Navegación – Mapa del sitio

InicioNúmeros66DossierCultural Influences in the Proces...


Cultural Influences in the Processing of Emotion Schemas Related to Death and Violence: A Pilot Study

Influencias culturales en el procesamiento de los esquemas emocionales asociados a la muerte y a la violencia: un estudio piloto
Influências culturais no processamento de esquemas de emoção relacionados à morte e à violência: um estudo-piloto
Celia Martí-García, Manuel Fernández-Alcántara, César Hueso-Montoro, Rafael Montoya-Juárez, Athanasios Pappous y M. Paz García-Caro
p. 71-79


La cultura es un elemento clave para determinar las emociones que experimentan las personas cuando enfrentan la muerte. Estudios recientes han mostrado la existencia de un esquema emocional específico ante la muerte (en comparación con estímulos emocionales desagradables o relacionados con la violencia) influenciado por las diferencias individuales, el aprendizaje, así como los contextos sociales y culturales. El objetivo de la investigación fue comparar la respuesta afectiva de dos grupos de participantes (ingleses y españoles) ante diferentes tipos de imágenes afectivas (agradables, desagradables/relacionadas con la violencia, relacionadas con la muerte y neutras). Un total de 38 adultos jóvenes participaron en una evaluación emocional usando un conjunto de imágenes procedentes del International Affective Picture System (IAPS). Indicaron los valores de valencia, activación y dominancia para cada imagen. Los resultados muestran que las imágenes relacionadas con la muerte fueron menos desagradables y provocaron menos activación para la población inglesa, mientras que no hubo diferencias en las imágenes desagradables/violentas entre los grupos.

Inicio de página

Entradas del índice

Palabras claves:

esquema emocional, IAPS, sufrimiento

Palavras chaves:

esquema emocional, IAPS, sofrimento


culture, death, violence
Inicio de página

Notas de la redacción

Received date: September 27, 2017
Acceptance date: April 4, 2018
Modification date: May 5, 2018

Notas del autor

The present research did not have any financial support.

Texto completo


1Throughout history, death has been a cause of distress for humans. Although efforts have been made to understand how it feels to face death and everything that surrounds it, they have not yet gone beyond the study of the anxiety that this idea of finiteness causes (Becker 2003; Maxfield et al. 2007; Neimeyer 1994). However, recent studies (Martí-García et al. 2016a; 2016b) revealed a specific schema for the affective response to death. The term “emotion schema” was coined by Izard (2007; 2009); it refers to the fact that emotions are in constant interaction with perceptual and cognitive processes that can influence the mind and behavior. Izard establishes a clear distinction between basic emotions (for example, anger, sadness, surprise, happiness, disgust and fear), which have evolutionary and biological roots, and the affective-cognitive structures or emotion schemas, which are influenced by differences between the individuals and differences between the two groups’ cultural context (Izard 2007; 2009; Panksepp 2007). The use of emotion schemas allows humans to identify and communicate complex feelings, facilitating emotional and behavioral self-regulation (Izard et al. 2008). The symbolization and effective communication of emotional feelings play a key role in the use of emotion, particularly in real life or simulated social interactions. In summary, Izard (2009) highlights the use of the intrinsically adaptive emotional motivation component of an emotion in the construction of affective-cognitive processes and actions.

2Therefore, emotion schemas can be influenced by individual differences, learning, and cultural and social contexts. Specifically, pictures of death occupy a space in the two-dimensional model proposed by Lang et al. (1997) that differs from that of the unpleasant pictures in terms of valence, arousal and dominance (Martí-García et al. 2016a; 2016b).

3In general, pictures of death are less unpleasant, elicit less arousal, and have greater dominance than unpleasant pictures. These results also depend on the degree of suffering represented in the picture. As the degree of suffering increases, the picture becomes more unpleasant (Martí-García et al. 2016b). The types of unpleasant images previously used include pictures of negative valence and high activation, most of them representing stimuli directly related to violence: amputated hands, aggressive expression, or faces disfigured by a bullet (Martí-García et al. 2016a). In this sense, the emotional schema of death seems to differ significantly from images related to violence.

