Shutting the door on death: Low openness individuals become less open (to death) following mortality reminders.

OBJECTIVE: We examine if individuals low in openness cope with death reminders (i.e., mortality salience) by becoming less open and more avoidant of death. METHOD: In Study 1, openness was measured before and after a mortality salience manipulation (N = 128; Mage  = 35.82; 54.7% male; 85.2% Caucasian). In Study 2, we measured openness, manipulated mortality salience, and measured implicit avoidance of death-related words using a lexical decision task (N = 162; Mage  = 20.58; 72.8% female; 43.8% Caucasian). We predicted that for low, but not high, openness individuals, mortality salience would further decrease openness and increase the speed of responses aimed at avoiding death. RESULTS: For low openness individuals, mortality salience decreased openness scores (Study 1) and caused faster avoidance responses toward death-related words. High openness individuals demonstrated slower avoidance responses (Study 2). CONCLUSIONS: A spiraling effect may occur where mortality salience causes low openness people to become even less open, and avoid death, positioning them to respond defensively.

Objects Do Not Suffer: An Impact of Mechanistic Dehumanization on Perceptions of Women's Suffering and Lack of Justice in Domestic Assault.

Women constitute an overwhelming majority of those who experience domestic violence; furthermore, the vast majority of perpetrators of domestic violence go unsentenced. The objectification of women innately implies the denial of humanness, and dehumanization is known to play a role in willingness to engage in and acceptance of interpersonal harm. Yet, important questions remain. The current study examines the type of humanness objectified women are being denied, and how that denial implicates perceptions surrounding domestic assault. We predict that associating women with objects, and not animals, may be uniquely implicated in the lack of consequences for perpetrators-for objects cannot feel pain. In the current study (N = 319), we manipulated the presentation of a woman as sexualized or not and purported that she had been involved in a domestic violence incident. We found that when the target woman was sexualized (and thus objectified), participants associated her with an inert, non-human object (i.e., mechanistically dehumanized her) more than when she was not sexually objectified, but we found no effect of sexualization on animalistic dehumanization. Furthermore, mechanistic dehumanization mediated decreases in perceptions of the sexually objectified woman's suffering as a result of the domestic violence, which decreased the severity of the punishment participants recommended for the perpetrator, while also, increasing victim, and decreasing perpetrator, blame. We discuss critical considerations of the role of dehumanization in domestic violence directed toward women and the lack of consequences for perpetrators of these crimes.

Selfie-Evaluation: A Meta-Analysis of the Relationship Between Selfie Behaviors and Self-Evaluations.

The "selfie" phenomenon shaped the past two decades, yet there is inconsistent evidence concerning the relationship between selfie behaviors and self-evaluations. This meta-analysis investigates the relationship between selfie taking, editing, and posting behavior and general and appearance-specific self-evaluations. The results reveal that selfie taking and posting are related to positive appearance-specific self-evaluations. In contrast, selfie editing is related to negative self-evaluations both generally and specific to appearance. Gender and age did not moderate these relationships, but methodological factors did, suggesting these relationships depend on factors, such as how selfie behaviors are measured and study design. We interpret these findings through the lens of prominent social psychological theories and conclude with suggestions to guide future research.

Relationship of threat appraisal with coping appraisal to fear of cancer recurrence in breast cancer survivors.

OBJECTIVES: Prior research suggests that fear of cancer recurrence (FOR) is very common among cancer survivors. This study examined the extent to which the interaction of threat appraisal and coping appraisal accounted for differences in FOR in cancer patients who recently completed treatment. It was hypothesized that greater FOR would be related to a combination of high threat appraisal and low coping appraisal. METHODS: A sample of 155 early stage breast cancer patients (mean age = 59 years) who completed surgery, chemotherapy, and/or radiotherapy between 6 and 24 months previously (mean = 12 months) completed measures of FOR, threat appraisal (perceived risk and severity of a potential cancer recurrence), and coping appraisal (perceived response efficacy and self-efficacy to perform diet and exercise recommendations to reduce recurrence risk). Basic demographic and clinical information were also collected. RESULTS: Threat appraisal accounted for 30% of the variance in FOR (p<0.001) while coping appraisal accounted for 0% (p = 0.64). After accounting for these variables and relevant covariates, the interaction of threat appraisal and coping appraisal explained 2% of the remaining variance in FOR (p = 0.04). As hypothesized, survivors who reported high threat appraisal and low coping appraisal had the highest FOR. CONCLUSIONS: Future research should focus on examining these relationships longitudinally and further assess coping appraisal and how it impacts cancer recurrence fears.

