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PubMed2004

The construction of awareness in early-stage Alzheimer's disease: a review of concepts and models.

OBJECTIVES: This review considers the concepts and models that, often implicitly, underlie accounts and studies of variations in awareness of difficulties in people with early-stage Alzheimer's disease (AD). In order to do this, it is necessary to draw on explanations presented within the discourses of different disciplines. The review aims to explore the key tensions and debates that arise in attempting to conceptualize awareness, and attempts to specify what kind of conceptual framework is needed in order to advance our understanding of variations in awareness in AD. METHODS: A range of literature relating to concepts and models of awareness, drawn from different disciplines and published during the past 30 years, is critically reviewed. RESULTS: The literatures of different disciplines present varying constructions of the concept of awareness. Neuropsychological, psychiatric and psychosocial explanations are considered and their relevance to understanding awareness in early-stage AD is discussed. CONCLUSIONS: An understanding of variations in awareness in early-stage AD requires a biopsychosocial model of awareness that incorporates the influence of both neuropsychological impairments and psychosocial responses. Improved understanding of variations in awareness is essential for the development of person-centred approaches to intervention and care in AD.

Alzheimer Disease↗
PubMed2005

Upward social comparison and self-concept: inspiration and inferiority among art students in an advanced programme.

We examined the role of social comparison in changes in the artistic self-concept of adolescents attending an advanced arts programme. Unfavourable comparisons that promoted a sense of inferiority and favourable comparisons that promoted inspiration were measured just prior to, in the first week of, and at the end of the 6 week programme. Consistent with the 'big fish little pond effect', inferiority comparisons made during the programme were associated with negative changes in self-concept. Consistent with the social comparison literature, however, inspiration comparisons made during the programme were associated with positive changes in self-concept. Rather than suggesting that exposure to highly talented peers is necessarily unfavourable, results suggest that the interpretation of the comparisons made in situ determines the favourability of such exposure.

Adolescent↗
PubMed1999

The concept of the person and the value of life.

The concept of the person has come to be intimately connected with questions about the value of life. It is applied to those sorts of beings who have some special value or moral importance and where we need to prioritize the needs or claims of different sorts of individuals. "Person" is a concept designating individuals like us in some important respects, but possibly including individuals who are very unlike us in other respects. What are these respects and why are they important? This paper sets out to answer these questions and to develop a coherent and useful concept of the person.

Animal Rights↗
PubMed2005

Genetic and environmental influences on self-concept in female preadolescent twins: comparison of Minnesota and Seoul data.

It has been argued that culture significantly influences the developmental basis of self-concept. The goal of the present study is to compare the relative importance of genetic and environmental factors to explain individual differences in various dimensions of self-concept in female preadolescents of Minnesota in the United States and Seoul in South Korea. Two hundred and eighteen monozygotic (MZ) and 137 dizygotic (DZ) twin pairs from the Minnesota Twin Family Study (MTFS) and 74 MZ and 42 DZ twin pairs from the Seoul Twin Family Study (STFS) completed the 6 cluster scales of the Piers-Harris Children's Self-Concept Scale (P-H). The 6 cluster scales of the P-H include Popularity, Physical Appearance and Attributes, Behavior, Intellectual Competence and School Status, Anxiety, and Happiness and Satisfaction. Univariate model-fitting analyses were performed. In both samples, a model incorporating shared and nonshared environmental influences fitted the data best for Popularity, Anxiety, and Intellectual Competence and School Status, whereas a model including additive genetic and nonshared environmental factors provided the best fit for Physical Appearance and Attributes, and Behavior. The univariate model did not yield an adequate fit for Happiness and Satisfaction. For Physical Appearance and Attributes, and Intellectual Competence and School Status, estimates of additive genetic and environmental factors were significantly different between the MTFS and the STFS samples. For Popularity, Anxiety, and Behavior, however, the genetic and environmental estimates were comparable between the two samples.

Anxiety↗
PubMed2006

Twins have slightly higher self-concepts than singletons in the elementary school period: A study of South Korean twins and singletons.

