Illness Perceptions,Coping, Benefit Finding,and Adjustment in Individuals with Hepatitis C

Objective

To investigate the ability of illness perceptions, adaptive, and maladaptive coping strategies, and benefit finding to predict physical and psychosocial adjustment among individuals diagnosed with the hepatitis C virus (HCV), within an expanded self‐regulatory model of illness (SRM).

Method

A total of 126 participants with HCV completed an online questionnaire assessing illness perceptions, coping, benefit finding, and four adjustment outcomes, depression, physical functioning, life satisfaction and positive affect.

Results

Illness perceptions made significant contributions to the variance in adjustment outcomes across the four psychosocial and physical adjustment areas. At an individual level, personal control, identification with HCV symptoms, perceptions related to illness duration, illness coherence, and emotional responses to HCV made significant contributions to the prediction of adjustment. Similarly, the combined contributions of adaptive and maladaptive coping strategies explained significant variance across the four adjustment areas. Greater adoption of maladaptive coping strategies predicted poorer physical health, higher reported depression, greater life satisfaction, and positive affect outcomes, while increased engagement with adoptive coping strategies predicted higher positive affect. Increased benefit finding predicted greater positive affect, life satisfaction, and higher depression.

Conclusion

Results demonstrate the ability of the SRM features of illness perceptions and coping, and benefit finding to predict physical and psychosocial adjustment outcomes within the context of HCV.     

Replies to Deng,Lee, and Skow

This paper is a contribution to a book symposium on my book Experiencing Time. I reply to comments on the book by Natalja Deng, Geoffrey Lee and Bradford Skow. Although several chapters of the book are discussed, the main focus of my reply is on Chapters 2 and 6. In Chapter 2 I argue that the putative mind-independent passage of time could not be experienced, and from this I develop an argument against the A-theory of time. In Chapter 6 I offer one part of an explanation of why we are disposed to think that time passes, relating to the supposedly ‘dynamic’ quality of experienced change. Deng, Lee, and Skow’s comments help me to clarify several issues, add some new thoughts, and make a new distinction that was needed, and I acknowledge, as I did in the book, that certain arguments in Chapter 6 are not conclusive; but I otherwise concede very little regarding the main claims and arguments defended in the book.     

Parenting a Child with Phenylketonuria (PKU): an Interpretative Phenomenological Analysis (IPA) of the Experience of Parents

Phenylketonuria (PKU) is a rare inherited metabolic disorder which can cause neurological damage if left untreated. PKU is identified through newborn screening in developed countries, and treatment begins immediately to prevent these severe consequences. When a child is diagnosed, parents must assume immediate responsibility for the management of PKU and prevention of neurological damage. Quantitative studies have identified significant psychosocial stressors for parents, but little is known about how the parents experience this process. This study aimed to explore the experiences of parents of children with PKU under the age of two. It is the first study to examine these experiences in this way. Seven parents were interviewed about their experiences, and interpretative phenomenological analysis was used to analyse the data. Three main themes were identified: control, striving for normality and acceptance of PKU as a continuum. Links between the themes and processes underpinning the results were explored with relation to existing literature and theories from a clinical psychology perspective. The role of acceptance of PKU was central to the parent’s experiences. Clinical implications and suggestions for further research are discussed.     

Bad times are not good times for revolutions: Collective deprivation and the mobilization level of French radical movements (1882–1980)

Contrary to a popular belief, research has generally found no relationship between collective economic deprivation and the rise of radical political movements. On the other hand, various studies show that collective economic deprivation generates societal surges of conservatism. I therefore hypothesize that the absence of a relationship between collective deprivation and radical movements covers up opposite effects of collective deprivation depending on the ideology of radical movements: Reactionary (i.e., conservative radical) movements should mobilize more in times of collective deprivation, whereas revolutionary (i.e., progressive radical) movements should mobilize more in times of collective improvement. This paper tests this hypothesis via a new database measuring the level of mobilization of French radical organizations from 1882 to 1980. Statistical analyses confirm that collective deprivation, operationalized by long‐term economic recession and long‐term growth of inequality, increases the mobilization of reactionary movements and decreases the mobilization of revolutionary movements. These results contradict the view that economic conditions have no role in triggering radical movements and support recent development of system justification theory implying that ideology matters in the explanation of collective action.     

Rummage search by expert dyads,novice dyads and novice individuals for objects hidden in houses

Rummage search is the visual and haptic search of complex environments for targets. In this study, rummage search was explored using a novel analytic framework with expert dyads and novice dyads, as well as novice individuals. Participants sought an unknown number of targets placed in four rooms of a residential house. Some targets were plainly visible whereas others were hidden and could only be found through haptic examination. Expert dyads were very good at the task, conducting a slowed, double-checking exhaustive search, while novices both failed to fixate potential target locations and failed to carry out the appropriate action required to search those locations exhaustively. The novice dyads examined more than the novice individuals, but became more superficial in their search. We conclude that effective rummage searching is a skill enhanced by training.     

Phonological processing during silent reading in teenagers who are deaf/hard of hearing: an eye movement investigation

There has been considerable variability within the literature concerning the extent to which deaf/hard of hearing individuals are able to process phonological codes during reading. Two experiments are reported in which participants’ eye movements were recorded as they read sentences containing correctly spelled words (e.g., church), pseudohomophones (e.g., cherch), and spelling controls (e.g., charch). We examined both foveal processing and parafoveal pre‐processing of phonology for three participant groups—teenagers with permanent childhood hearing loss (PCHL), chronological age‐matched controls, and reading age‐matched controls. The teenagers with PCHL showed a pseudohomophone advantage from both directly fixated words and parafoveal preview, similar to their hearing peers. These data provide strong evidence for phonological recoding during silent reading in teenagers with PCHL.     

Habermas in the Lab: A Study of Deliberation in an Experimental Setting

This study outlines a new paradigm for the investigation of the effects of deliberation on political decisions. Specifically, it uses the ultimatum game as a situation in which the opportunity to deliberate and the placement of this opportunity are experimentally manipulated. Structural factors, such as the players' roles and their ability to vote on the proposal being offered, are also manipulated as a basis for comparison. Two outcomes are examined: the games' allocations, and players' perceptions of fairness. After controlling for structural factors, deliberative opportunity creates a more equitable distribution of money and enhances fairness perceptions. However, these results hold only when such an opportunity occurs before the proposal stage. Deliberative opportunity after the proposal stage has no discernible impact. A survey of participants found that their personal characteristics and political predispositions influence perceptions of fairness for proposers, but not for acceptors. These findings demonstrate the potential benefits of deliberation while highlighting the importance of the nature of its implementation in determining its level of success.