Adaptive self-objectification in the context of breast cancer: A theoretical integration of the terror management health model and research on objectification.

Integrating theorizing from the terror management health model with research on the objectification of women's bodies, we present a novel framework for understanding reactions to breasts in the context of breast cancer: adaptive self-objectification. We suggest that, despite evidence that objectifying the body has harmful consequences for women, viewing the breasts as objects has the potential to lead to positive outcomes in the context of breast health and cancer. We find evidence for this in the context of mass communication about breast cancer screening, in women's willingness and comfort with engagement in breast cancer screening, and in the decisions women make with respect to cancer treatment (e.g. mastectomy). We conclude with a call to action for research to examine the impact of objectification of the breasts on screening behavior and treatment decisions, and consider how adaptive self-objectification can be encouraged, with the aim of saving lives.

Together we can slow the spread of COVID-19: The interactive effects of priming collectivism and mortality salience on virus-related health behaviour intentions.

Behaviours recommended for reducing transmission of COVID-19 - social distancing, wearing masks, and now, vaccination - are aimed at not only reducing one's own risk, but risk to others. We posited that a collectivist mindset, versus individualistic, would facilitate intentions to engage in behaviours aimed at curtailing the spread of the virus when the awareness of mortality is activated. This hypothesis was informed by the terror management health model and tested in two studies. In each study, collective 'we' (vs. the individual 'I') was primed, in conjunction with mortality salience compared to a control condition. The results were generally consistent, with Study 1 showing that when collectivism, but not individualism, was primed, individuals responded to a COVID-19-based mortality reminder with a significant increase in health intentions, including social distancing and mask wearing. In Study 2, when mortality was salient, priming individualism led to reduced vaccination intention compared to collectivism. We discuss limitations to the research and conclude with the recommendation that COVID-19-based communications highlight the dangers of the virus in conjunction with a focus on the collective 'we' to best encourage optimal virus mitigation behaviour.

When looking 'hot' means not feeling cold: Evidence that self-objectification inhibits feelings of being cold.

Self-objectification, the internalization of an observer's appearance-based perspective of one's body, has been theorized and demonstrated to reduce body awareness among women. In this field study, we propose self-objectification as the mechanism to explain the oft-observed phenomenon where women wearing little clothing appear unbothered by cold weather, positing that self-objectification obstructs women's feelings of cold. We surveyed women outside nightclubs on cold nights, assessed self-objectification, and asked participants to report how cold they felt. Anonymous photos were taken and coded for amount of skin exposure. We hypothesized that self-objectification would moderate the relationship between clothing coverage and reports of feeling cold. Our hypothesis was supported: women low in self-objectification showed a positive, intuitive, relationship between skin exposure and perceptions of coldness, but women more highly focused on their appearance did not feel colder when wearing less clothing. These findings offer support for the relationship between self-objectification and awareness of bodily sensations in the context of a naturalistic setting. We discuss implications of these findings, and also consider limitations, an alternative explanation, and directions for future research.

The contagion of mortality: A terror management health model for pandemics.

The novel coronavirus, COVID-19, proliferates as a contagious psychological threat just like the physical disease itself. Due to the growing death toll and constant coverage this pandemic gets, it is likely to activate mortality awareness, to greater or lesser extents, depending on a variety of situational factors. Using terror management theory and the terror management health model, we outline reactions to the pandemic that consist of proximal defences aimed at reducing perceived vulnerability to (as well as denial of) the threat, and distal defences bound by ideological frameworks from which symbolic meaning can be derived. We provide predictions and recommendations for shifting reactions to this pandemic towards behaviours that decrease, rather than increase, the spread of the virus. We conclude by considering the benefits of shifting towards collective mindsets to more effectively combat COVID-19 and to better prepare for the next inevitable pandemic.

Exploring the existential function of religion: the effect of religious fundamentalism and mortality salience on faith-based medical refusals.

Decisions to rely on religious faith over medical treatment for health conditions represent an important but understudied phenomenon. In an effort to understand some of the psychological underpinnings of such decisions, the present research builds from terror management theory to examine whether reminders of death motivate individuals strongly invested in a religious worldview (i.e., fundamentalists) to rely on religious beliefs when making medical decisions. The results showed that heightened concerns about mortality led those high in religious fundamentalism to express greater endorsement of prayer as a medical substitute (Study 1) and to perceive prayer as a more effective medical treatment (Study 2). Similarly, high fundamentalists were more supportive of religiously motivated medical refusals (Study 3) and reported an increased willingness to rely on faith alone for medical treatment (Study 4) following reminders of death. Finally, affirmations of the legitimacy of divine intervention in health contexts functioned to solidify a sense of existential meaning among fundamentalists who were reminded of personal mortality (Study 5). The existential importance of religious faith and the health-relevant implications of these findings are discussed.

