The Place of Purpose in Life in Women’s Positive Aging

Purpose in life is an orientation associated with energy, effectiveness, and optimism. A general trend is for purpose to decline in the later years, with unclear implications for positive aging. This article, however, takes a new approach to exploring the role of purpose. Using data from the Mills Study, a 55-year study of women’s adult development, we examine four sharp patterns of change in purpose on Ryff’s scale (1995 Ryff, C. D. (1995). Psychological well-being in adult life. Current Directions in Psychological Science, 4, 99–104. doi:10.1111/1467-8721.ep10772395[Crossref], [Web of Science ®] , [Google Scholar]) between ages 61 and 70: high at both times, low at both times, and changes from high to low or low to high. Guiding ideas are advanced about each kind of change and findings examined for each group. Looking at individual women's lives since childhood provides illustrative examples of each pattern. These lives show the impact of depression, inner resources, personality traits (especially Conscientiousness), attachment (secure and avoidant/dismissive styles), life situations (e.g., retirement), and events (e.g., early parental loss or widowhood), and of a motivation in one's 60s to grow or to transform regrets. Women differed in how traditional their lives were and in how much they associated purposiveness and goal attainment with life satisfaction. Implications for therapists include both helping women find the energy and commitment associated with purpose in life, and helping them value more process-oriented experiences such as appreciation, wonder, connection, and relationship. Emphasis on appreciation may become more common as women age. Positive aging is manifested in these ways, but also in acceptance and the courageous and steadfast coping with painful situations.     

Still Doing Fine? The Interplay of Negative Life Events and Self‐Esteem During Young Adulthood

This longitudinal study investigated the bidirectional relationship between negative life events and self‐esteem during the transition from adolescence to young adulthood (N = 2272). Drawing on theories of human development over the lifespan and just‐world theory, we analyzed age‐graded changes in self‐esteem and their interplay with negative life events at three measurement points over a 12‐year period. We addressed both the short‐term and the longer term effects of single as well as multiple negative life events on changes in self‐esteem (socialization effects). We further investigated whether the pre‐event level of self‐esteem affected the likelihood of negative life events occurring (selection effects) and, finally, whether it had protective effects in terms of helping people adjust to negative events. Latent change models yielded four main findings: (i) self‐esteem increased during young adulthood; (ii) socialization effects were observed over shorter and longer timespans, but (iii) selection effects were only found for multiple negative life events, with low self‐esteem predicting a high number of negative life events; (iv) high pre‐event self‐esteem acted as a protective factor, attenuating declines in self‐esteem after experience of multiple negative life events. Copyright © 2016 European Association of Personality Psychology     

Psychological adjustment to cleft lip and/or palate: A narrative review of the literature

Objective: Adjustment to cleft lip and/or palate (CL/P) is multifaceted, involving several domains of psychological and social functioning. A substantial increase in research in this area has been evident in recent years, along with a preliminary shift in how adjustment to CL/P is conceptualised and measured. An updated and comprehensive review of the literature is needed in light of the rapidly expanding and changing field.

Design: A narrative review of 148 quantitative and qualitative studies published between January 2004 and July 2015.

Main outcome measures: Findings are presented according to five key domains of adjustment: Developmental Trajectory, Behaviour, Emotional Well-being, Social Experiences and Satisfaction with Appearance and Treatment. Data pertaining to General Psychological Well-being were also examined.

Results: The overall impact of CL/P on psychological adjustment appears to be low. Nonetheless, the review demonstrates the complexity of findings both within and across domains, and highlights recurring methodological challenges.

Conclusions: Research findings from the last decade are considered to be largely inconclusive, although some areas of emerging consensus and improvements in the approaches used were identified. Efforts to collect data from large, representative and longitudinal samples, which are comparable across studies and encompassing of the patient perspective, should be doubled.     

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.     

