Impact of chronic illness: Differing perspectives of younger and older women

Abstract

The purpose of this study was to examine the life experiences of six women with chronic illness who represent three differing life stages. The participants included two women who were in young adulthood, two who were between the ages of 40 and 60, and two women in their late 70s. The women were all diagnosed with multiple sclerosis, systemic lupus erythematosus, rheumatoid arthritis, osteoporosis, or a combination of these disorders. They were interviewed concerning the impact illness has had on their lives, the manner in which chronic illness has altered their self-perceptions, and the ways in which they have come to make meaning from the event. While the women had achieved varying levels of acceptance of their illness, it appeared that the ability to cope was dependent on numerous factors across several life circumstances. Distinctions were made regarding ability to either adjust to the illness or use the experience as a catalyst for personal growth.     

Multiple trajectories of physical aggression among adolescent boys and girls

Latent growth mixture modeling was used to identify discrete patterns of physical aggression from Grades 7 to 11 among a sample of 1,877 youth. Four trajectory classes adequately explained the development of physical aggression in both boys and girls: Low/No Aggression; Persistent High Aggression; Desisting Aggression, characterized by decreasing risk throughout adolescence; and Adolescent Aggression, characterized by low early risk that increases until Grade 9, levels out, and then declines in late adolescence. Girls were less likely than boys were to be in any trajectory besides the Low/No Aggression trajectory. Parental supervision, deviant peer association, academic orientation, impulsivity, and emotional distress at Grade 7 were all strongly associated with trajectory class membership. These associations did not differ by gender. These findings strongly suggest that the processes involved in the development of physical aggression in adolescence operate similarly in boys and girls.     

Fit inside the work‐family black box: An ecology of the life course,cycles of control reframing

Scholars have not fully theorized the multifaceted, interdependent dimensions within the work‐family ‘black box’. Taking an ecology of the life course approach, we theorize common work‐family and adequacy constructs as capturing different components of employees' cognitive appraisals of fit between their demands and resources at the interface between home and work. Employees' appraisals of their work‐family linkages and of their relative resource adequacy are not made independently but, rather, co‐occur as identifiable constellations of fit. The life course approach hypothesizes that shifts in objective demands/resources at work and at home over the life course result in employees experiencing cycles of control, that is, corresponding shifts in their cognitive assessments of fit. We further theorize patterned appraisals of fit are key mediators between objective work‐family conditions and employees' health, well‐being and strategic adaptations. As a case example, we examine whether employees' assessments on 10 dimensions cluster together as patterned fit constellations, using data from a middle‐class sample of 753 employees working at Best Buy's corporate headquarters. We find no single linear construct of fit that captures the complexity within the work‐family black box. Instead, respondents experience six distinctive constellations of fit: one optimal; two poor; and three moderate fit constellations.     

BORGES, IMMORTALITY AND THE CIRCULAR RUINS

The author explores ideas surrounding immortality and death focusing on the interplay between their development in two stories by Borges ('The circular ruins' and 'The immortal') and their manifestation in a patient. With the help of Borges's stories, the author addresses the desperate necessity experienced by some individuals to search for immortality. This is not just an expression of the universal wish to live forever but, at a deeper level, arises from the impossibility of bearing the mental pain of experiencing ordinary human vulnerability and loss - death being the ultimate expression of such vulnerability. It is suggested that the relentless pursuit of immortality in such individuals expresses an omnipotent phantasy of ridding the self of the emotional pain and fear that arises through being alive. It leads to a denial of the emotional significance of passage of time, of separation and sexual differences. In actuality, the individual's state of not feeling approximates to a complete loss of human identity and emotional death, with no place for any meaningful others. The individual him/herself becomes a 'mere image', living in a delusional world peopled by him/herself and his/ her projections, and ending up trapped inside the circular ruins he/she has generated. The horror experienced at the stark awareness of the individual's emotional death and the wish to re-establish contact with the good internal objects that have been attacked sets in motion the long process of searching for the recovery of a sense of temporality (that would still include the wish for immortality) and, with it, a sense of identity.     

Preference for the sites of fighting in two teleost species

Males of two species of freshwater fish (convict cichlids and Italian freshwater gobies) fought with conspecifics and subsequently remained near the visual and spatial cues that had been paired with those social encounters. These data show that postfight preference for combat sites is a phenomenon of some generality among teleosts. The likely role of learning in establishing postfight preferences for the locales of aggression is discussed.     

Moods and Memories: Elation, depression, and the remembering of the events of one's life

Three experiments investigated the influence of current mood states on the remembering of past events of one's own life. In the first and the second experiment, participants were induced to experience either the mood state of elation or the mood state of depression. They then reported events and experiences that had occurred during the previous week. In the first and the second experiments, using converging methods for assessing memory for past events, participants differentially reported past events and experiences whose affective quality was congruent with their current mood states: participants in elated mood states preferentially reported pleasant events and happy experiences, and participants in depressed mood states preferentially reported unpleasant events and unhappy experiences. Additional evidence from the second experiment suggests that the differential remembering of affectively positive or affectively negative events requires that, at the time of the remembering of these events, participants actually experience the mood states of elation or depression and not simply attempt to remember past events that could account for elation or depression. In the third experiment, designed to assess the plausibility of “experimental demand” interpretations of these findings, participants who experienced ostensibly effective mood inductions that were actually ineffective failed to manifest differential remembering of affectively positive and affectively negative events. Implications of this series of experiments for understanding the mechanisms that may link moods and memories, as well as the intrapersonal and the interpersonal consequences of mood states, are discussed.     

A further examination of project aware: The relationship between teacher behaviors and changes in student behavior

The purpose of the present study was to examine specifically how teacher behaviors influence the effectiveness of a social development program entitled Project AWARE. Thirty-one teachers and two hundred and nine children were included in this study (82 at the primary level and 127 at the intermediate level). Participant teachers were rated in terms of their skill at implementation. For the intermediate grades, those teachers who received the highest skill ratings also tended to report positive changes in their children's behavior over the six months of the study. Those teachers who received the lowest skill ratings tended to report little change in behavior. For the primary grades, similar results were not obtained. Implications of these findings for implementation of classroom programs are discussed.     

The behavioural treatment of sexual inadequacy: A comparative study

Thirty-six couples complaining of sexual difficulties were treated with one of three methods: (1) systematic desensitisation plus counselling. (2) directed practice—based on that of Masters and Johnson—plus counselling. (3) directed practice with minimal contact. Both members of each couple were seen together, but half in each treatment group were treated by a single therapist and half by a therapist pair. Differences in outcome among the groups were not highly significant, but consistent trends were found which suggested that the combination of directed practice and counselling was associated with most change, particularly when two therapists were involved.