Self-affirmation moderates effects of unrealistic optimism and pessimism on reactions to tailored risk feedback

We examined whether self-affirmation would facilitate intentions to engage in colorectal cancer (CRC) screening among individuals who were off-schedule for CRC screening and who were categorised as unrealistically optimistic, realistic or unrealistically pessimistic about their CRC risk. All participants received tailored risk feedback; in addition, one group received threatening social comparison information regarding their risk factors, a second received this information after a self-affirmation exercise and a third was a no-treatment control. When participants were unrealistically optimistic about their CRC risk (determined by comparing their perceived comparative risk to calculations from a risk algorithm), they expressed greater interest in screening if they were self-affirmed (relative to controls). Non-affirmed unrealistic optimists expressed lower interest relative to controls, suggesting that they were responding defensively. Realistic participants and unrealistically pessimistic participants who were self-affirmed expressed relatively less interest in CRC screening, suggesting that self-affirmation can be helpful or hurtful depending on the accuracy of one's risk perceptions.     

‘I'm beyond caring’, a response to the Francis Report: the failure of social systems in health care to adequately support nurses and nursing in the clinical care of their patients

Lord Francis was commissioned to look at why the serious problems (between January 2005 and March 2009) at Mid Staffs Foundation Trust were not identified sooner and the appropriate action taken. Lord Francis was also asked to outline what lessons could be learned to enhance patient care. The report was delivered on 5 February 2013 and contained 290 recommendations. The key message was that the National Health Service needed to put the patient first and everything else should flow from that principle. Poor standards of care should not be tolerated and staff would be expected to speak out when they felt patient care was being compromised. Lord Francis also recommended that there should be one regulatory body and that the role of the Care Quality Commission was to be reviewed.     

Psychotherapy with children in refugee families who have survived torture: Containment and understanding of repetitive behaviour and play

Children of refugee families who have survived torture often have emotional, psychosomatic and behavioural problems as well as problems with learning. In order to understand the difficulties of these children, we have to recognize the complicated interaction of cumulative traumatic strain and recurring exposure to shocking violence. The traumatic experiences of the child in the country of origin take place in the broader context of chronic danger and persecution, often to be followed in the country of exile both by recurrent family strain and social estrangement. In the transference this complicated mixture of repeated trauma and chronic strain may show as a pervasive tendency to retreat to defensive survival strategies combined with continual repetition of more specific traces of the impact of the trauma on the individual. This paper focuses on how the enacted survival strategies can be contained and understood in the transference. In due course the compulsive repetition can be given meaning as a precondition for better integration through symbolic thought and self-understanding.     

The Role of Individual Factors in Friendship Formation: Considering Shyness,Self‐Esteem,Social Skills,and Defensive Pessimism

The purpose of this study was to examine the effects of four individual factors (shyness, self‐esteem, social skills, and defensive pessimism) on the formation of friendships among undergraduate students. Freshmen (N = 93) completed a questionnaire assessing their shyness, self‐esteem, social skills, and level of defensive pessimism. Then, they answered questions about interpersonal indices (number of friends, satisfaction with friendships, their willingness to continue relationships, and their feelings of interpersonal friction). After 3 months, they completed a questionnaire about their anxiety state and behavior when talking with the people they had met since university admission. Moreover, they discussed the interpersonal indices they used in a pre‐questionnaire. Path analysis indicated that shyness directly leads to having fewer friends, whereas social skills lead to having more friends through extroversive behavior. Moreover, self‐esteem was positively related to an increase in the willingness to continue relationships, and reflection and pessimistic thinking (which is one component of defensive pessimism) led to a feeling of being fatigued from the effort of considering and respecting the reactions of others.     

The impulse to infidelity and oedipal splitting

Freud suggested that the child perceives parental intercourse as an act of infi delity by the desired but unfaithful parent. Parental sexual infi delity is felt to be a major narcissistic injury that gives rise to fantasies of revenge. A defensive organization arises to manage this trauma and its attendant revenge fantasies. That organization involves splitting of the desired parent into faithful and unfaithful parts, displacement of hostility on to the rival parent, and identifi cation with the desired but unfaithful parent resulting in the impulse to infi delity. Romantic fantasies of escape and rescue from evil rivals provide guilt free ways of satisfying fantasies of oedipal revenge. In those fantasies the evil rival is turned into an injured third party who gets his or her just deserts as the romantic couple gets to live happily ever after. This defensive organization may embroil patients in complicated love triangles as adults for which they may seek treatment. Analyzing the repudiated narcissistic wound of parental infi delity and the disguised revenge fantasies that defend against that wound may provoke narcissistic rage towards the analyst as a moralistic, possessive, controlling, envious, and spoiling oedipal parent.     

