Male-male competition is involved in inter- and intrasexual selection, with both endocrine and psychological factors presumably contributing to reproductive success in human males. We examined relationships among men’s naturally occurring testosterone, their self-perceived mate value, self-esteem, sociosexuality, and expected likelihood of approaching attractive women versus situations leading to child involvement. We then monitored changes in these measures in male rowers from Cambridge, UK, following a manipulated “win” or “loss” as a result of an indoor rowing contest. Baseline results revealed (...) that men with heightened testosterone and SPMV values typically had greater inclinations toward engaging in casual sexual relationships and a higher likelihood of approaching attractive women in a hypothetical social situation. As anticipated, both testosterone and SPMV increased following a manipulated “victory” and were associated with heightened sociosexuality, and increased expectations toward approaching attractive women versus individuals who would involve them in interacting with children after the race. SPMV and self-esteem appeared to mediate some of the effects of testosterone on post-race values. These findings are considered in the broader context of individual trade-offs between mating and parental effort and a model of the concurrent and dynamic androgenic and psychological influences contributing to male reproductive effort and success. (shrink)

What is hope? A feeling? Something you do? A belief or a cluster of beliefs? A way of perceiving the world? Is hope the same as wishful thinking? Hope is complicated. Nevertheless, hope can make our lives better. In Understanding Hope, Philip Smith combines theology, psychology, philosophy, and his own experience of personal loss to help readers understand and practice hope. Understanding Hope is short, but it requires hard thinking. It's worth the effort.

History from Loss challenges the common thought that 'history is written by the winners' and explores how history makers in different times and places across the globe have written histories from loss, even when this has come at the threat to their own safety. A distinguished group of historians from around the globe offer an introduction to different history-makers' lives and ideas, and important extracts from their works which highlight various meanings of loss: from physical ailments to (...) social ostracism, exile to imprisonment, and from dispossession to potential execution. Throughout the volume consideration of the information 'bubbles' of different times and places helps to show how information has been weaponised to cause harm. In this way, the text helps to put current debates about the biases and weaponization of platforms such as social media into global and historical perspective. In combination, the chapters build a picture of history from loss which is global, sustained, and anything but a simple mirror of history made by victors. The volume also includes an Introduction and Afterword which draw out the key meanings of history from loss, and which offer ideas for further exploration. History from Loss provides an invaluable resource for students, teachers, and general readers who wish to put current debates on bias, the politicization of history, and threats to history makers into global and historical perspective. (shrink)

In the expanding field of the gig economy, the interactions between app-workers and customers have become focal areas of academic investigation. Drawing from the conservation of resources (COR) theory, we propose and test a moderated dual mediation model to examine the impact of customer injustice on app-workers’ work outcomes, including withdrawal behaviors and service performance. Employing a mixed-method approach comprising two multi-wave, multisource field studies and an online scenario experiment, our findings provide support for the following hypotheses: customer injustice fosters (...) withdrawal behaviors and undermines service performance by inducing app-workers to experience increased emotional exhaustion and reduced service-oriented self-efficacy. Nevertheless, the impacts of these associations are weakened when app-workers engage more frequently in online community support seeking behaviors. Theoretical implications and practical applications of our findings are discussed in the context of the burgeoning gig economy. (shrink)

From Odysseus' seduction by the song of the Sirens to Oscar Moore's 1991 novel A Matter of Life and Sex , whose protagonist courts death through sex and dies of AIDS, the frustrated relationship between death and desire has fixated the Western imagination. Philosophers have grappled with it and poets have told of its beauty and pain. In this strikingly original work, cultural critic Jonathan Dollimore once again demonstrates his remarkable ability to take on the complex and reveal its relevance (...) with eloquence and grace. Death, Desire and Loss in Western Culture is a rich testament to our ubiquitous preoccupation with the tangled web of death and desire. In these pages we find nuanced analysis that blends Plato with Shelley, Hölderlin with Foucault. Dollimore, a gifted thinker, is not content to summarize these texts from afar; instead, he weaves a thread through each to tell the magnificent story of the making of the modern individual. An immensely important book, Death, Desire and Loss in Western Culture is a challenge to the way we understand desire, sexuality, and the very notion of identity. (shrink)

