Wisdom at the end of life: Hospice patients’ reflections on the meaning of life and death

The processes of aging and confronting mortality are often accompanied by unique psychological challenges. From the perspective of positive psychology, such challenges can yield opportunities for growth, including increased wisdom. This qualitative study explored 15 terminally ill hospice patients’ perspectives on wisdom, the dying process, and the meaning of life using consensual qualitative research methods. Most participants cited humility as a key component of wisdom, emphasizing that “Wisdom is when we realize ‘I don’t really know much’.” Other components of wisdom included self-knowledge, rationality, experiential learning, listening to and learning from others, and sharing knowledge with others. Participants also suggested that the process of facing illness and death presents opportunities for positive growth, including changing priorities and learning to appreciate life more fully in the present moment. In considering the sources of meaning in their lives, participants emphasized relational connections, personal growth, spirituality, vocational fulfilment, and living a full life. Participants also shared their reflections on important past experiences and regrets. Lastly, participants offered advice to others based on their experiences facing illness and mortality. Implications for psychological care of the dying and future research are discussed.     

Relational Message Interpretations of Nonverbal Matching Behavior: An Application of the Social Meaning Model

Abstract

The social meaning model asserts that some nonverbal behaviors have consensually recognized relational meanings within a given social community. According to this perspective, the interpretations made by encoders, decoders, and 3rd-party observers of the same nonverbal behavior should be congruent. The authors applied the model to the identification of relational message interpretations of nonverbal matching behavior. Confederates either matched or did not match the nonverbal behaviors of conversational participants while being watched by nonparticipant observers. All three nonconfederate participants provided interpretations of the confederates' relational messages. As the authors had expected, there were moderate correlations between the 3 perspectives, with observers usually providing less favorable assessments than the conversational participants. The authors also examined the influence of positive and negative stimulus behavior on relational message interpretations.     

Presence of meaning and search for meaning as mediators between spirituality and psychological well-being in a South African sample

Spirituality and meaning in life are important pathways to well-being. Research has conceptually and empirically linked spirituality, religiousness and meaning in life. The present study was concerned with investigating presence of meaning (MLQ-P) and search for meaning (MLQ-S) as mediators between spirituality (religious and existential well-being) and hedonic and eudaimonic well-being. A multi-cultural sample of 326 South African students completed the Meaning in Life Questionnaire (MLQ), Spiritual Well-Being Scale (SWBS), Questionnaire for Eudaimonic Well-Being (QEWB) and the Mental Health Continuum Short-Form (MHC-SF). Structural equation modelling in Mplus was used to study direct and indirect effects. Findings show that the presence of meaning in life explains more paths between spirituality and psychological well-being than search for meaning. MLQ-P mediated the paths between existential well-being and four of the five indices of psychological well-being. MLQ-S did not mediate any path between spirituality (existential and religious well-being) and psychological well-being outcomes.     

Meaningfulness in Day Centers for People With Psychiatric Disabilities: Gender and Empowerment Aspects

This study investigated the experience of meaningfulness in occupations at day centers among people with psychiatric disabilities from an empowerment and gender perspective. One hundred eight participants, from eight day centers in Sweden, completed instruments measuring experienced meaning, empowerment, psychosocial functioning, and socio-demographic factors. Mixed methods were used, combining statistical analyses and content analysis. Gender differences were found concerning principal occupations performed. These confirmed traditional gender roles. The experience of meaning in day center occupations, particularly the domain of meaning pertaining to personal development, was significantly associated with empowerment. These results may be used in the future development of day centers.     

多个视角看自杀

鉴于自杀问题本身的极端复杂性及其深远的负面影响,从元认知、强迫信念、内在狂妄以及选择人生不能4个角度尝试对自杀风险因素进行了探析,并从近端救治需关注早发现及对方痛苦被看见,远端防控应强调生命体验的重要性, 外围工作应加强对死者亲人的抚慰3个方面对自杀防控进行了探究,以期对自杀危机干预提供一些新思路。此外,倡导教育在生命意义救治方面应担负更大职责且一刻不能或缺。关注个体的心理因素,同时重视人的社会属性,综合施策、多方努力,自杀问题定会得到更好解决。

     

A changed perspective: How gratitude can affect sense of coherence through positive reframing

We hypothesized that gratitude would be related to sense of coherence via positive reframing, which is a process by which negative events or circumstances are seen in a positive light. We tested this hypothesis in two studies. In Study 1 (N = 166) we found a strong, robust relationship between trait gratitude and sense of coherence above and beyond life satisfaction, positive and negative affect, happiness, and social desirability. Study 2 (N = 275) showed that gratitude at Time 1 predicted sense of coherence at Time 2, controlling for baseline scores. Positive reframing mediated the relationship between gratitude and SOC. Results are discussed in terms of their practical implications.     

Prosociality enhances meaning in life

A central feature of meaning in life is a consideration of more than oneself. We extend this logic to suggest that altruistically motivated prosociality – acting in ways that benefit others – is a self-transcending action that may provide meaning in life. Study 1 provided evidence of a relationship between self-reported prosocial behavior and meaning in life, even after statistically controlling for personality traits and self-esteem. Study 2 provided evidence that engaging in a prosocial action, via writing notes of gratitude, increased meaning in life. Study 3 provided evidence that individuals bolster perceptions of prosociality following threats to meaning. Study 4 suggested relationship satisfaction partially mediates the link between prosocial actions and meaning in life. These studies provide initial evidence that prosociality enhances meaning in life.     

The relationship between purpose and sources of meaning: A mixed methods study

This study examined the relationship between meaning and sources of meaning among a sample of South African university students (N = 139; female = 44 0.6%; mean age = 19.76, SD = 1.82). The students completed the Purpose in Life (PIL), the Sources of Meaning Profile-Revised (SOMP-R) measures, and naïve sketches. Results from the data analysis using correlational and regression analyses indicate the students’ purpose of life scores are accounted for by sources of meaning related to self-transcendence, collectivism, and individualism. The findings from the qualitative analysis highlights the importance of an individualist and collectivist focus during academic studies as a source of meaning. Students who report a more extensive network of meaningful sources are also more likely to indicate higher scores on purpose in life.     

Connecting the dots from a distance: Does mentally traveling through space and time increase searching for life’s meaning?

As humans, we have the ability to travel beyond the present moment by considering past and future times as well as locations that are distant from oneself. An interesting possibility is that such mental travel to far-away times and places (vs. focusing on times and places closer to the present) may increase people’s desire to search for their lives’ meaning. Since searching for meaning involves the integration of separate life events into a coherent life story, mentally traveling farther away from the present may make people aware that their life stories include more than what is happening at this very minute. Such awareness, then, may increase their desire to ‘connect the dots’ between their life events by searching for some underlying meaning. Three experiments (N = 838) tested this prediction and found that greater (vs. lower) mental travel through space or time increased the search for life’s meaning.