The twin method assumes that the trait under study is similar in twins and singletons so that the results from twin samples can be generalized to the singleton population. The purpose of the present study was to compare self-concept in twins and singletons matched in parental level of education. The 6 cluster scales of the Piers-Harris Children's Self-Concept Scale (P-H) were administered to 630 singleton children and 635 twins aged 7 to 12 years. Model-fitting analyses yielded two conclusions. First, self-concept was generally similar between first- and second-born twins and between monozygotic and dizygotic twins across the 6 cluster scales of the P-H. Second, twins consistently exceeded singletons for all 6 cluster scales of the P-H. However, the effect sizes of differences between twins and singletons were small except for one scale, Physical Appearance and Attributes.

Child↗
PubMed2001

Weight status, parent reaction, and self-concept in five-year-old girls.

OBJECTIVE: This study examined the relationship between weight status and self-concept in a sample of preschool-aged girls and whether parental concern about child overweight or restriction of access to food are associated with negative self-evaluations among girls. METHOD: Participants were 197 5-year-old girls and their parents. Girls' weight status (weight for height percentile) was calculated based on height and weight measurements. Girls' self-concept was assessed using an individually administered questionnaire. Parents' concern about their child's weight status and restriction of their child's access to food were assessed using a self-report questionnaire. RESULTS: Girls with higher weight status reported lower body esteem and lower perceived cognitive ability than did girls with lower weight status. Independent of girl's weight status, higher paternal concern about child overweight was associated with lower perceived physical ability among girls; higher maternal concern about child overweight was associated with lower perceived physical and cognitive ability among girls. Finally, higher maternal restriction of girls' access to foods was associated with lower perceived physical and cognitive ability among girls with higher weight status but not among girls with lower weight status. CONCLUSIONS: At least as early as age 5 years, lower self-concept is noted among girls with higher weight status. In addition, parents' concern about their child's weight status and restriction of access to food are associated with negative self-evaluations among girls. Public health programs that raise parental awareness of childhood overweight without also providing constructive and blame-free alternatives for addressing child weight problems may be detrimental to children's mental health.

Body Image↗
PubMed2005

[Conceptions and practices of community health agents caring for the elderly].

OBJECTIVE: To assess the main conceptions related to the aging process among community health agents. METHODS: An exploratory descriptive qualitative study was carried out in Pernambuco, Northeastern Brazil, from 2000 to 2002. Data was collected from records and interviews with 148 community health agents. The thematic analysis allowed data classification and assembling. RESULTS: The results show that community health agents identified their main tasks as the development of activities in health education and performance of basic actions. Most of them had negative opinions on the aging process, and complete understanding of the concept of health. They mentioned that most complaints by the elderly are health-related problems and need for affection. Community agents identified caring for the elderly as their main responsibility and inadequate service organization made it difficult to operationalize care delivery. Regarding their expectations, they were found to want to further their knowledge on the aging process. CONCLUSIONS: Community health agents identified themselves as main actors for delivery basic care and core agents in the accomplishment of specific health policies. Their conceptions had a positive perspective in relation to their attributions and aging health. The study points out to the need of promoting agents' training to make them able to deal with the multiple aspects of aging.

Adult↗
PubMed2005

Self-concept, academic performance and behavioral evaluation of the children of alcoholic parents.

OBJECTIVE: It has been shown that being the child of an alcoholic is a risk factor for the development of alcoholism in adulthood. Due to the suffering caused by living with alcoholic parents, other vulnerabilities appear in such children. Among these are low self-esteem, poor academic performance and behavioral problems. This work aims to comparatively evaluate children of alcoholic parents and children of nonalcoholic parents. METHODS: The study design was quasi-experimental, involving two comparison groups. Two groups of 20 children were selected. The groups consisted of 10- to 12-year-old male and female children. One group comprised children of alcoholic parents, whereas the other comprised children of nonalcoholic parents. The self-concepts of these children were evaluated using the Piers-Harris Children's Self-Concept Scale as well as the Academic Performance Test. Their mothers participated in the study by answering questions related to the behavior of their children on the Rutter A2 scale of Child Behavior. RESULTS: The results showed that the children of alcoholic parents tended to have more negative self-concepts and presented lower academic performance in reading and arithmetic than did children of nonalcoholic parents. Based on the responses given by the mothers, the children of alcoholic parents presented more behavioral problems than did those of nonalcoholic parents. CONCLUSIONS: The results of this study confirm those of other studies and call attention to the need to be aware of the potential vulnerabilities of children of alcoholic parents and, especially, to try to minimize such vulnerabilities, thereby altering the course of psychological suffering that can mark their lives.

