Positive Interpersonal Interactions Research Articles

Listening to the Voices of Health Care Workers During the COVID-19 Pandemic: A Qualitative Study Providing In-Depth Insights Into Ethical and Individual Challenges.

In their daily practice, health care workers (HCWs) experience the effects of tensions between professional ethos and work realities, which can lead to ethical dilemmas. We aim to explore the ethical dilemmas that affected HCWs in Germany during the COVID-19 pandemic and to understand these in the context of the German health system. Between April and December 2022, we interviewed HCWs from various levels of care and key informants responsible for decisions related to HCWs in Germany. Three themes were identified in the data analyzed from 78 participants. The first highlighted the potency of pre-existing health system problems during the COVID-19 pandemic. The second captured the ethical dilemmas that were described as having arisen due to the tension between professional ethos and structural constraints. The third included factors related to increasing or diminishing the implications of ethical dilemmas. A lack of opportunities for HCWs to participate in political and managerial decisions was suggested to result in policies that do not meet the needs of HCWs and patients. Positive interpersonal interactions were described as helpful when coping with dilemmatic decision-making situations. In order to avoid negative consequences caused by unresolved ethical dilemmas, including moral distress, among HCWs, staff shortages and decision-making in the German health system urgently need to be addressed. HCWs' working conditions regularly evoke ethical dilemmas, particularly during public health emergencies. Together with HCWs, decision-makers must develop new models for working in health care settings that are in line with HCWs' professional ethos.

An examination of service user satisfaction in forensic mental health settings.

High levels of service user satisfaction are viewed as a reliable indicator of a service providing good care and treatment. There has been limited research looking into levels of satisfaction in forensic mental health settings with most work focused on staff satisfaction in these settings. This study examined service users' levels of satisfaction with a forensic mental health service in the United Kingdom. The service covered two sites; one a purpose-built secure unit and the other based in an old cottage hospital. Thirty-nine in-patients completed a 60-item validated forensic satisfaction scale. The scale measured seven domains of satisfaction as well as reporting an overall satisfaction score. The results indicated the service users were reasonably satisfied with the care and treatment they received. The domains of rehabilitation, safety, staff interaction and overall care showed the highest level of satisfaction. The high rehabilitation satisfaction score demonstrated the importance of meaningful activities for users accessing forensic services and may have been influenced by the security measures on the wards. The high safety domain score indicated respondents felt safe and secure within the wards and were likely to be influenced by positive interpersonal interactions. Good staff interaction was also an important factor in helping service users feel safe on the wards. These interactions are likely to be associated with longer periods of admission in secure services allowing therapeutic relationships to develop. Financial advice/support was the one domain that recorded negative satisfaction levels. Financial literacy training may help develop money management skills.

"My Scar": Posttraumatic Loneliness as a Source of Pain and Resource for Coping.

Contemporary understanding of combat trauma's psychological effects emphasizes the interpersonal ways survivors process their experiences. Yet cases of incongruence between survivors who want to share their traumatic experience and close others who are not ready to take part in this challenging task are common. Hence, many trauma survivors are compelled to cope with the posttraumatic consequences mostly alone. The present study followed the interpretive phenomenological approach to examine the experience of loneliness, as described by 15 male combat veterans dealing with posttraumatic stress. Participants completed semistructured qualitative interviews in which they shared their knowledge regarding postservice distress, loneliness, coping, and growth. Two main themes emerged: "The Loneliness Complex," highlighting this phenomenon's multifaceted, layered, and cyclical nature; and "Emotional Growth after Loneliness," presenting the positive potential of loneliness. These findings emphasize the importance of interpersonal relations in trauma survivors' recovery process. Participants described how experiences with peers can serve as a pivotal point for coping with postservice distress and how internalization of positive interpersonal interactions seems to be a crucial psychological resource for further rehabilitation and growth. Being a multilayered and cyclical condition, loneliness might serve trauma survivors in their search of safety, while also bearing the potential to motivate them to act upon their condition and promote emotional growth. Clinicians should acknowledge the risks trauma survivors take by leaving their lonely yet safe place, as they are encouraged to process their traumatic experiences and share their inner world with others.

