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What Promotes Joy
Published in Eve Shapiro, Joy in Medicine?, 2020
One of the things I had to learn when I moved to this side from being a practitioner is that there’s a lot of delayed gratification. Physicians, especially surgeons, work very much on instant gratification. Deliver the baby, everybody’s happy, everybody’s saying, “Oh, doctor, you’re so wonderful. Can I take your picture? You’re the best. I love you, I love you!” And then you come to this side and you may work on a project for six months or a year before it finally gets rolled out and then once it gets rolled out it takes another year for you to get the data so you can answer the questions, “Okay, did this work? Did we get the data for where we need to be?” It’s a very different set of metrics. There are many days that aren’t good days, but that’s just like everybody else. You don’t always have to be happy or ecstatic.
Communication strategies with the adolescent patient
Published in Joseph S. Sanfilippo, Eduardo Lara-Torre, Veronica Gomez-Lobo, Sanfilippo's Textbook of Pediatric and Adolescent GynecologySecond Edition, 2019
Adolescents at this stage begin to think more in the abstract (less concrete) and are able to make long-term plans when prompted. There is an increased awareness of the future, interest in goal setting, and an ability to consider options of delayed gratification. An adolescent at this age may have part-time employment and/or be approaching high school graduation. At the same time, she is considering her options for career choices, higher education, and fulfillment as an adult. Adolescents at this age are fast approaching, or have reached, legal adulthood for financial and medical decision-making purposes. While some are eager to acquire this independence, others may still rely on guardians or parents for scheduling appointments and managing their affairs. This is an excellent time to encourage patients to advocate for themselves and “own” their visit, to help foster their sense of independence.
Psychological Treatment of Chronic Pain in Pediatric Populations
Published in Andrea Kohn Maikovich-Fong, Handbook of Psychosocial Interventions for Chronic Pain, 2019
The treatment of chronic pain often requires intentionally putting the patient in significantly painful situations on a daily basis in order to gain the long-term benefits of pain relief and increased functioning. Maintaining this focus on long-term benefits requires significant abilities to delay gratification and maintain mature self-discipline. This is particularly challenging for normally developing children who typically lack appreciation for long-term consequences and for whom the short-term consequences of any choice or action are much more relevant and influential in their decision-making (Duckworth & Steinberg, 2015). Practitioners can teach strategies to families and patients that break down larger goals into a step-by-step process, which allows for setting short-term goals that are intentionally and concretely linked to the overall goal of pain relief. The parallel example of math homework can help parents understand this concept. Rarely do children do math homework because of an overwhelming desire to understand math or to enrich their academic lives; they do it because the assignment is due tomorrow and they want a good grade and their teacher’s approval.
Sex Addictions Faced With the Paradigm of Perversions
Published in Studies in Gender and Sexuality, 2023
So in 2023, in an age where geolocated applications like Tinder, Meetic, Grindr, and others have become commonplace, is it still possible to uphold Masud Kahn’s argument? In a pragmatic Western society that has conditioned human beings to a world in which what one desires should be obtainable and should materialize instantly, delayed gratification is no longer a usual aspect of contemporary psychic functioning. With the arrival of internet technology, access to pornography has become considerably more common. And while pornography gets spectators used to viewing living persons as fetishized animated images, it also plays a part in the sex education of adolescents, by promoting the idea of a sexuality based on performance (athletic, aesthetic, or extreme). The scenarios of such productions rarely depict romantic affect, erotic disquiet, nervous anticipation, anxiety, or even dialogue. The marker of the boundary between normal and abnormal has moved considerably since the beginning of the 20th century. What seemed scandalous in Freud’s time (when a foot fetish was “a sexual aberration” and fellatio a “perverse monstrosity”) may now be seen as an individual choice among different ways of conceiving of one’s relation to pleasure. In a society where the validation of a binary representation of the sexual difference is gradually evaporating, along with the experience of absence, on account of technology (the virtual), and in which access to pornographic images is increasingly common, classic metapsychological and psychopathological definitions of perversion can no longer be maintained.
Relations between Executive Functions, Theory of Mind, and Functional Outcomes in Middle Childhood
Published in Developmental Neuropsychology, 2021
Jennifer Wilson, Christy Hogan, Si Wang, Glenda Andrews, David H. K. Shum
The Gift Delay Task (Wilson et al., 2017) was used in the current research to assess delayed gratification. Participants were shown a display box that was filled with gifts including novelty stationary items and toys (i.e., stickers, pens, erasers, balls etc.) and was kept in full view of the participants throughout the assessment session. First, the children were presented with a small gift box containing some gift items. Participants were not able to see the content of the box because the lid was closed, however they were told that the box contained items similar to those in the display box. The participants were told that they could receive the small gift box now, a medium-sized gift box (containing more items) halfway through the assessment, or a large giftbox (containing even more items) if they waited until the end of the assessment. If the child chose to delay, the small gift box was placed on the table, remaining visible whilst other measures were administered. Medium and large gift boxes were presented to the participants at pre-set times within the assessment session. Participants’ responses were scored 0 if they chose the small gift box, 1 if they chose the medium gift box, and 2 if they waited until the end for the large gift box, therefore higher scores indicated ability to delay gratification for longer. If children changed their mind during the assessment and asked to open the box they had been previously offered, they were given the box during a break between tasks and scored according to the box they received.
Constructing a Performance Measure of Future Time Orientation
Published in Journal of Personality Assessment, 2021
Mathew Biondolillo, Leonard Epstein
FTO is closely related to other constructs that consider foresight important in decision-making. These include effortful control (Posner & Rothbart, 2000), which relates to the inhibition of a dominant response for a non-dominant response, delay of gratification (Mischel, Shoda, & Rodriguez, 1989), which relates to the postponement of one reward for the sake of a later reward, and conscientiousness (Costa, McCrae, & Dye, 1991), a trait marked by a tendency to follow social norms and to persist in goal pursuit; however, these constructs are theoretically distinct. Effortful control and delay of gratification imply the use of self-regulatory mechanisms to make decisions for future benefit, whereas FTO denotes the degree of default future-oriented decision-making. For example, those with a greater FTO may not need to engage in as much effort control and would be more likely to delay gratification when faced with a choice between an immediate versus a delayed reward as their dominant response would be for a delayed reward. Furthermore, although a conscientious person is likely to be more future-oriented and to keep long-term plans in mind, conscientiousness encompasses attributes beyond FTO that may also lead to healthy decisions, such as orderliness and responsibility (Bogg & Roberts, 2013).