4Some relevant works have argued how emotions are culturally constructed (Lutz 1988; Lutz and White 1986; Wierzbicka 1999). In addition, current research is oriented towards an interactionist perspective based on the fact that emotions are the complex product of cultural and biological determinants (Khan, Schmidt and Chen 2017; Kim and Sasaki 2014; Matsumoto and Hwang 2012). However, even though there are numerous studies which compare cultural groups, countries or religions (Kim and Cohen 2017) in terms of specific emotions (Alonso-Albiol et al. 2011), affective or emotional dimensions (Varnum and Hampton 2017), or global emotional responses (Huang et al. 2015; Riegel et al. 2017), the results are still heterogeneous and show an important lack of consistency.

5Likewise, even though there have been many studies exploring the emotional response to death in relation to different cultures (Metcalf and Huntington 1991; Rosenblatt 1993; 1997), most of them have been conducted from an anthropological perspective. To the best of our knowledge, there is a scarcity of studies addressing the existence of cultural differences in the way the emotional schema of death is perceived. Some studies, like the one conducted by Koopmann-Holm and Tsai (2014), analyzed the positive and negative affect of Americans and Germans through the feeling of concern for the suffering of others. In that study a specific death-related scenario (sympathy cards) was used, but they did not directly address the emotional processing of death-related stimuli. Therefore, the main objective of the present pilot research was to compare emotion schemas (emotional responses and emotional processing) in young people from two countries: Spain and the U.K.

6Although these two countries are in the European Union, Spain and the UK have a series of divergent characteristics in the way death and dying are perceived. A recent study demonstrated how different European Union countries provide different palliative care in terms of the meaning, priorities and skillsets of this type of care, (Gysels et al. 2012). Key cultural factors, such as the development of individualistic societies, religion, and border regulations, can vary the way in which death is handled between countries (Walter 2012). In fact, according to the 2015 Quality of Death Index (The Economist 2015), in the UK the quality of death, the quality of care and the community’s engagement are higher than in Spain. This seems to be related to education and the medical culture, making the UK one of the best countries to provide end-of-life care.

7Several studies have shown that cultural background has a significant influence on expression and emotional processing (Grossmann, Ellsworth and Hong 2012; Huang et al. 2015). They suggest that individuals of interdependent cultures can benefit more from the use of reappraisal, perhaps because the adjustment of emotions to the social environment is important in the cultural context (Ford and Mauss 2015). However, despite the relevance of these data, our literature review yielded no studies examining the differences in the emotional processing of pictures of death in different cultures. This emotional schema could be a key concept to help us understand how people face important end-of-life decisions, such as withholding or withdrawing therapy, euthanasia or the truthful revelation of information, especially when the information disclosed is likely to be psychologically painful (“bad news”).

8The aim of this study was to determine the differences in the affective response to pictures of death and violence in young Spanish and English adults. To that end, we used standardized instruments based on pictures related to death and dying. In line with previous findings, we hypothesized that the emotional experience of viewing death-related pictures would be different between English and Spanish participants.



  • 1 Spain and England are two countries that represent two different ways of dealing with end-of-life p (...)

9A total of 38 University students (19 Spanish and 19 English participants)1 voluntarily participated in this study, without receiving any compensation (see Table 1). The sample size of the study was defined based on previous investigations on the death-emotional schema (Martí-García et al. 2016a; 2016b; 2017). The inclusion criteria were: i) age between 18-35 years and ii) pursuing studies unrelated to palliative care (for example, the knowledge and treatment of patients and dying people). The sample did not differ in gender or age (p > .05).

Table 1. Sociodemographic statistics, means and standard deviations of the emotional categories by country




Mean (SD) or N (%)



Mean (SD) or N (%)



Mean (SD) or N (%)



25 (65,8%)

10 (52,6%)

15 (78%)


Age (years)


25.3 (4.8)

26.8 (3.7)


SAM scores



5.07 (.32)

5.04 (.36)

5.11 (.29)


7.19 (.94)

7.58 (1.09)

6.80 (.55)


1.60 (.59)

1.53 (.69)

1.68 (.48)


2.49 (.69)

2.20 (.79)

2.78 (.41)



2.12 (1.19)

1.77 (1.08)

2.47 (1.21)


5.22 (1.59)

5.26 (1.58)

5.18 (1.64)


7.01 (1.94)

7.35 (1.95)

6.68 (1.92)


5.25 (1.75)

5.97 (1.90)

4.53 (1.25)



6.74 (2.14)

7.78 (1.65)

5.70 (2.10)


6.37 (1.94)

6.82 (1.76)

5.92 (2.06)


4.07 (1.79)

3.62 (2.11)

4.53 (1.30)


5.09 (1.82)

4.84 (2.11)

5.34 (1.48)

Note: SD, Standard Deviation; SAM, Self Assessment Manikin.

