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The stuff that nightmares are made of: Israeli dreams in times of the Israel-Hamas war. 噩梦的材料:以色列-哈马斯战争时期以色列人的梦想。
IF 3.8 4区 医学 Q1 Arts and Humanities Pub Date : 2024-05-06 DOI: 10.1080/07481187.2024.2348054
Shani Pitcho

This qualitative study explored the mortality salience effect as it manifested in the dreams of Israelis in the aftermath of the Hamas terror attack on October 7, 2023, and during the ensuing war. Over a two-month period, a sample of 242 dreams was collected via an online survey. Two forms of thematic analysis, namely, inductive and deductive, were utilized. Viewed through the theoretical lens of terror management theory, the findings suggest that exposure to the attack's horrors and the resulting strong mortality salience were reflected in the participants' dream contents. This indicates that the anxiety-buffering roles of the three psychological coping mechanisms-cultural worldviews, self-esteem, and close personal relationships-have been compromised. The examination of collective dream content offers a glimpse into subtle human psychic processes and how they might be affected during times of national trauma that necessitate robust psychological mechanisms to cope with the heightened mortality salience.

本定性研究探讨了在 2023 年 10 月 7 日哈马斯恐怖袭击之后以及随后的战争期间,以色列人在梦中表现出的死亡突出效应。在两个月的时间里,我们通过在线调查收集了 242 个梦境样本。采用了两种形式的主题分析,即归纳式和演绎式。从恐怖管理理论的视角来看,研究结果表明,参与者的梦境内容反映了他们所经历的恐怖袭击以及由此产生的强烈的死亡突出感。这表明,三种心理应对机制--文化世界观、自尊和亲密的人际关系--的焦虑缓冲作用受到了损害。通过对集体梦境内容的研究,我们可以窥见人类微妙的心理过程,以及在国家遭受重创时,这些过程可能会受到怎样的影响,从而需要强有力的心理机制来应对死亡的显著性。
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引用次数: 0
Parent-child triangles and family loyalties as psychological arenas of grief manifestation among adults who lost a parent at a young age. 亲子三角关系和家庭忠诚是幼年丧父丧母的成年人悲伤的心理表现形式。
IF 3.8 4区 医学 Q1 Arts and Humanities Pub Date : 2024-05-06 DOI: 10.1080/07481187.2024.2349185
Shai Shorer, Michal Mahat-Shamir

The current qualitative interpretative phenomenological study explored the intricate experiences of Israeli adults who lost a parent during childhood and subsequently navigated the challenges of adapting to a stepfamily dynamic. Through semistructured interviews, nine participants revealed three key themes: "Unbreakable Bonds: Loyalty to the Deceased Parent," illustrating efforts to preserve the original family structure amid changes; "Replacement Bonds: Loyalty to the New Parent," depicting the loyalty conflicts arising when connecting with a stepparent; and "Harmonic Bonds: Loyalties to All Three Parents," showcasing instances in which bereaved children successfully maintained connections with their deceased parent while forming meaningful relationships with their stepparent and living biological parent. The study findings informed a model elucidating the dialectical stance family members may adopt in response to such complexities. The model emphasizes the prioritization of orphaned children's emotional needs in a pyramid-shaped family structure, in which the psychological presence of the deceased parent remains integral.

本定性解释现象学研究探讨了在童年时期失去父母的以色列成年人的复杂经历,以及他们在适应继父继母家庭动态过程中遇到的挑战。通过半结构式访谈,九名参与者揭示了三个关键主题:"牢不可破的纽带:对逝去父母的忠诚",说明了在变化中保持原有家庭结构的努力;"替代纽带:对新父母的忠诚",说明了在变化中保持原有家庭结构的努力:对新父母的忠诚",描述了与继父母联系时产生的忠诚冲突;以及 "和谐的纽带:忠诚于所有三位父母",展示了丧亲儿童在与继父母和在世的亲生父母建立有意义的关系的同时,成功地与已故父母保持联系的事例。研究结果提供了一个模型,阐明了家庭成员在应对这种复杂情况时可能采取的辩证立场。该模型强调,在金字塔形的家庭结构中,孤儿的情感需求是优先考虑的,在这种结构中,已故父母的心理存在仍然是不可或缺的。
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引用次数: 0
"Understanding why she had to leave me": The roles of religion and spirituality in narratives of parents grieving the loss of a child to cancer. "理解她为什么要离开我":在因癌症失去孩子而悲伤的父母的叙述中,宗教和精神的作用。
IF 3.8 4区 医学 Q1 Arts and Humanities Pub Date : 2024-05-06 DOI: 10.1080/07481187.2024.2348059
Alexandra K Superdock, Mariela Trejo, Yenny Yang, Carlos Torres, Lindsay J Blazin, Justin N Baker, Holly L Spraker-Perlman, Erica C Kaye