Comparative analysis of social practices in drug abuse prevention: Russian and international experience

The increasing mortality rate due to drug abuse, including among minors, the rising number of registered individuals with narcotic dependency syndrome, and contemporary characteristics of drug use underscore the social need for analysing drug abuse prevention practices in Russia and other countries. The article presents the results of a review of specialised statistical data and information sources, examining both liberalrestrictive and repressive anti-drug preventive measures. An analysis of current prevention strategies in foreign countries is conducted, including the USA, European countries, China, Japan, and South Korea, along with an examination of anti-drug preventive measures in Russia. The study reveals the greater effectiveness of prevention programmes using a liberal-restrictive approach, which focus on developing protective social skills, stress coping mechanisms, promoting positive interpersonal interactions, and fostering healthy intra-family relationships, in comparison to the repressive approach. The social practices of the latter are based on stricter penalties and intimidation, leading to increased covert drug use, heightened fears of seeking specialised help, exacerbated harmful consequences for users’ health, and a lack of reliable statistical data. The conclusion is drawn that to enhance the effectiveness of drug abuse prevention in Russia, it is advisable to critically evaluate and utilise the experience of countries that emphasise a restrictive approach. The focus should shift from intimidating and harshly punishing drug users to developing positive social skills and creating differentiated support and educational programmes for various population groups.

Impact of Co-Worker Ostracism on Organizational Citizenship Behavior Through Employee Self-Identity: The Moderating Role of Ethical Leadership.

Positive interpersonal interactions are indispensable for employees to engage in organizational citizenship behavior (OCB) that benefits teamwork; however, co-worker ostracism triggers interpersonal isolation, inhibiting OCB. This research aims to leverage the intervention of ethical leadership in the ostracism-OCB relationship to moderate the harmful ostracism and promote ostracized employees' OCB through employee self-identity. This research chose 122 MBA to participate in Study 1's scenario experiment to verify the causality between variables. Study 2 used 295 valid questionnaires from full-time employees to generalize the experimental results to field settings and compensate for external validity. Two studies used Hayes's conditional process model to test the conditional direct and indirect relationships. This research revealed that high levels of ethical leadership effectively transitioned the harmful ostracism and promoted ostracized employees' OCB by satisfying ostracized employees' needs for identity recognition. Accordingly, the direct and indirect effects of co-worker ostracism on OCB through employee self-identity would be positive at high levels of ethical leadership, but negative at low levels. This research first introduces an identity perspective on ethical leadership in moderating the ostracism-OCB relationship. Based on the social identity theory of leadership, this research fills the gap in ostracism and OCB research calling for leadership interventions. It extends a novel insight into inspiring ostracized employees' participation in OCB through employee self-identity. This research provides the managerial applications of ethical leadership for China organizations to reduce inadvertent inactions, accept employees' identities, and value interpersonal communication for effectively transitioning harmful ostracism.

‘Tis the season: enhancing the workplace holiday party

PurposeThe annual holiday party is a long-standing tradition in many organizations, yet academic research has largely left the holiday party unexamined. The present study sheds light on this significant social event by exploring what factors help differentiate successful events from less successful ones.Design/methodology/approachFirst, the authors developed a taxonomy of characteristics of good holiday parties using a critical incident technique in which stories of holiday party experiences were analyzed following a mixed-method approach. Second, the authors quantitatively examined the relationships between these characteristics and three outcomes, including perceived organizational support, positive interpersonal interactions, and experienced fun.FindingsThe critical incident analysis revealed 11 key characteristics that distinguish good from bad holiday parties. Primary findings from the quantitative study are that games and activities, music, good food, and notable positive leader behavior are key characteristics of more successful events.Research limitations/implicationsAs the data were obtained using a traditional survey methodology, further research would be valuable that adopts an experience sampling methodology to capture employee experiences, perceptions, and feelings about holiday parties in real-time before, during, and after an event has occurred.Practical implicationsFrom an event planning standpoint, this research provides a framework for designing holiday parties and provides evidence as to which features matter most. From a strategic leadership perspective, this research signals that different features of holiday parties can influence different outcomes.Originality/valueBeyond merely identifying important characteristics, this research provides a framework for further research on holiday parties and identifies theories that can be used in future research to explore the mechanisms that influence how and under what conditions holiday parties impact employees’ experiences at work.