Source: Elaborated by the authors.


101. The Symptom Checklist-90-R (SCL-90-R, Derogatis 2002) is a brief, multifaceted, self-administered questionnaire designed to explore a wide range of psychopathological symptoms. The SCL-90-R is validated in Spanish and English and has normative values. Participants whose scores showed anxiety disorders or depression (T Score>70) prior to the experiment were eliminated.

112. Set of affective pictures. Following the procedure of previous studies, the subjects were exposed to a set of 36 affective pictures for this study (Fernández-Alcántara et al. 2016; Martí-García et al. 2016a; 2016b). A total of 15 of these pictures were selected from the International Affective Picture System (IAPS) developed by the National Institute of Mental Health Center for Emotion and Attention (Lang et al. 1997) and validated in the Spanish population (Moltó et al. 1999; Vila et al. 2001). The 15 IAPS pictures used in our study for the pleasant, neutral and unpleasant categories correspond to the following numbers: 3000, 3053, 3062, 3400, 9181 (unpleasant/violence, activating images), 4670, 4672, 4676, 5621, 8496 (activating pleasant images; adventure sports, images with sexual content or people having fun), and 7009, 7175, 7185, 7224, 7233 (neutral; inanimate objects such as lamps or plates). Additionally, a test picture was used to explain the test (1400). A fourth category was added with 21 pictures of death (Martí-García et al. 2016a; 2016b). These pictures included dead people, life-threatening situations or people suffering the loss of a loved one.

12Ten Palliative Care experts categorized the pictures of death according to the degree of suffering: high, medium or low suffering (Martí-García et al. 2016a).

133. Self-Assessment Manikin (SAM). The SAM stands out among self-reports on affective experience as a useful instrument to determine the subjective experience of emotions associated with the processing of most stimuli. This instrument uses pictorial scales to assess three emotional dimensions: valence (pleasantness), arousal (excitement or nervousness) and dominance (emotional control). Each SAM scale consists of a set of five humanoid figures with nine possible intensity levels. This evaluation method has been validated and widely used in research on reactivity to emotional stimuli (Bradley et al. 2001; Hodes, Cook and Lang 1985). The paper/pencil version was used in this study.


14First, the participants completed the SCL-90-R. Subsequently, they viewed and evaluated the pictures using the SAM. The 36 pictures were preceded by a white screen for two seconds, indicating the picture number that appeared. The exposure time for each picture was six seconds, and the participants had 20 seconds to score the picture in the SAM.

15All pictures were projected in full color and on a 150 cm x 200 cm size screen on a Pentium D computer using Microsoft PowerPoint 2007. The participants sat four meters away from the screen, and the pictures were displayed at 50 degrees in their horizontal and vertical viewing angle.

16In each session, the pictures were displayed in the same order, as established by the protocol. The estimated completion time of the test was approximately 45 minutes. The participants provided informed consent prior to the experiment. 

Data Analysis

17Because no participant had pathological levels of anxiety or depression, all the participants were included in the statistical analysis. First, descriptive statistics were analyzed for all pictures and semantic categories, according to each of the three emotional dimensions (valence, arousal and dominance). Bi-factorial MANOVAS (multivariate analysis of variance) with the group (Spain vs English population) as the independent variable, and the scores on each emotional dimension (valence, arousal and dominance) as dependent variables, were carried out. Post-hoc ANOVAS (analysis of variance) were performed when the differences were statistically significant. Finally, additional MANOVAS were performed to determine the influence of the death-related pictures on the degree of suffering, with the group (Spain vs English population) as the independent variable, and the scores on each emotional dimension (valence, arousal and dominance) as the dependent variables. The alpha level was set at p < .05 for all analyses. A partial eta square was chosen as a measure of effect size. SPSS version 19 was used for the data analysis.


Differences in emotion schemas related to death between Spanish and English populations

18There were statistically significant differences for the valence dimension, F(4,33) = 3.56, p = .016, η2p = .302, Wilks’ Lambda = .698. Post-hoc comparisons indicated that the groups differed in the pleasant (F (1,36) = 7.77, p = .008, η2p = .177) and the death-related pictures (F (1,36) = 7.87, p = .008, η2p = .179). The Spanish participants perceived pleasant pictures as more positive and the death-related pictures as more unpleasant, in comparison with the English participants.

