Shulamith Kreitler

International Preferences in Selecting Mates: A Study of 37 Cultures

This study sought to identify the effects of culture and sex on mate preferences using samples drawn world-wide. Thirty-seven samples were obtained from 33 countries located on six continents and five islands (N = 9,474). Hierarchical multiple regressions revealed strong effects of both culture and sex, moderated by specific mate characteristics. Chastity proved to be the mate characteristic on which cultures varied the most. The preference ordering of each sample was contrasted with an international complement. Each culture displayed a unique preference ordering, but there were some similarities among all cultures as reflected in a positive manifold of the cross-country correlation matrix. Multidimensional scaling of the cultures yielded a five dimensional solution, the first two of which were interpreted. The first dimension was interpreted as Traditional versus Modern, with China, India, Iran, and Nigeria anchoring one end and the Netherlands, Great Britain, Finland, and Sweden anchoring the other. The second dimension involved valuation of education, intelligence, and refinement. Consistent sex differences in value attached to eaming potential and physical attractiveness supported evolution-based hypotheses about the importance of resources and reproductive value in mates. Discussion emphasizes the importance of psychological mate preferences for scientific disciplines ranging from evolutionary biology to sociology.

Doctor‐patient communication in a cancer ward

This study explored doctor-patient interaction by focusing on a specific type of encounter in an oncology ward, designed to enable discussion of the case by the doctors and informing the patient. In line with the cognitive orientation theory of Kreitler and Kreitler, the encounters effects were examined in regard to three aspects--disease, treatment, and general state--on four levels: the information the patients have, their feelings, the information they desire, and the information they consider desirable. The patients were 52 men and women with different cancer diagnoses. Comparable questionnaires were administered to the patients before and after the meeting, and to the doctors only after it. The patients responded before and after also to Spielbergers scales of state anxiety and state anger. The results showed that patients claimed they had gained hardly any new information concerning the disease and their overall state. There were no decreases in the desired and desirable information. Their feelings were affected negatively to a slight extent, especially concerning treatment. In a quarter of the subjects, anxiety decreased and was replaced by anger. In regard to all levels and aspects there was a large gap between the evaluations of doctors and patients. The major conclusions were that patients and doctors differ in the meaning they assign to information, and that patients are conflicted in regard to asking for the personally relevant information they want.

The Five-Factor Personality Inventory: Cross-Cultural Generalizability across 13 Countries

In the present study, we investigated the structural invariance of the Five‐Factor Personality Inventory (FFPI) across a variety of cultures. Self‐report data sets from ten European and three non‐European countries were available, representing the Germanic (Belgium, England, Germany, the Netherlands, USA), Romance (Italy, Spain), and Slavic branches (Croatia, Czech Republic, Slovakia) of the Indo‐European languages, as well as the Semito‐Hamitic (Israel) and Altaic (Hungary, Japan) language families. Each data set was subjected to principal component analysis, followed by varimax rotation and orthogonal Procrustes rotation to optimal agreement with (i) the Dutch normative structure and (ii) an American large‐sample structure. Three criteria (scree test, internal consistency reliabilities of the varimax‐rotated components, and parallel analysis) were used to establish the number of factors to be retained for rotation. Clear five‐factor structures were found in all samples except in the smallest one (USA, N = 97). Internal consistency reliabilities of the five components were generally good and high congruence was found between each sample structure and both reference structures. More than 80% of the items were equally stable within each country. Based on the results, an international FFPI reference structure is proposed. This reference structure can facilitate standardized communications about Big Five scores across research programmes. Copyright

Pain and quality of life.

Abstract: This paper deals with the impact of pain on quality of life (QOL). Two major factors have contributed to the enhanced importance of QOL in recent years: the increasing frequency of pain and the resources devoted to its treatment, and the growing theoretical insight that pain affects the person as a whole. QOL is defined as the persons evaluation of his or her well‐being and functioning in different life domains. It is a subjective, phenomenological, multidimensional, dynamic, evaluative, and yet quantifiable, construct. Commonly used scales for its assessment (eg, WHOQOL, SF‐36) are described. Studies show that pain affects most domains of QOL, primarily physical and emotional functioning. The effect depends on the extent, duration, acuteness, intensity, affectivity, and meaning of the pain as well as on the underlying disease and the individuals characteristics. QOL is sensitive also to the treatment of pain and treatment modalities, as shown particularly by studies on cancer pain. Pain reduction is not always attended by the expected improvement in QOL. Pain is not synonymous with poor QOL and constitutes only one important factor determining QOL. The main conclusions are that treatment of pain should be multidisciplinary, considering the impact of pain and the treatment on QOL and targetting also improvement of the affected domains of QOL.

The Theory of Cognitive Orientation: Widening the Scope of Behavior Prediction

Publisher Summary This chapter discusses the theory of cognitive orientation. The chapter reviews that most people would like to know how other persons will behave, and many people are in need of this knowledge to fulfill their tasks as planners in one or another domain of life. On the other hand, the deterministic notion, so frequently associated with behavior prediction, is an anathema to the majority of people living in what is presently called the western world. They cherish the idea of free will and, are afraid that an instrument enabling behavior prediction could be misused for controlling and manipulating their lives and, thus, curtailing their individual freedom. Nevertheless, even these behavior predictions would not be perfect, partly because one out of the myriads of involved meaning values or beliefs could pop up in the last instant and modify the predicted constellation, but mainly because of the same hurdle that has ultimately shattered the traditional determinism of classical physics, that is, the unavoidable interference of the observing system with the function of the system to be observed.