Class management in Taiwan’s Active Aging Learning Centers: demonstration of the relationship, interaction, and harmony in ethnic Chinese societies

ABSTRACT Active Aging Learning Centers (AALCs) are scattered across various townships and districts in Taiwan and attract students with diverse backgrounds. Therefore, cultivating positive learning environments at AALCs is crucial. Influenced by Confucianism, ethnic Chinese societies emphasize interpersonal relationships, and traditional Confucian principles and norms inform class management strategies in such societies. This study explored the management of classes offered at AALCs in Taiwan. A total of 24 teachers (8 men and 16 women with an average age of 52.75 years [range: 28–71 years]) were interviewed. The interview data were analyzed using the constant comparative method, and the following results were obtained. (1) The interviewees managed their classes by presenting themselves as professionals, actively learning about and giving attention to their students, establishing class norms, and tracking their students’ learning progress and adjusting their teaching methods accordingly. (2) The aforementioned methods enabled the interviewees to cultivate positive learning environments in which they and their students encouraged each other, learned together, and bonded emotionally, which promoted class cohesion. These findings suggest that class management at AALCs in Taiwan is based on the traditional Chinese conceptualizations of relationships, interactions, and interpersonal harmony and may serve as a reference for training AALC teachers in class management and promoting positive interpersonal interactions in and outside the classroom.

Healthcare Experiences of Black Patients During and After Pregnancy: a Needs Assessment for Provider Training to Improve Quality of Care.

Black patients are at a higher risk of experiencing less safe and lower quality care during pregnancy and childbirth, compared to their White counterparts. Behaviors that healthcare professionals engage in that can facilitate or hinder high-quality care for this population are underexplored. We sought to explore Black patients' experiences with healthcare professionals during and after pregnancy, as a needs assessment to inform the development of training for healthcare professionals. We conducted semi-structured interviews of Black patients who were in their third trimester of pregnancy or within 18months of giving birth. Questions focused on experiences with healthcare professionals during pregnancy-related healthcare, including quality of care and discrimination. Thematic analysis was conducted using a combined deductive-inductive approach. Findings were considered in the context of the Institute of Medicine's Six Domains of Quality (equitable, patient-centered, timely, safe, effective, efficient). We interviewed 8 participants who received care from various clinics and institutions. Over half (62%) described experiencing discrimination or microaggressions during their pregnancy-related healthcare. Participants most commonly reflected upon experiences within the patient-centered care domain, regarding whether care was in alignment with their preferences, positive and negative interpersonal interactions, and varied experiences with patient education/shared decision-making. Black patients commonly report experiencing discrimination from healthcare professionals during pregnancy-related healthcare. Reducing microaggressions and improving patient-centered care is a key focus for healthcare professionals who serve this group. Training needs include addressing implicit bias, educating on common microaggressions, improving communication, and promoting an inclusive workplace.

Painting in coordination is perceived as a positive interpersonal interaction

Interpersonal synchrony has been found to induce a variety of prosocial behaviors in both children and adults. Many forms of interpersonal synchrony and their impact on social behavior have been studied. Much of the research has considered interpersonal synchrony in the context of musical interaction or as a component of music, focusing on the auditory, temporal and discrete aspects of synchrony. We have recently shown that the effects of interpersonal synchrony may generalize to other forms of interaction, in particular, interpersonal coordination during joint painting, a much more visual, spatial and continuous form of art compared to music. In the current study, we sought to analyze how coordinated vs. non-coordinated painting interaction is perceived from the perspective of professional visual art therapists, representing a population with enhanced communicative awareness, compared to children, as relatively naïve observers, and non-therapist adults. We presented to participants a short video excerpt portraying two individuals engaging in a joint painting activity, performed either in coordination or non-coordination. We found that participants from all groups judged the coordinated interaction more positively. However, the visual art therapists attributed to the coordinated interaction a much broader positive impact compared to non-therapist adults. These results extend previous findings on interpersonal synchrony to the art modality, and emphasize coordination as a powerful cue for positive interaction within the therapeutic context.

Gender Perspective of Interpersonal Relationships in Pre-Tertiary Schools as a Teacher Motivator

Teachers are motivated by a variety of variables while they carry out their employment. However, the expected impact on teacher motivation has not been achieved as a result of the economic reasons. Numerous studies have demonstrated that social elements, such as satisfying interpersonal interactions, can spur people to pursue and accomplish a goal. But there has been a lot of silence over how this varies by gender. This made it necessary to conduct research to determine how interpersonal interactions (IR), specifically those between teachers and students, teachers and other teachers, and teachers and heads of schools in Ghana's Upper East Region (UER), affected teachers' motivation. A cross-sectional survey study design was used, and the data collection process used a mixed technique approach. Teachers at pre-tertiary institutions in UER in Ghana are the target demographic. 831 female and 1,719 male instructors from the area made up the sample. The data was gathered using a teacher motivation scale comprising 4 Likert scale questions and an interview schedule for focus group discussions. The findings demonstrated that interpersonal interactions at school (TP, TT, and TH) influence how instructors in pre-tertiary institutions in Ghana's Upper East Region (UER) carry out their duties, with TT offering the greatest incentive and TH the least. Although IR generally has no association with gender, Pearson's chi-square study revealed that TT as a teacher motivator is associated to gender. To encourage male and female teachers to fulfil their jobs, it is important to foster positive interpersonal interactions at pre-tertiary institutions. Being able to establish close relationships with one's co-workers is key to enjoying one's job as a teacher. Therefore, it is crucial that educators work hard to cultivate good relationships with their colleagues.
 