19Regarding the arousal dimension, statistically significant differences were found between groups, F(4,33) = 5.91, p = .001 , η2p = .418, Wilks’ Lambda = .582. Post-hoc comparisons showed statistically significant difference for the death–related pictures F(1,36) = 7.61, p = . 009, η2p = .175, indicating higher levels of arousal for the Spanish participants when viewing this type of images.

20Finally, in the dominance dimension, statistically significant differences were found between groups, F(4,33) = 5.17, p = .002 , η2p = . 385, Wilks’ Lambda = .615. Post-hoc analysis identified differences between the groups for the neutral pictures, F(1,36) = 11.49, p = .002, η2p = .242. No differences between the groups were found in any emotional dimension for the emotional processing of unpleasant or violence-related pictures.

Figure 1. Differences in emotion schemas related to death between the Spanish and English populations

Figure 1. Differences in emotion schemas related to death between the Spanish and English populations

Source: Elaborated by the authors.

Differences in emotion schemas related to death among the Spanish and English participants by degree of suffering

21The values ​​of the death-related pictures were analyzed according to the degree of suffering and the group. The results of the MANOVAS showed statistically significant differences for the valence and arousal dimensions. No differences were found with respect to the values of dominance (see Table 2).

22For the valence dimension (F(3,34) = 4.24, p = .012 , η2p = . 271, Wilks’ Lambda = .728), the English participants showed higher scores of valence for the High (F(1,36) = 4.39, p = . 043, η2p = .109), and the Medium (F(1,36) = 12.23, p = .001, η2p = .254) suffering pictures.

23For the arousal dimension (F(3,34) = 3.27, p = .033, η2p = . 224, Wilks’ Lambda = .776), the Spanish participants perceived the three categories of death-related pictures as more arousing: High F(1,36) = 7.50, p = .010, η2p = .172; Medium F(1,36) = 6.22, p = .017, η2p = .147; and Low F(1,36) = 9.35, p = .004, η2p = .206.

Table 2. Means and standard deviations of the emotional categories according to the degree of suffering


Total (n=38)

Mean (SD)


Mean (SD)


Mean (SD)



2.70 (.86)

2.56 (.93)

2.84 (.79)


2.60 (.80)

2.20 (.90)

3.00 (.43)


2.34 (.75)

2.10 (.85)

2.58 (.54)



4.72 (1.80)

5.53 (1.84)

3.91 (1.39)


5.17 (1.78)

5.84 (1.99)

4.49 (1.27)


5.48 (1.78)

6.21 (1.93)

4.75 (1.28)



5.23 (1.84)

5.30 (2.10)

5.16 (1.58)


5.15 (1.92)

4.92 (2.22)

5.39 (1.58)


4.99 (1.84)

4.64 (2.09)

5.35 (1.51)

Note: SD, Standard Deviation; SAM, Self Assessment Manikin; Low, Low Suffering; Medium, Medium Suffering; High, High Suffering.

Source: Elaborated by the authors.


24The aim of this study was to explore the differences in the affective response to pictures between the English and the Spanish sample. The results suggest a different affective response to pictures of death between the English and Spanish participants in general, which also depended on the degree of suffering in the pictures. At the same time, the response to unpleasant pictures directly related to violence did not show any significant difference between the groups. Previous studies have shown differences in the response to death images, modulated by such factors as a previous experience with patients in end-of-life processes (Martí-García et al. 2017).

25The current results seem to highlight the importance of the role of culture in the emotional schema of death, however, the response to unpleasant/violent images does not appear to be similar. According to studies carried out in other contexts, such as Xu et al. (2017), who used unpleasant images, the unpleasantness is associated with fear, it being difficult to differentiate between both emotions. Fear is, therefore, a basic emotion which is less conditioned by contextual and cultural elements, which may explain why there are no differences in this category of images between the two groups. However, other studies that analyze the relationship between emotion and violence in defined social contexts of violence have pointed out that the response to violence may be mediated by other emotions which are conditioned by cultural issues (Asakura 2016). Specifically, shame has been identified as a possible modulator of the expression of violence, both positively and negatively (Schefft 2010; Scheff and Retzinger 2001). Taking into account that both sample populations are Western, the response to violence may be culturally similar. Western countries tend to have an individualistic culture that seems to responds differently to aggression, in comparison with collectivist cultures, which are characterized by lower levels of aggression (Bergeron and Schneider 2005). In addition, the content of violence in television images and videogames may vary between Western countries and Eastern countries (Anderson et al. 2010). To determine the existence of differences in response to these kinds of unpleasant images, it would be necessary to carry out new studies with sample populations where violence and other associated emotions can be understood more clearly.

