The Role of Temporal Comparison, Social Comparison, and Direct Appraisal in the Elderly's Self-Evaluations of Health

Elderly persons (n= 91) were interviewed about self- perceptions of physical health and the contribution of social comparison, temporal comparison, and direct appraisal to these judgments. Consistent with previous studies, self-assessments tended to be mainly positive (67% reported their health as “good” or “excellent”), though tempered somewhat by the individual's objective physical condition (i.e., number of chronic diseases or disabilities). Independent of objective health, respondents' ratings were more negative if they mentioned thinking about past or anticipated health. Respondents were more concerned about their health if they thought about their past or anticipated health or mentioned comparing with a specific other person. Direct feedback had no effect on health ratings. Among those who reported social comparison, ratings were more positive when worse-off others were mentioned. Temporal comparisons may be associated with more negative ratings because the elderly's past health is likely to have been better and their future (anticipated) health can be expected to become worse. If using temporal and social comparison information is associated with more negative assessments then what accounts for the generally positive self-assessments? We propose that the elderly compare themselves with a cognitively constructed stereotypical standard of the frail elderly rather than with a specific other. Because few elderly actually “fit” this stereotype, most elderly feel they are doing well.     

The perception of available social support is related to reduced cardiovascular reactivity in Phase II cardiac rehabilitation patients.

OBJECTIVE: Numerous studies have observed a relationship between social support (SS) and post coronary event survival. Laboratory research suggests one mechanism regulating this relationship may be exaggerated cardiovascular reactivity (CVR). What has not been as well explored is (1) whether the SS-CVR relationship holds up for a heart diseased sample, and (2) whether this relationship is evidenced only in supportive environments or can be found as a function of generalized perception of being socially supported. Thus, the purpose of this study was to examine the relationship of perceived SS and a locally supportive presence to CVR to a speech-induced stressor in post coronary event patients. METHOD: Forty-one Phase II cardiac rehabilitation patients participated in a research protocol that consisted of BP and HR measurement during two identical affective stress interviews where local support was systematically varied by presence or absence of a friendly small pet dog. Perception of SS was assessed by completion of psychosocial questionnaire packet that included measures of SS, anger expression and pet attachment. RESULTS: Repeated measures ANCOVAs revealed that patients who believed they had greater SS available to them during difficult times exhibited significantly less CVR for MAP (p<.007) and DBP (p<.024). No significant main effects for local support (pet presence) and no interactions between local and perceived support were found. CONCLUSIONS: These findings are of interest as they: (a) demonstrate an association between reduced CVR and higher (amounts of) SS in a clinical sample; (b) demonstrate this effect in a sample medicated to dampen CV levels and surges; (c) suggest that perceived amount of SS provides an ameliorative influence on CVR independent of situational support; (d) suggest that for certain conditions pet-models of support may be ineffective at establishing an local support presence.     

Working Together with God: Religious Coping,Perceived Discrimination,and Hypertension

This study examined the relationships of perceived discrimination and religious coping with hypertension in a sample of Black and White Seventh-day Adventists. Data come from a community-based sample of 6128 White American, 2253 African American and 927 Caribbean American adults (67% women; mean age = 62.9 years). Results indicate lifetime unfair treatment was significantly associated with hypertension regardless of race/ethnicity. Positive religious coping was associated with lower odds of hypertension and did not interact with unfair treatment. Both positive and negative religious coping were indirectly associated with increased hypertension risk through an increase in perceived discrimination.

     

Incidence of having dreamed and conservative political attitudes

The association of political attitudes of conservatives and reports of their having had a dream was investigated. 48 female graduate students in counseling psychology were given the KJP Dream Inventory and the Kerlinger Social Attitude Scale II. Scores on conservative political attitudes were positively correlated with having had Dreams of Falling (.40), Dream Discontentedness (.31), Dreams of Being Chased (.40), and Dreams of Being Famous (.30). Negative correlations were observed between scores showing a conservative political tendency and scores on Openness (-.35), and Uninhibitedness (-.50), as well as incidence of Dreams of Sex (-.29). The character of conservative dreaming is discussed along with the study's relevance to past and subsequent issues in research.     

Fulfilling institutional responsibilities in health care: organizational ethics and the role of mission discernment

In this paper we highlight the emergence of organizational ethics issues in health care as an important outcome of the changing structure of health care delivery. We emphasize three core themes related to business ethics and health care ethics: integrity, responsibility, and choice. These themes are brought together in a discussion of the process of Mission Discernment as it has been developed and implemented within an integrated health care system. Through this discussion we highlight how processes of institutional reflection, such as Mission Discernment, can help health care organizations, as well as corporations, make critical choices in turbulent environments that further the core mission and values and fulfill institutional responsibilities to a broad range of stakeholders.     

Parental enabling attitudes and locus of control of at-risk and honors students

Parental enabling attitudes and behavior interfere with the child's ability to take responsibility for his or her behavior. Enabling is expressed in overprotectiveness and manipulation in which parents insulate their children from unpleasant circumstances and from making mistakes. Unfortunately, these are the very situations in which most children learn self-control, independence, and strategies to correct aberrant behavior. Children of enabling parents often fail to learn that their actions have consequences. The Lynch Enabling Survey for Parents (LESP), a forty-item questionnaire designed to assess the enabling behavior of parents, was evaluated to establish its psychometric properties. In Experiment 1, 416 parents responded to the LESP. The instrument was determined to be reliable (rs = .84 and .92 for split-half and test-retest reliability, respectively) and valid. Factor analysis established four factors, assessing Direct Enabling Parent Involvement, Indirect Nonenabling Parent Involvement, Direct Nonenabling Parent Involvement, and Indirect Enabling Parent Involvement. In Experiment 2, the LESP and the Nowicki-Strickland Locus of Control Scale were used to assess the differences between ninth-grade at-risk and honors students and their parents. The responses of parents of at-risk students on the LESP were significantly more enabling than were the responses of the parents of honors students. At-risk and honors students were also significantly different in their locus of control. Lastly, there was a significant relationship between parents' LESP scores and their children's locus of control scores.     

Links between community violence and the family system: evidence from children's feelings of relatedness and perceptions of parent behavior

In this study, we examined some of the ways in which broader ecological systems may influence the organization of behavior within the family system. Specifically, links between exposure to community violence and children's relationships with maternal caregivers were investigated in a sample of 127 urban children between the ages of 7 and 13 years. Children were asked to indicate whether they had been exposed to a wide variety of violent events. In addition, their feelings of relatedness and separation anxiety, and their perceptions of maternal behavior were assessed. It was expected that exposure to community violence would be associated with feeling less secure with caregivers. Consistent with predictions from ecological-transactional theory, data supported this hypothesis. Children who reported that they had been exposed to high levels of community violence also indicated that they felt less positive affect when with their caregiver, were dissatisfied with how close they felt to her, felt more separation anxiety, and reported more negative maternal behavior than children exposed to less violence. Findings are discussed in terms of how violence may affect the family system and the protective function of human attachment.     

Cognitive-behavioral treatment of high anger drivers

Relaxation and cognitive-relaxation interventions were compared to a no treatment control in the treatment of high anger drivers. The cognitive portion of the cognitive-relaxation condition adapted the style of Beck's cognitive therapy, particularly use of Socratic questions and behavioral experiments and tryouts, to driving anger reduction. Both interventions lowered indices of driving anger and hostile and aggressive forms of expressing driving anger and increased adaptive/constructive ways of expressing driving anger. The cognitive-relaxation intervention also lowered the frequency of risky behavior. Both interventions lowered trait anger as well. Limitations and implications for treatment and research were discussed.