Relationship of depression and anxiety to cancer patients' medical decision-making

The purpose of this study was to examine the relation of depression and anxiety to cancer patients' medical decision-making. Participants were 79 rural and urban cancer patients undergoing chemotherapy. The four decisional styles of the Decisional Processing Model were the independent variables. Dependent variables were anxiety and depression, measured by Spielberger's State-Trait Anxiety and the Center for Disease Control Depression Scale, respectively. Consistent with the Decisional Processing Model, analysis suggested that patients make medical decisions by information seeking, information processing, advice following, or ruminating. Decisional style did not vary according to type or stage of cancer, prognosis, time elapsed since initial diagnosis, or whether cancer was initial or recurrent. Decisional style did not systematically vary with depression and anxiety suggesting how a person makes decisions is a stable personality trait. Thus, decision-making may follow a cognitive schema. It is likely that patients' decisional styles help to manage anxiety and depression when confronted with life-threatening illness. Implications for informed consent and patients' involvement in decision-making are discussed.     

Living with Contradictions: The Taken-for-Granted in Israeli Political Discourse

Two apparently contradictory ideas are closely linked in Israeli political discourse: Israel is powerful and independent and Israel is vulnerable and dependent. This study used content analysis and focus groups, as well as existing survey data analyzed by others, to explore how this paradox has been reflected in newspapers and conversations during six different time periods from 1948 to 1996. The goal was not to explain the paradox but to examine its consequences for Israeli perceptions of U.S. policy in the Middle East—and, in the process, to explore Israeli self-images. The nature of U.S. strategic interests was originally treated as problematic and in need of political discussion, but in the past 25 years these interests have become taken for granted. Surprisingly, even after the end of the Cold War, a critical discourse moment in which a reexamination of U.S. interests in the Middle East would seem inevitable, the U.S. role remains taken for granted and largely unexamined. The strong/vulnerable paradox explains this absence of discussion: Examining U.S. interests too closely upsets the delicate balance that keeps the sense of vulnerability in check.     

Toward a New Paradigm for Multicultural Counseling

Wisdom is introduced as a fundamental quality of the effective multicultural counselor. Wisdom is defined, discussed, and differentiated from intelligence. The authors propose that to be an effective multicultural counselor requires more than textbook knowledge. Wisdom, as a transcultural concept, is considered in relation to culture, context, dialectical thinking, awareness, metacognition, deep interpersonal insight, and advanced empathy. Implications for counselor education and professional practice are discussed. Wisdom is an ancient subject that may provide a “new” paradigm with the potential to bring the field to a higher plateau of effectiveness in practice and training.     

Motivational reserve: motivation-related occupational abilities and risk of mild cognitive impairment and Alzheimer disease

Midlife motivational abilities, that is, skills to initiate and persevere in the implementation of goals, have been related to mental and physical health, but their association with risk of mild cognitive impairment (MCI) and Alzheimer's disease (AD) has not yet been directly investigated. This relation was examined with data from the German Study on Ageing, Cognition, and Dementia in Primary Care Patients (AgeCoDe). A total of 3,327 nondemented participants (50.3% of a randomly selected sample) aged 75-89 years were recruited in primary care and followed up twice (after 1.5 and 3 years). Motivation-related occupational abilities were estimated on the basis of the main occupation (assessed at follow-up II) using the Occupational Information Network (O* NET) database, which provides detailed information on worker characteristics and abilities. Cox proportional hazards models were used to evaluate the relative risk of developing MCI and AD in relation to motivation-related occupational abilities, adjusting for various covariates. Over the 3 years of follow-up, 15.2% participants developed MCI and 3.0% developed AD. In a fully adjusted model, motivation-related occupational abilities were found to be associated with a reduced risk of MCI (HR: 0.77; 95% CI: 0.64-0.92). Motivation-related occupational abilities were associated with reduced risk of AD in ApoE ε4 carriers (HR: 0.48; CI: 0.25-0.91), but not in noncarriers (HR: 0.99; CI: 0.65-1.53). These results suggest that midlife motivational abilities are associated with reduced risk of MCI in general and with reduced risk of AD in ApoE ε4 carriers. Revealing the mechanisms underlying this association may inform novel prevention strategies for decelerating cognitive decline in old age.     

Maternal parenting as a mediator of the relationship between intimate partner violence and effortful control

The current study examined the relationship between intimate partner violence (IPV), maternal parenting behaviors, and child effortful control in a diverse sample of 705 families living in predominantly low-income, rural communities. Using structural equation modeling, the authors simultaneously tested whether observed sensitive parenting and/or harsh-intrusive parenting over the toddler years mediated the relationship between early IPV and later effortful control. Results suggest that parenting behaviors fully mediate this relationship. Although higher levels of IPV were associated with both higher levels of harsh-intrusive parenting and lower levels of sensitive supportive parenting, only sensitive supportive parenting was associated with later effortful control when both parenting indices were considered in the same model.     

Does Gratitude Promote Resilience During a Pandemic? An Examination of Mental Health and Positivity at the Onset of COVID-19

Journal of Happiness Studies - Researchers have emphasized the detrimental effects of COVID-19 on mental health, but less attention has been given to personal strengths promoting resilience during...     

Workplace mobbing and bystanders' helping behaviour towards victims: The role of gender,perceived responsibility and anticipated stigma by association

We examined victims' perceived responsibility and bystanders' anticipated risk of being victimized themselves when others associate them with the victim (stigma by association, SBA) as possible antecedents of bystanders' helping behaviour towards a victim of workplace mobbing, and explored the effects of gender. Guided by the attribution model of social conduct (Weiner, 2006), a 2 × 2 vignette experiment was conducted. Participants were Dutch regional government employees (N = 161). Path analyses generally supported the hypotheses, but showed different results for women and men. In the strong (Vs. weak) responsibility condition, women reported less sympathy and more anger and men only more anger, which resulted in lower helping intention. Additionally, for men the results showed an unexpected direct positive effect of responsibility on helping intention. Furthermore, in the strong SBA condition, women and men reported more fear and men, unexpectedly, more anger. Consequently, helping intention decreased. The findings on gender are discussed in the context of social role theory, gender and emotion. Our findings suggest that to prevent and tackle mobbing, organizations and professionals should be aware of the attributional and emotional processes and gender differences in bystanders' helping behaviour.     

Why Engage in Collective Action? The Conditional Effect of Social Support and Efficacy on Protest Participation

Why do people engage in collective actions, such as demonstrations? We suggest that intentions to engage in protest activities come from the perception that the action is an efficient way to affect policy but is also dependent upon the level of others’ engagement. Specifically, lower support should spur intentions to engage if the individual believes that the collective act is an efficient means to bring about social change. In two experiments, manipulating social support, efficacy increased intentions to participate in collective actions but mainly for participants with low social support (Experiments 1 and 2). In Experiment 3, manipulating efficacy, high social support was related to decreased intentions to engage. However, in this study, social support did not interact with efficacy.     

Changes in research on Judaism in the Hellenistic and early Roman periods

This article offers an overview of what every theologian and scholar of religion should know about changes in biblical studies that have taken place concerning the past depreciation of Second Temple Judaism, the use of newly discovered sources and their implications, as well as integrative approaches to top-down (reflected beliefs, prescribed practices, textual sources) and bottom-up (intuitive beliefs, lived practices, material culture) processes. Changes in the field lead to the re-writing of the history of the Bible and of Judaean society in the Greco-Roman context. By means of this co-authored research article, we wish to demonstrate the benefit of, as well as the need for, interdisciplinary work in the study of antiquity.