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Remembering the life and dying days of a deceased close other: Memory recall and associations with loss context. 回忆已故亲人的生前和临终时刻:记忆回忆和与失去背景的关联。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-21 DOI: 10.1080/07481187.2024.2414257
Tabea Wolf, Emily L Mroz, Wendy G Lichtenthal

Grievers recall memories from both the life of the deceased and the dying days, but differences in recall across these memory types are not well-characterized. In this study, 100 bereaved German adults described up to ten important memories of a deceased close other (M = 7.86). Memories from the dying days were classified into: final memories, health transition events, last time events, and temporal markers. Among those who provided at least one dying days memory (73%), these memories were reported to be recalled privately and shared socially more often than memories from the deceased's life. Memories from the dying days were rated as less emotionally positive than those from the life, and contextual factors from the loss shaped memory recall frequency and emotional valence. Results underscore the need for appropriate end-of-life care to lay a foundation for adaptive remembering and suggest the relevance of dying days memories in therapeutic settings.

哀伤者会回忆起逝者生前和临终前的记忆,但这些记忆类型在回忆中的差异还没有得到很好的描述。在这项研究中,100 名有丧亲之痛的德国成年人描述了多达 10 个关于已故亲友的重要记忆(M = 7.86)。临终时的记忆分为:最后的记忆、健康过渡事件、最后的时间事件和时间标记。在至少提供了一次临终回忆的受访者(73%)中,据报告,与逝者生前的回忆相比,这些回忆更常被私下回忆和社交分享。与生前的记忆相比,临终时的记忆在情感上的积极评价较低,而失去亲人的背景因素影响了记忆的回忆频率和情感价值。研究结果表明,有必要提供适当的临终关怀,为适应性记忆奠定基础,同时也表明临终时的记忆在治疗过程中具有重要意义。
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引用次数: 0
Thoughts and emotions evoked by thinking about own death: American versus Japanese undergraduates. 思考自己的死亡所引发的想法和情绪:美国大学生与日本大学生
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-21 DOI: 10.1080/07481187.2024.2414934
Kanako Taku, Whitney Dominick, Seokjun Jeong, Raejung Lee, Jinho Kim

The prompts "What emotions does the thought of your own death arouse in you?" and "What will happen to you when your body dies?" have been used to induce anxiety in Terror Management Theory. The current study investigated how the responses to these prompts may reveal cross-national differences by using a text-mining approach. Undergraduates in the US (n = 298) and Japan (n = 212) participated in the study. Across both groups, anxiety was the most common emotion. Cross-national differences also emerged, such that students in the US were more likely to mention sadness, funeral, and religiosity for the first prompt, and acceptance, spiritual change, and religiosity for the second prompt. Students in Japan were more likely to mention regret for the first, and sadness, emptiness, and funeral for the second prompt. Results revealed differences and similarities in thoughts and emotions people associate with when thinking about own death.

恐怖管理理论》中的提示语 "一想到自己的死亡,你会产生什么情绪?"和 "当你的身体死亡时,你会发生什么?"被用来诱发焦虑。本研究采用文本挖掘法研究了对这些提示的回答如何揭示跨国差异。美国(n = 298)和日本(n = 212)的大学生参与了研究。在这两个群体中,焦虑是最常见的情绪。跨国差异也显现出来,例如美国学生更有可能在第一条提示中提到悲伤、葬礼和宗教信仰,而在第二条提示中提到接受、精神变化和宗教信仰。日本学生更有可能在第一条提示中提到遗憾,在第二条提示中提到悲伤、空虚和葬礼。结果显示了人们在思考自己的死亡时所联想到的想法和情绪的异同。
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引用次数: 0
Accessing an assisted death from the UK: Navigating the legal 'grey' area. 从英国获得辅助死亡:驾驭法律 "灰色 "地带。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-18 DOI: 10.1080/07481187.2024.2414264
Megan Knights, Harry Dean, Marianne K Dees, Jennifer Heath

