Difficult conversations: navigating the tension between honesty and benevolence

One strike and you're a lout: Cherished values increase the stringency of moral character attributions

Moral dilemmas are inescapable in daily life, and people must often choose between two desirable character traits, like being a diligent employee or being a devoted parent. These moral dilemmas arise because people hold competing moral values that sometimes conflict. Furthermore, people differ in which values they prioritize, so we do not always approve of how others resolve moral dilemmas. How are we to think of people who sacrifice one of our most cherished moral values for a value that we consider less important? The "Good True Self Hypothesis" predicts that we will reliably project our most strongly held moral values onto others, even after these people lapse. In other words, people who highly value generosity should consistently expect others to be generous, even after they act frugally in a particular instance. However, reasoning from an error-management perspective instead suggests the "Moral Stringency Hypothesis," which predicts that we should be especially prone to discredit the moral character of people who deviate from our most deeply cherished moral ideals, given the potential costs of affiliating with people who do not reliably adhere to our core moral values. In other words, people who most highly value generosity should be quickest to stop considering others to be generous if they act frugally in a particular instance. Across two studies conducted on Prolific (N = 966), we found consistent evidence that people weight moral lapses more heavily when rating others' membership in highly cherished moral categories, supporting the Moral Stringency Hypothesis. In Study 2, we examined a possible mechanism underlying this phenomenon. Although perceptions of hypocrisy played a role in moral updating, personal moral values and subsequent judgments of a person's potential as a good cooperative partner provided the clearest explanation for changes in moral character attributions. Overall, the robust tendency toward moral stringency carries significant practical and theoretical implications.

"Daring to deal with the difficult and unexpected" registered nurses' confidential conversations with patients with palliative care needs: a qualitative interview study

BACKGROUND

In palliative care, registered nurses provide advanced nursing care to relieve patients' symptoms and increase their quality of life based on physical, mental, social and existential dimensions. Conversations, often about existential issues, are an important part of nursing and can affect quality of life positively. Confidential conversations between patients and nurses occur naturally while other nursing activities are being performed. Despite their great importance for palliative care these are rarely described.

AIM

To gain a deeper understanding of how nurses in palliative care experience and describe confidential conversations with patients.

METHOD

Secondary analysis of data from 17 open-ended face-to-face interviews with registered nurses in palliative care was conducted. Qualitative content analysis using an inductive approach was used to gain a deeper understanding and analyse the latent content.

RESULTS

The confidential conversation was considered an important part of palliative care and is the nurse's responsibility. This responsibility was described as complex and placed various demands on the nurses, both personal and professional. A prerequisite for the conversation was the interpersonal relationship. The conversation allowed the patient to process important matters not previously addressed or put into words. It had no predetermined content, was unplanned and entirely on the patient's terms. For nurses the conversation could be experienced both as draining and a source of power and strength. The nurses also described safeguarding the patient through the conversation.

CONCLUSION

Nurses' confidential conversations with patients are essential in palliative care and must be highlighted more to increase the quality of palliative care. The confidential conversations often have an existential content and are challenging for the nurses. Therefore, nurses need time, knowledge, and supervision to increase their conversation skills.

Kindness in short supply: Evidence for inadequate prosocial input

In everyday life, people often have opportunities to improve others' lives, whether offering well-intentioned advice or complimenting someone on a job well done. These are opportunities to provide "prosocial input" (information intended to benefit others), including feedback, advice, compliments, and expressions of gratitude. Despite widespread evidence that giving prosocial input can improve the well-being of both givers and recipients, people sometimes hesitate to offer their input. The current paper documents when and why people fail to give prosocial input, noting that potential givers overestimate the costs of doing so (e.g., making recipients uncomfortable) and underestimate the benefits (e.g., being helpful) for at least four psychological reasons. Unfortunately, the reluctance to give prosocial input results in a short supply of kindness.

Questions and deception: How to ask better questions and elicit the truth

Questions are important tools for uncovering information, but to avoid deception, question askers must be strategic in what and how they ask-and consider the social implications of their questions. Askers should consider that in addition to soliciting information, questions also signal information about expected answers, askers' own knowledge, and the parties' relationship. We review literature on deception, conversations, and impression management to discuss signals embedded in question phrasing, and how these signals affect the truthfulness of respondents' disclosures. Askers can increase truthful disclosure by remaining neutral about the desirability of possible responses, conveying knowledge of the topic, and signaling trust. We identify how asking better questions requires being more cognizant of the informational and relational signals that questions send.

The Conversational Circumplex: Identifying, prioritizing, and pursuing informational and relational motives in conversation

The meaning of success in conversation depends on people's goals. Often, individuals pursue multiple goals simultaneously, such as establishing shared understanding, making a favorable impression, having fun, or persuading a conversation partner. In this article, we introduce a novel theoretical framework, the Conversational Circumplex, to classify conversational motives along two key dimensions: 1) informational: the extent to which a speaker's motive focuses on giving and/or receiving accurate information; and 2) relational: the extent to which a speaker's motive focuses on building the relationship. We use the Conversational Circumplex to underscore the multiplicity of conversational goals that people hold and highlight the potential for individuals to have conflicting conversational goals (both intrapersonally and interpersonally) that make successful conversation a difficult challenge.

Impression (mis)management: When what you say is not what they hear

Impression management is a fundamental aspect of social life. From self-promotion to feedback giving, from advice seeking to networking, people frequently find themselves in situations where they need to make a positive impression on others. Despite the long-term benefits of making a favorable impression, impression management attempts can backfire in unintended ways. In this article, I review recent research on self-presentation, social cognition, and communication to explain when and why people have misguided intuitions about their impressions on others, document common impression management mistakes, and propose more effective strategies to minimize actor-target asymmetries in social interactions. This review provides a theoretical framework to understand the psychology of impression (mis)management, as well as the risks and rewards of different self-presentation strategies.