The Pain of Dying

SUMMARY

Dying can be a painful and difficult business. Fears, hopes, losses, questions, and uncertainty result in a form of pain that lies beyond the therapeutic reach of science and pharmacology. Efforts to preserve and prolong life or to make things better can sometimes result in this pain being overlooked or remaining unheard. To search the deepest part of oneself is the journey that beckons us all as we are dying. Within this space resides the source of our own suffering but also the seeds for healing. This exploration has a momentum of its own but requires conditions not often found within the biomedical paradigm. If this model of care remains the only source of hope for those with a life-threatening illness, ‘the pain of dying’ may not be addressed.     

How can a stereotype inconsistency bias be encouraged in communication?

This study aimed to investigate what conditions can lead to a bias for communicating stereotype inconsistent (SI) information, relative to stereotype consistent (SC) information. Sixty‐three undergraduate university students (22 males, 41 females; M_age = 21.25) read a story about an Arab man who exhibited characteristics consistent and inconsistent with the stereotype of Arab men. The story was transmitted through 21 three‐person communication chains; each participant rewrote the story from memory for the next person in the chain to read, with only the first participant in each chain reading the original story. As hypothesized, when a surprising category conjunction was formed by pairing the primary stereotype (Arab men) with a secondary stereotype of a contradictory nature (kindergarten teachers), SC information was circulated less than SI information. This was also the case when a causal explanation was provided that accounted for the unexpected SI information. Findings indicate the potential of techniques that elicit cognitive elaboration of SI information to encourage an SI bias in communication, and show promise for exploring ways to reduce the impact of negative stereotypical information in the long term.     

Extending the influence of positive psychology interventions into health care settings: Lessons from self-efficacy and forgiveness

The goal of this article is to explore strategies to extend the influence of positive psychology interventions into environments where strength-promotion is not generally embraced. Particularly, we are interested in examining the potential benefits and barriers to extending positive psychology interventions into health care settings (really illness-treatment settings), such as hospitals, community mental health centers, and disorder-focused psychotherapy practices where psychologists increasingly work. Patients primarily come to these settings to reduce suffering rather than to develop strengths. We argue that positive psychology interventions and concepts may become more valued within such contexts if they can be shown to be cost-effective in improving important health care targets. By examining positive psychology-based interventions that have already become relatively mainstream within health care (e.g., self-efficacy-based interventions), we identify strategies for making promising but less-influential positive psychology interventions (e.g., forgiveness training) more valued in today's health care marketplace. Through these examples, we suggest that extending the influence of positive psychology into health care settings is desirable, but will involve several conceptual, evidentiary, and educational or marketing challenges.     

Lexical coherence in short-term memory: Strategic reconstruction or “semantic glue”?

This study explores the foundation of lexical/semantic phoneme binding effects in verbal short-term memory (STM). The immediate serial recall of pure lists of words and nonwords was compared with the recall of mixed lists that had either a predictable, alternating structure (e.g., wnwnwn) or an unpredictable structure (i.e., the serial positions of the words/nonwords could not be known in advance). The study provides evidence for two separate mechanisms by which long-term linguistic knowledge contributes to STM. First, there was evidence for automatic lexical/semantic binding effects that were independent of knowledge of lexical status. The nonwords in both types of mixed list damaged word recall and encouraged the phonological elements of words to migrate. In both alternating and unpredictable mixed lists, the phonemes of words were more likely than the phonemes of nonwords to be recalled together as a coherent item, suggesting that lexical/semantic knowledge encourages the phonological elements of words to emerge together in immediate serial recall, even when lexical status is unknown. Secondly, there was evidence for “strategic redintegration”, which was dependent on prior knowledge of the lexical status of the items in mixed lists. When participants recalled items that they knew to be words in advance, they were able to use this knowledge to constrain their responses so that they were more likely to be lexically appropriate. These findings motivate modifications to current theories of the interaction between linguistic knowledge and verbal short-term memory.     