26The results concerning the characterization of the affective response to pictures of death in the English sample are consistent with previous studies of the Spanish sample (Martí-García et al. 2016a; 2016b). Pictures of death were less unpleasant, with a greater arousal and domination than unpleasant pictures, possibly depicting a specific emotion schema of death.

27The cultural differences found within the same type of affective response to pictures of death can be explained by factors modulating the pattern of emotion itself. The mental processes involved in feelings of emotion, perception and cognition continuously and dynamically interact in the generation and monitoring of thought and action (Izard 2009). These dynamic interactions can generate experiences of specific emotions that have the same nuclear emotional state, but different perceptual tendencies, thoughts, and action plans. These schemas are influenced by individual differences and learning, cultural and social contexts.

28In this sense, the variations between the affective response of the English and Spanish students, specifically in terms of arousal, may be explained by the way death and dying are interpreted in the Anglo-Saxon and Hispanic cultures (Olarte 2014), and the stimulus for stress or calm may be linked to this response. Previous studies that have focused on patient care and on preferences or priorities show differences between the two populations which have been attributed to cultural differences in the prevailing societal values ​​related to, for example, education and training (Olarte 2014; Watson et al. 2003). These preferences, related to the way in which people die, depend on the resources available, as a result of historical contingencies and cultural values (Cohen et al. 2015). In that sense, it should be noted that the Hospice Movement had its beginning in the U.K. when Dame Cicely Saunders creates St. Christopher’s Hospice in 1967 (Mortimer 2015). However, in Spain usually there are no specific centers for the care of dying people, despite the fact that hospice care has been widely recognized as providing a positive experience for these patients and their families (Frankova 2018).

29Pictures of death appear to be more acceptable when they do not cause pain for the living and do not evoke our own death or that of loved ones (Evans Walters and Hatch-Woodruff 1999; O’Neill 2011). Previous studies’ evaluations of pictures of death according to the degree of suffering (Martí-García et al. 2016a; 2016b) show that as the degree of suffering reflected in the picture increases, the values related ​​to the unpleasant pictures become more similar (lower valence and greater arousal).The results of the English participants reveal a different emotional processing from that of the Spanish participants, characterized by a lower arousal at different degrees of suffering and lower displeasure despite greater suffering.

30The limitations of this study include the use of a small sample size and age range. Future studies should extend the study to other age groups, because in this study only young participants’ responses were controlled. This study may serve as a basis for future studies, which should take into account other factors specifically related to culture, such as religious feelings (in the perceptual field), or specific training in end-of-life processes (in the cognitive field).

31In conclusion, although the affective response to pictures of death seems to be the same in the two sample populations, emotional processing shows major cultural differences. The Spanish participants found death-related pictures to be more unpleasant and experienced greater arousal. In addition, the emotional responses to the unpleasant/violent pictures were similar in both groups, probably indicating that their processing depends less on cultural influence. Both results are consistent with the hypothesis of a specific emotion schema related to death.

Inicio de página


Alonso-Arbiol, Itziar, Fons. J. R. van de Vijver, Itziar Fernández, Dario Paez, Miryam Campos and Pilar Carrera. 2011. “Implicit Theories About Interrelations of Anger Components in 25 Countries.” Emotion 11 (1): 1–11.

Anderson, Craig, Akiko Shibuya, Nobuko Ihori, Edward Swing, Brad Bushman, Akira Sakamoto, et al. 2010. “Violent Video Game Effects on Aggression, Empathy, and Prosocial Behavior in Eastern and Western Countries: A Meta-Analytic Review.”Psychological Bulletin136 (2): 151-173.

Asakura, Hiroko. 2016. “Linking Up Violence and Emotions: Experiences of Central American Women Migrants Residing in Houston, Texas.” Sociológica 31 (89).

Becker, Ernest. 2003. La negación de la muerte. Barcelona: Editorial Kairos.

Bergeron, Natasha and Barry Schneider. 2005. “Explaining Cross‐National Differences in Peer‐Directed Aggression: A Quantitative Synthesis.”Aggressive Behavior 31 (2): 116-137.

Bradley, Margaret, Maurizio Codispoti, Bruce. N. Cuthbert, and Peter. J.Lang. 2001. “Emotion and Motivation I: Defensive and Appetitive Reactions in Picture Processing.” Emotion 1 (3): 276-298.

