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Death Studies

ISSN: 0748-1187 (Print) 1091-7683 (Online) Journal homepage: http://www.tandfonline.com/loi/udst20

Self-compassion as a buffer against concrete but


not abstract threat

Zach Gerber & David Anaki

To cite this article: Zach Gerber & David Anaki (2018): Self-compassion as a buffer against
concrete but not abstract threat, Death Studies, DOI: 10.1080/07481187.2018.1511195

To link to this article: https://doi.org/10.1080/07481187.2018.1511195

Published online: 28 Sep 2018.

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DEATH STUDIES
https://doi.org/10.1080/07481187.2018.1511195

Self-compassion as a buffer against concrete but not abstract threat


Zach Gerbera and David Anakia,b
a
Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel; bThe Leslie and Susan Gonda (Goldschmied) Multidisciplinary Brain
Research Center, Bar-Ilan University, Ramat-Gan, Israel

ABSTRACT
Terror management theory posits that validation of self-esteem is a major defense mechan-
ism in keeping mortal concerns at bay. Yet, self-esteem often leads to devaluation of others.
Self-compassion (SC) is an alternative, more inclusive construct than self-esteem. We
explored among 125 university students whether SC serves as a defense mechanism from
abstract and concrete threats responses, utilizing a dot-probe task and mortality salience pri-
ming. Although SC was not associated with avoidance of abstract threats, it was associated
with avoidance of concrete threats. These findings underscore the potential role of SC in
coping with trauma and in shielding from developing post-traumatic symptoms.

Terror management theory (TMT) describes (Harmon-Jones et al., 1997), and use fewer worldview
human management of death awareness (Greenberg, defense mechanisms (Schmeichel et al., 2009).
Solomon, & Pyszczynski, 1997; Pyszczynski, Solomon, However, there has been some debate regarding the
& Greenberg, 2015). According to TMT human beings efficiency of self-esteem in coping with and adjusting
live in a unique cognitive predicament. They share to the psychological implications of death
with other living creatures the instinct of survival, yet, (Baumeister, Campbell, Krueger, & Vohs, 2003). For
they alone have a capacity for self-awareness of the example, following induction of death thoughts, par-
inevitability of death. Realizing the ultimate futility of ticipants high in explicit self-esteem responded with
striving for survival has the potential to create para- increased ideological and personal project zeal
lyzing anxiety, thereby motivating people to develop (McGregor, Gailliot, Vasquez, & Nash, 2007; see
defense mechanisms to push the thoughts of death Schmeichel et al., 2009 for additional examples). In
out of conscious awareness. addition, high explicit self-esteem is associated with
TMT suggests three basic defense-mechanisms that self-enhancement biases, leading people to believe that
aid people to manage their terror of death: cultural their own group is superior to others (Sedikides &
views validating the society that the individual is part Gregg, 2008). At times, pursuing high self-esteem
of, self-esteem enhancement, and establishing close leads individuals to judge themselves as superior in
relationships (Greenberg et al., 1997; Mikulincer, comparison to their own in-group peers (i.e. the bet-
Florian, & Hirschberger, 2003). Validating human cul- ter-than-average effect; Alicke & Govorun, 2005). The
ture engenders a feeling of being part of society and shortcomings of self-esteem as a protective insulation
allows people to regard their lives as meaningful and against thoughts of human transience raises the ques-
lasting beyond their physical and temporary existence. tion whether other facets of the self could function as
Moreover, people who fulfill the prescribed values, more adaptive defenses against death anxiety. Self-
norms, and beliefs of their culture enjoy the sense of compassion may be a healthier self-approach because
being valuable people in a meaningful world, which, it enables people to foster positive self-regard without
from a terror management perspective, is the basis of inducing, as in self-esteem, self-image inflation, and
self-esteem. Indeed, compared to those with low self- derogation of others (Neff, 2011).
esteem, individuals with high self-esteem enjoy Self-compassion (SC) is comprised of three
greater protection from death-related concerns overlapping and mutually interacting components:

CONTACT David Anaki david.anaki@biu.ac.il The Leslie and Susan Gonda (Goldschmied) Multidisciplinary Brain Research Center, Bar-Ilan University,
Bldg. 901, Room 202, Ramat-Gan 52900, Israel.
Color versions of one or more of the figures in the article can be found online at www.tandfonline.com/udst.
ß 2018 Taylor & Francis Group, LLC
2 Z. GERBER AND D. ANAKI

Self-kindness (with its self-judgment counterpart), manipulation participants (a) avoid encounters with
feelings of common humanity (versus isolation), and individuals who have physical disabilities and injuries,
mindfulness (in contrast to over-identification; Neff, in order to keep their sense of personal fragility at bay
2003; for other approaches to self-compassion, see (Hirschberger, Ein-Dor, Caspi, Arzouan, & Zivotofsky,
Gilbert, 2009). Self-kindness reflects the tendency to 2010), and (b) increase vigilance and attention to con-
be caring and understanding of oneself rather than crete threatening stimuli, in order to preserve one’s
harshly judgmental. When experiencing difficulty, immediate safety.
self-compassionate people embrace themselves, pro- How will SC moderate the effects that MS has on
viding self-soothing and comfort. Common humanity attentional orienting to abstract and concrete death-
entails recognizing that all people fail, make mistakes, related stimuli? Our hypotheses are that because SC
and experience pain, framing difficulty and failure in entails an aspect of common humanity, which empha-
light of a shared human experience so that one feels sizes imperfection and suffering as a shared human
proximity to others when encountering difficulty. condition, high SC individuals will attenuate defensive
Mindfulness reflects an awareness of the present responses to abstract threats relative to low SC indi-
moment’s experience in a clear and balanced manner viduals. Moreover, the mindfulness aspect of SC,
that neither ignores nor ruminates on dissatisfying which accentuates the ability to experience the present
aspects of oneself or one’s environment (Brown & moment in broad, vivid, and balanced manner, will
Ryan, 2003). Moreover, mindfulness involves taking a also allow high SC individuals to face concrete mortal
meta-perspective on one’s own experience, consider- reality with openness and acceptance. Therefore, we
ing it within a greater view, and preventing getting predict that following subliminal MS manipulation
carried away by the subjective narrative of one’s own participants high in SC will display less avoidance of
pain (Neff, 2011). both abstract and concrete threats, compared to low
Higher levels of SC have been associated with SC participants. The predicted enhanced attentiveness
greater life satisfaction, social connectedness and mas- of high SC individuals will reflect their reduced defen-
tering of goals, coupled with less self-criticism, depres- siveness and enhanced equanimity, stemming from
sion, anxiety, rumination, perfectionism, and eating the common humanity and mindfulness components
disorders (for a review see Neff, 2009). Recent of SC.
research has associated SC with less avoidant coping
patterns, reduced PTSD and greater well-being follow- Method
ing exposure to traumatic events (Seligowski, Miron,
& Orcutt, 2015). Since SC has been suggested as an Participants
alternative, more effective self-construct to self-esteem, Participants were 125 Bar-Ilan University undergradu-
we explored whether SC also acts as a protective tool ates (82 women, M age ¼23 years, SD ¼ 7), who either
in death awareness management. received course credit for their participation or mon-
The most common paradigm used in TMT etary payment. The experiment was approved by the
research is mortality salience (MS), in which partici- University Institutional Review Board.
pants are primed with death-related thoughts that are
hypothesized to activate the above-mentioned defense
mechanisms. TMT theory assumes that cultural Stimuli
worldviews, self-esteem, and interpersonal relation- The dot-probe task is commonly used in studies of
ships do not operate when death concerns are con- attention bias to threat-related stimuli (Bar-Haim,
scious (proximal defenses). Rather, these mechanisms Lamy, Pergamin, Bakermans-Kranenburg, & Van
come into play when thoughts about death are uncon- IJzendoorn, 2007). In the task, participants see two
scious, in order to ensure that these thoughts will not pictures simultaneously in each trial, one threat-
resurface (distal defenses). Thus, in the present study, inducing and one neutral (Figure 1). Participants
we utilized a subliminal non-conscious MS manipula- briefly view the pictures and then see an arrow point-
tion to study the association of SC with participants’ ing left or right in the location just vacated by one of
attentional responses to two types of visual death- the pictures (half of the arrows pointed left in random
related stimuli; an abstract death-reminder image (e.g. order). Participants respond by identifying the direc-
images of people with physical injury) and a concrete tion of the arrow. Attention bias towards (or away
threatening image (e.g. images of hostile expressions). from) the threat stimulus is a faster (or slower)
Past research has indicated that following MS response to the arrow when it appears in the location
DEATH STUDIES 3