When making decisions, people tend to overweigh the impact of losses compared to gains, a phenomenon known as loss aversion. A moderate amount of LA may be adaptive as it is necessary for protecting oneself from danger. However, excessive LA may leave people few opportunities and ultimately lead to suboptimal outcomes. Despite frequent reports of elevated LA in specific populations such as patients with depression, little is known about what psychological characteristics are associated with the tendency of LA. Based (...) on the neurobiological studies of LA, we hypothesized that positive psychological wellbeing may be negatively associated with people's tendency of LA. In the present study, we set out to test this hypothesis in a sample of young adults. We evaluated LA using a decision-making task in which subjects were asked to decide whether to accept or reject a series of coin-toss gambles. Our results revealed that individuals with more advanced personal growth as assessed by the Ryff's Psychological Well-being Inventory showed reduced LA. To our knowledge, this is the first report demonstrating an association between positive psychological wellbeing and LA. These findings suggest that personal growth might be employed as interventional targets for correcting excessive LA in vulnerable populations. (shrink)

Julian Wolfreys starts with loss. All memory is the memory of loss... All that we are, all we experience, all we remember, all that we forget but which leaves nevertheless a trace on us, in us, a trace that countersigns and writes us as who we are (in effect the constellated matrix of Being's becoming): this is a process of loss. This just is loss. Loss is who we are. Loss is authentically the necessary (...) and inescapable inessential essence of Being. Loss names the ghosts, the revenants of Being, Being's others. Neither there nor not there, loss persists as the always already becoming of the thinking of Being. There is more than one loss. There is no one loss. Loss never arrives for a first time. All loss is the return of what is lost to Being's being in the world. From that starting point, the author explores the nature of being and dwelling... of memory and the nature of the traces of the past... of apparition and appearance and perception... of touch and being touched... of the material and the (a)material. In a book that draws in multiple threads from 19th- and 20th-century European literature, he references extensively Heidegger, Derrida, Lacan, Cixous, Celan, Husserl, Woolf, Joyce, Hegel, Badiou, Rilke, Merleau-Ponty, Winterson, Stockhausen and True Detective in an impressive and eclectic tour of the being-becoming-loss.". (shrink)

Research on interpersonal trauma tends to focus on the effects of traumatic encounters on those one who directly undergo the experience. In this paper, I seek to understand the experiences of the friends and family of the one who has undergone trauma, a paradigmatic case being the relatives of veterans (O’Nell, 1999). I argue that one way we can understand the experiences of friends and relatives is through Pauline Boss’ concept of _ambiguous loss_ (Boss, 1986, 2007). The kind of ambiguous (...) loss relevant for our purposes is when a family member is physically present but psychologically absent, for example, in the case of a relative with advanced dementia. This is what I purport happens in some instances of traumatic experience. I argue that third-person traumatic encounter can be experienced as a loss due to the changes in the person who has undergone the traumatic encounter and that this, in turn, causes changes in the person experiencing the loss and their relationship with their traumatised family member. I argue that first-person traumatic encounter is a transformative experience (Paul, 2014), i.e., an experience which causes personal and epistemic changes in the subject undergoing it, and that third-person traumatic encounter can also be a transformative experience. (shrink)

The passing of Nelson Mandela and other figures of contemporary importance may prompt the interesting question of how we might or should understand the psychological, social and moral function of lamentation in human life. This paper aims to show that such responses are not just of emotional and interpersonal significance, but also of serious moral import. To this end, the paper proceeds via exploration of conceptually and morally suggestive correspondences or resonances between the logical grammar of lamentation—which, to be sure, (...) has received almost no latter day analytical attention—and that of gratitude or thankfulness in which there has been an enormous explosion of academic interest in recent years. The paper argues that there is no less case for a moral virtue of lamentation, than for a virtue of gratitude. (shrink)

Resource loss, coping, alcohol expectancies and drinking in students The aim of the study was to find relationships between resource loss treated as a stress indicator, coping, alcohol expectancies and drinking in college students. Results of a group of 125 first and second year students showed that there was a strong relationship between alcohol consumption and expectancies connected with alcohol. Some coping forms were also related to drinking but no relationship was found for resource loss.

The debate on abortion has tended to avoid the psychological significance of an unwanted pregnancy, dominated istead by the strong emotions the subject excites. Eva Pattis Zoja examines the thoughts that surround a woman's decision to end a pregnancy, and presents the challenging thesis that voluntary abortion can often be a violent and unconscious act of self-realisation. Treating a theme which is central to our existence, the author makes no attempt to argue for or against, or to deny the painful (...) nature of the subject which she tackles, but instead looks at the way in which a decision to abort can affect a woman's inner life. (shrink)

