Why are maximizing patients more vigilant toward doctors? The mediation role of moral disengagement
摘要: 患者普遍存在的警惕心理容易诱发其负性行为, 对医患关系构成潜在威胁。本研究基于医患互动视角, 探讨最优化决策对患者警惕心理的影响及其机制。三项研究发现:1)最优化决策显著增强患者对医生医德和医术的警惕; 2)道德推脱在二者之间起中介作用, 即最优化决策通过激发患者的道德推脱而强化其对医生的警惕; 3)医生的友善行为起调节作用, 不仅未能缓解最优化患者的警惕, 反而通过强化道德推脱进一步加剧其警惕程度。本研究通过引入道德推脱理论, 构建最优化决策与患者对医生警惕之间的心理机制, 不仅拓展了警惕和最优化决策人际沟通的研究, 同时为预防和缓解医患矛盾提供新思路。
- Research Article
9
- 10.1186/s41155-023-00253-3
- Apr 28, 2023
- Psicologia, Reflexão e Crítica : revista semestral do Departamento de Psicologia da UFRGS
This study examines the influence of social support on bystander behaviors, the mediating and moderating effects of moral disengagement and defender self-efficacy at the individual and class levels, and their cross-level interaction. A total of 1310 children in grades 4–6 completed our questionnaire survey at four-time points between October and December in 2021. The questionnaires include the Scale of Perceived Social Support (T1), Moral Disengagement Scale (T2), Defender Self-Efficacy Scale (T3), and Bullying Participant Behaviors Questionnaire (T4). The multilevel moderated mediating model results show that (1) social support negatively predicts reinforcer and outsider behavior and positively predicts defender behavior; (2) defender self-efficacy plays a mediating role between social support and defender behavior, moral disengagement plays a mediating role between social support and bystander behaviors, and defender self-efficacy and moral disengagement play a chain mediation role between social support and bystander behavior; (3a) class-level defender self-efficacy has a direct impact on defender behavior and moderates the relationship between individual defender self-efficacy and reinforcer behavior; and (3b) class-level moral disengagement has a direct impact on defender and outsider behavior and a cross-level moderated role between individual moral disengagement and reinforcer behavior. These results show that the individual and class level defender self-efficacy and moral disengagement can influence the bystander behavior of primary school students, which is of great significance for schools to develop anti-bullying moral education courses and design measures to improve students’ anti-bullying self-efficacy.
- Book Chapter
3
- 10.1007/978-981-15-1880-5_1
- Jan 1, 2020
To understand the relationship between organizational ethical climate and interpersonal deviance in a more comprehensive way, this study examines the mediating role of moral disengagement. Moral disengagement is a construct that explains possible keys to the deactivation of an individual’s self-regulatory system. Once this self-regulatory system is deactivated, an individual will be freed from psychological feelings of discomfort when performing deviant behavior. Data were randomly collected from 669 employees in large electrical and electronic manufacturing companies in Malaysia. Applying two-staged structural equation modeling software (analysis of moment structures or AMOS), results indicate that organizational ethical climate is negatively associated with moral disengagement. In addition, moral disengagement plays a partial mediation role in the relationship between organizational ethical climate and interpersonal deviance. Implications for theory and practice are discussed.
- Research Article
41
- 10.1177/0886260520948142
- Aug 7, 2020
- Journal of Interpersonal Violence
Recent studies have suggested a link between bullying victimization and passive bystander behaviors, such as more outsider behaviors and fewer defender behaviors. However, little is known about the internal mechanism underpinning this relation. The present study aimed to examine the direct and indirect relationships between bullying victimization and two types of bystander behaviors (defender behavior and outsider behavior), considering the possible mediator role of bullying sensitivity and moral disengagement among Chinese adolescents. Participants were 435 primary school students aged from 11 to 13 years (M = 12.27, SD = 0.69) who completed measurements of bullying victimization, bullying sensitivity, moral disengagement, and bystander behaviors. The results of the total effect model indicated that bullying victimization was positively related to outsider behavior and negatively related to defender behavior. The results from the structural equation modelling (SEM) analysis showed that bullying sensitivity mediated the relationship between bullying victimization and defender behavior. The relationship between bullying victimization and outsider behavior was mediated by moral disengagement, as well as the multiple mediation of bullying sensitivity and moral disengagement. These results highlight the roles of bullying sensitivity and moral disengagement in explaining the relation between bullying victimization and bystander behavior among adolescent students. The findings provide important implications for developing intervention programs aiming at school bullying prevention.
