Exploring self‐esteem of Hong Kong Chinese adults cardiac diseases

Low self‐esteem appears to be both a vulnerability factor for cardiac diseases and a result of cardiac diseases. Thus enhancing self‐esteem might facilitate recovery and/or help to prevent recurrence. Since some evidence suggests that self‐esteem might even serve as an important gauge of cardiac rehabilitation, it is therefore important to know more of the construct of self‐esteem to enable the planning of a more promising rehabilitation process. This paper explores the source and basis of the self‐esteem of Hong Kong Chinese with cardiac diseases. One hundred and fifty‐two adults with cardiac diseases and 146 adults not suffering from any major illness participated in this study. The Adult Source of Self‐Esteem Inventory (ASSEI) (Elovson & Fleming, 1989), open‐ended questions on self‐evaluation, and interviewing were the major procedures used to identify the sources and basis of the self‐esteem of persons with and without cardiac diseases. The subjects' important life aspects were identified through interpreting their responses to open‐ended questions and interviews. Moreover, a structured questionnaire on their subjective perceptions of importance and satisfaction in different life areas was used to identify the relationships between discrete self‐concept variables. Factor analysis of their responses to the 20 ASSEI items revealed four factors, namely, Interpersonal Relationship, Personal Quality, Physical Self, and Personal Achievement. We also examined and compared the means and ranks of the ASSEI items as indicated by the subjects. Content analysis of open‐ended questions further confirmed the self‐esteem domains of persons with cardiac diseases. The discrepancy of ideal‐actual physical abilities was found to be more prominent in the cardiac group. It was also found that family is an important entity to Chinese individuals with cardiac diseases. Implications of the findings to rehabilitation of persons with cardiac diseases were also discussed.     

Driving Under the Influence (of Stress): Evidence of a Regional Increase in Impaired Driving and Traffic Fatalities After the September 11 Terrorist Attacks

ABSTRACT— Did the September 11 terrorist attacks elicit a subsequent increase in traffic fatalities? Gigerenzer (2004) argued that decreases in flying and increases in driving in the 3 months after the attacks led to 353 "surplus" traffic fatalities. We applied a more systematic analysis to the same data and found no evidence of a significant increase in miles driven or of a significant increase in traffic fatalities. However, we did find evidence for a regional effect of the attacks on driving behaviors. We hypothesized that geographic proximity to the attacks increased stress, which in turn decreased driving quality. Our analyses revealed that in the last 3 months of 2001, the Northeast exhibited a significant increase in traffic fatalities, as well as a significant increase in fatal accidents involving an alcohol- or drug-related citation. Increased stress related to physical proximity to the attacks may explain the increase in traffic fatalities.     

Book Review The Journey Home: What Near-Death Experiences and Mysticism Teach Us about the Gift of Life,by Phillip L. Berman. New York,NY: Pocket Books, 1996, 207pp + xiv, $14.00 pb

Journal of Near-Death Studies -     

Escalation in groups: Focus on information sampling

The purpose of this experiment was to examine if groups escalate more than individuals when information is not distributed to all group members. The experiment also attempted to replicate Bazerman, Beekun, and Schoorman's (1992) findings, that participants with high responsibility escalate more than participants with low responsibility. The task was a modified version of the Heeley Store Case (Bazerman et al., 1992). The dependent measures fell into three categories: rewards, appropriateness of layoff/demotion, and forecasted future performance. The results showed little support for the hypotheses. First, high responsibility participants escalated significantly more than low responsibility candidates for only one of the six measures. This may have been due to the fact that all participants felt responsible for their decisions. For the other dependent variables, the effect was either not significant or in the wrong direction. Second, no significant interaction was found between responsibility and decision-making context (individual, groups with all shared information, and groups with shared and unshared information). We then analyzed the data using a measure of felt responsibility as a covariate. The interaction between felt responsibility and decision-making context was significant only for layoff decision. For all of the other measures, no significant interaction was found. One possible reason why our hypotheses were not supported may have been that the groups felt a diffusion of responsibility. Larger groups may have also demonstrated the effects of group processes more effectively. No clear conclusions can be made regarding the influence of information sampling on escalation. An earlier version of this paper was presented at the 1998 meetings of the American Psychological Society.     

