RESUMO
Congenital anomalies are the principal cause of neonatal mortality in the United States. Families who decide to continue gestation and reject termination of pregnancy benefit from the experience of Perinatal Hospice (PH). There are no current studies that show if there may be positive outcomes for care-providers as well. The first step is exploration of their emotive experiences and representations beyond burnout or stress disorders and the possible negative outcomes. With this aim, semi-structured interviews were conducted with 10 specialists. An Elementary Context analysis was performed with T-Lab software. Providers experience positive elements even though they work in a painful reality and face the possibility of 'failure' of medical science or the loss of a patient. They declare themselves to be satisfied and do not demonstrate deep suffering or particular psychophysical disorders. They consider their job as a 'gift'. There is a lack of research exploring the encouraging aspects of their work, such as coping strategies or positive emotions.
RESUMO
One of the several ways in which affect may influence cognition is when people use affect as a source of information about external events. Emotional reasoning, ex-consequentia reasoning, and affect-as-information are terms referring to the mechanism that can lead people to take their emotions as information about the external world, even when the emotion is not generated by the situation to be evaluated. Pre-existing emotions may thus bias evaluative judgments of unrelated events or topics. From this perspective, the more people experience a particular kind of affect, the more they may rely on it as a source of valid information. Indeed, in several studies, it was found that adult patients suffering from psychological disorders tend to use negative affect to estimate the negative event as more severe and more likely and to negatively evaluate preventive performance. The findings on this topic have contributed to the debate that theorizes the use of emotional reasoning as responsible for the maintenance of dysfunctional beliefs and the pathological disorders based on these beliefs. The purpose of this paper is to explore this topic by reviewing and discussing the main studies in this area, leading to a deeper understanding of this phenomenon.
RESUMO
OBJECTIVE: Our study was aimed at evaluating the efficacy and stability of the "Pie Technique", "Cumulative Probability" and "Inverted Pyramid", cognitive techniques applied in a clinical context to reduce overestimation of the probability of threatening events. METHOD: 319 healthy participants were randomly assigned to one of 8 groups. Groups differed on the level of trait anxiety (high vs. low), and on the cognitive techniques they were to receive (Pie Technique, Cumulative Probability, Inverted Pyramid, Control task). All groups were exposed to an intervention aimed at reassigning the initial probability estimate. RESULTS: In both high and low trait anxiety individuals, all the techniques successfully produced a statistically significant reduction in the estimation of the perceived probability, while no significant outcome was found in the control task group. This effect was significantly maintained at a 4 week follow up. CONCLUSIONS: Our study shows that the Pie Technique, the Cumulative Probability and the Inverted Pyramid reduce the estimation of the perceived probability of negative events occurring in both high and low trait anxiety individuals. This effect was considerably maintained at a 4 week follow up. The reduction should mainly be attributed to the technique's power in contrasting the cognitive mechanism of hyper-focalization. The present study takes into account only general threatening events, and not threats specifically related to the different disorders. Moreover, it demonstrates that all the techniques are useful to reduce danger overestimation but in a group of non-clinical individuals. We can't thus generalize our results to anxious patients.