Cohen, Joachim, Lara Pivodic, Guido Miccinesi, Bregje Onwuteaka-Philipsen, Wayne Naylor, Donna Wilson, et al. 2015. “International Study of the Place of Death of People with Cancer: A Population-Level Comparison of 14 Countries across 4 Continents using Death Certificate Data.”British Journal of Cancer 113 (9), 1397-1404.

Derogatis, Leonard R. 2002. SCL-90-R: cuestionario de 90 síntomas: manual. Madrid: TEA ediciones.

Evans, Jonathan, Andrew Walters, Marjorie Hatch-Woodruff. 1999. “Deathbed Scene Narratives: A Construct and Linguistic Analysis.” Death Studies 23 (8): 715-733.

Fernández-Alcántara, Manuel, Francisco Cruz-Quintana, M. Nieves Pérez-Marfil, Andrés Catena-Martínez, Miguel Pérez-García and, Oliver Hugh Turnbull. 2016. “Assessment of Emotional Experience and Emotional Recognition in Complicated Grief.” Frontiers in Psychology 7: 126.

Ford, Brett and Iris Mauss. 2015. “Culture and Emotion Regulation.” Current Opinion in Psychology 3: 1-5.

Frankova, Helena. 2018. “CQC’s State of Hospice Services in England 2014–2017 Report.”Nursing and Residential Care 20 (2): 111-113.

Grossmann, Igor, Phoebe. C. Ellsworth and Ying-yi Hong. 2012. “Culture, Attention, and Emotion.” Journal of Experimental Psychology: General 141 (1): 31-36.

Gysels, Marjolein, Natalie Evans, Arantza Meñaca, Erin Andrew, Franco Toscani, Sylvia Finetti, Roeline H. Pasman, Irene Higginson, Richard Harding, et al. 2012. “Culture and End of Life Care: A Scoping Exercise in Seven European Countries.” PLoS One 7 (4): e34188.

Hodes, Rpbert L., Edwin W. Cook and Peter J. Lang. 1985. “Individual Differences in Autonomic Response: Conditioned Association or Conditioned Fear?” Psychophysiology 22(5): 545-560.

Huang, Jinwen, Dongrong Xu, Bradley S. Peterson, Jianbo Hu, Linfeng Cao, Ning Wei, Yingran Zhang, Weijuan Xu, Yi Xu and Shaohua Hu. 2015. “Affective Reactions Differ between Chinese and American Healthy Young Adults: A cross-Cultural Study Using the International Affective Picture System”. BMC Psychiatry 15 (1): 60.

Izard, Carol. E. 2007. “Basic Emotions, Natural Kinds, Emotion Schemas, and a New Paradigm.” Perspectives on Psychological Science 2 (3): 260-80.

Izard, Carol. E. 2009. “Emotion Theory and Research: Highlights, Unanswered Questions, and Emerging Issues”. Annual Review of Psychology 60:1–25.

Izard, Carol. E, Kristen. A. King, Christopher. J Trentacosta, Judith K. Morgan, Jean-Philippe Laurenceau, E. Stephanie Krauthamer-Ewing and Kristy J Finlon. 2008. “Accelerating the Development of Emotion Competence in Head Start Children.” Development and Psychopathology 20: 369–397.

Khan, Amina, Louis A. Schmidt, Xinyin Chen. 2017. “Cultural Neuroscience of Emotion: Toward a Developmental Framework.” Psychology & Neuroscience 10 (1): 11–40.

Kim, Heenjung. S. and Joni. Y. Sasaki. 2014. “Cultural Neuroscience: Biology of the Mind in Cultural Contexts.” Annual Review of Psychology 65: 487–514.

Kim, Emily and Dov Cohen. 2017. “Roads More and Less Traveled: Different Emotional Routes to Creativity among Protestants and Catholics.” Journal of Personality and Social Psychology 112 (6): 901–925.

Koopmann-Holm, Birgit and Jeanne L. Tsai. 2014. “Focusing on the Negative: Cultural Differences in Expressions of Sympathy.” Journal of Personality and Social Psychology 107 (6): 1092–1115.

Lang, Peter J., Margaret M. Bradley and Bruce N. Cuthbert. 1997. International Affective Picture System (IAPS): Technical Manual and Affective Ratings. Florida: NIMH Center for the Study of Emotion and Attention.

Lutz, Catherine. 1988. “Ethnographic Perspectives on the Emotion Lexicon.” Cognitive Perspectives on Emotion and Motivation 44: 399-419.

