Perceived control over the medical procedure and its association with adjustment to a low-control situation: the case of infertility

Illness perceptions were shown to be related to emotional and physical outcomes, as proposed by Leventhal’s self-regulation model. These perceptions include the illness identity, its timeline, consequences, causes, and controllability, which later research found to include self-control and treatment control. The current study aimed to examine the role of a third type of perceived control: Control over the treatment procedures. We hypothesized that this type of control would be important for women undergoing infertility treatments, which are characterized by high uncertainty and low personal control. The sample included 194 Israeli women who were undergoing infertility treatments, 70% recruited in hospitals and the remainder in a fertility counseling center and website. All participants were married religious Jewish women, which added to the stress inherent in infertility. Study measures included the Illness Perception Questionnaire-Revised (IPQ-R), adapted to infertility, with an additional subscale assessing control over the procedure, and infertility-specific distress and well-being scales. Exploratory and confirmatory factor analyses supported the factor structure, including the distinct new subscale. A structural equations model showed that perceived consequences were most strongly related to distress and well-being. The three types of control were positively intercorrelated but differed in their associations with distress and well-being: Self-control over the problem and treatment control were unrelated to either measure while self-control over the procedure was related to greater well-being. These findings suggest that when control over the condition or the treatment outcomes is impossible, individuals may still benefit from control over external factors such as their health care. Healthcare providers can support them by seeking ways to increase their control over their treatment procedures, which may contribute to better psychological adjustment. Future studies should examine the role of perceived control over the procedures in other low-control situations (e.g., newly diagnosed cancer; aging-related declines).     

Leisure patterns among retired workers: Spillover or compensatory trends?

Leisure behavior patterns after retirement were compared retrospectively with those of the preretirement period. The data, which related to former industrial and service workers in Israel, were examined within the context of the spillover and compensatory hypotheses, with retirement representing a non work sphere. Findings revealed a spillover effect, characterized by a high degree of passive, solitary leisure behavior both before and after retirement.     

United we stand? The educational implications of the politics of difference

This paper attempts to follow the changes in the concept state over the last two hundred years, by tracing changes in the aims of public education. Four major stages are identified. The first is characterized by the establishment of the nation-state, when a national and civic education are fused together. The second is marked by the erosion of the identity between state and nation, and by attempts to prevent this process through the development of contradictory educational strategies: neutral civic education and nation building through the mechanism of the melting pot. At the third stage, despite the above-mentioned efforts, the awakening of national minorities demanding special national education sharpens the distinction between civic and national education. This leads to the last stage, the politics of difference, when the nationally homogenous nation-state is replaced by a consciously heterogenous state. Such a state can grant all its members equal civil and national rights only if it endorses traditional liberal values. Hence, despite the fact they firmly criticize liberalism and attempt to revive particular national education supporters of the politics of difference cannot deny that liberal values and civic education offer the best protection for their own ends.     

“I Took the Trouble to Make Inquiries,So I Refuse to Accept Your Instructions”: Religious Authority and Vaccine Hesitancy Among Ultra-Orthodox Jewish Mothers in Israel

Journal of Religion and Health - Voluminous scholarship has shown that religious leaders play an important role in helping patients cope with health issues. There is, however, little research on...     

Secrets in the Analytic Group

Secrets are common, universal, and not pathological. But, holding secrets may damage the work of an analytic group. We believe that secrets may be considered much like dreams; they can reveal important unconscious material, which constitutes both a challenge and an opportunity for the conductor and the group-as-a-whole. Secret telling, like dream telling, may facilitate a sense of closeness and belonging, and could be understood as a request for containment. Moreover, secrets represent a path toward discussing unconscious material about an individual, and at the same time they may express a group’s secret. In addition, some secrets can arouse intense affect in the group, a quality we call “dark unconscious materials.” Once explored in the group through free-floating discussion, a new meaning is reconstructed, leading to a sense of acceptance and transformation from shame and guilt to a new feeling of courage.     

Feeling bad about progress does not lead people want to change their health behaviour

Objective: When do people decide to do something about problematic health behaviours? Theoretical models and pragmatic considerations suggest that people should take action when they feel bad about their progress – in other words, when they experience negative progress-related affect. However, the impact of progress-related affect on goal striving has rarely been investigated.

Design and Methods: Study 1 (N = 744) adopted a cross-sectional design and examined the extent to which measures of progress-related affect were correlated with intentions to take action. Study 2 (N = 409) investigated the impact of manipulating progress-related affect on intentions and behaviour in an experimental design.

Results: Study 1 found that, while engaging in health behaviours had the expected affective consequences (e.g. people felt bad when they were not eating healthily, exercising regularly or limiting their alcohol consumption), it was feeling good rather than bad about progress that was associated with stronger intentions. Study 2 replicated these findings. Participants induced to feel good about their eating behaviour had marginally stronger intentions to eat healthily than participants led to feel bad about their eating behaviour.

Conclusion: The findings have implications for interventions designed to promote changes in health behaviour, as well as theoretical frameworks for understanding self-regulation.     

The effects of mental context reinstatement on children's accounts of sexual abuse*

Forensic interviewers guided 46.4‐ to 13‐year‐old alleged victims of sexual abuse to recall the context in which the reported incidents had taken place. A comparable group of 50 alleged victims were interviewed using an interview protocol that was identical except that the mental context reinstatement (MCR) techniques were not included. MCR did not increase the total number of event‐related details reported, but it did lead children to reported proportionally more details (55% versus 46%) in response to invitations rather than focused prompts. Such information is more likely to be accurate. MCR had an especially powerful effect on the youngest children (4‐ to 6‐year‐olds) studied. The results suggest that non‐suggestive contextual cues may indeed be useful in forensic interviews. Published in 2001 by John Wiley & Sons, Ltd.