Religion and spirituality often influence how people experience illness, death, and grief. The roles of religion and spirituality for parents who have lost a child to cancer remain underexplored. This study aimed to describe how cancer-bereaved parents talk about religion and spirituality when reflecting on their experiences. Participants whose children died of cancer one to six years prior to participation completed a one-on-one semi-structured interview. Interview transcripts underwent qualitative analysis. Content pertaining to religion and/or spirituality underwent subsequent in-depth analysis to identify themes. Of 30 interviews analyzed, 28 contained religion/spirituality content. Four themes arose: (1) life after death, (2) divine control, (3) evolution of faith after loss, and (4) religious and spiritual interactions within the medical community. The absence of supports for religious and spiritual needs represents a gap in bereavement care. Future work should clarify needs and explore potential interventions.

宗教和灵性往往会影响人们对疾病、死亡和悲伤的体验。对于因癌症失去孩子的父母来说,宗教和灵性的作用仍未得到充分探讨。本研究旨在描述癌症丧子的父母在反思自己的经历时如何谈论宗教和灵性。参与者的子女在参加研究前一至六年死于癌症,他们完成了一对一的半结构化访谈。对访谈记录进行了定性分析。随后对与宗教和/或灵性有关的内容进行了深入分析,以确定主题。在分析的 30 个访谈中,28 个包含宗教/灵性内容。共产生了四个主题:(1) 死后的生命,(2) 神的控制,(3) 失去亲人后信仰的演变,(4) 医学界的宗教和灵性互动。缺乏对宗教和精神需求的支持是丧亲关怀中的一个空白。未来的工作应明确需求并探索潜在的干预措施。
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引用次数: 0
Their final words: An analysis of suicide notes from the United States. 他们的遗言对美国遗书的分析。
IF 3.8 4区 医学 Q1 Arts and Humanities Pub Date : 2024-05-06 DOI: 10.1080/07481187.2024.2348057
John Gunn, Patrick McGrain, Brielle Ördög, Mackenzie Guerin

The present study sought to explore motivations (affective, relationships, life events, injury/medical diagnosis) in suicide notes (N = 49) from the U.S. Authors ranged in age from 18 to 74 years and were majority male (73.5%). Four raters analyzed the notes and, through a series of meetings, came to a consensus on the motives behind each note writers' suicide in terms of the broader motivational themes and the narrower second-level themes. All notes were primarily affectional in nature, with some gender and age differences. For example, suicide notes from males frequently refer to financial hardships whereas suicide notes from females were more focused on lowered self-worth and notes written by younger persons focused more on affect and relationships, while notes written by older adults focused on life events and marriage difficulties and separation. Findings illuminate the varied nature of suicide motivations but also highlight important patterns across groups.

本研究旨在探讨美国自杀笔记(N = 49)中的自杀动机(情感、人际关系、生活事件、伤害/医疗诊断)。自杀笔记的作者年龄从 18 岁到 74 岁不等,男性占大多数(73.5%)。四位评定者对遗书进行了分析,并通过一系列会议就每位遗书作者自杀背后的动机达成了共识,即广义的动机主题和狭义的二级主题。所有遗书都以情感为主,但存在一些性别和年龄差异。例如,男性的遗书经常提到经济困难,而女性的遗书则更关注自我价值的降低;年轻人的遗书更关注情感和人际关系,而老年人的遗书则关注生活事件、婚姻困难和分居。研究结果揭示了自杀动机的不同性质,但也凸显了不同群体间的重要模式。
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引用次数: 0
The protective role of sense of coherence in resident physicians facing secondary trauma due to patient death in intensive care—A qualitative inquiry 住院医生在重症监护中面对患者死亡造成的二次创伤时,连贯感的保护作用--定性调查
IF 3.8 4区 医学 Q1 Arts and Humanities Pub Date : 2024-05-02 DOI: 10.1080/07481187.2024.2348058
Gillie Gabay
The salutogenic paradigm is increasingly used in research and practice but remains to be investigated in secondary trauma of health professionals. This qualitative study explored the main anchor of...
致敬范式在研究和实践中的应用越来越广泛,但在卫生专业人员的二次创伤中仍有待研究。这项定性研究探讨了医护人员二次创伤的主要锚点。
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引用次数: 0
Death walks into a bar: Humor and profanity in advance care planning messages. 死亡走进酒吧预先护理计划信息中的幽默和亵渎。
IF 3.8 4区 医学 Q1 Arts and Humanities Pub Date : 2024-05-02 DOI: 10.1080/07481187.2024.2341873
Christian R Seiter, Zac D Johnson