Assisted dying is available in many countries globally but remains illegal in the UK, where there are ongoing debates about its legal status. Britons seeking an assisted death must travel to Switzerland. This article explores the experiences of UK-based individuals considering an assisted death and family members of those who have completed an assisted death. We recruited 11 participants across two qualitative studies, analyzing data using Interpretative Phenomenological Analysis. These results indicated four themes: the "burden" of illness; the value of autonomy and control over death; the difficulties of talking about assisted dying; and the barriers associated with pursuing an assisted death. The findings suggest there are individuals in the UK who will seek an assisted death, despite its illegality. Those involved in these journeys are not currently able to access support and more needs to be done to ensure their needs are met.

协助死亡在全球许多国家都可使用,但在英国仍属非法,关于其法律地位的争论也一直没有停止过。寻求协助死亡的英国人必须前往瑞士。本文探讨了在英国考虑接受协助死亡的个人和已完成协助死亡者的家庭成员的经历。我们在两项定性研究中招募了 11 名参与者,使用解释性现象学分析法对数据进行分析。这些结果表明了四个主题:疾病的 "负担";自主权和对死亡控制的价值;谈论协助死亡的困难;以及与寻求协助死亡相关的障碍。研究结果表明,尽管协助死亡是非法的,但英国仍有一些人会寻求协助死亡。参与这些旅程的人目前无法获得支持,需要做更多工作来确保他们的需求得到满足。
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引用次数: 0
Evaluation of the death anxiety beliefs and behaviors scale in Iranian adolescents. 对伊朗青少年死亡焦虑信念和行为量表的评估。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-16 DOI: 10.1080/07481187.2024.2414935
Mahdi Mazidi, Majid Zarei, Ziba Ahmadi Bouyaghchi, Seyran Ranjbar, Rachel E Menzies

Numerous tools assess death anxiety, but many have questionable psychometric properties. The Death Anxiety Beliefs and Behaviors Scale (DABBS) addresses these shortcomings, assessing death-related maladaptive affect, beliefs, and behaviors that could be foundational to fears associated with death. We translated the DABBS into Persian and examined its psychometric properties among Iranian adolescents (n = 598, Mage = 14.80, range = 12-18 years old). Confirmatory factor analyses supported the intended three-factor structure that comprises death-related affect, beliefs, and behaviors. Furthermore, the DABBS demonstrated good internal consistency, as well as expected associations with other measures of death anxiety and psychopathology measures, except that the Behaviors subscale unexpectedly did not relate to theoretically relevant constructs. Our findings indicate that the DABBS affect and belief subscales have strong psychometric properties among Iranian adolescents. However, further research is needed to elucidate whether the overall DABBS score demonstrates improved validity when used with other populations.

有许多工具可以评估死亡焦虑,但其中许多工具的心理测量特性值得怀疑。死亡焦虑信念和行为量表(DABBS)弥补了这些缺陷,它评估的是与死亡相关的不良情绪、信念和行为,这些可能是与死亡相关的恐惧的基础。我们将 DABBS 翻译成了波斯语,并在伊朗青少年(n = 598,Mage = 14.80,年龄范围 = 12-18 岁)中检验了其心理测量特性。确认性因素分析支持预期的三因素结构,即与死亡有关的情感、信念和行为。此外,DABBS 还显示出良好的内部一致性,以及与其他死亡焦虑测量和精神病理学测量的预期关联,但行为分量表意外地与理论相关的建构无关。我们的研究结果表明,DABBS 的情感和信念分量表在伊朗青少年中具有很强的心理测量特性。然而,DABBS 的总分在用于其他人群时是否显示出更好的有效性,还需要进一步的研究来阐明。
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引用次数: 0
Embodied memories - exploring memorial tattoos through the lens of terror management theory. 具身记忆--从恐怖管理理论的角度探讨纪念性纹身。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-15 DOI: 10.1080/07481187.2024.2414275
Ayelet Oreg, Hilit Erel-Brodsky, Orit Taubman-Ben-Ari

Objectives: To delve into the phenomenon of memorial tattoos in Israel following the October 7, 2023, massacre, and the ensuing Iron Swords War utilizing Terror Management Theory.

