Communication Differences Between Physicians and Their Patients in an Oncology Setting

The physician-patient relationship has critical importance in the quality of medical care, especially in the oncology setting. Of particular interest over the past two decades has been the communication between physicians and their patients. It is understood that communication is related to patient and physician satisfaction as well as other medical outcomes. However, despite this interest and attention, investigators have only recently begun to assess the communication between physicians and patients from the patient's point of view. Additionally, previous investigations have primarily relied upon retrospective reports of the interaction from patients or physicians. The current investigation assessed physician–patient communication in an oncology setting, both as it was occurring and following the interaction. The units of analysis included participant ratings as well as those of trained observers. Findings revealed that physicians and patients disagree as to the valence of the messages which transpired. Additionally, results suggest that it is the patients who distort the messages in the positive direction. Research and clinical implications of this disagreement and positivity bias are discussed.     

Book reviews

God, Reason, and Religions: new essays in the philosophy of religion. Eugene Thomas Long (Ed.), 1995. Dordrecht Kluwer Academic. 228 pp., hb. £67.50, ISBN 07 923333 810 3

Christians and Muslims: from double standards to mutual understanding. Hugh Goddard, 1995. London, Curzon Press. 200 pp., pb. £14.99, ISBN 0 7007 0364 0

Al‐Bayanat al‐Masihiyya al‐Islamiyya al‐Mushtaraka. Juliette Haddad (Ed.), 1995. Beirut, Dar al‐Mashriq. 207 pp., pb. n.p., ISBN 2 7214 5005 0

Muslim Writers on Judaism and the Hebrew Bible, from Ibn Rabban to Ibn Hazm. Camilla Adang, 1996. Leiden, E. J. Brill. 321 pp., hb. NLG140, ISBN 90 04 10034 2

Abū Ya qūb al‐Sijistani: intellectual missionary. Paul E. Walker, 1996. London, I. B. Tauris. 132 pp., rib. £35, ISBN 1 85043 921 4

The Cambridge Survey of World Migration. Robin Cohen (Ed.), 1995. Cambridge, Cambridge University Press. 570 pp., hb. n.p. ISBN 0 521 44405 5

Musulmans en Europe occidentals bibliographic commentée. Muslims in Western Europe: an annotated bibliography. Felice Dassetto & Yves Conrad (Eds), 1996. Paris, Editions L'Harmattan. 202 pp., pb., n.p., ISBN 2 7384 4126 2

Muslim Politics. Dale F. Eickelman & James Piscatori, 1996. Princeton, NJ, Princeton University Press. 235 pp., pb. n.p., ISBN 0 691 00870 1

Islam and the Myth of Confrontation: religion and politics in the Middle East. Fred Halliday, 1996. London, I. B. Tauris. 255 pp., £12.95, ISBN 1 85043 959 1

Nine Parts of Desire: the hidden world of Islamic women. Geraldine Brooks, 1995. New York, Doubleday. 255 pp. hb. £22.95, ISBN 0 385 47576 4

Aunt Safiyya and the Monastery. Bahaa’ Taher, 1996. Translated from the Arabic by Barbara Romaine. Berkeley, University of California Press. 124 pp., pb. n.p., ISBN 0 520 20075 6

Dreams of Trespass: tales of a harem girlhood. Fatima Mernissi, 1994. Reading, MA, Addison‐Wesley. 242 pp. pb., ISBN 0 201 62649 7

Lettres et message d'Algérie. P. Claverie, 1996. Paris, Karthala. 222 pp., pb. 120FF, ISBN 2 86537 657 5

Islamic Resurgence and Islamization in Malaysia. S. Batumalai, 1996. Perak, Malaysia. 279 pp., pb. RM 25/‐, no ISBN

Christian‐Muslim Relations: a case study of Sarawak, East Malaysia. Theodore Gabriel, 1996. Aldershot, Avebury. xiv, 133 pp., n.p., ISBN 1 85972 325 X

Muslim Communities in the New Europe. Gerd Nonneman, T. Niblock & B. Sjajkowski (Eds), 1996. Reading, Ithaca Press. 356 pp., hb. £35.00, ISBN 0 86372 192 3

Al‐Mughtaribun: American law and the transformation of Muslim life in the United States. Kathleen M. Moore, 1995. Albany, State University of New York Press. 211 pp., pb. $16.95, ISBN 0 7914 2580 0

The Landscape of Belief: encountering the Holy Land in nineteenth‐century American art and culture. [The Princeton Series in Nineteenth‐Century Art, Culture, and Society]. John Davis, 1996. Princeton, Princeton University Press. 264 pp., hb. $65.00, ISBN 0 691 04373 6     

A Study of Gender Differences in Autobiographical Memory: Broken Down by Age and Sex

Data from 40 older adults who produced autobiographical memories to word cues and to the request to list five important memories, and data from 60 older adults who answered factual multiple-choice questions for events spread across their lives, were analyzed for gender differences. In spite of considerable statistical power, there were no gender differences in the distribution of autobiographical memories over the lifespan, in the distribution of important memories, in various ratings provided to these memories, or in the distribution of knowledge for events. The only gender difference found was that men performed better on factual questions about current events and baseball. Thus, counter to what might be expected from Darwinian theory and some behavioral data, gender differences were minimal.     