vacated by the threat stimulus (congruent condition) Death thought accessibility (DTA; Greenberg,
than the neutral stimulus (incongruent condition). We Pyszczynski, Solomon, Simon, & Breus, 1994) is a
used two types of threat stimuli: (1) abstract threat, word completion task that consists of 20 word-frag-
consisting of 20 pairs of faces with a lesion before ments that participants completed by filling-in one
(threat) and after reparation (control), selected from a missing letter. Half of the 20 fragments can make
website of plastic surgery clinics, and (2) concrete death-related words (e.g. sk_ll). The DTA served as a
threat, which was 20 pairs of faces with a hostile manipulation check of the mortality salience manipu-
(threat) or neutral expression (control), taken from lation. We used the Hebrew form of the DTA, devised
the NimStim Face Stimulus Set (Tottenham et al., by Mikulincer and Florian (2000) on an Israeli sam-
2009). Among 10 independent judges, the valence and ple. For example, the Hebrew fragment _vel could be
arousal ratings of the two types of pictures did not completed with the Hebrew word hvel (“cord”) or
differ significantly. with the death-related word evel (“mourning”).
We presented each of the 40 image pairs 4 times: The State-Trait Anxiety Inventory (STAI;
once with the threat image on top of the screen, once Spielberger, 1983) is a 40-item scale that measures
with the neutral image on top, once with the arrow state and trait anxiety. In the present study, the
congruent, and once with the arrow incongruent. Hebrew version of the STAI was administered. The
Altogether, the task consisted of 160 trials. items are on a 4-point scale (1 ¼ almost never to
The Self-compassion scale (SCS; Neff, 2003) consists 4 ¼ almost always). In the current sample, Cronbach’s
of 26 items that assess six different aspects of self- alphas were 0.91 and 0.90, for the state and trait sub-
compassion (with negative aspects reverse-coded): scales, respectively.
self-kindness, self-judgment, common humanity, isola-
tion, mindfulness, and over-identification. This meas- Procedure
ure has been analyzed according to an overall score of
Participants first completed the SCS. Next, we ran-
SC as well as a six-factor correlated structure (Neff,
domly assigned them to one of the two groups: a sub-
Whittaker, & Karl, 2017). Responses are on a 5-point
liminal death prime (MS group), or a subliminal
scale (1 ¼ almost never to 5 ¼ almost always). Among
failure prime (failure group; see Table 1 for the num-
391 university undergraduates) the SCS was internally
ber of participants and SCS mean score in each of the
reliable (Cronbach’s alpha of 0.92) and demonstrated
four groups). At the start of each trial, we presented a
predictive, convergent, and discriminant validity. In
fixation point (i.e. þ) in the center of the screen for
the current sample, Cronbach’s alpha was 0.91. We
500 milliseconds (ms; see Figure 1). Then, the four-
used the mean score of 3 to classify participants as
letter Hebrew word for “death” (for the MS group) or
high and low in SC. The difference between the mean the four-letter Hebrew word for “fail” (for the failure
SC of the low and high SC groups was significant group) appeared for 30 ms. Then, there were 6 Xs for
(2.61 vs. 3.49, t(123) ¼ 15.90, p < .0001). Participants 500 ms in order to mask the prime. Then, a vertically
completed the Hebrew version of the SCS. aligned pair of images appeared for 1000 ms. One
image was directly above the fixation point location,
the other was directly below. Image size was 90 mm
70 mm. Then, they saw an arrow that pointed either
left or right, either at the top or the bottom of the
screen. We told participants to indicate the direction

Table 1. Self-compassion (SC) scores, dot-probe response


times and accuracy of the four study groups.
Prime Type SC group SCS RT (ms) Accuracy N
Mortality Low 2.65 (0.37) 498 (55) 0.96 (0.005) 31
High 3.50 (0.27) 518 (51) 0.97 (0.004) 32
Overall 3.08 (0.53) 508 (54) 0.97 (0.003) 63
Failure Low 2.58 (0.33) 508 (55) 0.97 (0.004) 31
High 3.48 (0.25) 514 (56) 0.97 (0.005) 31
Figure 1. Display of a typical trial in the study’s dot-probe Overall 3.03 (0.54) 510 (55) 0.97 (0.004) 62
task. A mortality or failure salience masked Hebrew word Overall Low 2.61 (0.35) 503 (55) 0.96 (0.004) 62
appears, followed by a pair of neutral and emotional images. High 3.49 (0.26) 516 (56) 0.97 (0.003) 63
Then an arrow could appear in the location of the top or bot- Overall 3.05 (0.54) 509 (56) 0.96 (0.002) 125
tom image. SCS: Self-compassion scale (Neff, 2003).
4 Z. GERBER AND D. ANAKI

of the arrow by pressing the corresponding mouse condition was slower than in the incongruent condi-
keys as quickly as possible without compromising tion, indicating attentional avoidance. However, we
accuracy. The participant’s response cleared the screen did not find any interaction of Prime Type with SC
and the next trial began 500 ms later. All pairs and the Arrow Congruency. Thus, our first hypothesis
occurred in random order. Following the task, partici- that avoidance of the abstract threat would be quali-
pants completed the DTA and STAI. fied by Prime Type and SC was not confirmed.
Regarding the concrete threat, we found a signifi-
cant 3-way interaction (Prime Type  SC  Arrow
Results
Congruency; F(1,121) ¼ 5.21, p < .05, g2 ¼ 0.04). To
On the DTA manipulation check, there was a signifi- examine the source of this interaction, we conducted
cant difference between groups, t(121) ¼ 4.39, for each Prime Type group (mortality, failure) a 2-way
p < .001, d ¼ 0.79. Participants in the death group ANOVA with SC and Arrow Congruency as factors. In
completed more death-related words (M ¼ 1.51, the failure group, the interaction and main effects were
SD ¼ 0.90) than participants in the failure group not significant. However, in the death group, we found
(M ¼ 0.83, SD ¼ 0.81). On the STAI, there was no sig- a significant 2-way interaction between SC and Arrow
nificant difference between the death- and failure- Congruency (F(1,61) ¼ 4.01, p ¼ .05, g2 ¼ 0.06). We
groups in trait and state anxiety. These findings indicate then conducted paired-samples t-tests to compare the
the effectiveness of the MS prime, as participants in the congruency effects in the low and high SC participants.
death group displayed higher death-related cognitions We found a significant congruency effect amongst low
than the failure group, while not reporting increased SC participants: RT in the congruent condition was
forms of anxiety. slower (M ¼ 489 ms, SD ¼ 44 ms) than in the incongru-
A 2 (Prime Type: mortality, failure)  2 (SC: low, ent condition (M ¼ 484 ms, SD ¼ 45 ms), indicating
high)  2 (Threat Type: abstract, concrete)  2 (Arrow attentional avoidance (t(27) ¼ 2.07, p < .05, d ¼ 0.39).
Congruency: congruent, incongruent) repeated-meas- In contrast, participants high in SC were attracted to
ures ANOVA was conducted with prime type and SC hostile images, as RTs in congruent condition were
as between-subject factors, and Threat Type and faster (M ¼ 504 ms, SD ¼ 64 ms) than in the incongru-
Arrow Congruency as within-subject factors. The ent condition (M ¼ 508 ms, SD ¼ 64 ms). This trend
dependent variable was correct response times (RT). was not significant, (t(34) ¼ 1.08, p ¼ .29), yet it
The RT analysis revealed a 2-way interaction appears that high SC attenuated avoidance of immedi-
between Threat Type and Arrow Congruency, ate threat.
F(1,121) ¼ 24.70, p < .0001, g2 ¼ 0.16. We performed
(A)
paired-samples t-tests to compare the congruency 550

effects in the abstract and concrete threats. We found 530


a significant congruency effect for the abstract threat:
510
RT (ms)

RTs in the congruent condition were slower incongruent


(M ¼ 518 ms, SD ¼ 6 ms) than in the incongruent con- 490
congruent

dition (M ¼ 502 ms, SD ¼ 6 ms, t(124) ¼ 6.74 p < .01, 470

d ¼ 0.60), indicating attentional avoidance. The con- 450


sc-low sc-high sc-low sc-high
gruency effect for the concrete threat was not signifi- Failure Mortality
cant (t(124) ¼ 0.81, p ¼ .42).
The analysis did not reveal any additional main or (B)
550 incongruent
interaction effects involving the Prime Type or SC congruent
530
independent variables. However, as can be seen in
510
RT (ms)

Figure 2, we observed distinct attentional patterns in


the different threat types. We, therefore, conducted 490

separate repeated-measures 3-way ANOVAs for each 470

of the threat types (abstract, concrete). The ANOVAs 450


sc-low sc-high sc-low sc-high
included Prime Type, SC, and Arrow Congruency as Failure Mortality
independent variables and participant’s RTs as the
Figure 2. Reaction times (RT) to abstract (A) and concrete (B)
dependent variable. threats across the different prime type (failure-salience, mortal-
Regarding the abstract threat, converging with the ity-salience), self-compassion (SC; high, low), and congruency
initial analysis, we found that RTs in the congruent (incongruent/congruent).
DEATH STUDIES 5

Table 2. Pearson correlations between self-compassion sub-scales and the congruency effect (congruent-incongruent) of concrete
threat in the MS condition.
Common Humanity Self-Kindness Self-Judgment Isolation Over-Identification Congruency Effect
Mindfulness 0.56 0.60 0.38 0.32 0.54 0.04
Common humanity 0.49 0.20 0.26 0.31 0.06
Self-kindness 0.50 0.21 0.33 0.06
Self-judgment 0.42 0.57 0.03
Isolation 0.59 0.00
Over-identification 0.06
p < .05. p < .01. The scores of self-judgment, isolation, and over-identification have been reversed.

Table 3. Regression analysis of the self-compassion scale sub-scales as predicting the congruency effect
of concrete threat in the MS condition.
Unstandardized coefficients Standardized coefficients
Model B Std. Error Beta T Sig.
(Constant) 31.03 12.36 2.51 0.01
Mindfulness 1.66 4.68 0.06 0.35 0.72
Common humanity 8.08 3.72 0.31 2.17 0.03
Self-kindness 3.78 4.06 0.15 0.93 0.36

In order to examine which sub-scales of the SCS to concrete threat, the results revealed that in the
accounted for the congruency effects in the MS condi- mortality salience group, participants low in SC dis-
tion of the concrete threat, we fitted a stepwise regres- played avoidance of the concrete threat. This avoid-
sion analysis, with the concrete image congruency ance was not seen in participants high in SC, who
effect serving as the dependent variable and the 6 SCS displayed a trend towards attraction to the threat. In
sub-scales as predictors. We entered the positive sub- the failure group, the latencies to arrows replacing
scales first and the negative sub-scales second. The threatening and non-threatening stimuli were similar,
resulting equation, consisting of the 3 positive sub- indicating a lack of attention bias. This absence of
scales, was significant (F(1,62) ¼ 2.89, p < .05) and attention bias was apparent for both low and high SC
explained 13% of the congruency effect variance. We participants. Finally, the regression analysis demon-
found that the common humanity sub-scale was a sig- strated that the congruency effect obtained for the
nificant predictor of the congruency difference score: concrete threat in the mortality salience group was
As common humanity’s sub-scale score lowers, the driven primarily by the common humanity sub-scale
congruency effect increases, indicating an attentional but not by the mindfulness sub-scale of the SC scale.
avoidance of concrete threat (see Tables 2 and 3). In the following, we discuss the theoretical interpreta-
tions and implications of the study’s three
main findings.
Discussion
The attentional bias found for abstract threat was
The present study examined the role of SC as a not modulated by SC, and both low and high SC par-
potential buffering mechanism in situations that ticipants avoided it. This finding is in contrast with
evoke death-related anxieties. Using the dot-probe our original hypothesis that the common humanity
paradigm, we presented to participants two visual and mindfulness aspects of SC will make high SC
types of threats; an abstract threat (i.e. a lesioned individuals more tolerant to human physical injuries
facial image) and a concrete threat (i.e. a hostile and will result in reduced defensive responses. These
facial expression). The mortality salience group was results are also purportedly at odds with TMT theory,
presented with a subliminal death prime while the which claims that the defense mechanism of cultural
failure group was presented with a subliminal failure worldviews commends prosocial behavior, such as
prime. kindness and compassion (for a review, see
The study revealed three main findings: first, all Hirschberger, 2015). Indeed, several studies demon-
participants, regardless of their SC levels and the pri- strate that MS promotes prosocial intents and actual
ming type, avoided the abstract threat. This avoidance acts (Hirschberger, Ein-Dor, & Almakias, 2008; Jonas,
was expressed by longer response times to arrows Schimel, Greenberg, & Pyszczynski, 2002)
appearing in the location of the threatening stimuli A possible solution to this discrepancy is provided
compared to the neutral stimuli. Second, with regard by the self-protective altruism model (Hirschberger,
6 Z. GERBER AND D. ANAKI

2013, 2015). According to this model, people are Although dissociation allows one to deflect the imme-
indeed motivated by existential threat to behave pro- diate impact of the traumatic experience, it is consid-
socially and live up to cultural ideals, in order to ered a futile strategy of coping with stress and has
relieve their sense of threat. Yet, when the object of been associated with the emergence of trauma and
the pro-social engagement is also an elicitor of exist- PTSD (Abdollahi, Pyszczynski, Maxfield, &
ential threat (e.g. a person with a disability caught Luszczynska, 2011). Combining this understanding
under earthquake rubble), one will avoid engagement with the present study’s findings indicates that SC
in pro-social behavior. This interpretation could be may possess a valuable terror management property,
expanded to account for the current findings as well: namely, a capacity to modulate attentional allocation
SC may, in principle, include genuine concern and according to the needs at hand (Greenberg et al.,
responsiveness to others’ well-being. However, when 1997; Hirschberger et al., 2010). This approach is not
the other is a source of existential or abstract threat, only beneficial in coping effectively with life-threaten-
the self-protective strategies of the self-compassionate ing events but also in preventing the development of
individual will override and limit her ability to traumatic symptoms.
respond to others in need. Interestingly, we found that the basis of the rela-
In addition, the comprehensive avoidance of tionship between SC and attentional bias to concrete
abstract threat, in both the mortality salience and fail- threat is the common humanity aspect of SC. A large
ure groups, may indicate that the threat magnitude of body of research, drawing on attachment theory, has
the images obliterated the differences usually found suggested that fulfillment of one’s needs for interper-
between the two types of primes in the MS paradigm. sonal connectedness sustains stronger foundations for
This is, despite the evidence, provided by the manipu- keeping one’s existential concerns at bay (e.g.
lation check, that the death prime was effective; par- Mikulincer et al., 2003). It is, therefore, possible that
ticipants in the death group reported higher death reduced SC, and especially, the common humanity
thought accessibility rates than the control group. component of SC, fractures the capacity to efficiently
Interestingly, the findings in the concrete threat con- regulate threatening stimuli that occur in one’s
dition also show different responses in the two environment.
research groups, attesting to the efficacy of the MS Several limitations exist in the present study. First,
manipulation. We suggest that the particular nature of the failure of SC to modulate attention bias of abstract
the abstract threat images, which express the fragility threats in the mortality salience group requires add-
of one’s corporal self, shadowed the MS manipulation itional examination. Although these results resonate
impact on the processing of the abstract threat. with the self-protective altruism model, future
The study’s second main finding, namely the research should study further the exact role of SC as a
inclination to avoid concrete threat in low SC partici- defense mechanism in the context of abstract threats.
pants but not in high SC participants (where an insig- Second, the present study focused on SC as a distal
nificant trend indicated attentional orienting towards defense mechanism in protecting death-related anxi-
the aversive threat) is compatible with our original eties. This line of research follows the TMT literature,
premise. We hypothesized that participants with low which predominantly examines self-esteem as a distal,
SC will attempt to avoid concrete mortal reality while and not as a proximal, defense (but see Abeyta, Juhl,
high SC participants will face it with openness and & Routledge, 2014). Yet, future investigations of SC’s
acceptance. The present findings highlight the exist- role in moderating death-anxiety should explore
ence of disruption of terror management processes whether SC could function as a proximal defense as
among individuals with low SC and the relevance of well. This investigation may prove fruitful in light of
SC to increased vigilance in face of concrete threat recent studies showing that mindfulness can attenuate
among individuals with high SC. MS effects when acting as a proximal defense
This finding converges with the anxiety-buffer dis- (Niemiec et al., 2010).
ruption theory (ABDT; Pyszczynski & Kesebir, 2011). Although our findings are preliminary, they reveal
ABDT focuses on situations where defense mecha- a potential risk factor for the development of trauma-
nisms, aimed to augment impregnability against related symptoms and disorders, as well as an avenue
death-related anxiety and distress, collapse. As an for clinical intervention in the wake of distressing
immediate means of managing distress, one will psy- ordeals. The current findings may be relevant not
chologically “flee” the distressing stimuli and avoid it, only to people who are directly impacted by existen-
regardless of the self-conservation needs at hand. tial threat in their personal lives but also to those who
DEATH STUDIES 7

comprise the medical, psycho-therapeutical and Hirschberger, G. (2015). The terror management of pro-
rehabilitative envelope, which enfolds those individu- social behavior: A theory of self-protective altruism. In D.
als suffering from trauma-related symptoms and dis- Schroeder & B. Graziano, (Eds.), Handbook of Prosocial
Behavior (pp. 166–184). New York: Oxford University
orders. Psychological burnout among workers in the
Press.
health professions is a pressing issue (Westphal et al., Hirschberger, G., Ein-Dor, T., & Almakias, S. (2008). The
2015). Thus, the contribution of SC to the well-being, self-protective altruist: Terror management and the
quality of life, and mental health of these workers ambivalent nature of prosocial behavior. Personality and
is necessary. Social Psychology Bulletin, 34 (5), 666–678. doi:10.1177/
0146167207313933
Hirschberger, G., Ein-Dor, T., Caspi, A., Arzouan, Y., &
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Relations among self-compassion, PTSD symptoms, and 12.038

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