Anselm's Quiet Radicalism

It is characteristic of Anselm to adopt the formulations of his authorities while giving them meanings of his own, hiding conceptual disagreement by means of verbal echoes. Anselm's considerable originality sometimes goes unnoticed because readers see the standard Augustinian language and miss the fact that Anselm uses it to state un-Augustinian views. One striking instance of Anselm's quiet radicalism is his understanding of free choice and the fall. He seems to uphold standard Augustinian privation theory when he affirms that injustice is merely an absence of justice where justice should be; he seems also to be committed to the standard Augustinian view that everything that has being is created by God. A closer examination, however, shows that Anselm clearly has qualms about whether privation theory can do all of the work to which Augustine had tried to put it; and Anselm actually affirms that every free choice has being and yet is not created by God. I begin by showing that Anselm regards unjust acts as being ontologically on a par with just acts. Injustice itself is nothing, a privation; but an unjust volition is something, and indeed no less something than a just volition. Moreover, creatures have their volitions solely from themselves, not from God. So Anselm must deny that God is the creator of everything that has being: free choices have being, and creatures are the sole causes of those choices. Anselm explicitly draws this radical conclusion, but he does so quietly, without fanfare, taking care to provide ways in which he can still say all the traditional things but mean something radical.     

Deleuze and Naturalism

Abstract

Against the tendency to regard Deleuze as a materialist and a naturalistic thinker, I argue that his core philosophical writings involve commitments that are incompatible with contemporary scientific naturalism. He defends different versions of a distinction between philosophy and natural science that is inconsistent with methodological naturalism and with the scientific image of the world as a single causally interconnected system. He defends the existence of a virtual realm of entities that is irreconcilable with ontological naturalism. The difficulty of reconciling Deleuze’s philosophy with ontological naturalism is especially apparent in his recurrent conception of pure events that are irreducible to their incarnation in bodies and states of affairs. In the last section of this essay, I canvass some of the ways in which Deleuze’s thought might be reconciled with a more liberal, pluralist and ethical naturalism that he identified in an early essay on Lucretius.     

The feasibility,acceptability and possible benefit of a positive psychology intervention group in an adolescent inpatient eating disorder service

Positive affect focused therapies could increase subjective happiness and life satisfaction for patients with eating disorders (EDs), illnesses known to significantly impact quality of life. This longitudinal pilot study aimed to develop and implement a five session ‘Positivity Group’ using positive psychology interventions (PPIs) in an adolescent ED inpatient service. Eight female inpatients aged 11–18 years attended the group and subjective happiness and life satisfaction were assessed before, after and at 6-month follow-up. Patients provided feedback on acceptability and feasibility was assessed via patient engagement, facilitator and team feedback and the data support the feasibility and acceptability of the group. A possible benefit was derived from the group, with 75% of patients reporting meaningful improvement in subjective happiness and 87.5% in life satisfaction. Involving the wider team and supporting homework were identified as considerations for future replication alongside the assessment of implementation, acceptability, feasibility and effectiveness in other clinical contexts.     

Happiness begets children? Evidence for a bi-directional link between well-being and number of children

The purpose of the current research was to examine the association between different facets of well-being and parenthood status. Specifically, using two longitudinal data sets, the present research explored whether individuals who possess high cognitive (Studies 1 & 2), emotional, and psychological well-being (Study 2) are more likely to subsequently become parents compared to their less happy counterparts. The results of both studies demonstrated that well-being at Time 1 positively predicted number of children at Time 2, controlling for a number of relevant variables (e.g. income, age). Additional analyses revealed that the relationship between cognitive well-being and subsequently having children was particularly strong for people who did not have any children previously. Potential mechanisms explaining how and why well-being may influence parenthood are discussed.     

Workplace and family support and work–life balance: Implications for individual psychological availability and energy at work

This study presents three studies that explore the ways in which multiple support sources (workplace and family social support) help individuals to experience work–life balance (WLB) and thereby develop a sense psychological availability and positive energy at work. We examine this serial mediation model across three population groups in Israel using time-lagged data from part-time students (sample 1), as well cross-sectional data from workers in the industrial sector (sample 2) and physicians in public hospitals (sample 3). The results indicate a complex process in which workplace and family support augment employee positive energy through WLB and psychological availability. The findings shed light on the importance of support from work and nonwork sources for the pursuit of employees to achieve balance in the spheres of work and life and suggest that the WLB helps in the development of psychological availability and augmenting employee positive energy.