Parental experience of childhood cancer using Interpretative Phenomenological Analysis

Whilst survival rates for childhood cancer have improved dramatically over the past three decades, it is still a devastating diagnosis for family members and an illness which severely disrupts the lifestyle of the family unit. Developing an understanding of the impact of the illness on the family is crucial to better support families’ deal with the demands of the illness. In this study nine families in which a child was diagnosed with cancer were interviewed twice over a 12 month period, approximately 6 months apart. Using Interpretative Phenomenological Analysis, a semi-structured interview was used to explicate parent's experience of childhood cancer. The results revealed five super-ordinate themes; (1) a pivotal moment in time, (2) the experience of adaptation in relation to having a sick child, (3) the nature of support, (4) re-evaluation of values during a critical life experience and (5) the experience of optimism and altruism. Findings indicate that parents express both negative and positive experiences as they re-evaluate the meaning and purpose of life, seek to redefine themselves, often in terms of priorities, relationships, sense of community and achieve degrees of optimism and altruism. Implications for addressing the needs of parents and for further research are discussed.     

Knowledge: Value on the Cheap

We argue that the so-called ‘Primary’ and ‘Secondary’ Value Problems for knowledge are more easily solved than is widely appreciated. Pritchard, for instance, has suggested that only virtue-theoretic accounts have any hopes of adequately addressing these problems. By contrast, we argue that accounts of knowledge that are sensitive to the Gettier problem are able to overcome these challenges. To a first approximation, the Primary Value Problem is that of understanding how the property of being knowledge confers more epistemic value on a belief than does the property of being true. The Secondary Value Problem is one of understanding how, for instance, the property of being knowledge confers more epistemic value on a belief than does the property of being jointly true and justified. We argue that attending to the fact that beliefs are continuing states reveals that there is no difficulty in appreciating how knowledge might ordinarily have more epistemic value than mere true belief or mere justified true belief. We also explore in what ways ordinary cases of knowledge might be of distinctive epistemic value. In the end, our proposal resembles the original Platonic suggestion in the Meno that knowledge is valuable because knowledge is somehow tied to the good of truth.     

An appreciative response to Niels Henrik Gregersen's JKR research conference lecture

Abstract

Using human embryos in research remains a controversial issue, especially in Christian bioethics. Although the official Catholic stance rejects human embryonic stem cell research, Christian thinkers T. Peters, K. Lebacqz and G. Bennett support it. They endorse the 14-day Rule and argue that ex vivo embryos lack moral worth. I examine and challenge the 14-day Rule and location argument (in vivo/ex vivo). I develop a theory of holistic anthropology and intrinsic moral value for human embryos. I conclude that intrinsic moral value is not equal to full moral value, and therefore use of embryos in biomedical research is morally permissible.     

Languages of trauma; towards a phenomenological response

In this article, I explore the possibilities of a phenomenological perspective on trauma in psychoanalytic practice. I highlight the problem of interpretations that universalise experiences of trauma, provide explanations in terms of ‘causes’ and assume particular processes/stages of ‘recovery’ from it. The notion of trauma challenges dichotomies of ‘internal’ and ‘external’ worlds. Traumatic experiences always have a context – that of the immediate relational circumstances of the individual suffering from the trauma, including the wider social/relational context, and the person’s history. I argue for an attunement to the language and specificity of the meanings, verbal and non-verbal, conscious and unconscious, of the client’s suffering within the analytical relationship. This requires the therapist to avoid ‘ready-made’ interpretations from psychoanalytic theory and to be open to the poiesis of the speech, which emerges between therapist and client. My discussion of my reading of the Chilean documentary film, Nostalgia for the Light, which focuses on the traumatic experiences of those who survived Pinochet’s military regime (1973–1989), highlights how diverse responses to trauma are. The originality of the language of the film calls on us as therapists to discover new ways of listening and speaking to our clients’ suffering.     

