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Phenomenologies of the akratic self: masculinity, regrets, and HIV among men on methadone.

This study explores the motivational bargaining processes that constitute an "act" of heterosexual HIV risk-taking by focusing on the narrative viewpoint of two men in methadone maintenance treatment programs in the Harlem section of New York City. These men reported sexual episodes with complex motivational "event grammars" that were analyzed using qualitative methods. Building on the concept of akrasia (failure to convert intentions into action), I argue that HIV risky heterosex results from temporal displacements of instrumental rationality by two other equally relevant orientations of sexual action, namely, affectual and normative. I conclude that sexual risk occurs in the context of emotions and normative presentations of the masculine self. Consequently, a man's risk of loosing footing or consistent face vis-à-vis his female sex partner, and not the risks of HIV, becomes a priority of the sexual interaction. Sexuality is at its core social and, hence, subject to more powerful forces than personal safety or behaviorist reward.

Adult↗

OLD AGE A REGRET.

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Emotions↗

Compensating behaviors, regret, and heterogeneity in the dynamics of smoking behavior.

This paper studied smoking behavior in the context of the interactions among health, smoking, exercise and seeking medical care using a microeconomic model. Based on a dynamic optimal choice theory, a simultaneous equation system was used in the empirical estimation. This study found that smokers with longer smoking history tend to have extra incentives to maintain or improve their health. It was found that they tend to use more medical services and to be more active in exercise than smokers with shorter smoking history. Health status nonlinearly affects smoking decisions. Quitting incentives can be "curative" or "preventive", depending on one's health status. Light smokers' addiction is qualitatively and quantitatively different from heavy smokers'.

Adult↗

No regrets....

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Humans↗

Without regret.

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Bioethical Issues↗

Regrets.

A year or so ago I was invited by an Italian dentist to spend a day with him in his practice and to attend a two-day seminar, which he was presenting. The location, in the mountains near to Lake Como and the Swiss border, was enough to persuade me to accept. However I was to find out that the professional aspects of the trip were not only most invigorating but that they would also cause me to look back with concern to my own career. Had I done as well for my patients, my family and myself as I could have done?

Efficiency, Organizational↗

Regret is what you get: the effects of manipulating anticipated affect and time perspective on risky single-occasion drinking.

This study tested anticipated affect as a potential strategy for reducing risky single-occasion drinking (RSOD). The hypothesis was that asking respondents to focus on their anticipated affect following RSOD would lead to higher ratings of negative affect than those obtained when asking respondents to focus on their feelings towards RSOD. In turn, these negative affect ratings were hypothesized as leading to safer behavioural estimates and reductions in RSOD. The study is based on a self-report questionnaire administered at two time points. At Time 1, measures of past drinking and demographic information were collected, along with affect ratings of drinking within safer single-occasion limits and affect ratings of RSOD (within-subjects condition). Time perspective was manipulated whereby the experimental group was asked to focus on affective reactions after RSOD and the control group to focus on affective reactions towards RSOD (between-subjects condition). Two weeks later, drinking behaviour was measured. The findings showed that the time perspective manipulation resulted in significantly higher negative affect ratings in the feeling after condition than in the feeling towards condition. Further, females reported lower negative affect than males. No other main or interaction effects were found. The time perspective manipulation, however, failed to produce safer behavioural estimates and RSOD reduction at follow-up. No significant differences were found between ratings of negative affect when drinking within safe limits as compared with ratings of affect when drinking above such limits. Despite greater negative affect 'after' rather than 'toward' the target behaviour, anticipated affect following RSOD did not yield safer behavioural estimates and subsequent drinking reduction at follow-up. These findings are interpreted in the context of risk perception associated with RSOD. The implications of this study for design of interventions aimed at reducing RSOD are discussed. In particular, ways of intensifying negative affect for RSOD are considered.

Adult↗

No regrets.

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Aged↗