Objective: Understanding the concerns of cancer survivors is essential for effective interventions. This study was designed to identify the primary concerns of dyads coping with cancer, how concerns differed by role and sex, and whether concerns expressed during counselling were associated with survivors’ psychosocial well-being and adjustment.
Design: Forty-three dyads with breast and prostate cancer (N = 86 participants) were enrolled in an interpersonal telephone counselling intervention. Audio recordings of 228 counselling sessions were transcribed and content analysed qualitatively to identify major themes and key concerns. A total of three 30-min sessions were coded for each study participant. Quantitative data and statistical analyses were used to predict changes in survivors’ quality of life.
Main Outcome Measures: Participants completed psychosocial well-being measures (depression, positive/negative affect, and relationship satisfaction), pre- and post-counselling.
Results: Survivors’ concerns focused on cancer- and treatment-related issues, whereas partners’ concerns centred on the well-being of their spouse/partner with cancer, and what they were doing to help their loved one cope with his/her illness. Key concerns for all consisted of relationship maintenance and communication issues. Further, discussion of these concerns was predictive of significant improvements in adjustment post-counselling for women with breast cancer.
Conclusion: Discussion of interpersonal concerns may play a more important role in the well-being of women, than men, coping with cancer. 相似文献
The Laozi expounds a thoroughgoing and sustained criticism of government and society. In this paper, I will demonstrate that although this criticism is addressed to the ancient Chinese state, it can also have some validity for the modern state of today. I will first briefly discuss the metaphysical grounds of this criticism and stress that the ruler should use wuwei in governing. Then, I will examine the Laozi’s criticism of the oppressive governments that use unnatural governing through youwei which increases the state disorder, as well as how this criticism is supported by its metaphysical grounds. Third, I will show that the selfish desires may significantly contribute to the state disorder and that the only one to be blamed for the arousing of them is the ruler. At last, I will attempt to show that this criticism may also to a certain extent be directed toward today’s modern state. 相似文献
Current debates on collective intentionality focus on the cognitive capacities, attitudes, and mental states that enable individuals to take part in joint actions. It is typically assumed that collective intentionality is a capacity which is added to other, pre-existing, capacities of an individual and is exercised in cooperative activities like carrying a table or painting a house together. We call this the additive account because it portrays collective intentionality as a capacity that an individual possesses in addition to her capacity for individual intentionality. We offer an alternative view according to which the primary entity to which collective intentionality has to be ascribed is not the human individual, but a “form of life.” As a feature of a form of life, collective intentionality is something more than the specific capacity exercised by an individual when she cooperates with others. Collective intentionality transforms all the capacities of the bearers of this specific form of life. We thus call our proposal the transformative account of collective intentionality. 相似文献
Since cognitive neuroscience aims at giving an integrated account of mind and brain, its ontology should include both neural and cognitive entities and specify their relations. According to what we call the standard ontological framework of cognitive neuroscience (SOFCN), the aim of cognitive neuroscience should be to establish one-to-one mappings between neural and cognitive entities. Where such entities do not yet closely align, this can be achieved by reforming the cognitive ontology, the neural ontology, or both. In order to assess the limits and the possibilities of the SOFCN, we will examine a paradigmatic case study: the concept of Broca’s area, which indicates an alleged mapping between the left inferofrontal gyrus and the production of language. We review evidence showing that such a mapping does not hold, thus calling into question either the status of Broca’s area or the validity of the SOFCN. We then propose some strategies for addressing the issue and suggest that it may be solved within the SOFCN by adopting both of the following strategies: first, more accurately defining the relevant neural structures and second, switching the focus of neural ontology from structures to events, individuated by a where (neural structures) conjoint with a how (oscillatiory frequency). 相似文献
Of 212 practicing therapists who completed a survey about working with meaning in life (MIL) in psychotherapy, 129 (61%) had recently worked with MIL with at least one client and reported on their work with a client in this survey. Those therapists who had worked with a client on MIL as compared with those who had not were older, more experienced, more humanistic/existential/experiential in orientation; reported more MIL training; and felt more competent working with MIL. Clients reported on primarily had internalizing, interpersonal, and career issues. Only 12% of clients explicitly labeled MIL as an issue coming into therapy. The three most frequently used interventions involved offering support; helping clients examine thoughts, feelings, and behaviors to discover hopes and goals; and facilitating exploration of MIL cognitions and experiences. Therapists reported many positive consequences from working with MIL. Therapists reported minimal training in MIL and moderate competence in working with MIL. Implications for practice, training, and research are presented. 相似文献
Recently, more attention has been devoted to understanding how stressful life events might relate to proactive and reactive aggression. Findings suggest that stressful life events are more strongly linked to reactive, than proactive, aggression; however, it is unclear whether the impact of stressful life events on proactive and reactive aggression might vary as a function of the level of exposure to or type of stressful life event. The current study examined how level of exposure to stressful life events (i.e., witnessed, experienced, and learned about) and stressful life event types (i.e., war zone exposure, sexual victimization, interpersonal violence, and other trauma exposure) related to proactive and reactive aggression. The sample was comprised of 500 undergraduate students (M = 18.96, SD = 1.22, 49.6% male) recruited from a Midwestern university. Findings indicated that all three levels of stressful life event exposure (i.e., experienced, witnesses, and learned) were associated with reactive aggression; however, only witnessed stressful life events were associated with proactive aggression. Clinical implications and future directions are discussed. 相似文献
Spatial relations are central to geometrical thinking. With respect to the classical elementary geometry of Euclid’s Elements, a distinction between co-exact, or qualitative, and exact, or metric, spatial relations has recently been advanced as fundamental. We tested the universality of intuitions of these relations in a group of Senegalese and Dutch participants. Participants performed an odd-one-out task with stimuli that in all but one case display a particular spatial relation between geometric objects. As the exact/co-exact distinction is closely related to Kosslyn’s categorical/coordinate distinction, a set of stimuli for testing all four types was used. Results suggest that intuitions of all spatial relations tested are universal. Yet, culture has an important effect on performance: Dutch participants outperformed Senegalese participants and stimulus layouts affect the categorical and coordinate processing in different ways for the two groups. Differences in level of education within the Senegalese participants did not affect performance. 相似文献