A Qualitative Study of How Hospice Workers Cope With Their Level of Exposure to Death.

OBJECTIVE: To identify whether hospice workers hold unique and theoretically-informative perspectives about death, especially as they relate to terror management processes. METHOD: Twelve hospice workers from two hospices in Tucson, Arizona, United States, participated in semi-structured interviews. Interview and analytic practices were guided by Grounded Theory (Glaser & Strauss, 1967). RESULTS: Three categories were identified in relation to death attitudes: effects of chronic confrontation with death; reasons for working in hospice; and perceptions of death in others. CONCLUSIONS: Two theoretically informative trends appeared. First, hospice workers largely manage death anxiety as identified by existing literature with the notable exception that hospice workers overall seem to integrate death and dying into their worldviews as a meaningful category, as opposed to avoiding thinking about death. Second, even among those regularly exposed to death, there seems to be a range across participants on a continuum from avoiding to confronting the topic of death.

The captain of my soul: Self-determination and need-satisfaction help manage death-related cognition, anxiety, and well-being.

The present research tested the idea that a self-determined orientation may help people manage death-related thoughts and anxieties, and mitigate the effects of death awareness on well-being. Seven studies (N = 3,331), using a diversity of measures and manipulations, were consistent with that idea. First, mortality salience (vs. other topic primes) increased death-thought accessibility, but not if participants had high need-satisfaction (Study 1, n = 160; Study 2, n = 216) or were prompted to recall self-determined experiences (Study 3, n = 188). Second, need-satisfaction was associated with reduced death anxiety (Study 4a, n = 301; Study 4b, n = 1,848), and priming self-determined concepts eliminated the effect of mortality salience on death anxiety (Study 5, n = 119). Third, heightened death-thought accessibility was related to lower satisfaction with life (Study 6, n = 271) and happiness (Study 7, n = 228), but not among those with high need-satisfaction. Supplemental analyses suggested the effects of need-satisfaction were not due to associations with affect (Studies 1, 6, 7), epistemic certainty (ideological dogmatism, Study 4a), or mindfulness (Studies 5b and 6); need-satisfaction mitigated the effects of existential concern via self-esteem but not via growth orientation (Study 4b) nor due to its relationship with Openness (Studies 6 and 7). Together, these findings suggest a self-determined orientation can help buffer existential concern and buoy well-being and point to a potential existential protective function beyond its known growth-oriented functions. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The role of perceived level of threat, reactance proneness, political orientation, and coronavirus salience on health behavior intentions.

OBJECTIVE: This pre-registered study was designed to test whether reminders of death and coronavirus would have similar or different effects on health behavior intentions concerning COVID-19 (e.g., mask wearing, social distancing) and whether the type of framing of these behaviors would moderate these effects. DESIGN: The study utilized a 3 (threat: mortality salience vs. coronavirus reminder vs. control topic) x 3 (framing: autonomy-supportive vs. controlled vs. neutral) design. Measures of perceived threat of COVID-19, reactance proneness, and political orientation were included as individual differences. RESULTS: Although the interaction between threat and framing conditions was not significant, the data revealed that (1) lower perceived threat of COVID-19 was associated with lower health behavior intentions to reduce the spread of the virus; (2) after an induction to express their thoughts and feelings about COVID-19, participants with low perceived threat of COVID-19 significantly increased their health intentions; (3) perceived threat of COVID-19 moderated the relationship between reactance proneness and health intentions, such that those high in reactance proneness reported lower intentions unless they had high perceptions of threat; and (4) politically conservative participants reported lower intentions to engage in healthy behaviors, and this relationship was mediated by their lower perceived threat of COVID-19.

Bigotry and the human-animal divide: (Dis)belief in human evolution and bigoted attitudes across different cultures.

The current investigation tested if people's basic belief in the notion that human beings have developed from other animals (i.e., belief in evolution) can predict human-to-human prejudice and intergroup hostility. Using data from the American General Social Survey and Pew Research Center (Studies 1-4), and from three online samples (Studies 5, 7, 8) we tested this hypothesis across 45 countries, in diverse populations and religious settings, across time, in nationally representative data (N = 60,703), and with more comprehensive measures in online crowdsourced data (N = 2,846). Supporting the hypothesis, low belief in human evolution was associated with higher levels of prejudice, racist attitudes, and support for discriminatory behaviors against Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ), Blacks, and immigrants in the United States (Study 1), with higher ingroup biases, prejudicial attitudes toward outgroups, and less support for conflict resolution in samples collected from 19 Eastern European countries (Study 2), 25 Muslim countries (Study 3), and Israel (Study 4). Further, among Americans, lower belief in evolution was associated with greater prejudice and militaristic attitudes toward political outgroups (Study 5). Finally, perceived similarity to animals (a construct distinct from belief in evolution, Study 6) partially mediated the link between belief in evolution and prejudice (Studies 7 and 8), even when controlling for religious beliefs, political views, and other demographic variables, and were also observed for nondominant groups (i.e., religious and racial minorities). Overall, these findings highlight the importance of belief in human evolution as a potentially key individual-difference variable predicting racism and prejudice. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Loss and lastingness? Further exploring the relationship between the death of a close other, belief in an everlasting soul, and terror management processes.

This research explored the relationship between the death of a close other (DOCO) and terror management processes. In Study 1 (n = 810), university students who experienced DOCO (vs. not) reported higher university and American identification; greater self-esteem and meaning in life; lower death-thought accessibility; greater "death-as-passage" representations; and higher belief in an everlasting soul. We pre-registered Study 2 (n = 497) as an attempt to replicate these findings; although the patterns of means were consistent with Study 1, the tests did not reach statistical significance. However, analyses on the merged data (N = 1,307) supported the present theoretical analysis.

The role of mortality concerns in separation and connection effects: comment on Lee and Schwarz.

Using terror management theory and research findings, we expand the framework provided by Lee and Schwarz to highlight the potential link between separation and connection effects to existential, death-related concerns. Specifically, we address how death awareness may motivate separation and connection behaviors and how engaging in these behaviors may serve a protective terror management function.