An experimental test to reveal negative side-effects of high treatability information on preventative health behaviour

Objectives: When the course of a disease can be positively changed by health professionals the disease can be indicated as ‘highly treatable’. This ‘high treatability information’ (HTI) may have negative side-effects on people’s preventative motivation. This study examined the effects of HTI regarding skin cancer on preventative motivation.

Design: This study employed a 2 (high treatability (HTI) versus low treatability (LTI)) × 2 (high versus low susceptibility)?experiment with a hanging control group. (family) History and self-efficacy were assessed as moderators. Participants (N = 309) were randomly assigned to one of the five conditions.

Main outcome measures: The main outcome was intention to engage in preventative actions regarding skin cancer.

Results: HTI significantly lowered the intention compared to LTI, under the condition of high susceptibility in people with low self-efficacy. In addition, in people with a (family) history of skin cancer, HTI significantly lowered the intention compared to the no-information group.

Conclusion: HTI regarding skin cancer can cause a drop in the preventative motivation. The effects can be conceptualised as negative side-effects of HTI. As substantial proportions of the general population have a (family) history of skin cancer or low self-efficacy, the side-effects may be widespread, possibly increasing the incidence of skin cancer.     

Stress reactions following acute situations involving moral challenges among health care professionals

Many health care professionals have to make morally difficult decisions during acute, stressful situations. The aim was to explore the applicability of an existing qualitatively developed model of individual reactions among professional first responders following such situations using a quantitative approach. According to the model, the interaction of antecedent individual and contextual characteristics affect the immediate emotional reactions to acute, stressful events involving a moral dilemma. Continuous coping efforts and the quality of social support will also affect the long‐term positive and negative reactions to the event. The participants (n = 204, about 50% response rate) represented three Swedish health care professions stationed at a university hospital and a regional hospital: Physicians (n = 50), nurses (n = 94) and “others” (n =60, mainly social welfare officers and assistant nurses). Except for the personality dimension emotional stability which was measured using an established instrument, all measurement scales were operationalizations of codes and categories from the qualitative study (ten scales altogether). Four multiple regression analyses were performed with long‐term positive and negative reactions in everyday acute and morally extremely taxing situations respectively as dependent variables. The outcome showed that long‐term positive reactions covaried with much use of the coping strategies Emotional distancing and Constructive emotional confrontation and a perception of a well‐functioning Formal social support. Regarding long‐term negative reactions, higher age and little use of Emotional distancing accounted for much of the variance. Immediate emotional reactions also contributed significantly. Conclusion: the results largely supported the model concepts and their assumed relationships.     

Feeling at home in the occupied territories: Emotion work of the religious settler movement

Religious settlers exhibit a strong desire to settle the entire Land of Israel despite resistance among the local Palestinian population and among opposition within Israel. The return to the Promised Land and the establishment of settlements elicit strong emotions that are connected to the socio-spatial identities of the settlers. Introducing the concept of emotion work the article focuses on the collective construction of emotions inside the movement and on active practices directed at the Israeli audience at large. Emotions are elicited and regulated in the political process in order to make and defend territorial claims. After discussing the concepts of emotional geographies, emotion regulation, and emotion work, the article analyzes the multi-layered passions of the settlers and strategies of creating an emotional attachment to the conquered territories in the Israeli public. Finally, the Second Intifada revealed tensions between the desire for the land and a contracting geography of fear. The article discusses how the settlers dealt with violence, threats, and experiences of conjoint emotions.     

When family and research clash: The role of autobiographical emotion in the production of stories of the Italian civil war, 1943–1945

This paper engages the emotional side of Second World War storytelling practices and research. Specifically, it explores how a politics of trust and togetherness animates communities of remembrance concerning the anti-Fascist Resistance experience in northern Italy. I reflect on my encounter with memories of wartime violence through the lens of autobiographical emotion. In a region torn asunder by conflicting stories of loss and violence during the anti-Nazi resistance and civil war, I possess a dual identity of researcher and Partisan's grandchild. This carries a powerful emotional bond of ethical obligations that cannot be ignored in the research process. Drawing on affect theory, I contextualize my oral history fieldwork experience in relation to that emotional bond.     

MOTILITY,AGGRESSION, AND THE BODILY I: AN INTERPRETATION OF WINNICOTT

Among the central ideas associated with the name of Winnicott, scant mention is made of motility. This is largely attributable to Winnicott himself, who never thematized motility and never wrote a paper specifically devoted to the topic. This paper suggests both that the idea of motility is nonetheless of central significance in Winnicott's thought, and that motility is of central importance in the development and constitution of the bodily I. In elaborating both these suggestions, the paper gives particular attention to the connections between motility, continuity, aggression, and creativity in Winnicott's work.     

The modulation of reward priority by top-down knowledge

Reward-associated features capture attention automatically and continue to do so even when the reward contingencies are removed. This profile has led to the hypothesis that rewards belong to a separate class of attentional biases that is neither typically top-down nor bottom-up. The goal of these experiments was to understand the degree to which top-down knowledge can modulate value-driven attentional capture within (a) the timecourse of a single trial and (b) when the reward contingencies change explicitly over trials. The results suggested that top-down knowledge does not affect the size of value-driven attentional capture within a single trial. There were clear top-down modulations in the magnitude of value-driven capture when reward contingencies explicitly changed, but the original reward associations continued to have a persistent bias on attention. These results contribute to a growing body of evidence that reward associations bias attention through mechanisms separate from other top-down and bottom-up attentional biases.     

The translation and validation of the Mini‐K scale in Japanese

The purpose of this study was to validate the 20‐item Mini‐K scale, which is the short form of the Arizona Life History Battery, as translated into Japanese. Two samples of Japanese adults (N = 2000; 50.0% men; Mage = 40.9 for the first survey; N = 400; 50.0% men; Mage = 42.2 for the second survey) completed a web‐based questionnaire, including the Japanese translation of the Mini‐K. The results showed that the psychometric properties of the Japanese Mini‐K scale were comparable to those of the original English version. The scale had good reliability based on Cronbach's α and McDonald's ω. Convergent validity was demonstrated by the correlation between the Mini‐K scores and life history indicators. In addition, the Mini‐K score was related to both personality and psychosomatic health. The translated scale provides a valid and reliable instrument in Japanese that measures human life‐history strategy.     

Homelessness in the United States: Assessing Changes in Prevalence and Public Opinion, 1993–2001

A national survey was administered in 1993-1994 (N = 360) and repeated in 2001 (N = 435) to assess the prevalence of homelessness as well as attitudes, opinions and knowledge regarding homelessness. No significant changes in prevalence were found, despite a strong US economy during most of the 7-8 year period. Respondents in 2001 had less stereotyped views of homeless people and were more supportive of services, but came to see homelessness as a less serious problem that was less often due to economic factors. This "mixed" set of findings may reflect both beliefs on the benefits of a good economy and an increased awareness of the complexity of homelessness. Across the surveys, younger, female, liberal, and less wealthy respondents demonstrated more sympathetic attitudes towards homeless people.