Although scholars note advantages and disadvantages to using humor and profanity, influential leaders in the Death Positive Movement (DPM) use both message features to motivate end-of-life (EOL) advance care planning (ACP). Through the lens of expectancy violations theory (EVT), this study examined relationships between perceived humor, profanity in messages, trait profanity use in receivers, perceived offensiveness, perceived speaker effectiveness, and perceived message effectiveness. Participants (N = 604) were randomly exposed to a podcast about ACP containing clean humor, profane humor, or no humor. Results indicated that profanity and perceived humor were positively related to offensiveness, and offensiveness was negatively related to perceived speaker and message effectiveness. When perceived as non-offensive, perceived humor was positively related to perceived speaker and message effectiveness. Surprisingly, profane messages offended profane receivers more than they offended less-profane receivers. These results suggest that to be maximally effective, ACP motivators should use humor cautiously and avoid profanity.

尽管学者们指出了使用幽默和亵渎语言的利弊,但 "积极死亡运动"(DPM)中有影响力的领导者们使用这两种信息特征来激励生命末期(EOL)预先护理计划(ACP)。本研究通过预期侵犯理论(EVT)的视角,考察了感知幽默、信息中的亵渎、接受者使用亵渎的特质、感知冒犯、感知演讲者的有效性和感知信息的有效性之间的关系。受试者(N = 604)被随机分配到一个关于 ACP 的播客中,该播客包含简洁幽默、亵渎幽默或无幽默。结果表明,亵渎和感知幽默与冒犯性呈正相关,而冒犯性与感知演讲者和信息的有效性呈负相关。当认为信息不具冒犯性时,认为幽默与认为演讲者和信息的有效性呈正相关。令人惊讶的是,亵渎信息对亵渎信息接收者的冒犯比对不那么亵渎信息接收者的冒犯更大。这些结果表明,为了达到最大效果,ACP 激励者应谨慎使用幽默,避免使用亵渎性语言。
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引用次数: 0
Longitudinal examination of cognitive function in older adults after the death of a child 儿童死亡后老年人认知功能的纵向研究
IF 3.8 4区 医学 Q1 Arts and Humanities Pub Date : 2024-05-02 DOI: 10.1080/07481187.2024.2347635
Qing Su
This study examined the relationship between the death of a child and cognitive function, considering how this association varies with the timing and number of losses. Utilizing four waves of the C...
本研究探讨了儿童死亡与认知功能之间的关系,并考虑了这种关系如何随着丧子的时间和次数而变化。研究利用了四次 C...
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引用次数: 0
Gendered mourning: A perspective of Akan death culture in Ghana. 性别哀悼:加纳阿坎族死亡文化透视。
IF 3.8 4区 医学 Q1 Arts and Humanities Pub Date : 2024-05-01 Epub Date: 2023-07-21 DOI: 10.1080/07481187.2023.2236983
Stephen Baffour Adjei, Mensah Adinkrah, Anthony Mpiani

Death is the commonest, incomprehensible, and inescapable reality confronting humanity in all nations and cultures. However, cultures vary in their conceptions of death, grieving and mourning rituals. Among the Akan of Ghana, mourning and funeral obsequies are essential cultural and spiritual practices. In this article, we draw insights from our reflective lived experiences and critical literature review to explore mourning and death rituals among the Akan as a stratified cultural system that reflects and reproduces broader gender patterns of masculinity and femininity in Ghana. We discuss the concept and cultural significance of mourning and bereavement practices, and further examine how socio-cultural notions of gender shape mourning and death rituals in Ghana. We argue that, as in many social and economic spaces in Ghana, funeral obsequies and bereavement practices represent sites for enacting and reproducing masculinity and femininity. The deleterious health and psychological consequences for men and women are further discussed.