- Research Article
6
- 10.3390/children11050585
- May 11, 2024
- Children
Empirical evidence supports the simultaneous relationship between parental warmth and child-to-parent violence (CPV). However, no studies analyze the lagged effects of perceived parental warmth and the potential impact of cognitive mechanisms legitimizing immoral behavior on this relationship. This study aimed to examine the mediating role of moral disengagement strategies (reconstruction of immoral behavior, obscuring personal responsibility, misrepresenting injurious consequences, and blaming the victim) in the relationship between the perceived paternal and maternal warmth dimensions (warmth-communication and criticism-rejection) during childhood and CPV towards the father and mother. The sample included 2122 Spanish adolescents (57.7% female) aged 13 to 18 years. The Child-to-Parent Violence Questionnaire (CPV-Q), the Mechanisms of Moral Disengagement Scale (MMDS-S), and the Warmth Scale were used as assessment instruments. The results indicate that paternal and maternal warmth-communication is negatively associated with CPV, whereas paternal and maternal criticism-rejection and moral disengagement strategies are positively related to CPV. The mediation models show that the reconstruction of immoral behavior plays a crucial mediation role in the relationship between paternal and maternal warmth-communication and CPV as well as in the relationship between maternal criticism-rejection and CPV. The results emphasize the necessity of early prevention programs for parents promoting positive parenting practices, including parental warmth, to foster children's adaptive socio-cognitive development. In addition, addressing moral disengagement in adolescents could help prevent or stop a pattern of violent behavior toward parents.
- Research Article
22
- 10.1177/08862605221147071
- Jan 13, 2023
- Journal of Interpersonal Violence
The higher moral sensitivity to bullying a student has, the more likely they are to help the victim or inhibit bullying rather than ignore it. Research has mainly focused on particular sensitivity to bullying, and it remains unknown whether sensitivity to everyday moral issues functions similarly. The present study aimed to examine the effect of everyday moral sensitivity (EMS) on bullying bystander behaviors. We included a range of school children (n = 1,655, Grades 3-12, 27.6% girls) in Southwest China. The results show 6.10% have been a victim-only, 0.48% have been a bully-only, 0.85% have been the bullying victim, 92.57% have been neither a bully nor a bullying victim, and 45.86% have observed bullying. Students in lower grades are more likely to be bullied. After controlling for covariates (i.e., gender, grade, and social desirability), EMS is positively associated with positive bystander behaviors. Moreover, empathy and moral disengagement (MD) play a mediating role in the relationship between EMS and positive bystander behaviors. The results reveal two parallel processes of EMS influenced bystander behaviors (i.e., empathy and MD). The findings indicate the possibility of cultivating EMS and highlight the role of morality development in preventing school bullying.
