The "spare parts person"? Conceptions of the human body and their implications for public attitudes towards organ donation and organ sale

Background  

The increasing debate on financial incentives for organ donation raises concerns about a "commodification of the human body". Philosophical-ethical stances on this development depend on assumptions concerning the body and how people think about it. In our qualitative empirical study we analyze public attitudes towards organ donation in their specific relation to conceptions of the human body in four European countries (Cyprus, Germany, the Netherlands and Sweden). This approach aims at a more context-sensitive picture of what "commodification of the body" can mean in concrete clinical decisions concerning organ donation.     

Fair and dependent versus egoistic and free: effects of semantic and evaluative priming on the ‘Ring Measure of Social Values’

Two experiments investigated the influence of priming trait concepts associated with cooperation versus competition on cooperative choices in the ‘Ring Measure of Social Values’. While models of associative memory explain priming effects on immediate associative responses, they fail to provide a sufficient account for the impact of priming on deliberate, voluntary behaviours, because the same activated concepts (e.g. ‘strong’, ‘profit’, ‘success’) may foster opposite behavioural tendencies (i.e. raise competitive impulses or remind the individual of a cooperation norm). The hypothesis is proposed and tested that the evaluative component of the prime stimuli moderates the behavioural tendency (approach versus avoidance) elicited by the semantic priming component. Accordingly, Experiment 1 shows that both positively toned concepts linked to cooperation as well as negatively toned concepts linked to competition lead to increased cooperative choices. Experiment 2 demonstrates that simple, invariant properties of the prime stimuli are more readily extracted than more complex, interactive prime relations. In general, the priming effects are confined to subjects who lack a consistent, pre-experimental value orientation. © 1998 John Wiley & Sons, Ltd.     

Specifying the determinants of the initiation and maintenance of behavior change: an examination of self-efficacy, satisfaction, and smoking cessation.

Using data from smokers (N = 591) who enrolled in an 8-week smoking cessation program and were then followed for 15 months, the authors tested the thesis that self-efficacy guides the decision to initiate smoking cessation but that satisfaction with the outcomes afforded by quitting guides the decision to maintain cessation. Measures of self-efficacy and satisfaction assessed at the end of the program, 2 months, and 9 months were used to predict quit status at 2, 9, and 15 months, respectively. At each point, participants were categorized as either initiators or maintainers on the basis of their pattern of cessation behavior. Across time, self-efficacy predicted future quit status for initiators, whereas satisfaction generally predicted future quit status for maintainers. Implications for models of behavior change and behavioral interventions are discussed.     

Remembering the good, forgetting the bad: intentional forgetting of emotional material in depression

The authors examined intentional forgetting of negative material in depression. Participants were instructed to not think about emotional nouns that they had learned to associate with a neutral cue word. The authors provided participants with multiple occasions to suppress the unwanted words. Overall, depressed participants successfully forgot negative words. Moreover, the authors obtained a clear practice effect. However, forgetting came at a cost: Compared with the nondepressed participants and with the depressed participants who were instructed to forget positive words, depressed participants who were instructed to forget negative words showed significantly worse recall of the baseline words. These results indicate that training depressed individuals in intentional forgetting could prove to be an effective strategy to counteract automatic ruminative tendencies and mood-congruent biases.     

Stress on the dance floor: the cortisol stress response to social-evaluative threat in competitive ballroom dancers

The social self-preservation theory states that humans have a fundamental motivation to preserve the social self and that threats to the social self perturb biological markers such as cortisol. Five studies were designed to examine the cortisol response to competitive ballroom dancing as a paradigm for real-life social-evaluative threat. Competitive dancing produced substantial increases in cortisol compared to a control day. These increases were not due to the physical strain of dancing and were greater than those found during social-evaluative laboratory stressors. Responses did not habituate across competitions and were mostly elevated under highly focused conditions of threat (couple vs. group competition). These findings support the notion of a social self-preservation system that is physiologically responsive to threats to the social self.     

Emotion Regulation and the Quality of Social Interaction: Does the Ability to Evaluate Emotional Situations and Identify Effective Responses Matter?

We examined self and friends' ratings of social relationship quality and everyday social interactions in 3 studies involving 544 college students in Germany, Spain, and the United States. Scores on a situational judgment test measuring strategic emotion regulation ability (SERA) were negatively related to conflict with others. SERA was more consistently and strongly related to conflict with others than to the positive dimension of relationship quality (support, companionship, and nurturance). The relationship between SERA and conflict was generally not mediated by trait positive or negative affect, and it remained significant or marginally significant controlling for the Big Five personality traits. These findings highlight the importance of the ability to evaluate emotional situations and identify effective responses to these in interpersonal emotion regulation. Furthermore, they suggest that situational judgment and flexible response selection may help people to manage conflicts more than to bond with others.     

When the whole is more than the sum of its parts: Group motivation gains in the wild

Whereas negative effects of groups on individual motivation have been reported for many years, recent research has begun to show when and why working in a group can produce motivation gains compared to individual work. So far, this evidence has been limited to laboratory settings and rather simple tasks. Using data from swimming competitions at the 2008 Olympics, evidence is presented that motivation gains in groups also occur in field settings with more complex tasks. Based on an instrumentality × value approach, we expect that late positions in a relay trigger motivation gains in groups due to an increase in perceived indispensability for the group outcome. This idea has been initially tested in a pilot study with competitive swimmers, demonstrating that perceived indispensability for the relay outcome indeed increases with later serial positions in a relay. Moreover, the main study with data from the 2008 Olympics revealed performance times consistent with this pattern of indispensability perceptions: while starting swimmers in the swimming relays performed at similar levels as in their individual competitions, swimmers at the later positions showed higher performance in the relay compared to their individual competition heats.     

Suppression-induced forgetting on a free-association test

The repeated suppression of thoughts in response to cues for their expression leads to forgetting on a subsequent test of cued recall (Anderson & Green, 2001). We extended this effect by using homograph cues and presenting them for free association following suppression practice. Cue-target pairs were first learned under integrating imagery instructions; then in the think/no-think phase students practised suppressing thoughts connected to some homograph cues, with or without the assistance of thought substitutes that changed their meaning. Below-baseline forgetting on the subsequent free-association test was found in the production of suppressed targets. Following aided suppression this effect was also obtained in the production of other responses denoting the target-related meaning of the homograph cues. Discussion emphasises the ecological value of the test; rarely do people deliberately attempt recall of unwanted thoughts.     

The dual-effects model of social control revisited: relationship satisfaction as a moderator

The dual-effects model of social control states that receiving social control leads to better health behavior, but also enhances distress in the control recipient. Associated findings, however, are inconsistent. In this study we investigated the role of relationship satisfaction as a moderator of associations of received spousal control with health behavior and affect. In a study with five waves of assessment spanning two weeks to one year following radical prostatectomy (RP), N=109 married or cohabiting prostate-cancer patients repeatedly reported on their pelvic-floor exercise (PFE) to control postsurgery urinary incontinence and affect as primary outcomes, on received PFE-specific spousal control, relationship satisfaction, and covariates. Findings from two-level hierarchical linear models with repeated assessments nested in individuals suggested significant interactions of received spousal control with relationship satisfaction predicting patients' concurrent PFE and positive affect. Patients who were happy with their relationships seemed to benefit from spousal control regarding regular PFE postsurgery while patients less satisfied with their relationships did not. In addition, the latter reported lower levels of positive affect when receiving much spousal control. Results indicate the utility of the inclusion of relationship satisfaction as a moderator of the dual-effects model of social control.