Achievement↗
PubMedDate not supplied

A concept analysis of family-centered care in the NICU.

Family-centered care (FCC) has been implemented in many NICUs throughout the U.S. It is valuable in helping families whose infants require hospitalization cope with the stress, fear, and altered parenting roles that may accompany their child's condition and hospitalization. To employ such a significant philosophy of care, nurses must understand what the FCC concept signifies. A concept analysis can often aid understanding of abstract ideas such as FCC. This article utilizes a 1995 framework for concept analysis to clarify the meaning of FCC for the neonatal nurse. Incorporating FCC into daily professional practice can enable nurses to improve the emotional and physical well-being of each family they encounter.

Adaptation, Psychological↗
PubMed2002

Integrating concepts for the development of qualitatively-derived theory.

The development of qualitatively-derived theory (QDT) remains a challenge for researchers wishing to retain the complexity of reality. The techniques of concept integration provide a means to link concepts according to their shared attributes and logically according to their mutual interactions, reactions, and responses. While retaining all of the advantages of qualitative induction, integrating concepts in this manner places QDT theory at the upper end of mid-range theory, or disclosive theory, to produce a theory of higher abstraction and broader scope.

Concept Formation↗
PubMed2003

Concept advancement: enhancing inductive validity.

Enhancing inductive validity while advancing a concept has always been a dilemma for qualitative researchers. This dilemma is paramount for researchers completing a series of small discrete projects all focused on the same concept. How do researchers use knowledge from their earlier research while maintaining an inductive paradigm? Template comparison, a method of sequential triangulation, is proposed as a solution to this problem. Template comparison allows the researcher to use findings from earlier studies, which employed the same or different qualitative methods, as a guide for the data collection, interpretative, and theoretical phases of the new study. The authors' research of the concept of trust is used as an example of the application of template comparison.

Concept Formation↗
PubMed2006

Pragmatic utility: using analytical questions to explore the concept of ethical sensitivity.

Ethical sensitivity is the means and capacity through which professionals strive to understand and compassionately respond to those in their care. As a transdisciplinary concept, ethical sensitivity can facilitate knowledge development across disciplines. To clarify and reduce ambiguities, the concept of ethical sensitivity was analyzed using the pragmatic utility method. With this method, the investigator uses analytical questions arising from in-depth understanding of the literature to synthesize data, to push beyond the limits of isolated findings and individual disciplines, to identify shared knowledge, and to provide new insights, lines of questioning, and direction. In this article, the role, technique, results, advantages, and limitations of the pragmatic utility method are elucidated. Characteristics of ethical sensitivity are its (a) preconditions of suffering and vulnerability cues, uncertainty, relationships characterized by receptivity and responsiveness, and courage; (b) attributes of moral perception, affectivity, and dividing loyalties; and (c) outcomes of client comfort and well-being, professional learning and self-transcendence, and integrity-preserving compromise. Use of the pragmatic utility method enhanced comprehension, meaning, relevance, and dimensions of the concept of ethical sensitivity as conveyed in the academic literature of selected professional disciplines.

Affect↗
PubMed1980

Age differences in life satisfaction, locus of control, and self-concept.

The literature regarding age differences in life satisfaction, locus of control and self-concept reveal seriously conflicting results while that on the relationships among these dependent measures has largely supported Erikson's proposals regarding the psychosocial crisis of ego integrity versus despair. A total of ninety-nine V. A. Domiciliary residents, with thirty-three in each of three age groups (50-59, 60-69 and 70+), completed measures of life satisfaction, locus of control and self-concept. Multivariate analysis of covariance demonstrated a significant age difference with the older veterans, who were less well educated and institutionalized longer, more positive on the composite of the three measures. Univariate analysis, however, resulted in significant age differences in self-concept and life satisfaction but not in locus of control. Based upon these findings and the relationships among the dependent variables, the older veterans appear to have resolved the ego integrity versus despair crisis more adequately in spite of having lived for a longer period of time in what has often been viewed as a sterile, blunting environment. Perhaps, contrary to popular assumptions, an institution may provide an environment that facilitates and nourishes the self-esteem and satisfaction of elderly residents.

