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乳腺癌适应过程中的社会比较

Social comparison in adjustment to breast cancer.

作者信息

Wood J V, Taylor S E, Lichtman R R

出版信息

J Pers Soc Psychol. 1985 Nov;49(5):1169-83. doi: 10.1037//0022-3514.49.5.1169.

DOI:10.1037//0022-3514.49.5.1169
PMID:4078672
Abstract

We investigated four theoretical perspectives concerning the role of social comparison (Festinger, 1954) in coping with a threatening event in a sample of breast cancer patients. According to the supercoper perspective, personal contact with comparison others is often unavailable to patients, and contact with media "supercopers"--fellow victims presented as adjusting very smoothly--may make patients feel inadequate by comparison. According to the similarity perspective, patients select comparison targets who are similar to themselves because those comparisons should be the most informative. The upward comparison perspective is predictive of comparisons to relatively advantaged or superior individuals. The downward comparison perspective leads to the prediction that under conditions of threat, individuals make comparisons to people who are inferior or less fortunate in order to enhance their self-esteem. We interviewed 78 breast cancer patients, and results of both closed-ended questions and spontaneously offered comparisons yielded a preponderance of downward comparisons. The results point to the value of using naturalistic methods for studying comparisons, and suggest a more active and cognitive role for social comparison than is usually portrayed.

摘要

我们在一组乳腺癌患者样本中,研究了关于社会比较(费斯汀格,1954年)在应对威胁性事件中作用的四种理论观点。根据超级应对者观点,患者往往无法与比较对象进行个人接触,而与媒体“超级应对者”——被呈现为适应得非常顺利的同病患者——接触可能会让患者相比之下感到自己不足。根据相似性观点,患者会选择与自己相似的比较对象,因为这些比较应该最具参考价值。向上比较观点预测会与相对更有优势或更优越的个体进行比较。向下比较观点则预测,在受到威胁的情况下,个体为了增强自尊会与比自己差或运气没自己好的人进行比较。我们采访了78名乳腺癌患者,封闭式问题的结果和自发进行的比较都显示向下比较占多数。结果表明采用自然主义方法研究比较的价值,并表明社会比较所起的作用比通常所描述的更积极且更具认知性。

相似文献

1
Social comparison in adjustment to breast cancer.乳腺癌适应过程中的社会比较
J Pers Soc Psychol. 1985 Nov;49(5):1169-83. doi: 10.1037//0022-3514.49.5.1169.
2
Disease appraisals as a coping strategy with cancer threat.将疾病评估作为应对癌症威胁的一种策略。
Isr J Psychiatry Relat Sci. 1990;27(3):145-59.
3
Social comparison and adjustment to breast cancer: an experimental examination of upward affiliation and downward evaluation.
Health Psychol. 1999 Mar;18(2):151-158. doi: 10.1037/0278-6133.18.2.151.
4
[Psychological and social behavior of females following radical operation of breast cancer].[乳腺癌根治术后女性的心理及社会行为]
Zentralbl Chir. 1985;110(1):12-25.
5
[Adjustment, stress and coping with stress in breast cancer. Results of single case studies].[乳腺癌中的调整、压力与应对压力。单病例研究结果]
Z Klin Psychol Psychopathol Psychother. 1989;37(3):303-16.
6
Adjustment to breast cancer using downward comparison.通过向下比较来适应乳腺癌。
Cancer Pract. 1994 Sep-Oct;2(5):359-64.
7
The affective consequences of social comparison: either direction has its ups and downs.社会比较的情感后果:无论朝哪个方向都有起有落。
J Pers Soc Psychol. 1990 Dec;59(6):1238-49. doi: 10.1037//0022-3514.59.6.1238.
8
Effects of social comparison direction, threat, and self-esteem on affect, self-evaluation, and expected success.社会比较方向、威胁和自尊对情感、自我评估及预期成功的影响。
J Pers Soc Psychol. 1993 May;64(5):708-22. doi: 10.1037//0022-3514.64.5.708.
9
Threat and loss in breast cancer.
Psychol Med. 1989 Aug;19(3):677-81. doi: 10.1017/s0033291700024272.
10
[Help in coping with breast cancer--experiences with affected females].[应对乳腺癌的帮助——患病女性的经历]
Schweiz Rundsch Med Prax. 1985 Feb 5;74(6):115-8.

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