Methodology: A qualitative approach employing digital ethnography and visual content analysis was adopted to scrutinize 250 war tattoo images sourced from Israeli tattoo artists' Instagram pages and Facebook groups. Data collection spanned the initial four months of the war, from October 2023 to January 2024.

Findings and conclusions: The analysis highlights existential anxieties stemming from the massacre and ongoing conflict, which are both reflected and addressed through the tattoos' content and meaning. Memorial tattoos serve as responses to mortality salience, depicting themes that adhere to the three anxiety-buffer mechanisms proposed by the theory: reinforcement of collective worldviews; enhancement of self-esteem; and seeking continued attachment relationships. Through these mechanisms, tattoo recipients invest efforts in giving meaning to the inconceivable events and their ongoing grief.

目标:利用恐怖管理理论,深入研究 2023 年 10 月 7 日大屠杀和随后的铁剑战争之后以色列的纪念性纹身现象:采用数字人种学和视觉内容分析的定性方法,仔细研究了来自以色列纹身艺术家 Instagram 页面和 Facebook 群组的 250 张战争纹身图片。数据收集的时间跨度从 2023 年 10 月到 2024 年 1 月战争爆发的最初四个月:分析强调了大屠杀和持续冲突带来的生存焦虑,这些焦虑通过纹身的内容和意义得到了反映和解决。纪念性纹身是对死亡突出性的回应,其主题符合该理论提出的三种焦虑缓冲机制:强化集体世界观;增强自尊;寻求持续的依恋关系。通过这些机制,纹身接受者努力为难以想象的事件和持续的悲伤赋予意义。
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引用次数: 0
The current rituality of catholic death in Catalonia, a world of meanings. 加泰罗尼亚天主教目前的死亡仪式,一个充满意义的世界。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-12 DOI: 10.1080/07481187.2024.2414265
Virginia Fons

This article sheds light on the current Catholic experience of mourning and death in Catalonia by means of theoretical-interpretative contributions from the field of rituality and the sensitive dimension. It focuses on a method of analysis that emphasizes the deep meanings and sensory dimension of the logic of the death ritual itself. Using multiple narratives and autoethnography, it describes the sequence of actions and sensations related to the drama experienced and channels the pain that is progressively expressed in the different phases of the ritual. The effectiveness of the ritual lies in the experience of non-presence, remoteness or emptiness. Even though the perspectives of the participants are different and there are a variety of family situations, the symbolic and sensitive dimension of the ritual works for everyone by sequencing their actions and experiences throughout the process.

这篇文章通过对仪式性和敏感性领域的理论阐释,揭示了加泰罗尼亚天主教徒当前的哀悼和死亡经历。文章侧重于一种分析方法,强调死亡仪式逻辑本身的深层含义和感官维度。它采用多重叙事和自我民族志的方法,描述了与所经历的戏剧相关的一系列行动和感觉,并对仪式不同阶段逐渐表现出的痛苦进行了引导。仪式的有效性在于非在场、遥远或空虚的体验。尽管参与者的视角不同,家庭情况各异,但仪式的象征性和敏感性通过对整个过程中的行动和体验进行排序,对每个人都有效。
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引用次数: 0
Is there a right time to die? How patients, families and assisted dying providers decide on and anticipate a date with death. 有正确的死亡时间吗?病人、家属和协助死亡服务提供者如何决定和预期死亡日期。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-12 DOI: 10.1080/07481187.2024.2414277
Jessica E Young, Antonia C Lyons, Kevin Dew, Richard Egan

