Cooperation or Tension? Dyadic Coping in Cystic Fibrosis

Following a rise in the life expectancy of cystic fibrosis (CF) patients, many adults with CF form couple relationships. Yet, dyadic coping has not been previously examined in people with CF. This study examined how adults with CF and their partners cope as a couple with the illness, and what meanings each partner and the couple as a unit attribute to the experience. Seventeen adult CF patients and their partners participated in separate semi‐structured in‐depth interviews. Two main patterns of dyadic coping with CF were identified as follows: cooperation and tension. For couples in cooperation, the marital relationship served as a resource for adaptive coping. These couples were characterized by similarities in their perception of the place of CF in their lives and of their roles in the marital relationship. Couples in tension described the couple relationship as strained by difficulty of accepting the disease, proliferation of negative emotions, and a sense of burden and loneliness in the process of coping. Findings point to the importance of mutual empathy, clear and accepted division of roles between the partners, and open communication for facilitating coping as a couple.     

Philosophy in Poland: Varieties of Anti-Irrationalism. A Commitment to Reason without the Worship of Reason

Philosophia - I shall elaborate more on the idea of anti-irrationalism proposed by the Polish analytic philosopher Kazimierz Ajdukiewicz, a prominent member of the Lvov-Warsaw School of philosophy...     

Age-related changes in event-related prospective memory performance: a comparison of four prospective memory tasks

The primary purpose of the study was to identify event-based prospective-memory tasks that provide sensitive and reliable tools for assessing effects of normal aging in prospective-memory performance. Four prospective-memory tasks were selected from the literature or were newly developed, with the tasks differing on various dimensions that, for theoretical reasons or based on previous evidence, might determine task sensitivity to age effects on prospective-memory performance: perceptual saliency of prospective target events, frequency of occurrence of prospective target events, complexity of prospective-memory instructions, and provision of feedback after prospective-memory errors. Two of the four tasks yielded large and robust age effects on prospective-memory performance. Correlational analyses suggested that these age effects on prospective-memory performance were mediated, at least in part, by a reduced ability of older adults to maintain prospective intentions in a highly activated state and not by age effects on basic mental speed alone.     

Causal Responsibility and Rationing in Medicine

The article addresses the issue of rationing health care services, a topic currently being hotly debated in many countries. The author argues that the aspect of causal responsibility ought to play a decisive role in the allocation of limited medical resources. Starting out from Ronald Dworkin's distinction between option luck and brute luck, the appropriate and meaningful uses of the term causal responsibility are clarified first. A discussion of the conditions which might justify giving lower priority to patients whose illnesses are the result of unhealthy behavior, like e.g. alcohol abuse, follows. Causal responsibility is then viewed in the context of private health insurance and the club model of organ donation. It is argued that individuals themselves are basically responsible for their decisions regarding insurance coverage and membership in organ donors' clubs. Causal responsibility is shown to be a more suitable criterion for rationing scarce medical resources than other criteria which might alternatively be considered, such as patients' age.     

Dimensionen der Gefühle

Zusammenfassung Es war das Ziel der Untersuchung, ein System der Gefühlsqualitäten zu finden, das im Unterschied zu früheren Klassifikationsversuchen nicht auf der Anwendung formaler Kategorien oder anderer, gewissermaßen von außen an den Gegenstand herangetragener Gesichtspunkte beruhte, sondern aus den Erlebnisinhalten selbst hervorging.Nach verschiedenen Methoden wurden drei Versuche unternommen, in denen die Versuchspersonen auf Grund der Vergegenwärtigung des Erlebnisses Urteile über die Ähnlichkeit und über bestimmte Eigenschaften von Gefühlsqualitäten abzugeben hatten.Aus den Ergebnissen aller drei Versuche konnten Ordnungssysteme der verwendeten Gefühlsqualitäten gebildet werden. Trotz der Verschiedenheit der angewendeten Methoden besteht zwischen den drei Systemen in den vergleichbaren Punkten eine nahezu vollkommene Übereinstimmung.Die Gesamtheit der Gefühlsqualitäten ordnet sich nach dem Resultat dieser Untersuchung in drei Dimensionen an, denen die Bezeichnungen Angenehm—Unangenehm, Unterwerfung—Überhebung und Grad der Motivierung gegeben wurden.Nach einigen Betrachtungen über die der Beurteilung von Gefühlsqualitäten zugrunde liegenden subjektiven Prozesse werden methodische Folgerungen gezogen, die besagen, daß die Voraussetzungen für die Untersuchung der Gefühle weit günstiger sind, als dies nach der vorherrschenden Meinung der Fall ist. Schließlich wird die Anwendungsmöglichkeit der Resultate auf einige Fragestellungen der Gefühlsforschung an Hand von Beispielen erörtert.