Illness perceptions and self-care behaviours in the first years of living with type 2 diabetes; does the presence of complications matter?

Objective: To assess illness perceptions, self-care behaviours and their relationship in recently diagnosed type 2 diabetes mellitus (T2DM) patients with and without diabetes-related complications.

Design: Cross-sectional survey among 192 recently diagnosed T2DM patients of whom 23% reported the presence of diabetes-related complications. Illness perceptions and self-care were assessed by the Revised Illness Perception Questionnaire (IPQ-R) and the revised Summary of Diabetes Self-Care Activities (SDSCA) measure.

Results: Generally, participating patients perceived T2DM as a chronic, but relatively controllable condition with minor consequences. In the presence of complications, however, T2DM was perceived as more unpredictable with more (serious) consequences and less controllable by self-care or medical treatment. Furthermore, engagement in exercise and foot care was reported more often by patients with complications. Self-care was related to certain illness perception dimensions, and interactions between perceptions and complications were found.

Conclusion: T2DM patients in the first years of their illness are often recommended to make lifestyle changes in the absence of noticeable diabetes-related symptoms or complaints. As many T2DM patients do not seem to perceive their condition to be serious and postpone lifestyle changes until diabetes-related complications appear, a major challenge for professionals is to convince asymptomatic patients of the importance of self-care.     

Scientific faith: Belief in science increases in the face of stress and existential anxiety

Growing evidence indicates that religious belief helps individuals to cope with stress and anxiety. But is this effect specific to supernatural beliefs, or is it a more general function of belief — including belief in science? We developed a measure of belief in science and conducted two experiments in which we manipulated stress and existential anxiety. In Experiment 1, we assessed rowers about to compete (high-stress condition) and rowers at a training session (low-stress condition). As predicted, rowers in the high-stress group reported greater belief in science. In Experiment 2, participants primed with mortality (vs. participants in a control condition) reported greater belief in science. In both experiments, belief in science was negatively correlated with religiosity. Thus, some secular individuals may use science as a form of “faith” that helps them to deal with stressful and anxiety-provoking situations.     

Nietzsche's Critique of Pure Altruism—Developing an Argument from Human,All Too Human

Abstract

Nietzsche often appears, especially in his writings from the middle period, to endorse psychological egoism, namely the claim that all actions are motivated by, and are for the sake of, the agent’s own self-interest. I argue that Nietzsche’s position in Human, All Too Human (Cambridge: Cambridge University Press, 1986) should not be so understood. Rather, he is claiming, more weakly and more plausibly, that no action is entirely unegoistic, entirely free of egoistic motivations. Thus some actions might be motivated both by egoistic and unegoistic motives, on his view. Nietzsche’s argument may, in other words, be understood to be directed specifically against Schopenhauer’s portrayal of moral motivation, as pure, entirely unalloyed altruism, to show that this sort of action is impossible, not to rule out the possibility of any altruistic motive whatsoever. In light of Schopenahuer’s moral psychology, to which Nietzsche to some extent adhered at that time, I develop a concept of motivation and reconstruct Nietzsche’s argument.     

You and me

Are there distinctively second-personal thoughts? I clarify the question and present considerations in favour of a view on which some second-personal thoughts are distinctive. Specifically, I suggest that some second-personal thoughts are distinctive in also being first-personal thoughts. Thus, second-personal thinking provides a way of sharing another person's first-personal thoughts.     

Anscombe,Zygotes, and Coming‐to‐be

In some quarters, it is held that Anscombe proved that a zygote is not a human being on the basis of an argument involving the possibility of identical twins, but there is surprisingly little agreement on what her argument is supposed to be. I criticize several extant interpretations, both as interpretations of Anscombe and as self‐standing arguments, and offer a different understanding of her conclusion on which the non‐specificity of creation processes and their goals is at issue.     

Amor Fati as Practice: How to Love Fate

On the basis of an interpretation of key passages in The Gay Science, this paper examines Nietzsche's idea of amor fati—love of fate. Nietzsche's idea of amor fati involves the wish to be able to learn how to see things as beautiful. This gives the impression that amor, love, is supposed to play some role in the beautification of fate. But Nietzsche also explains amor fati in relation to his desire to be a devoted “Yes‐sayer.” This pulls the interpretation of amor in a different direction; for now it seems as if the love Nietzsche wants to cultivate is supposed to be expressed in a positive, affirmative attitude toward one's fate. How to think this duality under the single idea of amor fati? I develop a novel reading of amor fati as a form of practice, as something that we can do, and explain in its light how the two moments of love are to be brought together. The relation of amor fati to the “Eternal Recurrence of the Same” is also addressed: mastering the practice of amor fati can enable one to pass successfully the test of the Eternal Recurrence of the Same.     

Developing physical activity interventions for youth with cystic fibrosis and congenital heart disease: Learning from their parents

Despite the benefits of physical activity for youth with cystic fibrosis (CF) and congenital heart disease (CHD), most are insufficiently active. More information is required on how to facilitate physical activity in these populations. Although there are no studies that provide information about participation in CF and CHD youth from the perspective of parents, the involvement of caregivers may be an important facilitator to physical activity in youth with chronic diseases.

Objective

This qualitative study explored how the parents of youth with CF and CHD experience physical activity, and parents commented on both their own and their child’s physical activity.

Methods

Twenty-nine parents from a CHD and CF clinic participated in a semi-structured interview, and a thematic analysis of the transcribed data was undertaken.

Results

Parents discussed the numerous benefits and barriers associated with physical activity for both child and self. Role modeling was a critical social process to overcoming barriers. Parents experiences were situated within the broader family context characterized by a prevailing sense of stress and complexity.

Conclusion

By illustrating how the parents of youth with CF and CHD understand the role of physical activity in their and their child’s life, this study provides valuable information regarding the development of interventions to increase physical activity among children with CF and CHD.