Lutz, Catherine and Geoffrey M. White. 1986. “The Anthropology of Emotions.” Annual Review of Anthropology 15 (1): 405-436.

Marti-Garcia, Celia, Manuel Fernández-Alcántara, Jacqueline Schmidt-Riovalle, Francisco Cruz-Quintana, María P. Garcia-Caro and Miguel Pérez-García. 2017. “Specific Emotional Schema of Death-Related Images vs Unpleasant Images/ Esquema emocional específico de imágenes relacionadas con la muerte frente a imágenes desagradables.” Estudios de Psicología 38 (3): 689-706.

Marti-Garcia, Celia, María P. Garcia-Caro, Jacqueline Schmidt-Riovalle, Manuel Fernández-Alcántara, Rafael Montoya-Juárez and Francisco Cruz-Quintana. 2016a. “Palliative Care Training and its Effects on Emotional Evaluation of Death-related Images”. Medicina Paliativa 23(2): 72-78.

Marti-Garcia, Celia, Maria P.Garcia-Caro, Francisco Cruz-Quintana, Jacqueline Schmidt-Riovalle and Miguel Perez-García. 2016b. “Emotional Responses to Images of Death: A New Category of Emotional Processing?” Omega-Journal of Death and Dying 72 (3): 191-209.

Matsumoto, David, Hyi Sung Hwang. 2012. “Culture and Emotion: The Integration of Biological and Cultural Contributions.” Journal of Cross-Cultural Psychology 43: 91–118.

Maxfield, Molly, Tom Pyszczynski, Benjamin Kluck, Cathy R. Cox, Jeff Greenberg, Sheldon Solomon and David Weise. 2007. “Age-Related Differences in Responses to Thoughts of One’s Own Death: Mortality Salience and Judgments of Moral Transgressions”. Psychology and Aging 22 (2): 341-353.

Metcalf, Peter and Richard Huntington. 1991. Celebrations of Death: The Anthropology of Mortuary Ritual. Cambridge: Cambridge University Press.

Moltó, Javier, Javier Moltó, Pilar Segarra, Raúl López, Àngels Esteller, Alicia Fonfría, M. Carmen Pastor y Rosario Poy. 1999. “Un método para el estudio experimental de las emociones: el International Affective Picture System (IAPS). Adaptación española.” Revista de la Federación Española de Asociaciones de Psicología 52 (1): 55-87.

Mortimer, Ian. 2015.The Dying and the Doctors: The Medical Revolution in Seventeenth-Century England. Suffolk: Boydell & Brewer Ltd.

Neimeyer, Robert A. 1994. Death Anxiety Handbook: Research, Instrumentation, and Application. New York: Taylor and Francis.

Olarte, Juan Manuel N. 2014. “Información al paciente en situación terminal: diferencias entre las publicaciones anglosajonas y la experiencia diaria en España.” Medicina Paliativa 21 (3): 113-120.

O’Neill, Mary. 2011. “Speaking to the Dead: Images of the Dead in Contemporary Art”. Health 15 (3): 299-312.

Panksepp, Jaak. 2007. “Neurologizing the Psychology of Affects: How Appraisal-Based Constructivism and Basic Emotion Theory can Coexist.” Perspectives on Psychological Science 2 (3): 281–295.

Riegel, Monika, Abnoos Moslehi, Jaroslaw M. Michałowski, Łukasz Zurawski, , Marko Horvat, Marek Wypych, Katarzyna Jednoróg and Artur Marchewka. 2017. “Nencki Affective Picture System: Cross-Cultural Study in Europe and Iran.” Frontiers in Psychology 8: 274.

Rosenblatt, Paul C. 1993. “Cross-Cultural Variation in the Experience, Expression, and Understanding of Grief.” Ethnic Variations in Dying, Death, and Grief: Diversity in Universality, edited by Donald Irish, Kathleen Lundquist and Vivian Jenkins, 13-19. New York: Taylor and Francis.

Scheff, Thomas J. 2010. “Emotions and Violence. [Review of the book Familicidal Hearts: The Emotional Styles of 211 Killers. N. Websdale]”. PsycCRITIQUES 55 (36).

Scheff, Thomas J. and Suzanne M. Retzinger. 2001. Emotions and Violence: Shame and Rage in Destructive Conflicts. Lincoln: iUniverse.

The Economist Intelligence Unit. 2015. “The Quality of Death Index 2015 – Ranking Palliative Care across the World.”

