Exploring emotions in dialog between health provider,parent and child. An observational study in pediatric primary care

IntroductionThis paper is part of the theoretical thread of health psychology and it presents a study aimed to recognize information useful to implement psychological interventions finalized to personalize medical treatments and engage users in pediatrics.ObjectiveIn this paper is presented an observational study aimed to explore doctor-patient dialog about worries in pediatric primary care; it has been carried out identifying dialogical interaction patterns, or typical dialog between health providers, parent and child.MethodWe documented conversations in 265 visits; we audio-recordered, transcribed and analyzed them with Verona Coding Definitions of Emotional Sequences. Dialogs between participants were analyzed one by one. Frequencies of emotions’ signals (cues/concerns) and responses were analyzed through Redundancy Analysis, aimed to establish a quantitative relationship between these pair of groups of variables considering the asymmetrical relationship between them.ResultsSix “Dialogical Interaction Patterns” were obtained by interpreting these relationships; they show dialogs mainly aimed at obtaining information useful for diagnosis and treatment, with a limited exploration of worries or issues related to the condition of the child. Pediatric conversations seem to be characterized by a very high attention to cognitive aspects of medical questions with a poor consideration of emotions as useful information to medical practice.ConclusionsThese dialogs seem to ensure the rapidity and the efficiency of medical visits. Nevertheless, it could be useful to implement psychological interventions to achieve an enrichment of the dialog between participants, helping them to recognize users’ emotions as useful to define shared medical strategies.     

Maternal perinatal representations and their associations with mother–infant interaction and attachment: A longitudinal comparison of Portuguese and Brazilian dyads

Prior research in Western countries (mostly the US, Canada and northern Europe) indicates that mothers' representations are associated with mother–infant interaction quality and their child's attachment security later in the first year. Fewer studies, however, have evaluated whether these associations hold for mother–infant dyads in other countries, such as Brazil and Portugal. Although these countries share a similar language and culture, they differ on societal dimensions that may affect parenting attitudes and mother–infant relationships, such as economic stress, social organisation, social policy, and the availability of services for young families. In this longitudinal study, we followed two independent samples of Brazilian and Portuguese mother–infant dyads from the perinatal period to 12 months post-partum. We assessed mothers' perinatal representations using semi-structured interviews in the first 48 hours after the infant's birth, and evaluated the associations of these representations with mother interaction quality at 9 months and infant attachment at 12 months. Results were similar in each country, corroborating prior research in single Western countries: Mothers with more positive perinatal representations were more sensitive to their infants during free play at 9 months and were more likely to have infants classified as securely attached at 12 months.     

All You Need Is Love: The Importance of Partner and Family Relations to Highly Creative Individuals’ Well-Being and Success

The aim of the article was to investigate how the family life of highly creative individuals—mainly marriages or romantic relationships—is related to their sense of success and well-being. Previous studies have led to conflicting conclusions. The predominant finding has been that marriage and family constitute an obstacle to creative potential development. Other studies have demonstrated that, regardless of gender, creators lead satisfying family lives, which contributes to their well-being. The study presented in this paper is based on the grounded theory methodology and triangulates two sources: interviews with prominent creators from the USA conducted years ago (Csikszentmihalyi, 1996, N = 91) and interviews with recognized contemporary Polish artists and scientists (N = 34). Based on interactions between the interviewees’ perception of themselves as creators and their perception of gender and family roles, the authors identify and discuss five types of relationship between creators’ family life and work. They also discuss the factors that hinder or facilitate creators’ satisfactory functioning in both areas in each of the five types of relationship.     

The Moderating Role of Agreeableness in the Relationship between Experiencing Anger and Creative Performance

Previous studies regarding the effect of experiencing anger on creative performance have shown controversial findings. Some studies have reported that anger hampers creative performance, whereas others have shown that anger promotes cognitive motivation and improves creative performance. Anger is associated with hostility, threats, and conflict, states that are congruent with low agreeableness. In contrast, anger is incompatible with an agreeable individual's preference for harmony and peace. Experiencing this negative activating emotion should be demanding and stressful to them and thereby hamper creative task engagement. Accordingly, we conducted an experimental study to examine whether agreeableness moderated the association between anger and creative performance. A total of 128 undergraduates were randomly assigned to receive either induced anger or a neutral emotion and then completed a creativity task. We found that participants with lower levels of agreeableness showed better fluency, flexibility, and originality in creativity in the anger relative to the neutral-emotion condition, whereas participants with higher levels of agreeableness showed better creative performance in the neutral emotion relative to the anger condition. The present findings not only provide a viable account for integrating inconsistent findings regarding the facilitating effect of anger on creativity but also contribute to contingent strategies for promoting creative performance.     

