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On Death and Dying

TL;DR: In this article, the implications of terminal illness for patients and for those involved in their care were discussed, and patients invited to talk about their experience found great relief in expressing their fear and anger and were able to move towards a state of acceptance and peace.
Abstract: Although most areas of human experience are nowadays discussed freely and openly, the subject of death is still surrounded by conventional attitudes and reticence that offer only fragile comfort because they evade the real issues. The dying may thus be denied the opportunity of sharing their feelings and discussing their needs with family, friends, or hospital staff. Although receiving devoted medical care, a dying patient is often socially isolated and avoided, since professional staff and students can find contact painful and embarrasing. Aware of the strains imposed on all sides by this situation, Dr Kubler-Ross established a seminar at the University of Chicago to consider the implications of terminal illness for patients and for those involved in their care. Patients invited to talk about their experience often found great relief in expressing their fear and anger and were able to move towards a state of acceptance and peace. The seminar, initially composed of students of medicine, sociology, psychology, and theology, but later joined by hospital staff and relatives of patients, enabled many members to come to terms with their own feelings and to respond constructi to what the patients had to teach them.
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Journal ArticleDOI
TL;DR: The authors delineate analytic procedures specific to each approach and techniques addressing trustworthiness with hypothetical examples drawn from the area of end-of-life care.
Abstract: Content analysis is a widely used qualitative research technique. Rather than being a single method, current applications of content analysis show three distinct approaches: conventional, directed, or summative. All three approaches are used to interpret meaning from the content of text data and, hence, adhere to the naturalistic paradigm. The major differences among the approaches are coding schemes, origins of codes, and threats to trustworthiness. In conventional content analysis, coding categories are derived directly from the text data. With a directed approach, analysis starts with a theory or relevant research findings as guidance for initial codes. A summative content analysis involves counting and comparisons, usually of keywords or content, followed by the interpretation of the underlying context. The authors delineate analytic procedures specific to each approach and techniques addressing trustworthiness with hypothetical examples drawn from the area of end-of-life care.

31,398 citations

Journal ArticleDOI
TL;DR: It is concluded that no single theoretical mechanism can explain the mobilization-minimization pattern, but that a family of integrated process models, encompassing different classes of responses, may account for this pattern of parallel but disparately caused effects.
Abstract: Negative (adverse or threatening) events evoke strong and rapid physiological, cognitive, emotional, and social responses. This mobilization of the organism is followed by physiological, cognitive, and behavioral responses that damp down, minimize, and even erase the impact of that event. This pattern of mobilization-minimization appears to be greater for negative events than for neutral or positive events. Theoretical accounts of this response pattern are reviewed. It is concluded that no single theoretical mechanism can explain the mobilization-minimization pattern, but that a family of integrated process models, encompassing different classes of responses, may account for this pattern of parallel but disparately caused effects.

2,230 citations

Book ChapterDOI
01 Jan 1978
TL;DR: In this article, the authors distinguish between two metatheoretical concepts, transaction and interaction, to address internal and external determinants of behavior in stress, and they have been drawn inexorably toward an emphasis on transaction by the very nature of stress phenomena and the evolving theoretical perspective within which they have worked.
Abstract: Because stress implies a particular kind of commerce between a person (or animal) and environment, it provides an ideal vehicle for addressing the subject matter of this book on internal and external determinants of behavior. We believe this issue is expressed especially well by differentiating between two metatheoretical concepts, transaction and interaction. We have been drawn inexorably toward an emphasis on transaction by the very nature of stress phenomena and the evolving theoretical perspective within which we have worked.

1,879 citations

Journal ArticleDOI
TL;DR: In this article, a theory that distinguishes two dimensions of trust, task-specific reliability and value congruence, is presented, and it is shown that legalistic mechanisms respond only to reliability concerns, while ignoring value-related concerns.
Abstract: Organizations frequently adopt formal rules, contracts, or other legalistic mechanisms when interpersonal trust is lacking. But recent research has shown such legalistic “remedies” for trust-related problems to be ineffective in restoring trust. To explain this apparent ineffectiveness, this paper outlines a theory that distinguishes two dimensions of trust—task-specific reliability and value congruence—and shows how legalistic mechanisms respond only to reliability concerns, while ignoring value-related concerns. Organizational responses to employees with HIV/AIDS are used as a case illustration that supports the theory's major propositions. The paper concludes with an agenda for future research.

1,513 citations