- Research Article
21
- 10.1016/j.sbspro.2015.10.111
- Oct 1, 2015
- Procedia - Social and Behavioral Sciences
A Proposed Conceptual Model of Destructive Deviance: The Mediator Role of Moral Disengagement
- Research Article
91
- 10.1002/ab.21706
- Mar 20, 2017
- Aggressive Behavior
Teachers respond differently to bullying and victimization. Socio-cognitive and moral domain theory suggest that students process teachers' behavior cognitively and that teachers' responses to incidents of bullying and victimization could affect students' level of moral disengagement. We examined the mediating effect of students' moral disengagement between types of teachers' responses to situations of bullying and victimization and individual bullying using multilevel mediation modelling. Participants were 609 students (50% boys, age M = 11.47, SD = 1.14) of central Italy, nested in 34 classes. Students rated the frequency of self-reported bullying and of teachers' responses to incidents of bullying and victimization on a 5-point Likert scale. Teachers' responses to bullying included non-intervention, mediation, group discussion, and sanctions. Teachers' responses to victimization included non-intervention, mediation, group discussion, and victim support. Results indicated that in the teachers' responses to incidents of bullying model, a significant indirect effect of non-intervention (β = .03; 95%CI [.01, .05]) and of sanctions (β = -.02; 95%CI [-.04, -.01]) on bullying through moral disengagement was found at the individual level. Similarly, in the model on teachers' responses toward victims there was a significant indirect effect through moral disengagement of non-intervention (β = .03; 95%CI [.02, .04]) and victim support (β = -.01; 95%CI [-.02, -.001]). At the class level there were no significant indirect effects. In sum, results indicated that moral disengagement is an important mediator at the individual level and suggest including teachers in anti-bullying interventions with a specific focus on their role for moral development.
- Research Article
15
- 10.5334/pb.509
- Jan 3, 2020
- Psychologica Belgica
In order to prevent cyberbullying and cyber-victim behaviors that are very common among adolescents, it is important to investigate the factors that underlie these behaviors. The purpose of the present study was to examine the mediator roles of cyber victimization and moral disengagement in the relationship between submissive behavior and cyber bullying. The participants involved 370 Turkish adolescents (female: 47%; male, 53%). The age of participants ranged between 12 and 19 years (M = 15.92, SD = 1.87). Data were collected using the Submissive Behavior Scale, the Cyber Bullying Scale, the Cyber Victimization Scale, and the Moral Disengagement Scale. The data were analyzed using structural equation modeling. A bootstrapping analysis was conducted in order to determine any indirect effects. Structural equation modeling results provided evidence of indirect effects of submissive behavior on cyber bullying mediated by cyber victimization and moral disengagement. Bootstrapping showed that submissive behavior exerted a significant indirect effect on cyber bullying via cyber victimization and moral disengagement. The findings emphasized the role of youth cyber victimization and moral disengagement in explaining the relationship between submissive behavior and cyber bullying. The results of the study were discussed based on relevant literature, and suggestions for future studies were made.
- Research Article
39
- 10.1027//1016-9040.3.2.125
- Jan 1, 1998
- European Psychologist
The present study tested the hypothesis that perceived self-efficacy to resist peer pressure for high-risk activities is related to transgressive con- duct, both directly and through the mediation of open familial communi- cation. Adolescents rated their self-regulatory efficacy, openness of com- munication with parents, and their involvement in delinquent conduct and substance abuse. Results of structural equation modeling confirmed that a high sense of efficacy to ward off negative peer influences was accompanied by open communication with parents about activities out-
- Research Article
24
- 10.1016/j.adolescence.2021.03.006
- Apr 9, 2021
- Journal of Adolescence
Understanding the effects of personal factors and situational factors for adolescent cyberbullying perpetration: The roles of internal states and parental mediation
- Book Chapter
- 10.4018/978-1-6684-5594-4.ch073
- Mar 4, 2022
The aim of this study is to investigate a mediator role of emphatic tendency in the relationship between moral disengagement and cyber bullying. The participants comprised 338 Turkish adolescents. The age of participants ranged between 11 and 18 years. The study data was gathered using the Moral Disengagement Scale, the Cyber Bullying Scale and the Emphatic Tendency Scale. The data was analyzed using structural equation modeling. A bootstrapping analysis was conducted in order to determine any indirect effects. The results show that moral disengagement predicted cyber bullying positively and emphatic tendency negatively, and that emphatic tendency predicted cyber bullying negatively. It was further found that the structural equation model, which proposes that moral disengagement, has a direct and an indirect effect through emphatic tendency on cyber bullying was confirmed. The results of the study are discussed in the light of Social Cognitive Theory, and suggestions for future studies are made.