 Received: 12 August 2022 / Accepted: 29 December 2022 / Published: 5 January 2023

Characteristics of Class-Scale Social Network Structures of College Students over Time, Driving Factors and Their Implications for Chinese Higher Education

Classes are the basic unit of learning and social activity for college students in higher education. A good social environment at a class scale has a positive effect on fostering the development of teamwork among university students. To assess characteristics of class-scale social network structures of college students over time, this study randomly selected a total of 30 classes of different majors and grades in universities in northern Jiangsu Province, China, and conducted questionnaires on students’ social networks. Social network analysis method was used to model and analyze the social networks of class Interpersonal interaction for students. The results of the study show that there is significant temporal variability in the class-scale social network structure of college students. During freshman and sophomore years, students interacted closely with each other in class, with a high average network clustering coefficient of 0.81, while in junior and senior years, students tended to interact more distantly with each other in class, with the network clustering coefficient dropping to 0.55. This suggests that early collaborative education does motivate junior students to make friends, but this discontinuous collaborative education has a negative impact on senior students’ motivation to make friends, since teamwork education is mostly concentrated in the early years of freshmen in many general universities in China. In addition, roommate relationships, participation in social activities and hometown gatherings influence class-scale socialization. Class-scale socialization prioritizes dormitory or club activities to become friends with the same class, followed by hometown parties. The results of this study confirm that long-term maintenance of cooperative education and multiple guidance for college students to actively make friends and engage in group cooperation in class are conducive to a positive interpersonal interaction at the class scale.

Is Sport Coaching a Social Sustainable Profession for Women? Analysing the Experiences of Women Coaches in Spain

While there are several studies showing the importance of social sustainability in different settings (e.g., Democracy and Governance: the Role of Sport Governing Bodies, urban planning, architecture) there is a lack of studies investigating social sustainability in the sports coaching profession, and even less research has specifically addressed women coaches. Using Barron and Gauntlett’s model of social sustainability (2002), the purpose of this study was to analyze the women coaches’ experiences of their profession and the extent to which it is a sustainable livelihood for women coaches. Semi-structured interviews with 20 women coaches were conducted from a variety of sports and performance levels. From a social sustainability perspective, the women coaches’ experiences were analyzed using Barron and Gauntlett’s principles of equity, diversity, interconnectedness, and democracy and governance to ascertain their quality of life. Our findings reveal that women coaches face multiple barriers and difficult working conditions in their profession, yet they continue to be committed to coaching largely because of the strong positive interpersonal relationships and social interactions they have with their sporting community. This study shines a light on the extent to which coaching is a livable and sustainable profession for women coaches today and highlights the importance of considering social sustainability principles to improve the experiences of women in the sports coaching profession.

비자살적 자해를 유지하는 대학생의 심리적 특성 연구

This study aimed to understand the psychological characteristics of college studentsmaintaining Non-Suicidal Self-Injury(NSSI). The Rorschach case illustration(Weiner, 2005) wasused, it was divided into 4 areas: cognitive characteristics, stress coping, self and interpersonalperception, and emotional characteristics. With that 8 categories and 21 subcategories werederived and psychological characteristics were synthesized and presented along with thefrequency of cases. As a result 'inaccurate perception and interpretation of a particular situation'and 'lack of expectations for positive interpersonal interactions' were presented as commonpsychological characteristics of NSSI. And 'X-%>.20, X+%<.70, XA%<.77 & WDA%<.80', 'LowPure H, COP=0 & AG=0 or 1' derived from subcategories were presented as meaningful partsof Rorschach responses.

ФОРМУВАННЯ МІЖОСОБИСТІСНИХ ВЗАЄМИН УЧНІВ У ПРОФЕСІЙНІЙ ДІЯЛЬНОСТІ ВЧИТЕЛІВ ПОЛЬСЬКОЇ МОВИ

The article analyzes the influence of positive interpersonal interactions and the student atmosphere of the Polish language lesson on the level of educational achievements of students, the level of their cognitive activity, the development of their communicative and social competences, emotional well-being and mental health. The need for purposeful training of future teachers for this type of activity has been proved.