在所有国家和文化中,死亡都是人类面临的最常见、最难以理解、最无法逃避的现实。然而,不同文化对死亡、悲伤和哀悼仪式的理解各不相同。在加纳的阿坎人中,哀悼和葬礼是必不可少的文化和精神习俗。在本文中,我们从反思性的生活经验和批判性的文献综述中汲取见解,探讨阿坎人的哀悼和死亡仪式,将其视为一种分层文化体系,反映并再现了加纳更广泛的男性和女性性别模式。我们讨论了哀悼和丧亲习俗的概念和文化意义,并进一步研究了社会文化中的性别概念是如何塑造加纳的哀悼和死亡仪式的。我们认为,正如在加纳的许多社会和经济空间中一样,葬礼和丧葬习俗代表着男性和女性气质的形成和再现。我们还进一步讨论了对男性和女性造成的有害健康和心理后果。
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引用次数: 0
Reliability and validity of the Suicide Cognitions Scale-Revised (SCS-R) in emerging adulthood in Turkey. 自杀认知量表-修订版(SCS-R)在土耳其新成人中的可靠性和有效性。
IF 3.8 4区 医学 Q1 Arts and Humanities Pub Date : 2024-05-01 Epub Date: 2023-07-30 DOI: 10.1080/07481187.2023.2240742
Ece Bekaroğlu, Burcu Pınar Bulut, Hatice Demirbaş

Suicidal thoughts and behaviors (STBs) are a significant public health problem. This study aims to examine the validity and reliability of the Turkish version of the Suicide Cognitions Scale-Revised (SCS-R). Participants (N = 442, age range: 18-29 years) completed the SCS-R, the Beck Depression Inventory, the Inventory of Statements About Self-injury, the Suicide Probability Scale, and the Suicide Rumination Scale. Principal component analysis showed that the SCS-R consisted of a single factor and that the SCS-R could differentiate between participants at high risk and low risk of suicide. High-to-moderate positive associations were found between the measures of depression, suicide probability, suicide rumination, and non-suicidal self-injury and suicide cognition. The Turkish version of the SCS-R has good psychometric properties. This scale can be used to screen for cognitive patterns that are most prone to suicide and to manage such cognitive characteristics, which are important steps for preventive interventions.

自杀想法和行为(STBs)是一个重大的公共卫生问题。本研究旨在检验土耳其版自杀认知量表-修订版(SCS-R)的有效性和可靠性。参与者(N = 442,年龄范围:18-29 岁)完成了 SCS-R、贝克抑郁量表、自伤陈述量表、自杀可能性量表和自杀遐想量表。主成分分析表明,SCS-R 由一个单一因子组成,而且 SCS-R 可以区分自杀风险高的参与者和自杀风险低的参与者。抑郁、自杀可能性、自杀遐想、非自杀性自伤与自杀认知的测量结果之间存在高度到中度的正相关。土耳其版 SCS-R 具有良好的心理测量特性。该量表可用于筛查最易导致自杀的认知模式,并对此类认知特征进行管理,这是预防干预的重要步骤。
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引用次数: 0
Rebuilding wellbeing: Understanding the role of self-criticism, anger rumination, and death distress after the February 6, 2023, Türkiye Earthquake. 重建幸福:了解 2023 年 2 月 6 日土耳其地震后自我批评、愤怒反刍和死亡困扰的作用。
IF 3.8 4区 医学 Q1 Arts and Humanities Pub Date : 2024-05-01 Epub Date: 2023-08-03 DOI: 10.1080/07481187.2023.2241401
Gaye Bırni, M Engin Deniz, Zahide Gül Karaağaç, Yavuz Erişen, Yağmur Kaya, Seydi Ahmet Satıcı

This study investigated self-criticism, anger rumination, and death distress in wellbeing after one of the most devastating natural disasters of this century. The study included 399 participants from 56 different cities across Türkiye. Participants were from 3 groups: those who themselves or one of their nuclear families are earthquake survivors (group 1), those who had a loved one other than a nuclear family member who was an earthquake survivor (group 2), and those who were deeply affected by the earthquake through media networks (group 3). Results showed that women experienced higher death distress and anger rumination and lower mental wellbeing compared to men post-earthquake. Individuals in group 1 had significantly lower mental wellbeing and higher death distress than groups 2 and 3. However, the effect size of this significant differentiation depending on earthquake experience was small. Moreover, anger rumination and death distress fully mediated the link between self-criticism and mental wellbeing.

本研究调查了本世纪最具破坏性的自然灾害之一发生后的自我批评、愤怒反刍和死亡困扰。研究包括来自土耳其 56 个不同城市的 399 名参与者。参与者分为三组:本人或其核心家庭成员之一是地震幸存者(第一组),核心家庭成员以外的亲人是地震幸存者(第二组),以及通过媒体网络深受地震影响的人(第三组)。结果显示,与男性相比,女性在震后经历了更多的死亡困扰和愤怒反刍,心理健康水平较低。与第 2 组和第 3 组相比,第 1 组的心理健康水平明显较低,死亡困扰程度较高。然而,这种因地震经历而产生的显著差异的效应大小很小。此外,愤怒反刍和死亡困扰完全调节了自我批评与心理健康之间的联系。
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引用次数: 0
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Death Studies
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