Life satisfaction and health in cancer patients, orthopedic patients and healthy individuals

Life satisfaction (LS) is one of a set of constructs defining quality of life. Previous studies showed that LS was sometimes related to health and sometimes not. The study was designed to examine the relation of LS as a general construct to satisfaction in specific domains. We assumed that there is a tendency to maintain an acceptable level of LS even under stressful and threatening conditions, that it is related to optimism and that the likelihood of attaining satisfaction in a particular domain affected the selection of domains on which LS is based. We expected that in cancer patients LS would be related to more domains but not to health. The study was done with 55 head-and-neck cancer patients, of all stages and grades of tumor; 51 orthopedic patients, victims of accidents with good recovery chances; and 55 healthy individuals. The healthy individuals and orthopedic patients were matched (in terms of group values) to the cancer patients in age, gender and education. Single-item measures of LS and optimism, and a questionnaire with 49 multiple-choice items assessing adjustment in 13 domains were administered to all subjects. The results showed that in cancer patients LS was related to most domains but not to health and not to optimism, whereas in the other groups it was related to few domains including health, and also to optimism. The findings support the tendency to maintain LS with the materials available to the individual, and show that health is related to LS only if its maintenance or attainment are realistic goals. Thus, both bottom-up and top-down theories of LS are supported.

Cognitive orientation as predictor of pain relief following acupuncture

&NA; The study investigated the role of beliefs concerning pain relief after treatment. Following the cognitive orientation theory, we hypothesized that beliefs concerning goals, norms, oneself, and general beliefs would predict the extent of improvement following acupuncture. Subjects were 30 Israeli chronic‐pain patients (22 women, 8 men; mean age 41.6 years). They were administered a questionnaire assessing the 4 belief types, and control measures assessing personality traits, demographic variables, and pain characteristics. All underwent 4–6 acupuncture sessions. Improvement was determined by patient and physician ratings, and an index based on medication, subjective evaluations, and duration of resting. There were two follow‐ups. Three improvement groups were defined: none (n = 8), slight (n = 12), and high (n = 10). These groups did not differ on any of the variables tested except the 4 belief types. A discriminant analysis with belief types as predictors enabled correct classification of the patients in 83% of the cases. A stepwise regression analysis showed that beliefs accounted for 85% of the variance. Discussion focuses on the nature of pain relief and the role of beliefs in disease.

Is Humor Only Fun, an Alternative Cure or Magic? the Cognitive Therapeutic Potential of Humor

The paper deals with the therapeutic potential of humor, emphasizing in particular its properties as a tool of cognitive therapy. The variety, commonness and pervasiveness of the claims about the beneficial effects of humor justify the need to examine these effects in view of modern findings. The first part is devoted to reviewing studies describing the contributions of humor to physical well-being, such as reducing pain, decreasing proneness to heart disease and enhancing immunological responses. The effects are positive but weak and may be considered as belonging to the background factors promoting physical health. The second part is devoted to reviewing studies describing the contributions of humor to psychological well-being, mainly its emotional effects, such as reducing tension and aggression or enhancing social feelings, and its cognitive effects, such as mental flexibility, shifting, playfulness, optimism and distancing. The next sections deal with reviewing the presumed clinical effects of humor, focusing on the processes through which it has been claimed to contribute to facilitating individual and group psychotherapy. The clinical effects depend upon integrating humor into the overall therapy. In the last section an attempt is made to present a cognitive model which, by showing how humor coalesces the emotional and cognitive effects, may account for the diverse curative effects of humor.

Trauma and anxiety: The cognitive approach

The purpose was to show how anxiety, the perception of the input and predisposing personality factors are interrelated in the generation of the post-traumatic stress disorder (PTSD). After a review of the role of each of these elements in regard to the PTSD, a new conception of anxiety, the core element of trauma, is introduced, grounded in an innovative system of meaning assessment. Two experiments are summarized demonstrating that anxiety is a pattern of meaning assignment tendencies of the individual and that changing these tendencies brings about the expected changes in the level of anxiety and of cognitive performance. The findings are applied to the treatment and prevention of the PTSD by showing how changing the meaning of specific inputs and of the relevant meaning assignment tendencies of individuals suffering from PTSD or at risk may help to reduce anxiety and increase coping abilities.

Cognitive orientation and physical disease or health

This paper deals with a new approach to physical disease and health based on the theory of cognitive orientation (CO) (Kreitler and Kreitler, 1976, 1982). It presents an outline of the theory which is a comprehensive cognitive‐motivational model of behaviour describing how cognitive contents and processes bring about the elicitation of behaviour. The theory generated a methodology for the prediction of behaviour that has been applied in different domains ofhealth psychology. Studies are described dealing with behaviours affecting health (quitting smoking, smoking, overeating, undergoing examinations for the early detection of breast cancer), behaviours of the individual in the role of sick person (hospitalization for safeguarding pregnancy, getting information on a cancer ward), aetiologies of physiopathologies (coronary heart disease, diabetes, vaginal infections) and disorders (menstrual and sexual disorders, and infertility in women), recovery and rehabilitation (from chronic pain, and following MI), and general health orientation. Finally, the outlines of an emergent CO model of physiopathology are presented, specifying how cognitions affect health, and in which sense the processes involved in physiopathology resemble and differ from those involved in the elicitation of overt behaviours.