortion.     

Motivational and Other Sources of Work Accomplishments in Mid–Life: A Longitudinal Study

ABSTRACT Earned Income and work accomplishment were determined at age 41 for 89 adults whose mothers had been interviewed for their child-rearing practices when the adults were 5 years old. At age 31, in spontaneous thought but not self-report, n Achievement predicted earned income and socialized power motivation predicted work accomplishment at age 41. Hardships (or "bad breaks") during childhood and adolescence predicted work outcomes for both men and women, as did education for men. Parenting achievement pressure in the first 2 years of life was associated with adult n Achievement and earned income, while moderate encouragement of assertiveness by mothers who were warm to boys and cool to girls was associated with adult socialized power motivation and work accomplishment. Controls for social class of origin, IQ, temperament, and education did not explain the relations between parenting, motivation, and work outcomes, although education played a larger role for men than women who worked both inside and outside the home.     

The family origins of empathic concern: a 26-year longitudinal study

This study examined whether adult empathic concern was associated with parent behavior in early childhood. Subjects were drawn from a longitudinal sample first investigated by Sears, Maccoby, and Levin (1957). At age 31, 75 subjects completed the Adjective Checklist (Gough & Heilbrun, 1965, 1983), from which an index of empathic concern was derived. Scores on this index were regressed on 11 parenting dimensions derived from maternal interviews when the subjects were 5 years old. The results revealed a significant multiple R indicating that, taken together, the parenting dimensions predicted the level of empathic concern at age 31. Adult levels of empathic concern were most strongly related to the following parenting dimensions: paternal involvement in child care, maternal tolerance of dependent behavior, maternal inhibition of child's aggression, and maternal satisfaction with the role of mother.     

The Changing Self: Using Personal Documents to Study Lives

ABSTRACT In this paper we describe a technique for coding expressions of preoccupation with aspects of the adult self in personal documents and retrospective autobiographical writings In particular we explore the value of this approach by analyzing themes of identity, intimacy, and generativity expressed in Vera Brittain's diary and correspondence, written during her adolescence in World War I, and in her retrospective autobiographical account of that period in her life Analyses aim to use Erikson's theory of personality development to describe her psychological experience at the time and to compare that account with the later one     

Individuation and attachment in personality development: Extending Erikson's theory

The question of whether Erikson's theory of psychosocial development is a complete and coherent view of development in males and females is considered After a thorough review of Erikson's views on the role of sex in psychosocial development, the authors suggest that an important element is neglected in Erikson's account of personality development in both sexes That is, due to his focus on issues of identity, Erikson does not account fully for the development of intimacy or other expressions of interpersonal attachment The authors conclude that the major shortcoming of Erikson's theory is not, as some feminists have argued, that it is a male theory but that it fails to account adequately for the processes of interpersonal attachment that are essential to the development of both males and females Preliminary elements of a two-path model of development are proposed     

Process traces of binary choices: Evidence for selective and adaptive decision heuristics

While previous research has shown that human decision processes adjust to the characteristics of choice situations and task demands, the present study examined whether information processing would even adapt to the characteristics of an individual choice pair. By a process tracing method it was found that the amount of inspected information systematically depended upon the particular choice pair. In order to specify the selective and adaptive information processing, criterion-dependent choice models were introduced. These models postulate that information processing continues until the accumulated amount by which one alternative is better than the other reaches or exceeds a certain criterion. These models are strongly supported by the empirical data of the present study. Deviations between model predictions and observed data are explained in terms of fluctuating feature values of the choice alternatives.     

Reconsidering the role of language in medicine

Background

Despite an expansive literature on communication in medicine, the role of language is dealt with mostly indirectly. Recently, narrative medicine has emerged as a strategy to improve doctor-patient communication and integrate patient perspectives. However, even in this field which is predicated on language use, scholars have not specifically reflected on how language functions in medicine.

Methods

In this theoretical paper, the authors consider how different models of language use, which have been proposed in the philosophical literature, might be applied to communication in medicine. In particular, the authors contrast the traditional, indexical thesis of language with new models that focus on interpretation instead of standardization.

Results

The authors demonstrate how paying close attention to the role of language in medicine provides a philosophical foundation for supporting recent changes in doctor-patient communication. In particular, interpretive models are at the foundation of new approaches such as narrative medicine, that emphasize listening to patient stories, rather than merely collecting information.

Conclusion

Ultimately, debates regarding the role of language which have largely resided in non-medical literatures, have important implications for describing communication in medicine. In particular, interpretive models of language use provide an important rationale for facilitating a more robust dialogue between doctors and patients.