ObjectivesThis pilot study sought to develop and evaluate a novel online group-based intervention to help breast cancer survivors make healthy lifestyle changes intended to yield not only beneficial physical outcomes but also greater behavioral, and psychosocial well-being.MethodsAn exploratory single-arm, mixed-method triangulation design was employed to evaluate the feasibility and preliminary effectiveness of the HLM-ABC intervention for overweight BCSs. Fourteen women participated in the 10-week intervention and completed quantitative measures of the above-mentioned outcomes at baseline, post-treatment, 6-month, and 12-month follow-up time (...) points. Qualitative data were obtained post-treatment via semi-structured interviews and a treatment satisfaction questionnaire.ResultsParticipants lost an average of 2.83% of their baseline weight by 1-year follow-up, equal to a small effect size. Despite achieving only modest weight loss, participants achieved meaningful gains in the form of increased physical activity, discovery of gratifying movement, more intuitive eating habits, greater bodily and emotional awareness, and positive shifts in beliefs about being able to make healthy choices regarding food and physical activity. Furthermore, they demonstrated a slight improvement in body image and described feeling more self-compassionate, empowered, and acknowledging of variables beyond control that can present barriers to change.ConclusionAfter completing a 10-week online program, participants achieved meaningful and lasting changes on a number of healthful indicators, even when this did not correspond with a significant reduction in weight. Findings highlight the complex, multifaceted nature of “health” and lend support for promotion of healthier lifestyle following cancer treatment that encompasses not only physical weight, but also behavior, psychosocial well-being, and circumstances such as life-preserving hormonal treatments. (shrink)

Telepsychotherapy is an increasingly common way of conducting psychotherapy. Previous research has shown that patients usually have positive experiences of online therapy, however, with large individual differences. The aim of this study was to explore patients’ experiences of transition from in-person psychotherapy sessions to telepsychotherapy during the COVID-19 pandemic, as well as variation in the experiences with regard to the patients’ personality orientation. Seven psychotherapy patients in Sweden were interviewed and the transcripts were analyzed using thematic analysis. Additionally, the participants (...) were asked to rate their dissatisfaction/satisfaction with the transition, how hindering/helpful the transition was, and how unsafe/safe they felt after the transition in comparison to before. Personality orientation on relatedness or self-definition was assessed applying a self-assessment instrument. The participants experienced telepsychotherapy as qualitatively different from in-person psychotherapy. They reported several essential losses: the rituals surrounding therapy sessions were lost, including the transitional time and space between their every-day life and the therapy sessions, less therapeutic work was done, the therapists could lose their therapeutic stance, the sense of rapport was impaired, and the patients felt less open and emotionally available. On the other hand, some patients could feel freer online. As six of the participants had an anaclitic personality orientation, the present study could especially contribute to the understanding of how patients with strong affiliative needs and fear of abandonment experience the transition to meeting their therapists via communication technology. The participants’ self-ratings showed that they were only marginally dissatisfied with the transition and experienced the transition as slightly hindering, whereas they felt rather safe after the transition, indicating low concordance between qualitative and quantitative evaluations. New studies are needed to explore the introjective patients’ experiences of the transition. An essential topic is also to collect evidence and to test how the impaired sense of rapport when using communication technology can be remedied by adequate, patient-tailored interventions, a topic that has to be included in psychotherapy education and training. (shrink)

This article analyzes articles appearing in True Story from 1920 to 1985 that concern women's grief after pregnancy and child loss. They are discussed as a historical link between nineteenth-century consolation literature and current psychological and academic discussions of grief. True Story is a confession magazine marketed for working-class women, whose reproductive losses have generally been minimized or ignored by previous literary and current professional and journalistic treatments of maternal grief. Articles are examined within the constructs of confession literature (...) and within the larger context of women's popular literature. Like working-class women's experiences of reproductive loss, these areas have been largely overlooked, dismissed, or denigrated by literary scholars and sociologists. The moral tone of True Story gives women's first-person narratives about infant death and pregnancy an ambiguous prescriptive quality, in that both self-empowerment and self-blame are recommended. True Story reinforces traditional notions of motherhood and femininity, but subtly challenges patriarchal class relations in American society. (shrink)

Food safety and food quality are two closely related aspects of the food management system. The difference between the two is that one keeps consumers safe while the other keeps consumers satisfied. This study examined the differences in how consumers value food safety and food quality with a focus on the influence of loss aversion on one’s psychological level and of income effect on one’s socio-demographic level. Our findings indicate that loss aversion and income effect significantly influence the (...) way consumers value food safety vs. quality labels when considering potential health risks and food price. High risk-averse and low-income consumers with strong loss aversion and a weak income effect show a higher demand for food safety labels as a way to ensure easy access to safety indications. Low risk-averse and high-income consumers with weak loss aversion and a strong income effect show a higher demand for food quality labels because they hope to gain more health benefits from high-quality food at good prices. This study provides insights that will assist public authorities and food industry in balancing food safety control and food quality improvement in order to meet the heterogeneous market demand changing alongside the transition of China’s food consumption and production. (shrink)

