A Systematic Review of the Effectiveness of Self-Compassion-Related Interventions for Individuals With Chronic Physical Health Conditions

Self-compassion, defined as a mindful way of coping with pain and suffering by showing kindness, care, and concern towards the self, may improve psychological adjustment in people living with a chronic physical health condition (CPHC). Various studies illustrate that self-compassion is associated with positive outcomes in general. The aim of this systematic review is to establish the effect of compassion-related therapies on self-compassion specifically in people with CPHCs. Secondary aims are to (a) establish the effect on other psychological and physiological outcomes and (b) explore the relative effectiveness of different therapy types among those identified. Cochrane, Embase, Medline, PsycINFO, and CINAHL databases were searched using “compassion” AND “chronic disease” AND “psychological outcomes” and their synonyms, from 2004 to March 2019. Eligible studies had an experimental design using a self-compassion scale with an adult population. Risk of bias (RoB) was assessed using the Cochrane RoB tool. Effect sizes were calculated for study outcomes. Fifteen studies, including a total of 1,190 participants, 7 different CPHCs, and 11 types of therapies, were included in the review. Nearly all included therapies significantly increased self-compassion with medium to large effect sizes, and reported positive outcomes, such as decreased depression. None of the therapy types appeared clearly superior to the others. Findings from this review show that included therapies increased self-compassion and improved various outcomes, which may represent clinically significant benefits for patients. However, there is a need to further understand how self-compassion exerts its benefits and determine the best methods to increase self-compassion.     

The Trauma of Poverty as Social Identity

Poverty is more than an income level; it is a socially constructed identity that leaves scars of psychological impoverishment. Using autoethnography, I tell my story about growing up poor, climbing out of poverty as an adult, and falling back into poverty during marriage. I explore the unforgettable traumas of poverty, including empty cupboards, social rejection, humiliation, homelessness, and loneliness. Through the lens of Goffman’s frame analysis theory, I cope with my memories of hardship and stigmatized identity.     

Spirituality in African-American Breast Cancer Patients: Implications for Clinical and Psychosocial Care

Journal of Religion and Health - Spirituality has been shown to be important to many individuals dealing with a cancer diagnosis. While African-American breast cancer survivors have been reported...     

Parent–child interactions and anxiety disorders: an observational study

Past research has indicated a potential link between anxiety and parenting styles that are characterised by control and rejection. However, few studies have utilised observational methods to support these findings. In the current study, mother–child interactions were observed while the child completed two difficult cognitive tasks. The sample consisted of clinically anxious children (n=43), oppositional defiant children (n=20) and non-clinical children (n=32). After adjusting for the age and sex of the child, mothers of anxious children and mothers of oppositional children displayed greater and more intrusive involvement than mothers of non-clinical children. Mothers of anxious children were also more negative during the interactions than mothers of non-clinical children. The differences between anxious and non-clinical interactions were equivalent across three separate age groups. The results support the relationship between an overinvolved parenting style and anxiety but question the specificity of this relationship.     

Ante-natal HIV testing: An observational study of HIV test discussion in maternity care

There has been a vociferous call for ante-natal HIV testing but low uptake persists in the UK despite DOH guidelines. The reasons for this are complex, with many studies examining intention, offer and uptake of HIV test but few observing the process to understand the nature of HIV discussion with pregnant women. A field observational study was undertaken where researchers attended 154 ante-natal consultations. These were selected in rotation during ante-natal visits by women at four London hospital based ante-natal clinics. A standardized checklist was utilized to monitor information on HIV. A mean of 1.73 minutes was spent discussing HIV infection and testing during ante-natal consultations which lasted for a mean of 33.1 minutes. Risk factors for HIV were mentioned infrequently. When mentioned they concentrated on sexual behaviour which was raised in 11.7% of the consultations. Potential interventions to reduce vertical transmission were discussed with no more than one in five women and possible adverse implications of HIV testing with fewer than one in ten, the only exception being the implications of a positive diagnosis for the baby. Discussion of interventions was associated with HIV test uptake, but risk discussion was not. The short time spent on discussing HIV testing, combined with paucity of mention of information relevant to pregnancy are issues for concern and probably help to explain the level of uptake in the UK.     

Faint-hearted Anti-realism and Knowability

It is often claimed that anti-realists are compelled to reject the inference of the knowability paradox, that there are no unknown truths. I call those anti-realists who feel so compelled ‘faint-hearted’, and argue in turn that anti-realists should affirm this inference, if it is to be consistent. A major part of my strategy in defending anti-realism is to formulate an anti-realist definition of truth according to which a statement is true only if it is verified by someone, at some time. I also liberalize what is meant by a verification to allow for indirect forms of verification. From this vantage point, I examine a key objection to anti-realism, that it is committed to the necessary existence of minds, and reject a response to this problem set forth by Michael Hand. In turn I provide a more successful anti-realist response to the necessary minds problem that incorporates what I call an ‘agential’ view of verification. I conclude by considering what intellectual cost there is to being an anti-realist in the sense I am advocating.     

Veracity is in the eye of the beholder: A lens model examination of consistency and deception

Research has attempted to explain perceived cues to deception based upon self-report of what participants believe are ‘good’ cues to deception, or self-report of what cues participants say they base their veracity judgements on. However, it is not clear to what extent participants can accurately self-report what influences their decision-making. Using a within-subjects design, 285 participants completed a questionnaire regarding their beliefs about deception before rating a selection of truthful and deceptive statements on a variety of cues. Expert coders also rated the statements for the same cues. Laypeople and expert coders do not conceptualise between-subject consistency in the same way. A lens model showed that whilst perceptions of cues, such as consistency and amount of detail, influence veracity judgements, these perceptions (and overall veracity judgements) are mostly inaccurate. Fundamentally, there seems to be inconsistencies between how deception research examines consistency and how it is understood and used by laypeople.