Research has explored why people seek assisted dying (AD), families' bereavement, and AD providers' experiences, yet few studies have investigated decision-making of the time and date for AD. This article elucidates how cancer patients, families and AD providers decide on and experience living with a date and time for AD in New Zealand. We longitudinally interviewed 23 people. Using thematic analysis, we identified four decision-making phases: deciding how and when to draw a line in the sand, the final countdown, a date with death and the right time. Picking a date was an embodied, relational, situational decision that balanced time left, families' wishes, providers' needs, and AD regulations. Time is a silent factor in AD decision-making; choosing a date reorients time to clock, event and embodied time, and contrives the right time for death. We discuss the implications and recommend how AD providers and policymakers can support service users and providers.

研究探讨了人们寻求辅助死亡(AD)的原因、家属的丧亲之痛以及辅助死亡提供者的经历,但很少有研究调查辅助死亡的时间和日期决策。本文阐释了在新西兰,癌症患者、家属和辅助死亡提供者是如何决定辅助死亡的日期和时间并体验其生活的。我们对 23 人进行了纵向访谈。通过主题分析,我们确定了四个决策阶段:决定如何以及何时在沙地上划出一条线、最后的倒计时、与死亡约会以及合适的时间。选择一个日期是一个体现性的、关系性的、情境性的决策,需要在剩余时间、家属意愿、服务提供者需求和 AD 法规之间取得平衡。时间是急性衰竭决策中一个无声的因素;选择日期将时间重新调整为时钟、事件和体现时间,并为死亡创造合适的时间。我们将讨论其中的含义,并建议助老服务提供者和政策制定者如何为服务使用者和提供者提供支持。
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引用次数: 0
Supporting bereaved students: Qualitative insights from Danish college student counselors. 支持失去亲人的学生:丹麦大学生辅导员的定性见解。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-12 DOI: 10.1080/07481187.2024.2414288
Martin Lytje, Johanne Mansdotter, Atle Dyregrov

This article investigates bereavement support among Danish college students, focusing on the role of student counselors across seven colleges. Twenty-one counselors participated in semi-structured interviews, revealing challenges in identifying and supporting bereaved students while juggling academic priorities. They acknowledge their focus on academics, while often feeling they lack adequate training for broader emotional support. Key themes include counselor roles, identifying bereaved students, and balancing academic and emotional needs. Recommendations highlight the necessity of tailored counselor roles, specialized training in bereavement and communication, and establishing clear support structures. These findings underline a critical gap in college bereavement support and advocate for practical improvements. Enhancing counselor education and support structures could better address the needs of bereaved students, reflecting broader challenges faced by counselors and the importance of continuous education in effectively supporting them.

本文调查了丹麦大学生的丧亲支持情况,重点关注七所高校学生辅导员的作用。21 名辅导员参加了半结构式访谈,他们揭示了在兼顾学业优先事项的同时识别和支持丧亲学生所面临的挑战。他们承认自己以学业为重,但往往感到缺乏足够的培训来提供更广泛的情感支持。关键主题包括辅导员的角色、识别丧亲学生以及平衡学业和情感需求。建议强调了辅导员角色定制、丧亲之痛和沟通方面的专门培训以及建立明确的支持结构的必要性。这些发现强调了大学丧亲支持中存在的一个关键缺口,并提倡切实改进。加强辅导员教育和支持结构可以更好地满足丧亲学生的需求,反映出辅导员面临的更广泛挑战以及持续教育对有效支持他们的重要性。
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引用次数: 0
Veteran suicide thoughts and attempts during the transition from military service to civilian life: Qualitative insights. 退伍军人在从军队向平民生活过渡期间的自杀念头和企图:定性见解。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-11 DOI: 10.1080/07481187.2024.2414283
Emily R Edwards, Natesha Smith-Isabell, Gabriella Epshteyn, Ashley L Greene, Daniel Gorman, Deidra Hubay, Robert Losieniecki, Cathleen Appelt, Terra Osterberg, Melvin Walker, Joseph Geraci, Marianne Goodman