Blowing in the (social) wind: implications of extrinsic esteem contingencies for terror management and health.

In 4 studies, the role of extrinsic esteem contingencies in adjusting to shifting health-relevant standards when managing existential fears was examined. Study 1 demonstrated that after reminders of death, higher dispositional focus on extrinsic self-esteem contingencies predicted greater interest in tanning. Using a more domain-specific approach, Study 2 showed that, after being reminded of death, the more individuals smoke for social esteem reasons, the more compelling they find an antismoking commercial that exposes adverse social consequences of smoking. Study 3 explored how situational factors (i.e., priming a contingent relational schema) that implicate extrinsic contingencies facilitated the impact of shifting standard primes on tanning intentions after mortality salience. Finally, Study 4 found that mortality salience led to increased endorsement of exercise as a basis of self-worth when participants who derive self-esteem from extrinsic sources visualized someone who exercises. Together, these studies demonstrate that reminders of death interact with prevalent social standards to influence everyday health decisions.

The psychosocial effect of thoughts of personal mortality on cardiac risk assessment.

BACKGROUND: Prejudice by medical providers has been found to contribute to differential cardiac risk estimates. As such, empirical examinations of psychological factors associated with such biases are warranted. Considerable psychological research implicates concerns with personal mortality in motivating prejudicial biases. The authors sought to examine whether provoking thoughts of mortality among medical students would engender more cautious cardiac risk assessments for a hypothetical Christian than for a Muslim patient. METHODS: During the spring of 2007, university medical students (N=47) were randomly assigned to conditions in a 2 (mortality salience) x 2 (patient religion) full factorial experimental design. In an online survey, participants answered questions about their mortality or about future uncertainty, inspected emergency room admittance forms for a Muslim or Christian patient complaining of chest pain, and subsequently estimated risk for coronary artery disease, myocardial infarction, and the combined risk of either of the two. A composite risk index was formed based on the responses (on a scale of 0-100) to each of the 3 cardiac risk questions. RESULTS: Reminders of mortality interacted with patient religion to influence risk assessments, F(1,41)=11.57, P=0.002, eta2 =.22. After being reminded of mortality, participants rendered more serious cardiac risk estimates for a Christian patient (F1,41 =8:66, P=0:01) and less serious estimates for a Muslim patient (F(1,41)=4.08, P=0.05). CONCLUSION: Reminders of personal mortality can lead to biased patient risk assessment as medical providers use their cultural identification to psychologically manage their awareness of death.

The implications of death for health: a terror management health model for behavioral health promotion.

This article introduces a terror management health model (TMHM). The model integrates disparate health and social psychology literatures to elucidate how the conscious and nonconscious awareness of death can influence the motivational orientation that is most operative in the context of health decisions. Three formal propositions are presented. Proposition 1 suggests that conscious thoughts about death can instigate health-oriented responses aimed at removing death-related thoughts from current focal attention. Proposition 2 suggests that the unconscious resonance of death-related cognition promotes self-oriented defenses directed toward maintaining, not one's health, but a sense of meaning and self-esteem. The last proposition suggests that confrontations with the physical body may undermine symbolic defenses and thus present a previously unrecognized barrier to health promotion activities. In the context of each proposition, moderators are proposed, research is reviewed, and implications for health promotion are discussed.

The thrust of the problem: bodily inhibitions and guilt as a function of mortality salience and neuroticism.

We argue that existential concerns underlie discomfort with the physicality of the body and that activities likely to make individuals aware of their physical body (e.g., sex, dancing) may be inhibited and cause guilt. Further, individuals high in neuroticism may be especially vulnerable to such difficulties. To test this, individuals high and low in neuroticism were primed with thoughts about their mortality or a control topic and then engaged in an exercise designed to promote body awareness before self-reporting guilt. A comparison group engaged in non-body-oriented behavior. The results revealed that high neuroticism participants inhibited their body-oriented behavior when mortality was salient and that they experienced a marginal increase in guilt after performing the behavior in conjunction with mortality salience. Discussion focuses on the relationship between neuroticism, mortality salience, inhibition surrounding the body, and guilt.

Cancer and the threat of death: the cognitive dynamics of death-thought suppression and its impact on behavioral health intentions.

