Lay concepts of health and illness from a developmental perspective

Abstract

The concepts of children, adolescents and their mothers with regard to different aspects of health and illness in general and five specific diseases were explored in this study. An exploration with fully standardised questions and open answers was subjected to a content analysis. A reliable rating system was developed to score the sophistication of the answers. The study included 99 Ss of the age groups 5, 8, 12 and 16 years, as well as 48 mothers of the children. Many children and adolescents were able to define health positively (well-being) and not merely as the absence of illness. The definition of illness in general was frequently composed of somatic symptoms and disorders, feeling poorly and things one would like to accomplish but can't. The causality explanations of illness in general were dominated by contagion. The concepts of the older children and the mothers were richer, more elaborated, less concrete and less action-oriented than those of the younger children. However, abstract formulations and complex aspects of illness were very rarely expressed. In addition, concepts regarding the characteristics (definition, symptoms, causality, treatment and prevention) of five diseases (cold, measles, heart infarction, cancer and AIDS) were measured. The pattern of results was strongly influenced by age. By and large, the development of most disease concepts was linear with significant differences between age groups. Conversely, within a given age group, significant differences were found in the cognitive level of disease characteristics, either with respect to the same disease or between different diseases (“horizontal shifts”).     

Eye movements across viewpoint changes in multiple object tracking

Observers can visually track multiple objects that move independently even if the scene containing the moving objects is rotated in a smooth way. Abrupt scene rotations yield tracking more difficult but not impossible. For nonrotated, stable dynamic displays, the strategy of looking at the targets' centroid has been shown to be of importance for visual tracking. But which factors determine successful visual tracking in a nonstable dynamic display? We report two eye tracking experiments that present evidence for centroid looking. Across abrupt viewpoint changes, gaze on the centroid is more stable than gaze on targets indicating a process of realigning targets as a group. Further, we show that the relative importance of centroid looking increases with object speed.     

Adventure based counselling,individual counselling and object relations: a critical evaluation of a qualitative study

Adventure based counselling is a short-term experiential psychotherapeutic approach, which utilises adventurous activities and being in natural environmental in order to facilitate therapeutic change in clients. The present paper critically appraises the results of a qualitative study that investigated how clients with self-reported anxiety and depression experienced participating in an innovative counselling intervention with combined individual counselling with such an adventurous outdoor transaction. Interpretative Phenomenological Analysis, as described by Smith and Osborn (2008), was used in order record and analyse the experiences of four male and six female students who were treated at the Teesside's University Counselling Service. Interviewees perceived the counselling sessions as offering a safe therapeutic space within which they could unveil their anxieties and achieve inner healing, whereas the outdoor transaction as providing an experiential venue for achieving personal change. Interviewees felt that without the outdoor transaction the therapeutic significance of the counselling process would not have reached its full potential. Likewise, without the individual counselling, the outdoor transaction would just have an entertaining event and not a venue for personal change. These findings are discussed in relation to object relations theory.     

Parental object representations,attachment to God,and recovery among individuals with psychosis

This study explored the relationships between object representations of mother and father and recovery among outpatients with psychotic disorders, and examined the role of attachment to God in moderating those relationships. A total of 46 outpatients diagnosed with schizophrenia or schizoaffective disorder participated. Benevolent representations of mother and father were associated with recovery whereas punitive representations were negatively associated with recovery. Secure attachment to God amplified the association between benevolent representations of father and recovery. Secure attachment to God was found to buffer the relationship between mild-to-moderate punitive parental representations and recovery; however, this relationship was not evident for those with the most punitive parental representations. Directions for future research and clinical implications are discussed.     

Judgements about the relation between force and trajectory variables in verbally described ballistic projectile motion

How accurate are explicit judgements about familiar forms of object motion, and how are they made? Participants judged the relations between force exerted in kicking a soccer ball and variables that define the trajectory of the ball: launch angle, maximum height attained, and maximum distance reached. Judgements tended to conform to a simple heuristic that judged force tends to increase as maximum height and maximum distance increase, with launch angle not being influential. Support was also found for the converse prediction, that judged maximum height and distance tend to increase as the amount of force described in the kick increases. The observed judgemental tendencies did not resemble the objective relations, in which force is a function of interactions between the trajectory variables. This adds to a body of research indicating that practical knowledge based on experiences of actions on objects is not available to the processes that generate judgements in higher cognition and that such judgements are generated by simple rules that do not capture the objective interactions between the physical variables.     

The simplicity principle in human concept learning

How do we learn concepts and categories from examples? Part of the answer might be that we induce the simplest category consistent with a given set of example objects. This seemingly obvious idea, akin to simplicity principles in many fields, plays surprisingly little role in contemporary theories of concept learning, which are mostly based on the storage of exemplars, and avoid summarization or overt abstraction of any kind. This article reviews some evidence that complexity minimization does indeed play a central role in human concept learning. The chief finding is that subjects' ability to learn concepts depends heavily on the concepts' intrinsic complexity; more complex concepts are more difficult to learn. This pervasive effect suggests, contrary to exemplar theories, that concept learning critically involves the extraction of a simplified or abstracted generalization from examples.     

Anaesthesia or psychotherapy: Eradicating thoughts or working them through

The author presents two sessions from the analysis of a depressive narcissistic doctor, which are characterised by a mixture of co-operation and pseudo-co-operation. The dialogue is in parts intellectualised, complicated, lifeless and schizoid. Points at which the patient shows surprising insights are then partly denigrated by him, on the basis that change is not to be expected. Semi-lifeless contact assists the defensive claustrophobia that he experiences in meaningful contact. It becomes very clear that he is then afraid of entering into an openly aggressive conflict that entails the existential threat of object loss. However, this has so far been avoided. The secret pleasure in an anal-narcissistic, sadomasochistic addiction to doubt persists in the partial denigration. The patient's artificially maintained self-doubt and doubt of the object reinforce a genuine confusion that consists in never knowing exactly what lies behind the helpful and needed object.     

Malchish‐Kibalchish: cultural factors in a clinical case

In this paper, a Jungian understanding of cultural factors influencing individual analysis is illustrated with the case of a patient suffering from panic attacks. The analysis revealed that, in addition to the patient's personal background, the collectivistic attitudes of the Soviet culture, which had a moulding effect on the patient in his childhood and obstructed his individuation, should be taken into account. The concepts of the totalitarian object and the Russian cultural complex encompassing a grandiosity pole and an inferiority pole are used to explore the patient's condition, and the crucial role of creating mutual language with the patient is outlined.     

Reverse-engineering ‘esotericism': how to prepare a complex cultural concept for the cognitive science of religion

The article introduces a framework for preparing complex cultural concepts for the cognitive science of religion (CSR) and applies it to the field of Western esotericism. The research process (‘reverse engineering') rests on a building block approach that, after problematic categories have been deconstructed, seeks to reconstruct new scholarly objects in generic terms that can be operationalized in interdisciplinary contexts like CSR. A four-step research process is delineated, illustrated by a short discussion of previous work on ‘Gnosticism,' ‘magic,' and ‘religion,' before applying it to ‘esotericism.' It is suggested that the implicit scholarly objects of esotericism scholarship can be reconstituted in generic terms as concerned with processes of creating and disseminating ‘special knowledge.' Five definitional clusters are identified in the literature; these provide a basis for formulating research programs on the psychological and cognitive level, drawing on metarepresentational processes, event cognition, and psychological dispositions for altering experience.