Egocentrism and focalism in unrealistic optimism (and pessimism)

People tend to overestimate their comparative likelihood of experiencing a rosy future. The present research suggests that one reason for this error is that when people compare their likelihood of experiencing an event with that of the average person, they focus on their own chances of experiencing the event and insufficiently consider the likelihood of the average person experiencing the event. As a consequence, people tend to think that they are more likely than the average person to experience common events and less likely than the average person to experience rare events. This causes unrealistic optimism in the case of common desirable events and rare undesirable events, but unrealistic pessimism in the case of rare desirable events and common undesirable events (Studies 1 and 2). Study 2 further suggests that both egocentrism and focalism underlie these biases. These results suggest that unrealistic optimism is not as ubiquitous as once thought.     

防御性医疗动因及干预策略

本文重点阐述了防御性医疗的概念及特点,分析了防御性医疗之动因,最后提出防御性医疗的干预策略,包括加强医务人员职业道德教育,提高人文服务水平;加强社会宣传,提升医务人员形象;加强沟通,重建医患信任关系;强化内部管理,建立风险应对机制;完善医疗法律法规,积极构建法制环境下的现代医学模式。     

计划生育干部多种量表评定结果的相关分析

本研究采用DSQ、SCL－90、16PF问卷,对河南、陕西两省部分县（市）乡（镇）的计划生育专职机构的169名计生干部进行测试,结果发现：计生干部的防御方式、心理健康及个性特质三者存在着密不可分的内在联系。个性特征、心理健康状况影响制约着防御方式的动用;防御方式的使用影响行为后果及人的适应能力,进而作用于心理健康,心理健康状况又会重塑人格结构,影响防御方式的动用。     

The Fear of Happiness Anthropological Motives

Anthropologies are different – but Man has seldom been defined as a creature of happiness. Especially in German philosophy there has been a deep scepticism against happiness, most famously in Schopenhauer's pessimistic world view, but also in the desperate visions and in the heroic cynicism following from them in Nietzsche's philosophy. Although Kant and Hegel – influenced by liberal (English) thoughts – have not under estimated the happiness of the single individual, the majority of philosophers – particularly the representatives of Philosophical Anthropology in the 20th century (Scheler, Plessner and Gehlen) – remained (as will be examined in this essay in more detail) sceptical about happiness as fulfilment. In this topos there is also an evident emotion against mass society and a cultural-critical aversion to the eudaimonia of consumerism. In this way, from the point of view of the educated elites, happiness in modern times can only be found in social and intellectual distance, e.g. in the security of contemplation (especially after fascism with its promises of an activism bringing happiness). The dominant element seems to be a philosophical fear of happiness, of decadence and of happy nivellement. Even Goethe had seen Dr. Faustus losing his life and eternal salvation when he was thinking of the moment as so beautiful that it should remain so forever. But in spite of all these attitudes and modes of sceptical thinking, it may be neither naïve nor uncritical to concur with Blaise Pascal: That pleasure is good and suffering bad does not need further evidence. The heart feels it.     

Looking forward to tomorrow: The buffering effect of a daily optimism intervention

This research demonstrates the effectiveness of a brief daily self-applied optimism intervention in an adult normal population. Participants completed Life Orientation Test-Revised, Positive and Negative Affect Scale, Satisfaction with Life Scale, and Burnout Measure scales before, immediately after, and one month after the intervention. At baseline, optimism intervention group (N = 36) and control group (N = 41) were statistically similar on the variables of interest. At post-test, and also one month later, the intervention group demonstrated reduced pessimism, negative affect, and emotional exhaustion, although optimism, positive affect, and life satisfaction did not increase. Higher initial optimism increased the intervention effect for the optimism group, but not for the control group, by diminishing negative affect and emotional exhaustion, and increasing optimism. Sixty-one percent of the activities mentioned by the control group participants focused on duties and work, compared to 28% in the optimism condition. No correlations were found between initial optimism or pessimism, and the type of activities mentioned.