- Research Article
3
- 10.5937/istrped2002169e
- Jan 1, 2020
- Research in Pedagogy
The aim of this study was to investigate the mediator role of moral disengagement in the relationship between gender roles and dating violence. Participants were 425 university students [310 (72.9%) female, 115 (27.1%) male, Mage = 20.68 years, SD = 2.21] who completed questionnaires package involving the Gender Roles Attitudes Scale, the Attitudes toward Dating Violence Scales, and the Moral Disengagement Scale. The data were analyzed using structural equation modeling. A bootstrapping analysis was conducted in order to determine any indirect effects. The results showed that gender roles predicted moral disengagement and dating violence negatively, and that moral disengagement predicted dating violence positively. It was further found that the structural equation model that proposed that gender roles had a direct and an indirect effect through moral disengagement on dating violence was confirmed. The results of the study were discussed in the light of relevant literature, and suggestions for future studies were made.
- Research Article
10
- 10.4018/ijt.2019070102
- Jul 1, 2019
- International Journal of Technoethics
The aim of this study is to investigate a mediator role of emphatic tendency in the relationship between moral disengagement and cyber bullying. The participants comprised 338 Turkish adolescents. The age of participants ranged between 11 and 18 years. The study data was gathered using the Moral Disengagement Scale, the Cyber Bullying Scale and the Emphatic Tendency Scale. The data was analyzed using structural equation modeling. A bootstrapping analysis was conducted in order to determine any indirect effects. The results show that moral disengagement predicted cyber bullying positively and emphatic tendency negatively, and that emphatic tendency predicted cyber bullying negatively. It was further found that the structural equation model, which proposes that moral disengagement, has a direct and an indirect effect through emphatic tendency on cyber bullying was confirmed. The results of the study are discussed in the light of Social Cognitive Theory, and suggestions for future studies are made.
- Research Article
2
- 10.1080/02102412.2024.2406337
- Sep 27, 2024
- Spanish Journal of Finance and Accounting / Revista Española de Financiación y Contabilidad
Earnings management (EM) is a critical ethical issue for the accounting profession. However, it remains unclear why accountants differ in their ethical judgements of EM, with some evaluating it as ethically acceptable while others do not. From the perspective of personal values, we explore how personal values influence accountants’ ethical judgement of EM through the mediation role of moral disengagement. A survey of 554 Chinese practicing accountants found that accountants with higher resultant conservation values were less likely to morally disengage, thus less tolerant of accounting manipulation, while accountants with higher resultant self-enhancement values were more likely to morally disengage, leading to greater tolerance for accounting manipulation. The results showed that moral disengagement fully mediated the relationship between personal values and ethics in accounting manipulation. Moreover, moral disengagement had no significant effect on ethics in operating manipulation. Our study has practical implications for educators, regulators, and companies combating EM.
- Research Article
16
- 10.1108/mrr-09-2022-0681
- Jun 1, 2023
- Management Research Review
PurposeHow do dark personality traits impact workplace bullying (WB)? How can organizations mitigate it? This study aims to explore the relationship between the Dark Tetrad (DT) (narcissism, psychopathy [PY], Machiavellianism and sadism [SM]) and WB, proposing the mediation role of moral disengagement (MD) and the moderation role of emotional stability (ES).Design/methodology/approachThe proposed mediated-moderation model was tested on 404 employees working in the hospitality sector in Pakistan. Data have been analyzed through regression analysis and PROCESS macros to test the study’s hypotheses.FindingsPY, Machiavellianism and SM positively relate to WB and MD mediates this relationship. A high level of ES reduces the intensity of the mediated influence of PY, Machiavellianism and SM on WB.Practical implicationsDeveloping targeted policies and practices (e.g. personality tests to build a good psychological architecture of the firm) and reviewing processes that support the moral justification of antisocial conduct can be beneficial for limiting WB. In addition, meditation, mindfulness training and supporting trust and cooperation within organizations can increase the mitigating effect of ES and, in turn, reduce WB.Originality/valueTo the best of the authors’ knowledge, this is the first study that explicitly verifies a mediated-moderation model on DT-WB while proposing a further explanation (i.e. mediation of MD) and a novel solution (i.e., moderation by ES).