Die Perestrojka in der heutigen sowjetischen Philosophie

The situation in Soviet philosophy has changed radically in the course of the last 4 years. Gone is the attitude according to which philosophers fall into two camps; genuine developments are discernible in the direction of alternative thinking. Signs of the latter include the growing number of round-table discussions published in the main philosophical journals, the conversations among philosophers broadcast on television, the new textbook, with its stress on the history of philosophy, including a new look at the classics, especially Marx. In general, Marxist-Leninist doctrine is now relativized to the status of a moment in the history of philosophy, and is no longer regarded as the culmination of philosophical truth.The main questions occupying philosophers today cluster around the nature of the person: individual freedom, democracy, universal values, as well as the central importance of law in civil society and a legally sanctioned State. The revival of interest in Russian religious philosophy has to be approached with care as it involves several dimensions: the question of Russia's spiritual character as compared with the West, the confrontation with the heretofore reigning materialist view of the world in relation to the vexed question of human creativity, as well as the religious affirmation of the unity of humanity in opposition to the Marxist conception of difference and struggle. The situation in Soviet philosophy is still ambiguous so long as ideological attitudes persist which could hinder the development of autonomous philosophical thought.     

Testing of an orthogonal measure of cultural identification with adult mission Indians

The Orthogonal Cultural Identification Scale (OCIS; Oetting & Beauvais, 1990-91) has been validated among Native American youth, but not adults. The present study sought to test the reliability (internal consistency) and validity (construct and factorial) of the OCIS among an adult Native American sample consisting of 389 Mission Indians (61% female). Participants were recruited from reservations using a venue sampling strategy. The OCIS was completed as part of a self-assessment packet of questionnaires. Internal consistency for OCIS subscale scores ranged from 0.76 to 0.91. Both concurrent and discriminant validity were demonstrated. Confirmatory factor analysis revealed 2 factors: (1) Anglo American Identification and (2) Native American Identification. These results indicate the OCIS is a reliable and valid instrument for use with adult Native Americans.     

On misattributing good remembering to a happy past: An investigation into the cognitive roots of nostalgia

Reflections on the past are often accompanied by an experience of nostalgia, or positive sentiments about some prior stage of one's life. In the current study, we provide evidence suggesting that nostalgic experiences may occur because of positive feelings that accompany the act of successful recall, rather than reflecting the true nature of the past. In a series of experiments, we employed an encoding manipulation to cause some words to support more detailed recollections than others. In turn, we measured the effect of these manipulations on judgments of both pleasantness and the emotional valence of a prior stimulus encounter. We demonstrate that recollections rich in meaning are unique in biasing people to judge having previously seen a stimulus in an emotionally positive context. In contrast, pleasantness judgments appear to be guided primarily by perceptual fluency. Overall, our results are consistent with the notion that the subjective experience of nostalgia represents a misattribution of successful remembering to a pleasant past.     

Neurocognitive function in monozygotic twins discordant for combat exposure: relationship to posttraumatic stress disorder

Neuropsychological deficits have been reported among trauma survivors with posttraumatic stress disorder (PTSD). It is often assumed that these cognitive difficulties are toxic consequences of trauma exposure. Alternatively, they may reflect preexisting characteristics that contribute to the likelihood of developing PTSD. To address this possibility, the authors evaluated cognitive performance in monozygotic twin pairs who were discordant for combat exposure. Pairs were grouped according to whether the combat-exposed brother developed PTSD. The combat-unexposed cotwins of combat veterans with PTSD largely displayed the same performance as their brothers, which was significantly lower than that of non-PTSD combat veterans and their brothers. The results support the notion that specific domains of cognitive function may serve as premorbid risk or protective factors in PTSD.     

Genetic associations of alcohol dehydrogenase with alcohol use disorders and endophenotypes in white college students

Associations of alcohol dehydrogenase (ADH) gene polymorphisms (ADH1B*2 and ADH1C*1) with a lifetime alcohol use disorder (AUD) were examined in White college students. Alcohol-related endophenotypes likely to be influenced by elevations in acetaldehyde were also assessed. Individuals with an ADH1B*2 allele had lower rates of AUDs, consumed a lower maximum number of drinks in a 24-hr period, reported a greater level of response to alcohol, were more likely to have experienced alcohol-induced headaches following 1 or 2 drinks, and reported more severe hangovers than those lacking this allele. These findings are consistent with the hypothesis that enhanced sensitivity to alcohol and lower levels of alcohol use reflect the mechanism by which ADH1B*2 protects against developing an AUD.     

The Moderating Effect of Prior Experience in Consumers' Use of User-Image Based Versus Utilitarian Cues in Brand Attitude

In this paper, we address the question of whether prior experience with a product moderates the extent to which the use of user-image based cues and utilitarian cues are predictive of brand attitude. Specifically, high experience consumers were expected to focus more on utilitarian cues and low experience consumers to focus on user-image based cues. Results of two studies generally support these predictions.