TL;DR: Review of the studies suggests that cancer fatalism develops over time and is most frequently reported among medically underserved persons and those with limited knowledge of cancer.
Abstract: Cancer fatalism--the belief that death is inevitable when cancer is present--has been identified as a barrier to participation in cancer screening, detection, and treatment. Yet this literature has not been reviewed in a comprehensive and systematic manner. Therefore, this literature review addressed (1) philosophical and theoretical underpinnings of cancer fatalism; (2) relationships among demographic factors, cancer fatalism, and cancer screening; (3) the role of cancer fatalism for patients diagnosed with cancer; and (4) intervention strategies. Most of the reviewed studies were descriptive or correlational, did not have an explicit theoretical framework, had varied definitions of fatalism, and reported screening as "intent to screen" or as "past screening behaviors." Review of the studies suggests that cancer fatalism develops over time and is most frequently reported among medically underserved persons and those with limited knowledge of cancer. Cancer fatalism may be modified through culturally relevant interventions that incorporate spirituality. Emphasis must be placed on recognizing the role of cancer fatalism when planning health promotion activities. Future studies should focus on the consistent measurement of cancer fatalism and testing intervention strategies.
TL;DR: Seven studies show the effect of identity-based motivation on health, the process by which content of social identities influences beliefs about in-group goals and strategies in racial-ethnic minority participants.
Abstract: People do not always take action to promote health, engaging instead in unhealthy habits and reporting fatalism about health. One important mechanism underlying these patterns involves identity-based motivation (D. Oyserman, 2007), the process by which content of social identities influences beliefs about in-group goals and strategies. Seven studies show the effect of identity-based motivation on health. Racial-ethnic minority participants view health promotion behaviors as White middle class and unhealthy behaviors as in-group defining (Studies 1 and 2). Priming race-ethnicity (and low socioeconomic status) increases health fatalism and reduces access to health knowledge (Studies 3 and 4). Perceived efficacy of health-promoting activities is undermined when racial-ethnic minority participants who identify unhealthy behavior as in-group defining are asked to consider their similarities to (middle-class) Whites (Studies 5-7).
TL;DR: Elderly African Americans were significantly more fatalistic than elderly white participants and less likely to participate in FOBT, and fatalism remained the only significant predictor even when factors such as age, poverty, and education were controlled.
Abstract: The goal of increasing participation in fecal occult blood testing (FOBT) for elderly African Americans is a national priority. Fatalism is believed to be a barrier to screening among this population. Fatalism is the belief that death is inevitable when cancer is present. The Powe Fatalism Model guided this descriptive, correlational study that reports on the relationship between race and fatalism, as well as the relationship between fatalism and participation in FOBT. Participants (N = 192) were recruited from randomly selected congregate meal sites. The majority of participants were African American, female, had minimal education, and minimal incomes. Elderly African Americans were significantly more fatalistic than elderly white participants and less likely to participate in FOBT. Not only was fatalism a significant predictor of FOBT, but it remained the only significant predictor of FOBT, but it remained the only significant predictor even when factors such as age, poverty, and education were controlled. Nursing science must accept the challenges of promptly identifying fatalistic individuals and the development of interventions to counteract its influence.
TL;DR: In this paper, two Chrysippean Arguments for Causal Determinism are discussed, and a Later Stoic Theory of Compatibilism is presented, with a focus on the relation between determinism and moral responsibility.
Abstract: Introduction 1. Determinism and Fate 2. Two Chrysippean Arguments for Causal Determinism 3. Modality, Determinism, and Freedom 4. Divination, Modality,and Universal Regularity 5. Fate, Action, and Motivation: The Idle Argument 6. Determinism and Moral Responsibility: Chrysippus's Compatibilism 7. Freedom and that which Depends on us: Epictetus and Early Stoics 8. A Later Stoic Theory of Compatibilism Bibliography Indexes