A large part of our daily activities involves judging the psychological value of time. This study tested a previously less explored aspect about whether people are loss averse for time – i.e. do losses of time loom larger than corresponding gains? Using comparative hedonic judgments, the impact of prospective gains versus losses of time was examined for common contexts like waiting and local travel based on suggestions by typical navigation apps. The magnitude of time was varied without an explicit (...) reference point (experiment 1) and with a clear reference without any overt consequence (experiment 2). The contextual nature of outcome along with magnitude was also manipulated (experiment 3). Prospective gains loomed as larger or equal to losses for low magnitudes while there was a trend of losses to loom larger than gains only for high magnitudes of time. These results weaken the empirical evidence for loss aversion and highlight its magnitude-dependent nature thus presenting a nuanced perspective to the affective psychology of time. (shrink)

This paper examines Kahneman and Tversky’s standard explanation for preference reversal due to framing effects in the famous “Asian flu” case. It argues that, alongside with their “loss/no gain effect” account, an alternative interpretation, still consistent with the empirical data, amounts to a more reasonable psychological explanation for the preference reversal. Specifically, my hypothesis is that shifts in the baseline induce shifts in the agents’ classification of the same action as “doing harm” rather than “allowing harm to occur”, and (...) that people are risk-seeking when it comes to avoid causing extra deaths–doing harm–and risk-averse when it comes to preventing more deaths–by the means of allowing other deaths to occur as a side effect. I then survey the two most influential concurrent accounts in the moral literature, with respect to the relation between the loss/no gain and the doing/allowing distinction: Horowitz’s reductionist conclusion, which argues that the latter collapses into the former, and Kamm’s rebuttal, which claims instead that the two distinctions can be pulled apart. I eventually explain why my interpretation differs from both these positions. (shrink)

Originally published in 1950, the name of the late Dr H.G. Baynes was already well-known as a leading exponent of and translator of the writings of Professor C.G. Jung, as author and as psychotherapist. The essay which gives it title to this varied and interesting collection of writings, shows clearly Dr Baynes’s gift for illuminating a familiar subject with fresh insight drawn from his wide knowledge of the unconscious mind. He can make the unconscious real to us, and can convince (...) us that myth and dream are expressions of vital problems of the human soul. The collection includes material to interest many types of reader, from _The British Journal of Medical Psychology_, from _Folk-Lore_, from The Society for Psychical Research. But perhaps most full of interest for the majority of readers are the first three chapters of an unfinished book – _What It Is All About_; here we find an admirable introduction, given with a wealth of illustration, to the main concepts of Professor Jung’s analytical psychology. Dr Baynes made Professor Jung’s thought his own, without loss of his own originality. He can touch with significance any subject on which he writes, whether it be the problem of the individual or the kindred problems of humanity. (shrink)

In the early morning hours of August 4, 2013, Joy Pavelich's world was shattered when she found out that her twenty-year-old son Eric had taken his own life at the family farm in Saskatchewan. Struggling to make sense of Eric's sudden and unexpected suicide, Joy takes a deeply personal and difficult journey through his past--from his happy childhood, to his mental health struggles in his early teens, to his death and the resulting aftermath of his passing. CHASING MY SON ACROSS (...) HEAVEN demonstrates how to rebuild a life fractured by extreme trauma using storytelling as a powerful healing tool. The author tackles some of the most pressing issues facing society today: youth mental health, suicide and post-traumatic stress. Through her explorations, Joy reveals how we can all find the courage to rebuild our lives while continuing to honor the deep love for those we've lost."--Back cover. (shrink)