Interpersonal Interactions and Affect in Daily Life Among Midlife and Older Adults

Theories of age and emotional wellbeing posit that older age is associated with better affective well-being through avoidance or minimization of distressing experiences and prioritizing positive experiences and emotions. To test these theories, researchers have examined change in affect (i.e., reactivity) associated with negative interpersonal experiences in daily diary studies, given the compromising effects these interpersonal stressors exert on daily affect. In contrast, age differences in the potential affect-enhancing effects of positive interpersonal experiences have been comparatively neglected. Using the second wave of the National Study of Daily Experiences, we evaluated age differences in the frequency of daily negative and positive interpersonal interactions, as well as the affective responses to these interpersonal interactions. Positive and negative affect, as well as negative and positive interpersonal interactions were assessed on eight consecutive evenings. Analyses included 818 participants (Mage=53.3, SD=11.8, Range=34-83; 60% female) who experienced both negative and positive interpersonal interactions during the 8-day protocol. Preliminary results revealed increased frequency of negative interpersonal interactions and decreased frequency of positive interpersonal interactions with age (ps<.01). Further, negative interpersonal interactions were associated with increases in negative affect and decreases in positive affect (ps<.01), while positive interpersonal interactions were associated only with increased positive affect (p<.01). Finally, modest evidence of age-related reductions in the affective impact of negative, but not positive, interpersonal interactions emerged (p=.03). Discussion will focus on how studies of interpersonal interactions in daily life can inform theories of aging and promote emotional wellbeing throughout adulthood and later life.

Wellbeing Conceptualizations in Family Medicine Trainees: A Hermeneutic Review

Phenomenon High levels of burnout have been widely reported among postgraduate medical trainees, however relatively little literature has examined what ‘wellbeing’ means for this group. Moreover, the literature that does exist has generally overlooked the potential role of specialty factors in influencing such conceptualizations. This is particularly true for family medicine and general practice trainees – a specialty considered to be unique due, in part, to its focus on community-based care. The present review sought to explore conceptualizations of wellbeing specifically within the context of family medicine and general practice training. Approach The Embase, Ovid Medline, and PsycINFO databases were searched from inception to November 2019 for literature examining wellbeing in family medicine and general practice trainees. Literature was iteratively thematically analyzed through the process of a hermeneutic cycle. In total, 36 articles were reviewed over seven rounds, at which point saturation was reached. Findings The findings confirm the complex and multifaceted nature of wellbeing as experienced by family medicine and general practice trainees. An emphasis on psychological factors – including emotional intelligence, positive mental health, self-confidence and resilience – alongside positive interpersonal relationships, rewards, and balanced interactions between trainees’ personal and professional demands were deemed critical elements. Insights A model of wellbeing that emphasizes rich connections between trainees’ personal and professional life domains is proposed. Further qualitative research will help to extend current understanding of wellbeing among medical trainees, including the individuality of each specialty’s experiences, with the potential to enhance interventional efforts.

Environmental enrichment: A concept analysis.

The concept analysis of environmental enrichment aims to clarify the meaning of the term contributing to a shared understanding of its use in healthcare and future research studies. Environmental enrichment has implications in health promotion in children's development and healthy aging in the general population. A literature search using PubMed and CINAHL databases on environmental enrichment was conducted to identify the uses of the term from various disciplines. The keywords are "environmental enrichment", "socialization", "physical activity", "cognitive stimulation", and "experience-dependent". Human studies from 2000 to 2020 were included in the search. Availability of green spaces, neighborhood safety, walkability to community centers, and accessibility of community resources are antecedents of environmental enrichment. Defining attributes are positive stimulation, interpersonal interaction, and physical engagement. The consequences of environmental enrichment are improved cognitive functioning in children, decline in memory impairment, and reduced risk of developing dementia in the elderly. Engaging and counseling patients, family members, and the community in adverse effects of a deprived environment and the benefits of an enriched environment is a vital tenet of the nursing discipline. Understanding the optimum amount of positive stimulation, interpersonal interaction duration, and frequency are needed in future research.