Therapeutic Encouragement as Conceptualized by South Korean Youth Counselors

This study explored counselors’ conceptualization and use of encouragement as a therapeutic tool. Responses to two questions from 100 South Korean youth counselors were analyzed using consensual qualitative research–modified. As a result, six categories emerged under each domain. Implications for counseling and future studies are discussed. Este estudio exploró la conceptualización y el uso del apoyo como herramienta terapéutica por parte los consejeros. Usando el método modificado de investigación cualitativa consensual, se analizaron las respuestas proporcionadas a dos preguntas por 100 consejeros surcoreanos que trabajan con jóvenes. Como resultado, surgieron seis categorías bajo cada dominio. Se discuten las implicaciones para la consejería e investigaciones futuras.     

To be at the tail of the lions or the head of the foxes?

Agents seeking an opportunity for profit often have to compete with others who pursue the same opportunity. When having to choose between a number of opportunities differing in their value and if individuals differ in their chances of outperforming others, the choice can be cognitively and emotionally demanding. We explore choice between opportunities using stylized Lions–Foxes games. In such a game, each of three players, with different odds of beating others, has to choose one of two contests that offer different rewards. After game theoretically analyzing the games, which we have experimentally employed, we report four experiments that vary in choice elicitation (repeated play or strategy method), in players' matching (random strangers or partners) and in rewards. Regarding contest choices, we found the choice of the higher value (and seemingly more prestigious) contest to be positively related to winning odds, contrary to what four out of the five (mixed, partially mixed, or pure) equilibria predict. Participants started out rather optimistic, with a large majority choosing the higher value option, but with experience, they approached the only viable of two pure strategy equilibria. Still, mixing continued via reacting to past play and outcome, apparently balancing dissatisfaction from choosing either contest.     

Risk-taking increases under boredom

We examined if boredom is associated with risk-taking. Although this association has frequently been postulated, it has rarely been tested, and the evidence has thus far been rather indirect and speculative. We conducted three studies to test this association more systematically. In Study 1, people high in boredom proneness reported greater risk-taking across financial, ethical, recreational, and health or safety domains. In Study 2, over a series of risky decisions, risk-taking increased in tandem with state boredom. Consistently, in Study 3, people who felt more bored were more likely to choose risky gambles. Furthermore, while dispositional self-control predicted lower risk-taking, state boredom nullified this association, suggesting that elevated risk-taking might be attributed the erosion of self-control under boredom. Our findings establish via direct empirical tests that boredom is associated with making riskier decisions.     

Effects of an early intervention on maternal post-traumatic stress symptoms and the quality of mother–infant interaction: The case of preterm birth

Preterm birth may represent a traumatic situation for both parents and a stressful situation for the infant, potentially leading to difficulties in mother–infant relationships. This study aimed to investigate the impact of an early intervention on maternal posttraumatic stress symptoms, and on the quality of mother–infant interactions, in a sample of very preterm infants and their mothers. Half of the very preterm infants involved in the study (n = 26) were randomly assigned to a 3-step early intervention program (at 33 and 42 weeks after conception and at 4 months’ corrected age). Both groups of preterm infants (with and without intervention) were compared to a group of full-term infants. The impact of the intervention on maternal posttraumatic stress symptoms was assessed 42 weeks after conception and when the infants were 4 and 12 months of age. The impact of the intervention on the quality of mother–infant interactions was assessed when the infants were 4 months old. Results showed a lowering of mothers’ posttraumatic stress symptoms between 42 weeks and 12 months in the group of preterm infants who received the intervention. Moreover, an enhancement in maternal sensitivity and infant cooperation during interactions was found at 4 months in the group with intervention. In the case of a preterm birth, an early intervention aimed at enhancing the quality of the mother–infant relationship can help to alleviate maternal post-traumatic stress symptoms and may have a positive impact on the quality of mother–infant interactions.     

The influence of infant-directed speech on 12-month-olds’ intersensory perception of fluent speech

The present study examined whether infant-directed (ID) speech facilitates intersensory matching of audio–visual fluent speech in 12-month-old infants. German-learning infants’ audio–visual matching ability of German and French fluent speech was assessed by using a variant of the intermodal matching procedure, with auditory and visual speech information presented sequentially. In Experiment 1, the sentences were spoken in an adult-directed (AD) manner. Results showed that 12-month-old infants did not exhibit a matching performance for the native, nor for the non-native language. However, Experiment 2 revealed that when ID speech stimuli were used, infants did perceive the relation between auditory and visual speech attributes, but only in response to their native language. Thus, the findings suggest that ID speech might have an influence on the intersensory perception of fluent speech and shed further light on multisensory perceptual narrowing.