PubMed HealthSearch

PubMed · 8579715

[Irrationality and risk--a problem analysis].

Abstract

The way one experiences risks and one's risk behaviour is not centrally the result of rational considerations and decisions. Contradictions and incompatibilities can be proved empirically: (1) General paranoiac hysterical fear of risks, (2) complete repression of health risks, (3) unsureness and inability in dealing with risks, (4) prejudice against risks, (5) admiring risk behaviour, (6) seeking dangerous ways to test one's own limits, (7) readiness for aggression by not subjectively being able to control the risk, (8) naively assessing a risk positively thus intensifying pleasurable sensation, (9) increased preparedness to take risks in groups, (10) increased preparedness to take risk in anonymity, (11) accepting risks as a creative challenge for achievement motivation, (12) loss of innovation when avoiding risks. The awareness and assessment of risk factors is dependent on (1) personality factors (achievement-motivated persons experience risk as a creative challenge; risk behaviour being a variation in stimulus and exploration of one's environment), (2) the social back-ground (booster function), (3) the culture-related assessment of being able to control risks and (4) age (youthful risk behaviour being a way of coping with developmental exercises, e.g. purposely breaking parent's rules, provocatively demonstrating adult behaviour, a means to solve frustrating performance failures, advantages through social acceptance). The way one copes with risk factors is based on subjective estimation of risk; this assessment is made anew for each area of behaviour according to the specific situation. Making a decision and acting upon it is the result of simultaneously assessing the possible psychological benefit-cost factors of taking risks. The extent, to which the threat of risk factors is felt, depends on the importance one attaches to certain needs and benefits of quality of life and, in addition to this, what the subjective probabilities are that one is likely to be befallen by a particular risk; here it is possible that the subjective likelihoods of the risk occurring are maximized and minimized (e.g. hygiene, immunizations risks). The subjective risk hierarchies--they are often contrary to scientific knowledge--are additional evaluation factors.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

R Bergler. 1995. [Irrationality and risk--a problem analysis].. https://pubmed.ncbi.nlm.nih.gov/8579715/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Adult psychosocial outcomes in long-term survivors of acute lymphoblastic leukaemia and Wilms' tumour: a controlled study.

BACKGROUND: Variability in methods and deficits in design have contributed to conflicting findings about adult psychosocial functioning after childhood cancer. We did a controlled study of psychosocial outcomes in adult survivors of childhood acute lymphoblastic leukaemia (ALL) and Wilms' tumour to address previous methods limitations. METHODS: We assessed 102 survivors of childhood ALL and Wilms' tumour, who had been free from relapse for 5 years and were aged 19-30 years, and 102 unrelated healthy controls. We used standard measures of adult psychiatric disorder, interpersonal and social-role performance, and intellectual ability to assess past and current functioning. FINDINGS: Cancer survivors had no increased rates of psychiatric disorder. Mean scores of cancer survivors were significantly higher (indicating poorer functioning) than those of controls for love/sex relationships (mean difference 0.87 [95% CI 0.53-1.22]), friendships (0.37 [0.07-0.67]), non-specific social contacts (0.40 [0.20-0.60]), and day-to-day coping (0.35 [0.14-0.57]). Cancer survivors were more likely than controls to have a combination of deficits in love/sex relationships and friendships (ALL survivors odds ratio 10.83 [95% CI 3.87-30.82], Wilms' tumour survivors 4.85 [1.43-16.47]), which was associated with more recent treatment (p=0.005). Poor coping was associated with lower intellectual ability scores (p=0.018). INTERPRETATION: Childhood ALL and Wilms' tumour have long-term effects on interpersonal functioning and coping, probably mediated by different mechanisms. Prospective studies with each of these tumour groups are needed with similar adolescent and adult outcome measures.

Adaptation, Psychological

Physicians and patient spirituality: professional boundaries, competency, and ethics.

Clinical studies are beginning to clarify how spirituality and religion can contribute to the coping strategies of many patients with severe, chronic, and terminal conditions. The ethical aspects of physician attention to the spiritual and religious dimensions of patients' experiences of illness require review and discussion. Should the physician discuss spiritual issues with his or her patients? What are the boundaries between the physician and patient regarding these issues? What are the professional boundaries between the physician and the chaplain? This article examines the physician-patient relationship and medical ethics at a time when researchers are beginning to appreciate the spiritual aspects of coping with illness.

Adaptation, Psychological

Cancer patients' information needs and information seeking behaviour: in depth interview study.

OBJECTIVES: To explore why cancer patients do not want or seek information about their condition beyond that volunteered by their physicians at times during their illness. DESIGN: Qualitative study based on in-depth interviews. SETTING: Outpatient oncology clinics at a London cancer centre. PARTICIPANTS: 17 patients with cancer diagnosed in previous 6 months. MAIN OUTCOME MEASURES: Analysis of patients' narratives to identify key themes and categories. RESULTS: While all patients wanted basic information on diagnosis and treatment, not all wanted further information at all stages of their illness. Three overarching attitudes to their management of cancer limited patients' desire for and subsequent efforts to obtain further information: faith, hope, and charity. Faith in their doctor's medical expertise precluded the need for patients to seek further information themselves. Hope was essential for patients to carry on with life as normal and could be maintained through silence and avoiding information, especially too detailed or "unsafe" information. Charity to fellow patients, especially those seen as more needy than themselves, was expressed in the recognition that scarce resources-including information and explanations-had to be shared and meant that limited information was accepted as inevitable. CONCLUSIONS: Cancer patients' attitudes to cancer and their strategies for coping with their illness can constrain their wish for information and their efforts to obtain it. In developing recommendations, the government's cancer information strategy should attend to variations in patients' desires for information and the reasons for them.

Adaptation, Psychological