This study explored the use of social comparison appraisals in adolescents' lives with particular reference to enhancement appraisals which can be used to counter threats to the self. Social comparison theory has been increasingly used in quantitative research to understand the processes through which societal messages about appearance influence adolescents' body image. Little is known about the comparison processes used in their daily lives-to whom individuals compare (the target), on what individuals compare (the attribute) and how they compare (comparison appraisal). Based on the analysis of 20 in-depth grounded theory interviews with 12- to 14-year old boys and girls, we suggest that comparison processes are used for the purpose of identity development (core category). Given the opportunity, adolescents spontaneously describe a variety of targets, comparison attributes and comparison appraisals. Peers play an important part in making sense of media images and messages and provide comparison targets themselves. Adolescents are aware of societal standards and pressures and use a range of enhancement appraisals. The positive impact of these might depend on individual characteristics. Findings suggest that enhancement appraisals might have a protective function and should be considered in designing health promotion and prevention programmes.
The aim of this article is to review the literature on studies on the effect of having health professionals treat a patient's pain experience as credible and to propose considerations for nursing practice. A systematic literature search was performed via Cinahl, Medline, British Nursing Index, Cochrane and PsychINFO from 1970-2003 using the key words 'chronic pain', 'attitude', 'confirmation', 'listening to' and 'belief'. Study findings were reviewed in relation to the effect of 'being believed'. There are no studies that look exclusively at the effects of having a health professional believe a patient's reported pain experience; however, within the literature there are several references to the need to examine this phenomenon. Future research in this area is needed to provide direction for clinical practice for nurses in this aspect of chronic pain management.
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