‘It was all intertwined’: Illness representations and self-management in patients with cancer and anxiety/depression

Objective: Cancer and anxiety/depression frequently co-occur, leading to poorer outcomes for these illnesses. However, the majority of existing research investigates how participants view single illnesses alone. This study aimed to explore the content of individuals’ multimorbid representations and how these relate to their coping behaviours and self-management strategies for cancer and anxiety/depression.

Design: A semi-structured qualitative research design with theoretical thematic analysis.

Main Outcome Measures: Multimorbid illness representations, coping behaviours, and self-management strategies.

Results: In interviews with 21 participants multimorbid representations varied, three participants viewed cancer and anxiety/depression as unrelated, five participants were uncertain about the relationship between cancer and anxiety/depression, and the majority of participants perceived cancer and anxiety/depression as related. This third group of participants often described relationships as causal, with representations having both positive and negative influences on coping behaviours and self-management strategies. Representations were shown to change over the course of the cancer experience, with fear of cancer recurrence and the influence of participants’ most challenging illness also discussed.

Conclusions: People hold multimorbid illness representations that can influence self-management. An awareness of these representations by researchers, health professionals, and patients is important for the creation of future interventions that aim to improve and maintain patient wellbeing.     

Posture based motor planning in a sequential grasping task

Movement planning in sequential tasks is revealed by grasping postures. We explored aspects of planning a sequential drawer opening and object manipulation task with regard to arm and torso postures. We conducted a detailed kinematic analysis of joint postures at the wrist, elbow, and shoulder for a one-grasp and a two-grasp sequence of movement. The second of the two-grasp sequence was constrained (uncomfortable). We predicted that planning for the second grasp in a two-grasp sequence would influence arm, torso, and whole-body postures at the first grasp. Participants prepared for the second grasp by adjusting the posture of the elbow and shoulder and the distance they stepped to the drawer. The joint postures at the elbow and shoulder changed in the direction of the intended object grasp. These findings show that anticipatory adjustments are revealed at postures other than the end-effector and lend insight into the mechanisms of sequential movement planning.     

Signal detection and threshold models of source memory

Recently, several authors claimed that the curvilinear shape of rating-based source memory receiver operating characteristics (ROCs) refutes threshold models. However, rating-based ROCs are not diagnostic to disprove threshold models. Furthermore, source memory ROC-analyses ignore influences of other processes like old-new-detection and old-new-response-tendencies, so direct estimation of parameters is preferable. Five source monitoring experiments with different response bias manipulations and materials were conducted. We fitted the Two High Threshold Multinomial Model of Source Monitoring by Bayen, Murnane, and Erdfelder (1996) and the Multivariate Signal Detection Model for Selection DeCarlo (2003). We also included rating-based ROCs. The results suggest that both models are at least equally valid as measurement tools which capture bias processes in the corresponding parameters, and they can perhaps be integrated theoretically.     

Achievement incentives determine the effects of achievement-motive incongruence on flow experience

Previous research has shown that incongruence between implicit and explicit achievement motives impairs flow experience. We examined this relationship in a more differentiated manner by arguing that achievement-motive incongruence only exerts negative effects when individuals act in situations in which achievement incentives are present and arouse conflict between the two motives. In non-achievement situations, no negative effects of achievement-motive incongruence on flow experience are expected. Study 1 and Study 2 showed that participants with incongruent implicit and explicit achievement motives reported less flow in achievement- as compared to non-achievement-oriented sport situations. In Study 3, we experimentally manipulated achievement and non-achievement situations. Again, motive incongruence impaired the experience of flow in achievement but not in non-achievement situations.     

Predicting academic success with the Big 5 rated from different points of view: Self‐rated,other rated and faked

Self‐ratings of personality predict academic success above general intelligence. The present study replicated these findings and investigated the increment of other‐ratings or intentionally distorted self‐ratings. Participants (N = 145) had to compile a personality questionnaire twice. First they were given neutral instructions. The second time they were asked to imagine a specific applicant setting. Furthermore, two peers rated each participant. Additionally, verbal, numerical and figural reasoning scores were obtained. Grades on a statistics exam obtained 2 months later served as the criterion. Results replicated prior findings and showed incremental validity for self‐ and other‐rated personality, which was stable after controlling for intelligence. Faking had no impact on the domain‐score level, but results on the facet‐score level were less encouraging. Copyright © 2010 John Wiley & Sons, Ltd.     

The Materiality of the Abstraction Voice

The comment on Bertau's paper underlines the importance of the internally social character of the dialogical self, which is not trivial and can not be taken for granted. A consistent theory of this internal character demands specific theoretical means native to a tradition of Leibniz' philosophy. In consequence the concept of dialogical self is presented as a non-empirical one based in an ethos. We, and not nature, are responsible for the modes of conceptualising.