Infertility

ABSTRACT

Infertility can be a stressful condition. It affects one out of six couples in the United States-at least ten million people. Whether conceived naturally or through enhanced fertility measures, 20% of clinical pregnancies end in miscarriage. This study will explore the experiences of women who have lived through infertility and the meanings they associate with it. The author used a qualitative research method that utilized a phenomenologist perspective. In this study four women were interviewed in-depth. The use of a self-reflexive journal by the author informed the research questions. The findings include emotional reactions, gender differences, support, learnings, benefits, advice, and strength related to the experience. This research may be significant for couple therapists and the medical community in understanding the experience of infertility.     

An Historical Overview of Basic Approaches and Issues in Ethical and Moral Philosophy and Principles

Summary

This article provides a condensed history of ethics development for the purpose of exposing psychologists and other mental health professionals to ethical and moral bases upon which modern psychological ethics are founded. In addition, it focuses on contemporary theories, with an emphasis on professional ethics.     

Confounds in moral/conventional studies

In ‘The nature of moral judgments and the extent of the moral domain’, Fraser (2012 Fraser, B. 2012. “The nature of moral judgements and the extent of the moral domain.” Philosophical Explorations 15 (1): 1–16. doi:10.1080/13869795.2012.647356.[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]) criticises findings by Kelly et al. (2007 Kelly, D., S. Stich, K. J. Haley, S. J. Eng, and D. M. T. Fessler. 2007. “Harm, Affect, and the Moral/Conventional Distinction.” Mind & Language 22 (2): 117–131. doi: 10.1111/j.1468-0017.2007.00302.x[Crossref], [Web of Science ®] , [Google Scholar]) that speak against the moral/conventional (M/C) distinction, arguing that the experiment was confounded. First, we note that the results of that experiment held up when confounds were removed (Quintelier, Fessler, and De Smet 2012 Quintelier, K. J. P., D. M. T. Fessler, and D. De Smet. 2012. “The Case of the Drunken Sailor: On the Generalizable Wrongness of Harmful Transgressions.” Thinking & Reasoning 18 (2): 183–195. doi:10.1080/13546783.2012.669738.[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]). Second, and more importantly, we argue that attempts to prove the existence of a M/C distinction are systematically confounded. In contrast to Fraser, we refer to data that support our view. We highlight the implications for the moral/conventional theory.     

Basic desert of reactive emotions

In this paper, I explore the idea that someone can deserve resentment or other reactive emotions for what she does by attention to three psychological functions of such emotions – appraisal, communication, and sanction – that I argue ground claims of their desert. I argue that attention to these functions helps to elucidate the moral aims of reactive emotions and to distinguish the distinct claims of desert, as opposed to other moral considerations.     

Measuring moral reasoning using moral dilemmas: evaluating reliability,validity, and differential item functioning of the behavioural defining issues test (bDIT)

ABSTRACT

We evaluated the reliability, validity, and differential item functioning (DIF) of a shorter version of the Defining Issues Test-1 (DIT-1), the behavioural DIT (bDIT), measuring the development of moral reasoning. About 353 college students (81 males, 271 females, 1 not reported; age M = 18.64 years, SD = 1.20 years) who were taking introductory psychology classes at a public University in a suburb area in the Southern United States participated in the present study. First, we examined the reliability of the bDIT using Cronbach’s α and its concurrent validity with the original DIT-1 using disattenuated correlation. Second, we compared the test duration between the two measures. Third, we tested the DIF of each question between males and females. Findings reported that first, the bDIT showed acceptable reliability and good concurrent validity. Second, the test duration could be significantly shortened by employing the bDIT. Third, DIF results indicated that the bDIT items did not favour any gender. Practical implications of the present study based on the reported findings are discussed.     

The cultural salience of moral character and virtue declined in twentieth century America

In a large corpus of American books, we tracked how frequently words related to moral excellence and virtue appeared over the twentieth century. Considering the well-established cultural trend in the USA toward greater individualism and its implications for the moral domain, we predicted that terms related to morality and virtue would appear with diminishing frequency in American books. Two studies supported our predictions: Study 1 showed a decline in the use of general moral terms such as virtue, decency and conscience, throughout the twentieth century. In Study 2, we examined the appearance frequency of 50 virtue words (e.g. honesty, patience, compassion) and found a significant decline for 74% of them. Overall, our findings suggest that during the twentieth century, moral ideals and virtues have largely waned from the public conversation.