ObjectiveThis study aimed to analyze the hearing improvement and prognosis factors of idiopathic sudden sensorineural hearing loss in different ages with initial total hearing loss.MethodsWe reviewed the medical records of 5,711 hospitalized patients with ISSNHL from 2016 to 2021 in our center. All of the patients had been treated with uniform combination drug therapy. After excluding the patients with initial partial hearing loss and those diagnosed with clear etiology, 188 patients were enrolled in this study and divided (...) into six age groups. In all groups, decreases in pure-tone average 1 month posttreatment, effective rate, and clinical characteristics were analyzed.ResultsAmong the 188 enrolled patients, 86% had vertigo. Complete recovery was seen in 0.5% of patients, and marked recovery was seen in 43% of patients. The mean 1 month posttreatment PTAs were as follows: 18–30 years: 80 ± 7.5 dB; 31–40 years: 100 ± 9.0 dB; 41–50 years: 99 ± 8.3 dB; 51–60 years: 101 ± 8.6 dB; 61–70 years: 96 ± 9.6 dB; and ≥ 71 years: 88 ± 13.0 dB. Compared with the other groups, the 18–30- years group showed better recovery of hearing threshold in five frequencies, and the recovery of hearing threshold at 0.25 and 0.5 Hz was better than the recovery at 1, 2, and 4 kHz. According to the results of the chi-square test statistical analysis, vertigo and comorbidities were associated with a poor prognosis of ISSNHL.ConclusionIn summary, the treatment outcomes of patients with ISSNHL with initial total hearing loss were poor. There was a significant age-related difference with respect to marked recovery 1 month posttreatment, and the 18–30- years group showed better recovery than the other age groups. (shrink)

ObjectivesThis paper aims to identify potential areas for refinement in existing theoretical models of suicide, and introduce a new integrative theoretical framework for understanding suicide, that could inform such refinements.MethodsLiterature on existing theoretical models of suicide and how they contribute to understanding psychological processes involved in suicide was evaluated in a narrative review. This involved identifying psychological processes associated with suicide. Current understanding of these processes is discussed, and suggestions for integration of the existing literature are offered.ResultsExisting approaches to understanding (...) suicide have advanced the current knowledge of suicide in various ways. They have guided valuable research in the following areas: motivations for suicide and the psychological distress which influences suicide attempts; ambivalence about suicide; suicidal individuals’ focus of attention; and ways in which individuals who contemplate suicide differ from individuals who attempt suicide. We outline a new theoretical framework as a means to integrating all of these concepts into the three principles of control, conflict, and awareness. Within this framework, suicide is regarded as occurring due to a long standing conflict between an individual’s personal goals, culminating in an episode of acute loss of control. The new framework posits that the individual then strives to regain control through the means of suicide because of a narrowed awareness of consequences of their actions on other valued goals. This psychological mechanism of limited awareness is posited to be the common pathway by which individuals make a suicide attempt, regardless of which risk factors are present.ConclusionThis article introduces a theoretical framework that generates several hypotheses for future research, and focuses on psychological processes occurring during immediate crisis. One of the key hypotheses resulting from our predictions on how individuals progress from contemplating to attempting suicide will be tested in an ongoing program of research: Individuals who attempt suicide have a significantly reduced awareness of consequences of suicide, which would negatively impact on their important life goals, values, principles, or ideals, compared to individuals who contemplate suicide. Therapy guided by the new framework may be more flexible, immediate, and client-focused than other therapies for suicidal individuals. (shrink)

Introduction: Loss of employment is an experience that is lived and interpreted differently depending on a series of individual variables, including the psychological resources available to the affected person, as well as their perception of their degree of employability. Losing one’s job can be one of the most painful and traumatic events a person has to withstand. Following a dismissal, the worker needs to overcome a period of emotional adaptation to the loss. But that period of grieving can (...) also condition the process of job search of the person, and be influenced by different variables, highlighting the age and work experience. The objective of this study is to analyze the relationship between intensity and type of affliction due to the loss of employment in older workers and their level of employability. Method: We carried out a descriptive, analytical, cross-sectional study. The sample consisted of 140 unemployed participants, from 19 to 65 years of age, users of job Orientation in the Public Employment Service of Andalusia (España). Of the total participants, 66 were unemployed and over 45 years of age. They all took the Labour Insertion Potential Assessment Test, and the Texas Inventory revised adapted to job loss Results: Significant differences are shown in the grieving process due to loss of employment between both groups, with the older unemployed living the process more intensely. In relation to the employability potential, differences are found between both groups in terms of availability, perceived difficulties and fears. Interrelationships between total grieving intensity and the importance that older jobseekers give to work are also indicated. Conclusion:Loss of employment and the psychological and health consequences of this situation are identified with those that arise in the grieving process. Older workers present a series of features that determine that their job loss grieving process is more intense and lasts longer than that of other younger workers, regardless of whether the job loss was recent or not. On the other hand, it is shown that the intensity of grieving is related to the decrease of certain variables that are part of the concept of employability. (shrink)

