Doctors' decision-making on giving information to cancer patients

Abstract

A major focus in the literature about doctor-patient communication is information-giving. In the case of cancer patients, one significant issue is which factors determine whether and how, general practitioners and oncologists give information to their patients. Whatever may be the content of information, the most important choice for the doctor is to give information or not. Our research group at the Department of Health Psychology has conducted investigations in order to identify the significant determinants of decisions concerning giving information to cancer patients. A sample of 60 doctors from Alicante province in Spain were asked their criteria for giving information about a cancer diagnosis. Results showed that perceived intelligence and emotional control in the patients were the best predicotrs of the decision by doctors to give information. Age and socio-economic status were also significantly associated with the doctors' information-giving practices. These data suggest that the criteria for giving information to cancer patients are subjective and show a strong cultural influence.     

More Than Mazel? Luck and Agency in Surviving the Holocaust

The canonical explanation for how Jews survived during the Holocaust involves some form of luck. To explore and deepen an understanding of episodic moments of luck, this article presents and discusses survivor Jerry Rawicki's close calls with death during the Holocaust. The first author examines Jerry's perspective as a survivor and her own perspective as a collaborative witness to his stories, as well as how these stories fit together within the broader literature about luck and survival. She suggests possible consequences of regarding luck as the sole explanation of survival and contends that agency and luck can go hand in hand even under oppressive structural conditions, such as the Holocaust. She concludes by reflecting on why Jerry and she might understand survival differently and on the importance of considering both positions in compassionate collaborative research.     

Exploring career decision-making styles across three European countries

Career decisions are amongst the most important we make. Unsurprisingly, much published research exists on this particular aspect of career behaviour. However, the overwhelming majority of studies have been carried out on young people making initial career decisions. This paper extends our understanding by examining how mid-career adults in three European countries (Denmark, France and Italy) actually make career decisions. Characteristic patterns of behaviour recur when individuals approach points of transition or of crisis; each of these transitioning styles is illustrated by an iconic case. Emergent findings support the growing body of evidence that challenges the dominant policy and practice orthodoxy, which places rationality at the centre of the process, by recognising the importance of emotion and context.     

守范?失范?——作为参照点的社会规范对决策行为的影响

作为参照点的社会规范指个体为实现群体目标保持活动一致性所建立起来的、视为决策与判断标准的规范。社会规范研究经历了从完全理性到有限理性的转变过程。其对决策行为影响的解释机制包括预期理论、后悔理论、"齐当别"抉择模型、程数说和三参照点理论等,能较好解释避税、见死不救与医患冲突等现象。今后研究注意结合社会认知角度,实现研究思想与范式的转变,侧重探索多重参照点、群体决策机制,丰富跨文化研究等,为转型期的守范与失范行为提供科学的解释。     

Career optimism: The roles of contextual support and career decision-making self-efficacy

Drawing from the social cognitive theory (Bandura, 1986), we examined the role of parental support, teacher support, and career decision-making self-efficacy as sources of career optimism. We tested our proposed model using 235 computer science majors from a large university in the Philippines. Surveys were conducted over two measurement periods (1 year apart). Results revealed that Time 1 parental and teacher support were positively associated with Time 2 career optimism. Furthermore, we found that these direct relationships were fully mediated by Time 1 career decision-making self-efficacy. These results remained significant even after controlling for neuroticism and past performance. Theoretical and practical implications are discussed.     

Career decision-making profiles and career decision-making difficulties: A cross-cultural comparison among US,Israeli, and Chinese samples

Assessing individuals' career decision-making difficulties and career decision-making profile (style) allows counselors to help them make better career decisions. The present study focused on the associations between the Career Decision-Making Profiles (CDMP) questionnaire and the Career Decision-making Difficulties Questionnaire (CDDQ) in four large samples: American adults (N = 601), Israeli young adults (N = 623), American students (N = 915), and Chinese students (N = 929). The pattern of associations between the 12 CDMP dimensions and the 10 CDDQ scales was generally replicated across the four samples, and indicated that certain CDMP dimensions were associated with career decision-making difficulties. Additionally, in all four samples, the higher an individual's career decision-making adaptability, as derived from the CDMP, the fewer difficulties he or she encountered prior to and during the career decision-making process. However, a few unique patterns of associations between the CDMP and the CDDQ emerged in some samples.     

How do trainees choose their first psychotherapy training? The case of training in psychotherapy integration

Future trainees go through difficult decision-making processes when starting their first psychotherapy training. The choice of training in psychotherapy integration is a specific type of this process. In this study, qualitative data were obtained from the motivational letters, in-depth semi-structured interviews and e-mail questionnaires of 26 future trainees to answer the research question, ‘How do trainees choose their first psychotherapy training?’ We primarily employed the grounded theory approach as well as consensual qualitative research to shed light on the central category of Gaining Certainty to enter the training. This category was elaborated into a four-phase model, specifically comprised of the: (1) Critical Comparison, (2) Identification, (3) Self-Confirmation and (4) Waiting phases. The model was then discussed in connection with relevant concepts, such as the degree of complexity and flexibility within the epistemological development of trainees [Vasco, A. B., &; Dryden, W. (1994). The development of psychotherapists’ theoretical orientation and clinical practice. British Journal of Guidance &; Counselling, 22(3), 327–341].     

Information presentation format moderates the unconscious-thought effect: The role of recollection

The unconscious-thought effect occurs when distraction improves complex decision-making. In two experiments using the unconscious-thought paradigm, we investigated the effect of presentation format of decision information (i) on memory for decision-relevant information and (ii) on the quality of decisions made after distraction, conscious deliberation or immediately. We used the process-dissociation procedure to measure recollection and familiarity. The two studies showed that presenting information blocked per criterion led participants to recollect more decision-relevant details compared to a presentation by option. Moreover, a Bayesian meta-analysis of the two studies provided strong evidence that conscious deliberation resulted in better decisions when the information was presented blocked per criterion and substantial evidence that distraction improved decision quality when the information was presented blocked per option. Finally, Study 2 revealed that the recollection of decision-relevant details mediated the effect of presentation format on decision quality in the deliberation condition. This suggests that recollection contributes to conscious deliberation efficacy.     

The dynamics of bidirectional thought

High-level judgement and decision-making tasks display dynamic bidirectional relationships in which salient cues determine how responses are evaluated by decision-makers, and these responses in turn determine the cues that are considered. In this paper, we propose Kosko's bidirectional associative memory (BAM) network, a minimal two-layer recurrent neural network, as a mathematically tractable toy model with which the properties of existing bidirectional models, and the behavioural implications of these properties, can be studied. We first derive results regarding the dynamics of the BAM network, and then show how these results can be used to provide an analytically sound explanation for a number of important findings, including coherence shifts in judgement and choice, anchoring effects, and reference point effects.