Age Factors↗
PubMed1991

Neuropsychological characteristics of right hemisphere damage: investigation by attention tests, concept formation and change test, and self-evaluation task.

Neuropsychological characteristics of right (non-dominant) hemisphere damage were investigated by attention tests, a concept formation and change test, and a self-evaluation task on a total of 126 brain damaged subjects (66 right hemisphere damaged and 60 left hemisphere damaged). Common response patterns specific to subjects with right hemisphere lesions were studied by three attention tests (audio-motor method, cancellation test, and set dependent activity test). Those with right hemisphere lesions showed a large number of responses (excessive response) and low proportion of correct responses (low hit rate, qualitative deterioration of response), indicating a tendency toward randomness. A concept formation and change test, the new modified Wisconsin Card Sorting Test, was performed to investigate the handling of higher concepts. Only the frequency of difficulty of maintaining set (DMS) was significantly higher in those with right hemisphere lesions. Problems concerning attention and attitude toward the tests, i.e. random attitude were thought to exist in those with right hemisphere damage. Self-evaluation and corrective ability were studied on the self-evaluation task using the audio-motor method. Feedback was less effective in subjects with right hemisphere lesions, and they tended to underestimate their errors. These results were consistent with personality characteristics such as the lack of a serious attitude and poor volition for treatment, which are frequently observed in clinical settings. The above are considered basic, common characteristics of right hemisphere damage. These findings may partially explain the phenomenological characteristics of right hemisphere damage described by various investigators.

Aged↗
PubMed1975

Relationships among perceptual-motor, self-concept, and academic measures for children in kindergarten, grades one and two.

Most studies reporting correlations of psychomotor and cognitive measures deal with perceptual-training programs for the remediation of academic deficiencies. This study provided additional information about the relationships of perceptual-motor ability and academic achievement for children in kindergarten through the second grade, and included self-concept. A small positive relationship between perceptual-motor ability and academic ability was observed for all three grade levels. There was little indication of any significant relationship between self-concept and academic ability, which provides no basis for the hypothesis proposing self-concept as an intervening variable in the relationship between the perceptual-motor and academic areas, at least for such young subjects.

Achievement↗
PubMed1977

Individualized, success oriented instructions in achievement and self-concept of first graders.

Gains in achievement and self-concept of 23 first graders receiving individualized, supportive, success-emphasizing instruction were compared with those of 22 receiving more traditional instruction. The individualized group showed greater gains in certain academic skills but no greater gain in self-concept. This study did not support the contention that a supportive, success-emphasizing classroom environment enhances self-concept.

Achievement↗
PubMed1977

Relationships between area-specific measures of self-concept, self-esteem and academic achievement for junior high school students.

Physical maturity, peer relations, academic success and school adaptiveness self-concept and self-esteem measures were correlated with reading, language, mathematics, and composite achievement scores for 26 male and 48 female junior high school students. Academic success self-concept was significantly correlated with each of the achievement measures. Peer relations self-concept and self-esteem correlated with language, math, and composite achievement. Academic success self-esteem measures did not correlate with any of the measures of achievement.

Achievement↗
PubMed1980

Salience of handedness in the spontaneous self-concept.

The distinctiveness postulate regarding selective perception implies that an aspect of a complex stimulus is likely to be noticed in direct proportion to its distinctiveness in the environment in which it is perceived. An implied prediction tested in the present study is that handedness is more salient in the self-concepts of left-handers than of right-handers. The spontaneous self-concept was measured in two different populations by open-ended "Tell us about yourself" questions. In each group, a significantly greater proportion of left- than right-handers mentioned their handedness as part of their self-concept.

Adult↗