Five studies examined the cognitive association between thoughts of cancer and thoughts of death and their implication for screening intentions. Study 1 found that explicit contemplation of cancer did not increase death-thought accessibility. In support of the hypothesis that this reflects suppression of death-related thoughts, Study 2 found that individuals who thought about cancer exhibited elevated death-thought accessibility under high cognitive load, and Study 3 demonstrated that subliminal primes of the word cancer led to increased death-thought accessibility. Study 4 revealed lower levels of death-thought accessibility when perceived vulnerability to cancer was high, once again suggesting suppression of death-related thoughts in response to conscious threats associated with cancer. Study 5 extended the analysis by finding that after cancer salience, high cognitive load, which presumably disrupts suppression of the association between cancer and death, decreased cancer-related self-exam intentions. Theoretical and practical implications for understanding terror management, priming and suppression, and responses to cancer are discussed.

Mother's milk: an existential perspective on negative reactions to breast-feeding.

Drawing from an existential perspective rooted in terror management theory, four studies examined the hypothesis that breast-feeding women serve as reminders of the physical, animal nature of humanity and that such recognition is threatening in the face of one's unalterable mortality. Study 1 demonstrated that mortality salience (MS) led to more negative reactions toward a scenario depicting a woman breast-feeding her infant in public, and in Study 2, MS decreased liking and increased physical avoidance of a potential task partner described as breast-feeding in another room. Further supporting the hypothesis that such reactions are rooted in threats associated with human creatureliness, MS in conjunction with a breast-feeding prime led to an increase in the accessibility of creaturely related cognitions (Study 3) and priming human/animal similarities (i.e., creatureliness) led to increased negativity toward a magazine cover depicting a woman breast-feeding her child (Study 4). Implications of this research are discussed.

Where Health and Death Intersect: Insights from a Terror Management Health Model.

This paper offers an integrative understanding of the intersection between "health" and "death" from the perspective of the terror management health model. After highlighting the potential for health-related situations to elicit concerns about mortality, we turn to the question, how do thoughts of death influence health decision-making? Across varied health domains, the answer depends on whether these cognitions are in conscious awareness or not. When mortality concerns are conscious, people engage in healthy intentions and behavior if efficacy and coping resources are present. In contrast, when contending with accessible but non-conscious thoughts of death, health relevant decisions are guided more by esteem implications of the behavior. Lastly, we present research suggesting how these processes can be leveraged to facilitate health promotion and reduce health risk.

The siren's call: terror management and the threat of men's sexual attraction to women.

Why do sexually appealing women often attract derogation and aggression? According to terror management theory, women's sexual allure threatens to increase men's awareness of their corporeality and thus mortality. Accordingly, in Study 1 a subliminal mortality prime decreased men's but not women's attractiveness ratings of alluring women. In Study 2, mortality salience (MS) led men to downplay their sexual intent toward a sexy woman. In Study 3, MS decreased men's interest in a seductive but not a wholesome woman. In Study 4, MS decreased men's but not women's attraction to a sexy opposite-sex target. In Study 5, MS and a corporeal lust prime increased men's tolerance of aggression toward women. Discussion focuses on mortality concerns and male sexual ambivalence.

Ambivalence toward the body: death, neuroticism, and the flight from physical sensation.

Based on terror management theory, the authors suggest that ambivalent reactions to the human body are partially rooted in the association of the physical body with inescapable death and that individuals high in neuroticism are particularly vulnerable to such difficulties. Three experiments demonstrated that priming thoughts about one's death leads individuals high in neuroticism to flee from physical sensations, including pleasurable ones. In response to mortality salience, highly neurotic individuals spent less time submerging their arm in ice-cold water and using an electric foot massager but did not avoid stimulation in nontactile modalities (i.e., listening to music). The discussion highlights the role of existentially motivated self-repression in inhibitions surrounding the body.

From the grave to the cradle: evidence that mortality salience engenders a desire for offspring.

On the basis of terror management theory, the authors hypothesized that reminders of mortality (mortality salience) should promote the desire for offspring to the extent that it does not conflict with other self-relevant worldviews that also serve to manage existential concerns. In 3 studies, men, but not women, desired more children after mortality salience compared with various control conditions. In support of the authors' hypothesis that women's desire for offspring was inhibited as a function of concerns about career success, Study 3 showed that career strivings moderated the effect of mortality salience on a desire for offspring for female participants only; furthermore, Study 4 revealed that when the compatibility of having children and a career was made salient, female participants responded to mortality salience with an increased number of desired children. Taken together, the findings suggest that a desire for offspring can function as a terror management defense mechanism.