A simple procedure for accurately manipulating face-voice synchrony when dubbing speech onto videotape

A system is described involving an audio-video tape recorder, a control device, and a delay timer that dubs speech sounds onto prerecorded lip movements on videotape. Accuracy of synchrony or measured asynchrony between the sound and lip movements is a few milliseconds.     

The Relationship Between Recalled Self-esteem as a Child and Current Levels of Professional Burnout among Anglican Clergy in England

This study links and tests three strands of theory concerned with explaining individual differences in levels of professional burnout in general and among religious professionals in particular. These three strands concern the significance of current self-esteem, recalled self-esteem as a child, and personality. Data were provided by a sample of 1,278 male stipendiary parochial clergy working in the Church of England who completed the modified Maslach Burnout Inventory (specially designed for use among clergy), and the short-form Revised Eysenck Personality Questionnaire (designed to measure the personality dimensions of extraversion, neuroticism and psychoticism), together with a semantic differential index of recalled self-esteem as a child. The bivariate correlation coefficients demonstrated significant associations between more positive self-esteem as a child and lower levels of professional burnout (higher personal accomplishment, lower emotional exhaustion and lower depersonalisation). The bivariate correlation coefficients also demonstrated significant associations between personality and professional burnout. Multiple regression analyses, however, demonstrated that the association between recalled self-esteem as a child and professional burnout largely disappeared after controlling for the personality variables. The conclusion is drawn that knowledge about the personality profile of clergy functions as a more secure predictor of susceptibility to professional burnout than knowledge about recalled self-esteem as a child.     

Suicide-related behavior after psychiatric hospital discharge: Implications for risk assessment and management

Suicide-related behavior (SRB), including suicide attempts and instrumental SRB, occurs far more often than completed suicide and exacts a toll on patients, their loved ones, and society. Nevertheless, few prospective studies of SRB have been conducted. In this study, 954 patients were interviewed in a psychiatric hospital and then followed for one year after discharge. During this one-year period, nearly one-quarter of patients (23%) engaged in SRB, with the rate of suicide attempts (18%) three times greater than the rate of instrumental SRB (5%). Risk factors for SRB were demographic (White ethnicity, female gender), clinical (past SRB, depression, impaired functioning), and contextual (unemployment, large social networks). In contrast with other studies, there was no "peak" in the risk of SRB shortly after hospital discharge. Instead, patients' rate of SRB was relatively constant over the one-year follow-up. Implications for risk assessment and management in acute inpatient settings are discussed.     

Xenophobia, ethnic community, and immigrant youths' friendship network formation

Immigrant youth often rebuild their friendships and other social networks after arriving in a new country. The difficulties involved can threaten their psychosocial development. Formation of social networks needs to be understood within the macro sociocultural context that shapes the experience. Nonetheless, the current literature on social network formation rarely captures that context. Knowledge about immigrant youths' social network, for example, is often embedded in assimilation, ethnic identity, and adaptation literature. This paper examines how the sociocultural context enables immigrant youth to rebuild their friendship networks. A critical ethnography was conducted in the northwest region of the United States. Sixteen Taiwanese immigrant youth and their parents (N = 13) participated in the study. Data collection consisted of semi-structured in-depth interviews, a demographic questionnaire, and participant observations. The findings showed that because of limited English proficiency, the youth kept at a distance from American peers to avoid nervousness and embarassment. Further analysis, derived from xenophobia, found that limited English proficiency increases segregation between American peers ("we") and immigrant youth ("the other"). The English as a Second Language program inadvertently perpetuates the immigrants' sense of "otherness" and increases the odds of their becoming targets of discrimination. A protective factor for these youths is living near an ethnic community because the inclusion of coethnics increases new friendship networks. Knowledge about the teen culture in coethnics' countries of origin (China, Hong Kong, or the United States), also influences their selection of friends.