Is It Possible to “Incorporate” a Scar? Revisiting a Basic Concept in Phenomenology

Although scars never disappear completely, in time most people will basically get used to them. In this paper I explore what it means to habituate to scars against the background of the phenomenological concept of incorporation. In phenomenology (Husserl, Merleau-Ponty) the body as Leib or corps vécu (lived body) functions as a transcendental condition for world disclosure. Because of this transcendental reasoning, phenomenology prioritizes a form of embodied subjectivity that is virtually dis-embodied. Endowing meaning to one’s world through getting engaged in actions and projects is most successful indeed when one’s body is “absent,” “transparent,” or, at least, if it is not in the center of one’s attention. This taken-for-granted nature can be disturbed by discomfort, disability, and disfigurement. Incorporation, so I explain, aims at maintaining or restoring the body’s taken-for-grantedness. My analysis of the case of a woman who successfully habituated to her mastectomy scar demonstrates, however, that habituation to a perceptible scar can only be understood partly in terms of incorporation. Next to a decrease of explicit attention for the scar and the discomfort it produces (i.e., incorporation), the scar should also stop being a sign that refers to something else than itself. This is only possible, I argue, by taking the body’s materiality seriously, rather than it being wiped out as a result of transcendental reasoning.     

Goal-setting in diabetes self-management: A systematic review and meta-analysis examining content and effectiveness of goal-setting interventions

Background: Goal-setting is recommended and widely used within diabetes self-management programmes. However, empirical evidence around its effectiveness lacks clarity. This review aims to evaluate the effectiveness of goal-setting interventions on diabetes outcomes and to determine which behaviour change techniques (BCTs) are frequently used within these interventions.

Methods: A systematic search identified 14 studies, describing 12 interventions targeting diabetic-control which incorporated goal-setting as the main intervention strategy. Study characteristics, outcome measures and effect sizes of the included studies were extracted and checked by two authors. The BCT taxonomy v1 was used to identify intervention content. Meta-analyses were conducted to assess intervention effects on the primary outcome of average blood glucose levels (HbA1c) and on body-weight. Psycho-social and behavioural outcomes were summarised in narrative syntheses.

Results: Significant post-intervention improvements in HbA1C were found (?.22, 95% CI, ?.40, ?.04) across studies. No other main effects were identified. The BCT ‘goal-setting (behaviour)’ was most frequently implemented and was identified in 84% of the interventions.

Conclusions: Goal-setting interventions appear to be associated with reduced HbA1C levels. However, the low numbers of studies identified and the risk biases across studies suggest more research is needed to further explore goal-setting BCTs in diabetes self-management.     

Bilingual comparison of Mandarin and English cognitive bias tasks

Most research into cognitive biases has used Western samples, despite potential East-West socio-cultural differences. One reason is the lack of appropriate measures for non-Westerners. This study is about cross-linguistic equivalence which needs to be established before assessing cross-cultural differences in future research. We developed parallel Mandarin and English measures of interpretation bias and attention bias using back-translation and decentering procedures. We assessed task equivalence by administering both sets of measures to 47 bilingual Mandarin-English speakers. Interpretation bias measurement was similar and reliable across language versions, confirming suitability of the Mandarin versions for future cross-cultural research. By contrast, scores on attention bias tasks did not intercorrelate reliably, suggesting that nonverbal stimuli such as pictures or facial expressions of emotion might present better prospects for cross-cultural comparison. The development of the first set of equivalent measures of interpretation bias in an Eastern language paves the way for future research investigating East-West differences in biased cognition.     

Living with Death in Rehabilitation: A Phenomenological Account

This paper uses an ongoing ethnography of childhood rehabilitation to rethink the Heideggerian phenomenology of death. We argue that Heidegger’s threefold perishing/death/dying framework offers a fruitful way to chart how young people, their parents, and practitioners address mortality in the routine management of muscular dystrophies. Heidegger’s almost exclusive focus on being-towards-death as an individualizing existential structure, rather than the social life with and around death, is at odds with the clinical experience we explore in this paper. After looking to the basic structures of Heidegger’s philosophy of death, we point to recent work by Leder, Svenaeus, Aho, and Carel, bringing health and the spaces of healthcare into our purview. Turning to ethnographic data, we argue that a revised phenomenology of death gives a nuanced account of how health care practitioners address death, dying, and perishing, and outline some steps toward a more ontologically sensitive clinical space. These revisions are in line with recent work in disability studies, that see disability as more than a death sentence. We advocate adjusting phenomenological reflections on disability, to be framed as a way of life, rather than as a deficient or especially deadly mode of human existence.     

The Satisfaction with Life Scale in Adolescent Samples: Measurement Invariance across 24 Countries and Regions,Age, and Gender

Measurement of adolescent life satisfaction across cultures has not received much attention in previous empirical research. The present study evaluated measurement invariance of the Satisfaction with Life Scale (SWLS) among adolescents in 24 countries and regions (N = 22,710; age range = 13–19 years; 53% female). A single-factor model with residual covariance between a pair of items tapping past life satisfaction fitted well in 19 countries and regions and showed a partial metric invariance. In a subset of nine countries and regions, partial scalar invariance was supported. Partial metric invariance across all 24 countries and regions was achieved when custom model modifications in five countries and regions were included. Three SWLS items showed evidence of noninvariance across cultures. The measurement model was found to operate similarly across gender and age. Our findings suggest that caution is needed when using the SWLS for measuring life satisfaction among adolescents from different cultures.

