Skip to main content

Expression of Positive Emotion by People Who Are Physically Ill: Is It Evidence of Defending or Coping?

  • Chapter
Content Analysis of Verbal Behavior

Abstract

Expression of positive emotion by patients hospitalized because of illness or injury is rarely expected by the medical and nursing staff who work with them, nor has such expression of good feelings and contentment been examined in any detail by researchers. Some evidence of this phenomenon is now emerging in the literature [1]. The more severe their illness, the more positive emotion patients express [2]. Yet, the less severe they perceive the handicaps induced by their illness to be, the more positive emotion they express [3]. It is possible to view positive emotion as a distortion of the distressed emotions which are more appropriate reactions to illness and injury [4]. It is also possible to see it as an indication of the high quality of life some patients can maintain in spite of coping with multiple stressors [5]. The expression of positive emotion has been found to be associated with both poor [6] and good [7] medical prognoses. Hence, it may be evidence of either defending or coping.

Reprinted from the Journal of Psychosomatic Research (29 December 1985) with permission of the author and publisher. This research has drawn on funding from both the Australian Research Grants Scheme (Grant No. 77/15046R) and the Commonwealth of Australia Department of Health.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Viney LL (1983) Images of Illness. Krieger, Malabar

    Google Scholar 

  2. Westbrook MT, Viney LL (1982) Psychological reactions to the onset of chronic illness. Soc Sci Med 16: 899–965

    Article  CAS  PubMed  Google Scholar 

  3. Hamera EK, Shontz FC (1978) Perceived positive and negative effects of life threatening illness. J Psychosom Res 22: 419–424

    Article  CAS  PubMed  Google Scholar 

  4. Haan N (1977) Coping and defending. Academic, New York

    Google Scholar 

  5. Viney LL, Westbrook MT (1981 a) Psychological reactions to chronic illness-related disability as a function of its severity and type. J Psychosom Res 25: 513–523

    Article  CAS  PubMed  Google Scholar 

  6. Derogatis LR, Abeloff MD, Melisaratos N (1979) Psychological coping mechanisms and survival time in metastatic breast cancer. JAMA 242: 1504–1508

    Article  CAS  PubMed  Google Scholar 

  7. Brown J, Rawlinson M (1976) The morale of patients following open heart surgery. J Health Soc Behav 17: 134–144

    Article  CAS  PubMed  Google Scholar 

  8. Vaillant GE (1977) Adaptation to life. Little, Brown, Boston

    Google Scholar 

  9. Lipowski ZJ (1967) Review of consultation psychiatry and psychosomatic medicine. Psychosom Med 29: 201–225

    CAS  PubMed  Google Scholar 

  10. Freud S (1935) A general introduction to psychoanalysis. Liverright, New York

    Google Scholar 

  11. Freud A (1948) The ego and the mechanisms of defence. Hogarth, London

    Google Scholar 

  12. Weisman AD (1972) On dying and denying. Behavioural Publication, New York

    Google Scholar 

  13. Hamburg DA (1974) Coping behavior in life threatening circumstances. Psychother Psychosom 23: 13–25

    Article  CAS  PubMed  Google Scholar 

  14. Janis IL (1974) Psychological stress. Academic, New York

    Google Scholar 

  15. Moos RH, Tsu VD (1977) The crisis of physical illness: an overview. In: Moos RH (ed) Coping with physical illness. Plenum, New York

    Google Scholar 

  16. Froese A, Hackett P, Cassem NH, Silverberg EL (1974) Trajectories of anxiety and depression in denying and nondenying acute myocardial infarction patients during hospitalisation. J Psychosom Res 8: 413–420

    Article  Google Scholar 

  17. Sanders JB, Kardinal C (1977) Adaptive coping mechanisms in adult leukemia patients in remission. JAMA 238: 952–954

    Article  CAS  PubMed  Google Scholar 

  18. Meyerowitz BE (1983) Postmastectomy coping strategies and quality of life. Health Psychol 2: 117–132

    Article  Google Scholar 

  19. Hackett TP, Cassem NH, Wishnie HA (1968) The coronary care unit: an appraisal of its psychologic hazards. N Engl J Med 279: 1365–1370

    Article  CAS  PubMed  Google Scholar 

  20. Miller WB, Rosenfeld R (1975) A psychophysiological study of denial following acute myo-cardial infarction. J Psychosom Res 19: 43–54

    Article  CAS  PubMed  Google Scholar 

  21. Billing E, Lindell B, Sedorholm M, Theorell T (1980) Denial, anxiety and depression following myocardial infarction. Psychosomatics 21: 639–645

    CAS  PubMed  Google Scholar 

  22. Moses R, Cividali N (1966) Differential levels of awareness of illness: their relation to some salient features in cancer patients. N Y Acad Sci Ann 125: 984–994

