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Results for “Cognitive Dissonance”

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PubMed1994

The classification of delusional misidentification syndromes.

The delusional misidentification syndromes are characterized by a belief in duplicates and replacements. They can be classified as forms of reduplication expressed in the modalities of person, place, time and event, objects, parts of the body and the self. Common features are selectivity, coexistence of forms, intact recognition and faulty identification, depersonalization, and symbolic representation of the patient's feelings, experiences and problems. A neural substrate of altered connectivity of multimodal cortical association areas and paralimbic and limbic structures resulting in a cognitive-perceptual-affective dissonance is suggested.

Brain↗
PubMed2005

Feedback to clinicians: theory, research, and practice.

Despite the dearth of consistent evidence for conventional feedback mechanisms in clinical practice, the primary methods of feedback for clinicians remain supervision and clinical experience. A new research approach, known as patient-focused research, provides clinicians with direct feedback regarding a client's health status and relative progress in therapy. This article briefly reviews the relation of different types of feedback (i.e., supervision, clinical experience, feedback on client health status) to clinical outcome. In contrast to the mixed results for clinical experience and supervision, providing client health status feedback to clinicians significantly improves outcome, especially for clients who are not doing well in therapy. We conclude with a description of a model that provides insight into ways that feedback interventions can work best for professionals. Characteristics of the clinician, the feedback format, and the dissonance between feedback and clinician goals all relate to the ways that feedback is interpreted and utilized.

Cognitive Behavioral Therapy↗
PubMed2006

Resistance can be good or bad: how theories of resistance and dissonance affect attitude certainty.

This research investigated how lay theories about resisting persuasion can affect attitude certainty. Specifically, people who believed that resistance was negative (i.e., implies close-mindedness) showed different levels of attitude certainty after resisting persuasive messages than people who believed resistance was positive (i.e., implies intelligence). When people held positive lay theories of resistance and overcame ostensibly strong arguments, they showed increased attitude certainty (compared to those who overcame ostensibly weak arguments). However, individuals who believed that resistance was negative did not show increases in attitude certainty when overcoming strong arguments. Experiment 2 suggests that the effect of lay theories and perceived argument strength on attitude certainty was due to dissonance created by believing that resistance is undesirable but nonetheless resisting persuasion.

Adolescent↗
PubMed2003

Emotional dissonance in medical social work practice.

This qualitative study examined several ecological aspects of medical social work practice that affect social workers' emotional well-being. Forty-seven medical social workers from seven hospitals participated in small group interviews in which practice experiences were explored. A grounded theory approach was used to analyze the data, with emotional dissonance emerging as a central theme. Community, family, and individual factors contributing to emotional dissonance are presented, and the effect of social support is examined.

Adult↗
PubMed2004

Gender differences: emotional expression and feelings of personal inauthenticity.

This survey study examined the emotional expression content of human resources jobs and how the content varies by gender. On the basis of findings, it appeared that women more often conform to feminine display rules, which require the suppression of negative emotions and the simulation of positive emotions. In contrast, men more often adopted masculine display rules, which require the suppression of positive emotions and the simulation of negative ones. For both men and women, emotional dissonance generated by a feminine display-rule pattern was positively correlated with feelings of personal inauthenticity at work. Gender modified the relationship between emotional dissonance and gender only in that women who adopted the masculine display-rule pattern reported feeling the least personally inauthentic of all.

Adult↗
PubMed2003

The basis and relevance of emotional dignity.

The paper is a preliminary examination of the origin and role of psychological perception or "feeling" of dignity in human beings. Following Ayala's naturalistic account of morality, a sense of emotional dignity is seen as an outcome of processes of natural selection, cultural evolution, and above all a need for social inclusion. It is suggested that the existence of emotional dignity as part of a human species-related continuum provides an explanation of why we treat those in a persistent vegetative state, the severely and hopelessly mentally impaired, the senile demented, cadavers and archaeological remains with dignity and respect. For older Europeans, dissonance between physical and mental abilities, unfamiliarity with social and cultural changes and relative proximity to death may influence their emotional dignity and hence vulnerability.

Aged↗
PubMed1978

Discrepancy, dissonance, and the "dissonant" smoker.

This paper reexamines, in the light of social psychological research, the theoretical assumptions made by McKennell and Thomas in their study of smoking habits and attitudes in Britain. One assumption made by them is that antismoking messages which are very discrepant from the opinions held by smokers should be avoided since they may produce attitude change in the opposite direction to that intended. It is argued that there is little empirical basis for this assumption, and that the discrepancy of a communication from the initial attitudes of a target audience is not necessarily the most important determinant of its effectiveness. McKennell and Thomas also distinguish "consonant" from "dissonant" smokers--the latter being those who say that they would like to give up smoking if they could do so easily. It is argued that the term "dissonant" is a misnomer when applied to smokers who see themselves as unable to choose not to smoke. Practical and theoretical implications are discuseed.