     

When Harry met Meghan (got married,had a baby,and “Megxited”): Intergroup anxiety,ingroup norms,and racialized categorization as predictors of receptivity to interracial romances

Despite being frequently met with disapproval, interracial romantic relationships have the potential to transform intergroup relations through marriage and children. However, relatively little is known about the receptivity to these important intergroup relationships. Capitalizing on three historical events involving a world-famous interracial couple, Prince Harry and Meghan, we expand the intergroup relations literature by longitudinally and cross-sectionally examining White Briton's perceptions and receptivity to interracial romances. Study 1 (N = 585) showed that intergroup anxiety around the couple's wedding was longitudinally associated with less receptivity to interracial dating and less favorable intergroup attitudes a month later, even when controlling for strong autoregressive paths. Study 2 (N = 402), conducted around the birth of the couple's son (Archie), found that intergroup anxiety (negatively) and favorable ingroup norms (positively) were longitudinally associated with receptivity to intergroup romances and favorable intergroup attitudes a month later in statistically conservative tests. Study 3 (N = 507), conducted at the time of the so-called “Megxit,” cross-sectionally found that media exposure to Meghan was positively associated with favorable ingroup norms which was, again, related to positive intergroup outcomes. However, these associations were suppressed by the perception that Meghan had tainted the Royal Family which was, in turn, negatively associated with the intergroup outcomes. Moderation analyses across the studies revealed these associations were often stronger for those who categorized the biracial Royals as more Black (vs. White). Together, the novel research highlights the often-complex perceptions and longitudinal predictors of interracial romances and does so in historic social contexts.     

Remembering helpers and hinderers depends on behavioral intentions of the agent and psychopathic characteristics of the observer

Individual differences in proneness towards granting benefits (i.e., helping) or imposing costs (i.e., hindering) may have led to processes that detect and remember people who are prone to help or hinder. We examined two factors that might influence such memory: the intentionality of the acts and individual differences in psychopathy characteristics. Participants viewed several videos of computer-animated agents that helped or hindered another agent, either intentionally or unintentionally. Afterward, participants had better memory for agents that acted intentionally. Additionally, participants with more psychopathic tendencies had enhanced memory for helpers, suggesting that certain individual characteristics might result in heightened memory for people who are prone to granting benefits.     

Contingency tracking during unsignaled delayed reinforcement: Effects of delay duration and d‐amphetamine

In two experiments, the role of the response–reinforcer relation in maintaining low‐rate responding under unsignaled delay conditions was investigated. In both experiments pecking by pigeons on one response key, denoted the relevant key, was reinforced under an unsignaled delay‐of‐reinforcement procedure (defined as tandem variable‐interval (VI) differential‐reinforcement‐of‐other behavior [DRO] schedule). Responding on a second key, denoted the irrelevant key, had no programmed consequences. Between sessions, the location of the relevant key varied (after one, two, or three sessions) pseudorandomly. In Experiment 1, the delay (DRO) duration was manipulated parametrically. Overall, proportional relevant‐key response rates (relevant‐key response rates / [relevant‐key response rates + irrelevant key response rates]) increased across 3‐session sequences in which the relevant key remained in the same location and decreased as the DRO duration was changed systematically (2, 5, and 10 s). In Experiment 2, acute administration of d‐amphetamine increased proportional relevant‐key response rates during 1‐day sequences for only the DRO 5‐s duration, and results over 3‐day sequences, once a discrimination had already been established, were inconsistent. Results support that the response–reinforcer relation is the primary determinant of responding, and such discriminations are relatively resistant to disruption or potentiation by behaviorally active doses of d‐amphetamine.     

SHORES: A Practical Mnemonic for Suicide Protective Factors

Guidelines for addressing and managing client suicide risk include discussing and conceptualizing protective factors. Counselors should be able to recall and discuss suicide protective factors that are applicable across client populations. SHORES, a suicide protective factors mnemonic that is supported by the literature, has applications for risk assessment and crisis intervention across settings, preventative care, strengths‐based management, and counselor training. A case example and discussion serve to illustrate the wide‐ranging application of SHORES in counseling practice.     

‘I didn’t realise I was such a sausage’: men’s accounts of whole-body scanning,body image,and expected changes in health-related behaviours

Objective: Whole-body scanning is now available in stores to assist buyers in choosing well-fitting clothes. This study was designed to investigate men’s accounts of scanning, body image and expectations of behaviour change. Design: Ten men aged 18–39 years without histories of eating disorders or previous experience of whole-body scanning, took part in semi-structured interviews before and after scanning. Data were analysed using inductive thematic analysis. Results: Pre-scan, men’s body ideals were tall, slender and relatively muscular. Post-scan, seven reported looking shorter, fatter, thinner and/or less symmetrical than they hoped; three were pleasantly surprised by the images. Men were interested in scans as an objective view of their bodies and as a ‘wake-up call’ to motivate healthy behaviours. Five men intended to change their behaviour as a result of scanning, and repeat scanning was seen as a good way to monitor behavioural changes. Participants suggested that scanning may raise body concerns in other men, though downplayed impacts on their own body image. Conclusion: Whole-body scanning may encourage men to exercise and eat more healthily. However, men became more negative about their bodies as a result of seeing their body scans, so scanning needs to be carried out with supervision and support.