Implicit sequence learning in ring‐tailed lemurs (Lemur catta)

Implicit learning involves picking up information from the environment without explicit instruction or conscious awareness of the learning process. In nonhuman animals, conscious awareness is impossible to assess, so we define implicit learning as occurring when animals acquire information beyond what is required for successful task performance. While implicit learning has been documented in some nonhuman species, it has not been explored in prosimian primates. Here we ask whether ring‐tailed lemurs (Lemur catta) learn sequential information implicitly. We tested lemurs in a modified version of the serial reaction time task on a touch screen computer. Lemurs were required to respond to any picture within a 2 × 2 grid of pictures immediately after its surrounding border flickered. Over 20 training sessions, both the locations and the identities of the images remained constant and response times gradually decreased. Subsequently, the locations and/or the identities of the images were disrupted. Response times indicated that the lemurs had learned the physical location sequence required in original training but did not learn the identity of the images. Our results reveal that ring‐tailed lemurs can implicitly learn spatial sequences, and raise questions about which scenarios and evolutionary pressures give rise to perceptual versus motor‐implicit sequence learning.     

An exploration of health-seeking behaviours among Nigerian Christians in the UK: towards enhanced health services utilisation

Migration from different cultures carries with it some acclimatisation challenges. This study explored various health-seeking behaviours and potential barriers to healthcare utilisation among Nigerian Christians in the UK. This qualitative study involved 10 adult male and female participants, with both interviews and focus group discussion (FG) for data collection (Interviews: n?=?4, FG: n?=?6). Thematic analysis revealed that religious and cultural beliefs were barriers to healthcare utilisation. The implication is that further research on cultural matching between care providers and service users is needed; where religious leaders and health providers from Nigeria can influence health decisions among this migrant community. Limitations of the current study are discussed, with directions for further research identified.     

Trust or Distrust Toward Healthcare Services: Breast Screening in the North and South of Italy

This article follows a previous study that has recently been published in Narrare I Gruppi and explored the reasons for the large numeric gap between the regions of the North and South of Italy, referring to the breast cancer screening program adherence rate sponsored by the Italian Healthcare System, that addresses all women living in Italy ranging in age between 48 and 69 years, and proposes a free mammogram every two years. The effectiveness of cancer early detections has been widely demonstrated by medical research; this kind of diagnosis is particularly important in the case of breast cancer. A diagnosis of this form of cancer at its early phases in 97% of cases allows women to survive at least five years after it. However, the different level of trust women feel for healthcare structures is the discriminating element between the North and South of Italy for their access to the screening program. This topic will be thoroughly analyzed by presenting the results of research aimed at evaluating the meaning given to the outcomes of a first exploratory study, this second study also offers the opportunity to share our results within the social context that has generated them. The outcomes of the present research have been presented to a group of “privileged witnesses” living in the South (Naples and its surroundings): 12 women aging from 49 to 65, and 5 healthcare workers (one doctor, 25 two nurses, and two Local Health Authority supervisors); they took part in three Focus Groups for an in-depth look of the theme in question. The analyses of the groups' debates, carried out by means of a software for text analysis (T-LAB), confirmed the results of the previous research: the diffidence and lack of synergy between institutions and healthcare workers are the causes of southern women's lack of participation to the breast cancer screening program. In particular, the comparison between women's and workers' viewpoints shows a different emotional connotation about the possibility to improve participation to the screening: the workers' optimism countervails women's distrust and pessimism.     

Mediation in Health Care Settings: Some Theoretical and Practical Concepts

Selected topics are discussed that may be relevant to psychologists in medical mediation and bioethical consultations, such as family conflict and DNR (do not resuscitate) orders. The premise is that psychologists will be more involved in these disputes than ever before. This article includes some relevant theoretical issues and practical procedures for conducting mediation disputes in health care settings.     

关联性记忆错觉的产生与保持

两项实验对关联性记忆错觉的产生与保持进行了考察。实验结果表明,关联性记忆错觉接近学过词的回忆水平,但它的产生不随年龄的变化而变化;时间变量对关联性记忆错觉的影响不显著。此外,关联性记忆错觉不同于学过的词,在延迟加快时没有系列位置效应的产生。