Changes over time in head and neck cancer patients’ and caregivers’ illness perceptions and relationships with quality of life

Objective: This study investigated changes in illness perceptions from diagnosis to six months later in patients with head and neck cancer (HNC) and their caregivers. The study also examined whether discrepancy in patient and caregiver perceptions at diagnosis predicted patient health-related quality of life (HRQL) at six months.

Design: Forty-two patient–caregiver dyads completed the Brief Illness Perception Questionnaire (Brief IPQ) at diagnosis and again six months later. Patients also completed a HRQL questionnaire at both time points. Analyses were performed using the Actor–Partner Interdependence Model.

Main Outcome Measure: Total patient HRQL assessed by the Functional Assessment of Cancer Therapy (FACT-H&N).

Results: Perceptions of emotional impact and illness concern reduced over time in patients and caregivers. Perceptions of treatment control and identity increased in caregivers only. After controlling for the effects of baseline HRQL, and the individual contribution of patient and caregiver illness perceptions, greater discrepancy in perceptions of timeline, personal control, and illness identity among dyads at diagnosis predicted lower patient HRQL at six-month follow-up.

Conclusion: Patients’ and their caregivers’ perceptions of HNC are dynamic over time. Greater discrepancy between patients’ and caregivers’ illness perceptions at diagnosis predict poorer subsequent patient HRQL.     

Thinking sadly: In favor of an adverbial theory of emotions

Introspective as well as empirical evidence indicates that emotions shape our thinking in numerous ways. Yet, this modificatory aspect of emotions has received relatively little interest in the philosophy of emotion. I give a detailed account of this aspect. Drawing both on the work of William James and adverbialist conceptions of perception, I sketch a theory of emotions that takes these aspects into consideration and suggest that we should understand emotions as manners of thinking.     

On some common objections to a behavioral approach to psychological categories

This paper addresses several objections that have been leveled against a behavioral approach to psychological categories. It reconstructs and critically assesses (a) the so-called causal objection; (b) alleged counterexamples whereby one can exhibit the typical behaviors associated with a psychological phenomenon without exhibiting the latter, including Lewis’ “perfect actor” case and Kirk’s “zombie”; (c) alleged counterexamples whereby organisms can exemplify psychological phenomena without exhibiting any behavior associated with them, including Armstrong’s imagined brain in a vat, Putnam’s “super-super-spartans” scenario, and related cases; and (d) the holistic objection. Mistaken assumptions in each of these objections are pinpointed. The paper starts with a brief characterization of behaviorism about psychological categories and a summary of the particular version thereof supported here, which draws upon Ryle and Skinner, among others.     

Three Conceptual Models of Patient and Public Involvement in Standard-setting: From Abstract Principles to Complex Practice

Clinical practice guidelines have been critiqued for prescribing standardized care that neglects patients’ personal circumstances and knowledge in health care decisions. To make care more patient centred, standard-setters are urged to involve patients and the public in guideline development and use. Despite widespread principled support for such Patient and Public Involvement (PPI), the underlying principles guiding PPI in standardization of care are mired on confusion and contradiction. Based on the PPI literature in general, and informed by empirical research on guideline development, it is possible to identify three rationales that justify PPI in clinical standard setting. Each rationale gives rise to a conceptual model which outlines a distinct purpose of participation, who is to be included, and what they are expected to contribute. The Consumer Choice model aims to involve autonomous consumers to personalize clinical care. The Democratic Voice model aims for health care recommendations to better reflect collective values of citizens. The Lay Expertise model aims to re-contextualize universal evidence by including experiential patient knowledge. However, these models can and should not function as ‘Gold Standards’ to be consistently followed in practice. First, the models rely on two distinct types of representation, resulting in contradictory notions of how to be a good representative. Second, imposing models on practice requires a top-down control that is practically and politically problematic. Not only is control difficult to achieve, it may compromise the participatory ideal of participants co-determine practice, and may result in excluding the values and views of ‘real’ patients and public entirely.     

Religious identification and interreligious contact in Indonesia and the Philippines: Testing the mediating roles of perceived group threat and social dominance orientation and the moderating role of context

This study integrates three theoretical perspectives provided by social identity theory, realistic group conflict theory, and social dominance theory to examine the relationship between religious identification and interreligious contact. It relies on a unique dataset collected among Christian and Muslim students in ethnically and religiously diverse regions of Indonesia and the Philippines, where social cleavages occur along religious lines. Religious identification directly predicts a higher quality of interreligious contact, whereas it indirectly predicts a lower quantity and quality of contact, mediated by higher perception of group threat, and a higher quality of contact, mediated by lower social dominance orientation. Furthermore, these direct and indirect relationships are moderated by religious group membership and relative group size. We conclude that religious identification functions as a ‘double‐edged sword’ predicting both higher quality and lower quantity and quality of interreligious contact through various pathways and with a varying strength depending on intergroup context.     

行为经济学中的不平等规避

不平等规避是指人们在资源分配中厌恶不平等的分配结果,为了达成平等甚至愿意付出一定代价的现象。这一现象是经济学中常见的行为"异象",属于社会偏好理论的研究范畴。不平等规避的经典模型是FS-ERC模型,后来的研究者从消极情绪、意图和社会奖励等视角对不平等规避的心理机制进行了深入探索。不平等规避会受到多种因素影响,例如人口统计学变量、社会距离、决策时间和实验任务特征等。未来的研究可以从不平等规避的心理机制、神经基础,以及对不平等规避的稳健性进行再验证等方面展开。     

父母的心理控制与儿童心理社会功能的关系

心理控制是一种侵入式教养,它是指父母使用引发儿童的内疚感、爱的撤回等方式侵入儿童思想和情感的教养行为,这种消极的、侵入式教养导致儿童产生诸多心理社会功能失调。跨文化研究发现,我国文化背景下父母的心理控制水平更高。社会环境、父母的人格和儿童的行为等因素都对父母的心理控制水平产生影响。父母的心理控制会对儿童的行为问题、自主性等一系列的心理社会功能产生消极影响。未来研究应立足中国特色文化,深入探讨儿童多重看护条件、儿童自身易感性等因素对心理控制效应的影响。     

宗教对信徒颜色认知的影响及作用机制:以中国台湾宗教信徒为例

采用自然分类法考察中国台湾佛教徒、道教徒、基督徒和非宗教信徒的基本颜色词分类,并做多维标度和聚类分析,以揭示宗教对信徒颜色认知的影响。结果发现,中国台湾三大宗教信徒对基本颜色词的分类既具有共性,又存在差异,宗教信徒与非宗教信徒的基本颜色词分类也存在着共性和差异,共性反映了汉语言和汉文化的影响,差异反映了宗教对颜色认知的影响。研究表明,颜色通过意象式传播方式影响信徒的颜色认知,支持颜色词与颜色认知的相互作用理论。