Adolescent↗
PubMed2001

A randomized trial of a dissonance-based eating disorder prevention program.

OBJECTIVE: As psychoeducational eating disorder prevention programs have not been shown to reduce bulimic pathology, we developed and evaluated a dissonance-based intervention for high-risk populations. METHOD: Young women (N = 87) with body image concerns were randomized to this intervention, which involves verbal, written, and behavioral exercises requiring them to critique the thin-ideal, or to a healthy weight management control group. Participants completed a baseline, termination, and 4-week follow-up survey. RESULTS: Participants in the dissonance intervention reported decreased thin-ideal internalization, body dissatisfaction, dieting, negative affect, and bulimic symptoms at termination and at 4-week follow-up. Unexpectedly, participants in the healthy weight management control group also reported some benefits. DISCUSSION: Taken in conjunction with past findings, these preliminary results suggest that the dissonance intervention, and to a lesser extent the healthy weight management intervention, may reduce bulimic pathology and risk factors for eating disturbances.

Adolescent↗
PubMed2006

Dissonance and healthy weight eating disorder prevention programs: a randomized efficacy trial.

In this trial, adolescent girls with body dissatisfaction (N = 481, M age = 17 years) were randomized to an eating disorder prevention program involving dissonance-inducing activities that reduce thin-ideal internalization, a prevention program promoting healthy weight management, an expressive writing control condition, or an assessment-only control condition. Dissonance participants showed significantly greater reductions in eating disorder risk factors and bulimic symptoms than healthy weight, expressive writing, and assessment-only participants, and healthy weight participants showed significantly greater reductions in risk factors and symptoms than expressive writing and assessment-only participants from pretest to posttest. Although these effects faded over 6-month and 12-month follow-ups, dissonance and healthy weight participants showed significantly lower binge eating and obesity onset and reduced service utilization through 12-month follow-up, suggesting that both interventions have public health potential.

Adolescent↗
PubMedDate not supplied

Perceptions and characteristics of registered nurses' involvement in decision making.

PURPOSE: This study aimed to determine the level of actual and preferred decisional involvement and ascertain whether there is decisional dissonance among registered nurses (RNs). SUBJECTS AND METHODS: A convenience sample of 196 RNs completed a demographic form and the Decisional Involvement Scale, a tool that measures actual and preferred decisional involvement for RNs in 6 categories: unit staffing, quality of professional practice, professional recruitment, unit governance and leadership, quality of support staff practice, and collaboration/liaison activities. From these data, the level of and difference between RN's actual and preferred decisional involvement was analyzed. In addition, the impact of level of education, years of experience, hours worked per pay period, and work setting on actual and preferred decisional involvement were measured. RESULTS AND CONCLUSIONS: A statistically significant difference was found between RNs' actual and preferred decisional involvement, with RNs preferring more decisional involvement than they actually experienced. Work setting was the only variable to which a difference could be attributed. Further study is warranted to find causes of decisional dissonance and interventions that could help alleviate the problem and potentially increase job satisfaction.

Adult↗
PubMed2005

New graduate identity: discursive mismatch.

For many new graduates the transition from nursing student to a professional in practice is marked by conflict and tension. Given that conflict may ensue from differing discursive constructions of new graduates, this article reports a review of discursive construction between new graduates from two institutions with vested interests in nursing graduates--comparing health service organisations and educational institutions in Victoria. Four discourses, common to both sets of texts and constitutive of new graduate identity were identified: these were the discourse of nursing practice; the discourse of the good nurse; the discourse of knowing and thinking; and the discourse of statute and regulation. A discourse peculiar to health service organisations only was identified as an organisational and bureaucratic discourse. This review reports the new graduate, as constructed in education texts, as a rational, independent, critically thinking and knowing care giver. In contrast, in health service organisation texts, the new graduate is constructed as a functional, efficient, organisational operative, providing a nursing service. New graduates are concluded to experience multiple discursive dissonances in their first employment which stem from differing constructions of new graduate identity within institutional discourses. If tensions experienced in the transition as discursively generated are understood, previously unthought of ways preparing and introducing nurses to the work place may ensue.

Attitude of Health Personnel↗
PubMed2004

Cultural variants of caregiving or the culture of caregiving.

Research has shown that ethnic variations in caregiving exist. However, less attention has been given to the common experience of caregiving, across ethnic group affiliation. Semi-structured interviews with African American, Caucasian American, and Latino caregivers were conducted to understand the common experience of caregiving. Four major themes that characterized the caregiving experience across the three ethnic groups were identified. Participants described a tradition of family care, prevalent across the three ethnic groups. Familial conflicts, caregiving dissonance, and low levels of use of formal services also were prominent characteristics of the caregiving experience across the three ethnic groups. Results support the existence of a culture of caregiving prevalent across ethnic group affiliation.

Acculturation↗