Jakob von Uexküll’s umwelt theory opens new perspectives for understanding animal extinction. The umwelt is interpreted here as a sum of structural correspondences between an animal’s subjective experience, ecosystem, physiology, and behaviour. The global environmental crisis disturbs these meaning-connections. From the umwelt perspective, we may describe extinction as umwelt collapse: The disintegration of an animal’s umwelt resulting from the cumulative errors in semiotic processes that mediate an organism and ecosystem. The loss of umwelt-ecosystem integration disturbs “ecological memory,” which provides (...) the ecosystem with adaptive modelling and self-design capacities. Making a distinction between core and mediated umwelts, and describing different types of umwelt collapse, are suitable methods for more detailed analysis. The concept of umwelt collapse enables the reinterpretation of extinction, from an internal perspective, as a semiotic breakdown. Such an approach may help us map scenarios of animal extinction, and may lead to successful compensation strategies in adapting to environmental change. (shrink)

This paper offers a novel account of practical factor effects on knowledge attributions that is consistent with the denial of contextualism, relativism and pragmatic encroachemt. The account goes as follows. Knowledge depends on factors like safety, reliability or probability. In many cases, it is uncertain just how safe, how reliably formed or how probable the target proposition is. This means that we have to estimate these quantities in order to form knowledge judgements. Such estimates of uncertain quantities are independently known (...) to be affected by pragmatic factors. When overestimation is costlier than underestimation, for instance, we tend to underestimate the relevant quantity to avoid greater losses. On the suggested account, high stakes and other pragmatic factors induce such “asymmetric loss functions” on quantities like safety, reliability and probability. This skews our estimates of these quantities and thereby our judgements about knowledge. The resulting theory is an error-theory, but one that rationlizes the error in question. (shrink)

In this paper I offer some existential-phenomenological reflections on the interrelationships among the forms of love, loss, and human finitude. I claim that authentic Being-toward-death entails owning up not only to one’s own finitude, but also to the finitude of all those we love. Hence, authentic Being-toward-death always includes Being-toward-loss as a central constituent. Just as, existentially, we are “always dying already,” so too are we always already grieving. Death and loss are existentially equiprimordial. I extend these (...) claims to a discussion of the four forms of love identified by the ancient Greeks, contending that the nature of a loss experience will depend complexly on the forms or dimensions of love that had constituted the lost relationship. I argue that authentic solicitude can be shown to entail one of the constitutive dimensions of deep human bonding, in which we value the alterity of the other as it is manifested in his or her own distinctive affectivity, in particular, in those painful emotional states disclosive of authentic existing. Lastly, I explore the ethical implications of these claims. (shrink)

Behavioral weight loss interventions that promote healthy eating as a way to achieve and maintain healthy weights do not work for most people. Most participants encounter significant challenges to behavior change and do not lose weight or maintain meaningful weight loss. For some, there may be negative consequences of participating in a BWLI, including social, psychological and economic costs. The literature is largely silent on these negative unintended consequences, but they are important for both practical and ethical reasons. (...) If efforts to eat healthier have too many negative consequences for individuals and groups, then these efforts are unlikely to be effective, and promoting them may not always be ethical; this would boost the case for moving away from individual-focused efforts as part of healthy eating efforts. Alternatively, if we can make BWLI interventions more effective and more ethical by mitigating these unintended consequences, then it may be too soon to give up on individual-focused efforts. We make a case for systematic assessment and reporting of the unintended consequences of BWLI. This could contribute to more effective and ethical BWLI and inform obesity interventions and policies more broadly. (shrink)

This paper examines a largely unrecognized mental disorder that is essentially a disability of values. It is their daily contact with this pathology that leads many university liberal arts faculty to demoralization. The deeply rooted disparity between the world of the traditional liberal arts scholar and today’s college students is not simply a gulf across which communication is difficult, but rather involves a pathological impairment in the majority of students that stems from an exclusionary focus on work, money, and the (...) acquisition of things. It is argued that this state of mind constitutes a self-disabling mental illness, which for a society becomes pathological ideology, and for the individual takes the form of clinical narcissism. (shrink)