A rapidly growing literature highlights a critical need for targeted suicide prevention and risk mitigation strategies for veterans navigating the military-to-civilian transition. Although various risk correlates of suicidal thoughts and behavior among transitioning veterans have been identified, how and why these correlates occur and interact to affect suicidality remains unclear. Guided by the 3 Step Theory of Suicide, 10 recently discharged United States military veterans with a history of post-discharge suicide thoughts, urges, or behaviors completed interviews on the military-to-civilian transition and suicidal thoughts and behaviors occurring during this time. Thematic analysis highlighted an overarching theme of transition whiplash comprising four subthemes: unpreparedness, economic vulnerability, identity disruption, and social alienation. Veterans' recommendations for improving suicide-prevention efforts included providing a primary contact to provide personalized support and guidance throughout transition and increasing accessibility of peer support. Results provide nuanced insight into experiences that may underlie suicide risk during the military-to-civilian transition.

快速增长的文献突显出,从军队向平民过渡的退伍军人亟需有针对性的自杀预防和风险缓解策略。虽然已经发现了转业退伍军人自杀想法和行为的各种风险相关因素,但这些相关因素是如何发生以及为何相互作用影响自杀倾向的,目前仍不清楚。在 "自杀三步理论"(3 Step Theory of Suicide)的指导下,10 名最近退伍并在退伍后有过自杀念头、冲动或行为的美国退伍军人完成了关于军转民以及在此期间出现的自杀念头和行为的访谈。主题分析突出了 "过渡鞭打 "这一总主题,其中包括四个次主题:毫无准备、经济脆弱性、身份混乱和社会疏离。退伍军人对改进自杀预防工作的建议包括:在整个过渡时期提供一个主要联系人,以提供个性化的支持和指导,并增加同伴支持的可及性。研究结果提供了对军转民期间自杀风险的细微洞察。
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引用次数: 0
Attitudes of French laypeople toward children's medically-assisted dying. 法国非专业人士对儿童医学协助死亡的态度。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-11 DOI: 10.1080/07481187.2024.2414933
Myriam Guedj, Orane Melet

The issue of medically-assisted dying in pediatric care, including euthanasia and deep sedation, is ethically complex. Despite its relevance, no research has applied Information Integration Theory to evaluate the acceptability of these practices in pediatric care, which is what we did in the present study. A sample of 166 French laypeople read 54 scenarios involving end-of-life situations involving children and assessed the acceptability of a physician's decision in each one. Scenarios included four factors: child's discernment capacity, child's request to die, parental consent, and physician's action. Parental consent and the child's request were the most influential factors in respondents' judgments, followed by the child's discernment and physician's action. Cluster analysis revealed four groups: "Situation-dependent," "Always acceptable," "Not acceptable except in rare circumstances," and "Parental consent." Most people were sensitive to situational factors influencing the acceptability of children's medically assisted dying.

儿科医疗中的医学协助死亡(包括安乐死和深度镇静)问题在伦理上十分复杂。尽管与此相关,但目前还没有研究应用信息整合理论来评估儿科护理中这些做法的可接受性,而我们在本研究中就是这样做的。166 名法国非专业人士抽样阅读了 54 个涉及儿童生命末期的情景,并对每个情景中医生决定的可接受性进行了评估。情景包括四个因素:儿童的辨别能力、儿童的死亡请求、父母的同意和医生的行动。在受访者的判断中,父母的同意和儿童的请求是影响最大的因素,其次是儿童的辨别能力和医生的行为。聚类分析显示出四个组别:"依情况而定"、"总是可以接受"、"除极少数情况外不可接受 "和 "父母同意"。大多数人对影响儿童医学协助死亡可接受性的情境因素很敏感。
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引用次数: 0
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Death Studies
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