Nightly sleep-wake concordance and daily marital interactions

ObjectiveWe and others have found that couples’ sleep is a shared and dyadic process. Couples’ sleep-wake concordance (whether couples are awake or asleep at the same time) is associated with couples’ relationship factors; however, we know little of the temporal associations between concordance and daily relationship characteristics. The purpose of this study was to examine daily positive and negative interpersonal interactions to determine how they predict, and are predicted by, nightly sleep-wake concordance. MethodParticipants were 48 heterosexual couples between 18 and 45 years of age who shared a bed with their spouse. Couples completed questionnaires and daily assessments of positive and negative interactions. Each member of the dyad wore wrist actigraphs for 10 days. Sleep-wake concordance was calculated as the percentage of time couples were awake or asleep throughout the night at one-minute intervals. Multilevel modeling with lagged effects determined bidirectional and lagged associations between concordance and couples’ daily interactions. ResultsCouples had more negative interactions than their usual following nights with higher concordance than their usual (but not vice versa) and this was more pronounced for well-adjusted couples. In contrast, across all couples, more positive interactions and perceived warmth and support from partners were associated with higher concordance. ConclusionsOur findings demonstrate that the valence of sleep-wake concordance depends on relationship quality characteristics (eg, marital adjustment). Future research on relationships, sleep, and health should consider couples’ shared sleep behaviors as one mechanism by which relationships are associated with long-term health outcomes.

ВИКОРИСТАННЯ ПСИХОЛОГІЧНИХ ТРЕНІНГІВ ПІД ЧАС ПІДГОТОВКИ ПРАЦІВНИКІВ ПРАВООХОРОННИХ ОРГАНІВ

The article presents theoretical approaches to the definition of the concept of «psychological training» and the views of modern scientists on the use of training technologies in the training of law enforcement officers. Today, it is relevant and necessary to use modern psychological trainings for the development of personal and professional qualities of law enforcement officers. Psychological trainings include various methods of work: role plays, discussions, group problem solving, situation modeling, methods of feedback and reflection. The main advantages of the training are: development of a holistic system of such skills and abilities as the organization of positive interpersonal interaction in the community; acquisition of new knowledge about the future profession, development of skills and abilities to perform various types of communicative activities in standard and non-standard professional situations; instilling the ability to think critically and creatively in solving professional problems; analysis and selection of actions in professional situations; formation of personal judgments, assessments of the future profession; as well as teamwork skills. Psychotraining influences the increase of motivation to perform educational tasks and educational process, interests in subjects; contribute to a higher quality of knowledge acquisition and the purchase of new practical skills; adaptation of cadets to the conditions of study in the new social environment; solving a problem of a personal nature. In order to increase the efficiency of the process of education and training of law enforcement officers, as well as to create professionally necessary personal qualities, we propose to use them in the training of psycho-training staff. Such trainings can be: training of development of communicative skills, training of formation of emotional and volitional qualities, training of information security, training of psychological counteraction to information influence, training of formation of moral and psychological qualities, and also psychotraining of development of cases in critical and emergency situations.

Flexibility to manage and enhance quality of life among people with motor neurone disease

Objectives To identify influential factors for quality of life (QoL) among individuals with motor neurone disease (MND) and explore how regulatory flexibility and psychological flexibility may contribute towards maintaining and improving QoL. Methods Semi-structured interviews were conducted with 26 individuals with MND. Thematic analysis, using both inductive and deductive analyses, was employed to examine subjective QoL in view of previous understanding of QoL. Results Four factors were important for the QoL of participants: perceived illness prognosis, sense of self, concerns for significant others, and life to enjoy. These factors reflected psychological stress caused by MND, the participant’s value system, and their beliefs about life. In optimising QoL, both regulatory flexibility and psychological flexibility were essential to maintain and enhance QoL. Often, regulatory flexibility was perceived among those employing a mindful approach, and psychological flexibility was found to involve savouring positive experiences. Conclusions People with MND reported that seeking ways to both maintain and enhance their QoL is crucial, and that this may be accomplished by increasing flexibility through mindfulness and savouring. (171/200 words) Implications for rehabilitation People with motor neurone disease (MND) seek to maintain quality of life (QoL) following changes caused by the condition, whilst attempting to enhance QoL by maximising their positive experiences. Regulatory flexibility is essential to maintain QoL and it was closely associated with mindful approach so that MND is not perceived as an inevitable threat to QoL. Psychological flexibility was found to enhance QoL and it involves savouring positive experiences, while abandoning fault-finding of the current situation. Positive inter-personal interactions can encourage people with MND to engage with mindfulness and savouring for favourable outcomes in terms of QoL; current support services should orient towards both mindfulness and savouring.