Objective: Losing the only child is considered as the most severe kind of bereavement. It can trigger intense grief symptoms along with loss of psychosocial resources, but meanwhile, it can also lead to posttraumatic growth (PTG). The current study aimed to examine (a) whether a curvilinear relationship exists between grief and PTG, and (b) the moderating role of resources-loss among Chinese bereaved parents who lost their only child (shidu parents). Methods: 199 shidu parents from five provinces completed the (...) assessment packet covering prolonged grief symptoms and PTG, as well as resource loss. Hierarchical regression analyses were computed to examine the curvilinear relationship and the moderating effect of interpersonal loss and socio-economic loss. Results: There was no significant curvilinear relationship between grief and PTG in shidu parents. Under the high levels of interpersonal loss, shidu parents’ PTG scores decreased as the severity of grief increased. However, the socio-economic loss did not show a significant moderating effect. Conclusion: The results of the current study did not show a significant curvilinear relationship between grief and PTG in shidu parents. High levels of grief coupled with high levels of interpersonal loss may interfere with their ability to achieve PTG. Therefore, evaluating degrees of interpersonal loss seems to be an important part of the treatment process when working with shidu parents. To facilitate their adaptation from a positive perspective, helping them maintain existing or develop new interpersonal relationships may be helpful. (shrink)

This article presents an existential framework for understanding loss and grief. Since not all experiences of loss lead to grief, I begin by exploring what constitutes grievable losses. The dominant approach in grief research has been to understand grief in terms of bereavement. In light of emerging discourses on living and non-death losses, this approach no longer seems tenable, and the contemporary debate requires an account of grievability that extends beyond bereavement. In response to this challenge, I propose (...) a two-part existential framework. The first part introduces mourning as a ground attunement, suggesting that our finitude is the basis for generalized experiences of loss. The second part posits that specific grievable losses reflect a loss of identity. To explain this, I introduce the concept of existential identity and four associated axes susceptible to loss. Lastly, I demonstrate how this framework can be used to analyze loss as complex existential experiences. (shrink)

Natural disasters, technological disasters, and terrorist attacks have an extensive aftermath, often involving society’s institutions such as the legal system and the police. Victims’ perceptions of institutional trustworthiness may impact their potential for healing. This cross-sectional study investigates institutional trust, health, and social support in victims of a disaster that occurred in 1990. We conducted face-to-face interviews with 184 survivors and bereaved, with a 60% response rate 26 years after the disaster. Levels of trust in the police and in the (...) justice system were compared with general population data. We assessed the relationships between institutional trust and current psychological distress, social support, and quality of life. The levels of trust in the police and in the justice system were notably lower in survivors and bereaved than in the general population. Among the victims, low institutional trust was associated with more mental health problems, poorer social support, more barriers to seeking social support, and a lower quality of life. Lost trust in the aftermath of a disaster may perhaps never be restored and the lack of trust may act to strengthen or maintain health problems. An exclusively individualistic approach to trauma and disaster may miss out on the opportunities for promoting health and wellbeing that lies within the larger societal structures. Decision-makers should take this information into account, and acknowledge the potential long-term consequences of institutional performance in the aftermath of a disaster. (shrink)

ObjectivesMany older adults with visual impairment also have significant hearing loss. The aim was to investigate the effectiveness of a newly developed Dual Sensory Loss protocol on communication and wellbeing of older persons with DSL and their communication partners in the Netherlands and Belgium.MethodsParticipants and their communication partners were randomized in the “DSL-protocol” intervention group or a waiting-list control group. The intervention took 3 to 5 weeks. Occupational therapists focused on optimal use of hearing aids, home-environment modifications and (...) effective communication strategies. The primary outcome was the Communication Strategies domain of the Communication Profile for the Hearing Impaired. Secondary outcomes measured in participants were the Low Vision Quality Of Life Adjustment subscale, the Center for Epidemiological Studies - Depression Scale, De Jong Gierveld Loneliness Scale and the Fatigue Assessment Scale. The Hearing Handicap and Disability Inventory - Reaction of Others subscale and the Care-related Quality of Life - 7 Dimensions was measured in communication partners. Measurements were taken at baseline and 3-month follow-up. Linear mixed models were used to analyze effects between groups over time for every outcome measure.ResultsIntention-to-treat analyses showed a significant effect of the DSL-protocol on the use of verbal strategies in favor of the control group, however, this effect was non-significant after adjustment for confounding. Effect sizes of other outcomes varied between −0.23 [−0.57, 0.12] and 0.30 [−0.05, 0.64]. The LMM showed a significant effect on the HHDI-Reaction of others scale in favor of communication partners in the treatment group, however, the effect did not remain significant at a 0.01 significance level and the effect size was very small and non-significant 0.12, 95% CI [−0.27 to 0.51]. Adjusted analyses did not reveal treatment effects.ConclusionThe DSL-protocol did not clearly contribute to the enhancement of communication and wellbeing in DSL-patients. Possible reasons for the lack of effects are OTs not being comfortable giving advice on communication and psychosocial issues or the short-term treatment and follow-up period. Further study is warranted to find out how the protocol may be adapted or whether it is necessary to involve mental healthcare professionals.Clinical Trial Registrationwww.ClinicalTrials.gov, identifier NTR2843. (shrink)