    Article  CAS  Google Scholar 

  23. Lipowski ZJ (1970) Physical illness and the individual and the coping process. Psychiatry Med 1: 91–101

    Article  CAS  PubMed  Google Scholar 

  24. Mechanic D (1974) Social structure and personal adaptation: some neglected dimensions. In: Coelho GV, Hamburg DA, Adams JE (eds) Coping and adaptation. Basic, New York

    Google Scholar 

  25. Cohen F, Lazarus RS (1979) Coping with the stresses of illness. In: Stone GC, Cohen F, Adler NE (eds) Health psychology — a handbook. Jossey Bass, San Francisco

    Google Scholar 

  26. Weisman AD, Worden JW (1976–77) The existensial plight in cancer: significance of the first 100 days. Int J Psychiatry Med 7: 1–15

    Article  CAS  Google Scholar 

  27. Congalton AA (1969) Status and prestige in Australia. Cheshire, Melbourne

    Google Scholar 

  28. Viney LL, Westbrook MT (1984) Coping with chronic illness: strategy preferences, changes in preferences and associated emotional reactions. J Chronic Dis 37: 489–502

    Article  CAS  PubMed  Google Scholar 

  29. Viney LL (1984) Loss of life and loss of bodily integrity: two different sources of threat for people who are ill. Omega 15: 207–222

    Google Scholar 

  30. Viney LL (1981) Content analysis: a research tool for community psychologists. Am J Commun Psychol 9: 269–281

    Article  Google Scholar 

  31. Viney LL, Westbrook MT (1981) Measuring patients’ experienced quality of life: the application of content analysis scales in health care. Commun Health Stud 5: 45–52

    Article  Google Scholar 

  32. Viney LL (1983) The assessment of psychological states through content analysis of verbal communications. Psychol Bull 94: 542–563

    Article  Google Scholar 

  33. Viney LL (1980) Transitions. Cassell, Sydney

    Google Scholar 

  34. Viney LL (1983) Psychological reactions of young people to unemployment. Youth Soc 14: 457–474

    Article  Google Scholar 

  35. Westbrook MT (1976) Positive affect: a method of content analysis for verbal samples. J Consult Clin Psychol 44: 715–719

    Article  CAS  PubMed  Google Scholar 

  36. Viney LL, Westbrook MT (1976) Cognitive anxiety: a method of analysis for verbal samples. J Pers Assess 40: 140–150

    Article  CAS  PubMed  Google Scholar 

  37. Gottschalk LA (1979) The content analysis of verbal behavior: further studies. Spectrum, New York

    Google Scholar 

  38. Gottschalk LA, Gleser GC (1969) The measurement of psychological states through the content analysis of verbal behavior. University of California Press, Berkeley

    Google Scholar 

  39. Gottschalk LA, Winget CN, Gleser GC (1969) Manual of instructions for using the Gottschalk-Gleser content analysis scales. University of Los Angeles Press, Berkeley

    Google Scholar 

  40. Westbrook MT, Viney LL (1980) Scales of origin and pawn perception using content analysis of speech. J Pers Assess 44: 157–166

    Article  Google Scholar 

  41. Viney LL, Westbrook MT (1979) Sociality: a content analysis scale for verbalizations. Soc Behav Personal 7: 129–137

    Article  Google Scholar 

  42. Viney LL, Clarke AM, Bunn TA, Benjamin YN (1985) Crisis intervention counseling: an evaluation of long-term and short-term effects. J Coun Psych 32: 29–39

    Article  Google Scholar 

  43. Viney LL, Clarke AM, Bunn TA, Benjamin YN (1985) An evaluation of three crisis intervention counseling programmes for general hospital patients. Br J Med Psychol 58: 75–86

    Article  PubMed  Google Scholar 

  44. Viney LL, Clarke AM, Bunn TA, Benjamin YN (1985) The effects of a hospital-based counseling service on the physical recovery of surgical and medical patients. Gen Hosp Psychiatry 7: 294–301

    Article  CAS  PubMed  Google Scholar 

  45. Viney LL, Benjamin YN, Clarke AM, Bunn TA (1985) Sex differences in the psychological reactions of medical and surgical patients to crisis intervention counseling: source for the goose may not be sauce for the gander. Soc Sci Med 20: 1199–1205

    Article  CAS  PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Viney, L.L. (1986). Expression of Positive Emotion by People Who Are Physically Ill: Is It Evidence of Defending or Coping?. In: Gottschalk, L.A., Lolas, F., Viney, L.L. (eds) Content Analysis of Verbal Behavior. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71085-8_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-71085-8_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-16322-0

  • Online ISBN: 978-3-642-71085-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics