Ownership of the Birth Experience

A GUEST COMMENTARY BY YASMINE L. KONHEIM-KALKSTEIN

Over the past few years, I have delved into research on childbirth.  My research always gets inspired by something personal, and this line of research was no exception.  I had a horrible first birth experience, where things felt out-of-control, scary, and resulted in an emergency cesarean birth.  I was left traumatized and upset.  I had a healthy baby, but sometimes this made me feel guilty that I was upset over my birth experience.  It turns out, I was not alone in struggling with the memory of my birth experience. Many women desire a sense of ownership of their birth experience.  They desire a certain experience and a feeling of control, in addition to the clear goal of a healthy outcome.  While birth usually ends with the positive outcome of a baby being born, many women experience negative feelings after birth, particularly when their birth did not go according to expectations.

Decision making during childbirth is particularly unique, in that it requires negotiating the risks of mother and unborn baby, interpreting uncertain diagnostic information, and balancing a patient’s desire for control with the authority of the healthcare provider, in an event that can stretch for days with ongoing challenges. And sometimes the challenges mean a deviation from a woman’s initial expectations.

A common instance of unmet expectations is an unplanned cesarean delivery (UPCD).  Compared with planned cesareans and vaginal births, women with UPCDs experience greater disappointment and feelings of failure, are at greater risk for postpartum depression, and post-traumatic stress.

My own research has revealed that support during an unexpected birth experience matters, and can come in many forms: emotional support, informational support, decisional inclusion, and even just practical support (such as handing someone a pillow) (Konheim-Kalkstein, Miron-Shatz, & Israel, 2018).  In our research, we found that being included in decisions and being given emotional support were more predictive of satisfaction during an unplanned cesarean birth than a woman’s personality, her desire for control, or how prepared she felt going into childbirth (Konheim-Kalkstein & Miron-Shatz, in preparation).  In other words, what happens during the experience matters.  We also found that emotional support during labor and delivery can mitigate regrets women have about their experience, and is associated with women advocating for themselves.

Including women in the decision-making process, or at least giving them emotional support helps them retain a sense of ownership over the experience.  We are currently analyzing data from women who describe the least supportive moment of their birth experience.  In moments where women felt least supported, some women described a loss of ownership over what was happening in their environment.

For example, women shared how they felt least supported when conversations or jokes they didn’t want to hear intruded on their experience:

“When my doctors and nurses were talking about baby names they hated while I was being cut open”

“The hospital staff was making jokes to one another preparing me for the csection.  Inside jokes while I was worried about my baby. It felt awful.”

Women shared about the moments they were not provided with an explanation of what was happening. They were missing information to help them feel in control.

“just told me I was having csection didn’t really give much help or explanation.”

“when no one would tell me why I couldn’t see my baby”

Women shared about moments when they were dismissed by healthcare providers.

“when no one was listening to me during the c-section when I said it hurt/I could feel it while I was being stitched up”

“when my doctor didn’t bother to tell me the baby was born nor if we were both okay…”

Women also shared about when they weren’t included in decision-making:

“I didn’t realize I even had an option to hold off on having a csection”

“When deciding how I was going to deliver. I was not included in anything, just told what to do”

A core value of patient-centered care is the principal of shared decision making, where important medical decisions happen in conjunction with patients and by considering their values and preferences, the scientific outcomes, and the physician’s clinical expertise. For birth specifically, a feeling of control over the birthing process has been shown to be related to satisfaction.  When women are dismissed, not informed, or not included, their birth satisfaction is affected.

In contrast to the quotes above, consider these moments women picked out as the ones they felt most supported in their unplanned cesarean birth experience.

“when the nurse asked if I wanted to her to stay when things started progressing”

“when the nurses took copies of my birth plan and passed them out”

“my Ob drove in on during the middle of the night after 30 hours of labor for my emergency c-section. Before the surgery, he held my hands and asked if I was okay and explained what was happening and how I might feel as different things happened in the surgery. He made me feel very heard and considered and valued…”

In childbirth, when birth plans go awry, a woman loses some control.  After all, a healthy mother and baby is, above all, most important.  However, our research highlights the importance of emotional support and decisional inclusion.  Women don’t expect to be the experts in the delivery room.  But they do benefit from being informed, included, and at the very least, feeling heard. Giving a woman control where possible (e.g., letting her decide little things like music during surgery), acknowledging the loss of her plan (taking that extra minute to empathize), and providing information can help a woman still feel as if she owns her birth experience.

Research published:
https://pediatrics.jmir.org/2018/2/e12206

About the author: Yasmine L. Kohnheim-Kalkstein, P.h.D. currently works at the Mount Saint Mary College. Yasmine does research in Health Psychology, Educational Psychology and Cognitive Science.

Back Off, That’s Mine! How and When Consumers Express Their Feelings of Ownership with Territorial Responses.

BY COLLEEN P. KIRK, JOANN PECK AND SCOTT D. SWAIN

Consumers often come to feel a sense of ownership for products they do not necessarily legally own. For example, simply touching a product in a store or imagining owning a product can enhance consumers’ feelings of ownership. This sense of ownership, called psychological ownership, frequently leads to positive outcomes for marketers, such as increased word-of-mouth intentions and willingness to pay more for a product.

My research collaborators, Joann Peck, Scott Swain, and I wanted to examine an outcome from consumers’ psychological ownership that may not always be so positive: territoriality. Based on prior research, we expected that when consumers perceive someone is trying to claim psychological ownership of a product they feel ownership of themselves, there is potential for consumers to feel infringed and respond territorially. We wanted to explore how consumers perceive that others are communicating psychological ownership of a product, under what conditions they will feel infringed, and what outcomes might result.

Consumers come to feel ownership of a product in any one of three ways: either by controlling it, such as by moving it; by investing themselves in it, such as by customizing it; or by getting to know it intimately, such as growing up with it or using it in a special way. Accordingly, we believed that people might also communicate their psychological ownership to others by communicating their control, investment of self, or intimate knowledge of a product. We expected that these messages from other individuals would lead consumers to feel infringed when they felt ownership of the product themselves.

To examine this idea, we conducted five experiments, each designed to elicit or manipulate feelings of ownership in consumers and then have other people communicate, or signal, psychological ownership of the same product. In the first experiment, participants in a laboratory were told they would be dining in a restaurant by themselves. They poured themselves a cup of coffee from a bar at the side of the room, and then customized it with a wide variety of enhancements, such as various sugars, frothed milks, syrups, etc. In this way, they developed strong feelings of ownership for their coffee. They carried their customized coffee cup back to their table and were served a piece of cake. As the server then came over to each diner, she inquired “Is everything OK?” She then either moved the participant’s coffee cup for no apparent reason, or did not move it. A pretest showed that when the server moved the coffee cup for no apparent reason, participants perceived she was communicating psychological ownership of the coffee.

We found that participants whose coffee cup was moved tipped the server 25% less – a form of retaliation – and were more likely to pull the coffee cup closer to themselves and to display negative facial expressions. In a survey, these participants reported they felt that the server had infringed on their territory and that they were more likely to leave quickly and less likely to return to the restaurant.

Consumers can also become territorial over intangible products, such as an artistic design. In a second experiment, participants volunteered for a local nonprofit organization by decorating folders for children’s educational materials. They either copied a design onto the folder (low psychological ownership of the design) or created their own design on a folder (high psychological ownership of the design). Then, the nonprofit assistant either said or did not say “That looks like my design!” This statement communicated the assistant’s psychological ownership of the folder design. We found that participants who had designed their own folder and received the assistant’s ownership statement were less likely to pick up the assistant’s dropped pen and return it. In a survey, they once again reported that the assistant infringed on their territory and they perceived the assistant more negatively. They were also less likely to spread positive word-of-mouth, donate to the nonprofit, or return to volunteer again. Interestingly, they reported they would be more likely to post a selfie with their folder on social media. This is a way consumers attempt to defend against future infringements of their psychologically-owned property, by communicating their own claim to ownership.

In a third experiment, we elicited psychological ownership of a sweater in a retail store by having participants imagine touching and wearing it. Then another customer either touched the sweater, or asked permission and then touched it. Asking permission first dampened consumers’ feelings of infringement and reduced territorial responses. Some of the territorial responses elicited by the infringement included hostile expressions, picking up the sweater and holding it, putting down a separator bar, and retaliating by not telling the infringer about money they dropped.

A fourth experiment in a coffee shop showed that participants were less likely to respond territorially when the infringer had no way to know of their own feelings of ownership of a seat because they had not marked their territory with a belonging. In the final experiment, we manipulated participants’ psychological ownership of a delicious-looking pizza in an open-air market. We measured narcissism, and found that consumers higher in narcissism were more likely to believe that others are already aware of their feelings of ownership. Therefore, they were more likely than low narcissists to feel infringed and respond territorially when a stranger tried to claim ownership of the same pizza by communicating intimate knowledge about it.

With these five experiments, we show that it is important for marketers to think about situations in which consumers may be feeling a sense of ownership of a product, and how marketers’ actions and words might unknowingly elicit feelings of infringement and territorial responses. For example, a new sales clerk who displays too much pride in showing customers “his” offerings in “his” store may be inadvertently marking territory and thus putting off long-time customers who also have feelings of ownership for the store. Restaurant servers might be well-advised to acknowledge patrons’ psychological ownership with an “excuse me” before moving their dishes for no apparent reason. In addition, consumers may infringe on each other, even unintentionally. Unwanted consequences from infringement can include consumers’ leaving a store quickly, not returning to the store in the future, leaving a smaller tip, negative facial expressions and not telling the infringer about a dropped pen or money. Marketers can help by providing ways for consumers to protect their psychologically-owned items prior to purchase, such as with separator bars on conveyor belts and large shopping bags for temporarily holding items under consideration.

This research can help us not only in understanding territoriality and its implications in consumer behavior, but also to be more sensitive about when we might inadvertently be communicating feelings of ownership and eliciting territorial responses in others. Our findings about narcissism are also important. People high in narcissism are very self-centered and have a larger-than-real sense of themselves. We find that they believe other people automatically know of their feelings of ownership for an attractive product, even when there is no way they could know. As a result, they are quicker to feel infringed and respond territorially.

Territoriality is alive and well in consumer behavior and our research is a step towards understanding this common phenomenon.

This research was recently published in the Journal of Consumer Research and can be accessed at: https://academic.oup.com/jcr/article-abstract/45/1/148/4617692

 

Why We Are So Attached to Our Things – A TED-Ed Lesson about Ownership by Christian Jarrett

Dear readers,

We would like to share a really neat video with you that sums up the phenomenon of ownership quite nicely in under 5 minutes. It was created by Christian Jarrett as part of a TED-Ed lesson on ownership and endowment.

 

The entire TED-Ed lesson content can be accessed here: [CLICK].

Yours,

The Science of Ownership team