It has often been noted that evil – by which I mean evil in human motivation and action – is difficult to understand. We find it hard to make sense of what ‘drives’ a person to commit evil. This is not because we cannot recognise or identify with some aspect of the psychology of evil; we all experience feelings of envy, spite, cruelty, and hatred. But somehow this shared experience can seem insufficient, and we are left at a (...) class='Hi'>loss as to how such natural, universal human motivations could have resulted in this. The aims of this paper are modest, to do no more than point in a particular direction our attempts to understand the psychology of evil. §2 is a synoptic overview of what I shall call the ‘traditional’ picture of the psychology of evil. In §3, I argue that this picture is explanatorily inadequate. §§4-6 develop the traditional picture by suggesting some resources drawn from psychoanalytic theory that can meet the explanatory challenge. My argument here is schematic, seeking only to motivate a research project. It would take a much longer exploration of these resources, providing far more psychological detail, to work out what can rightfully be called an account of the psychology of evil. §7 situates the psychology of evil in relation to ‘normal’ psychology by noting the positive functions of mental processes involved in the psychology of evil. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Commentary on “Psychological Courage”Andrew Moore (bio)Putman’s abstract tells us that “philosophy has never addressed the type of courage involved in facing the fears generated by our habits and emotions.” Later he says “almost never.” I think either claim overstates the case. True, Aristotle’s main concern is with courage as a martial virtue, and his central case is the soldier at war. Most translations of Nicomachean Ethics thus talk of (...) “bravery,” rather than “courage.” Aristotle also says, however, that “certainly the brave person is also intrepid... in sickness” (1115b1–2). In sickness, we often face pain and suffering, fear of further sickness, and death. Aristotle takes these to be central concerns: “Then what sorts of frightening conditions concern the brave person? Surely the most frightening; for no one stands firmer against terrifying conditions. Now death is most frightening of all....” (1115a25–26). We may conclude that in Aristotle at least, some attention is paid to psychological bravery or courage. Even if Aristotle had paid no attention to psychological courage, it is still an open question whether his general account of bravery or courage in Book 3, chapters 6–9 of Nicomachean Ethics could be applied also to Putman’s psychological cases, in which the source of fear and object of courage are internal to the agent’s psychology. Even if not, the Aristotelian might still try, as Putman himself notes, to absorb psychological courage into the virtue of “temperance.” I shall not pursue any of these possibilities further here.I turn now to Putman’s general account of courage, and to the way he distinguishes its psychological from its other varieties. His view is that types of courage are to be distinguished from one another in terms of the fear to be faced, and the goal to be attained. Physical courage responds to a fear of death or physical harm. Moral courage responds to a fear of loss of ethical integrity or authenticity. Psychological courage addresses fear of psychic instability or loss of self. It involves us in facing our irrational fears and anxieties, ranging from bad habits and compulsions to phobias. Different kinds of psychological courage then arise from the different sources of the fear of psychic instability. Quick generalizations about the goal to be obtained from various kinds of courage are harder to come by, but in one way or another, they all concern facing up to or confronting fear.A problem for Putman’s general theoretical framework is that fear seems in fact to be inessential to courage. Socrates was a paradigm case of the morally courageous person, as Putman notes, and yet (as Putman also notes) this consisted at least in part in his fearless defense of his moral convictions, even in the face of death. Plato’s Socrates did not face fear.If he had, he would not have had Socratic virtue. We must conclude either that he lacked [End Page 13] courage, or that fear is not necessary to courage. I favor the latter view.If courage is not necessarily a matter of facing fear, then what is it? I suggest that is a matter of facing personal risk or threat. Usually, of course, we respond fearfully to personal threat or risk. But that is not always or essentially so. Socrates and others can still be courageous, even if they face their personal risk or threat without fear. A risk-based conception of courage can also distinguish physical, moral, and psychological courage from one another, in terms of the source of the risk to which they respond. For example, psychological courage is at issue wherever a person is facing up to personal risks generated by her or his own habits, dispositions, commitments, and so on. Note too that fears are not the only elements of one’s own psychology that might generate personal risk. My innocent kindness, for example, might be an ingrained disposition which puts me at risk of cruel exploitation. Facing up to this trait of mine seems to me to be an instance of courage, just as is facing up to my debilitating fears. I probably do not fear my own innocent kindness, though if I strongly identify... (shrink)