Varnum, Michael E.W. and Ryan S. Hampton. 2017. “Cultures Differ in the Ability to Enhance Affective Neural Responses.” Social Neuroscience 12 (5): 594-603.

Vila, Jaime, María Sánchez, Isabel Ramírez, M. Carmen Fernández, Pilar Cobos, Sonia Rodríguez, Miguel Ángel Muñoz, M. Pilar Tormo, María Herrero, et al. 2001. “The International Affective Picture System (IAPS): Spanish Adaptation. Second Part.” Revista de Psicología General y Aplicada 54: 635-657.

Walter, Tony. 2012. “Why Different Countries Manage Death Differently: A Comparative Analysis of Modern Urban Societies.” The British Journal of Sociology 63(1): 123-145.

Watson, Roger, Amandah L. Hoogbruin, Carmen Rumeu, Maribel Beunza, Beatriz Barbarin, Julie Macdonald and Tracey McCready. 2003. “Differences and Similarities in the Perception of Caring between Spanish and UK Nurses.” Journal of Clinical Nursing 12 (1): 85-92. 

Wierzbicka, Anna. 1999. Emotions across Languages and Cultures: Diversity and Universals. Cambridge: Cambridge University Press.

Xu Zhicha, Zhu Rongsheng, Shen Chanchan, Zhang Bingren, Gao Qianquian, Xu You and Wang Wang. 2017. “Selecting Pure-Emotion Materials from the International Affective Picture System (IAPS) by Chinese University Students: A Study Based on Intensity-Ratings Only.” Heliyon 3 (8):e00389.

Inicio de página


1 Spain and England are two countries that represent two different ways of dealing with end-of-life process, both socially and regarding the health-care system. In Spain, death is a social taboo, something that should not be discussed in the context of people who are dying (example of this is the higher level of conspiracy of silence in Spanish health institutions). Nevertheless, in in England the end-of-life process is standardized and is specifically included in the health system through specific facilities such as hospices.

Inicio de página

Índice de ilustraciones

Título Figure 1. Differences in emotion schemas related to death between the Spanish and English populations
Créditos Source: Elaborated by the authors.
Ficheros image/png, 32k
Inicio de página

Para citar este artículo

Referencia en papel

Celia Martí-García, Manuel Fernández-Alcántara, César Hueso-Montoro, Rafael Montoya-Juárez, Athanasios Pappous y M. Paz García-Caro, «Cultural Influences in the Processing of Emotion Schemas Related to Death and Violence: A Pilot Study»Revista de Estudios Sociales, 66 | 2018, 71-79.

Referencia electrónica

Celia Martí-García, Manuel Fernández-Alcántara, César Hueso-Montoro, Rafael Montoya-Juárez, Athanasios Pappous y M. Paz García-Caro, «Cultural Influences in the Processing of Emotion Schemas Related to Death and Violence: A Pilot Study»Revista de Estudios Sociales [En línea], 66 | Octubre 2018, Publicado el 07 noviembre 2018, consultado el 01 agosto 2021. URL:

Inicio de página


Celia Martí-García

PhD. Assistant Lecturer. Faculty of Health Sciences, Department of Nursing, Universidad de Málaga (Spain). Recent publication: “Suicide Attempts in Spain According to Prehospital Healthcare Emergency Records,” (in co-authorship). PloS One 13 (4): e0195370, 2018. Celiamarti[at]

Manuel Fernández-Alcántara

PhD. Assistant Lecturer. Department of Health Psychology, Universidad de Alicante (Spain). Mind, Brain and Behavior Research Center (CIMCYC). Recent publication: “One or Multiple Complicated Grief (s)? The Role of Kinship on Grief Reactions,” (in co-authorship). Clinical Psychological Science 5 (5): 851-857, 2017. Mfernandeza[at]

César Hueso-Montoro

PhD. Assistant Lecturer. Faculty of Health Sciences, Department of Nursing, Universidad de Jaen (Spain). Recent publication: “Stoma Care Nurses’ Perspectives on the Relative Significance of Factors Influencing Ostomates’ Quality of Life,” (in co-authorship). Gastrointestinal Nursing 16 (3): 28-33, 2018. Chueso[at]

Rafael Montoya-Juárez

PhD. Assistant Lecturer. Faculty of Health Sciences, Department of Nursing, Universidad de Granada (Spain). Recent publication: “End of Life Care in Nursing Homes in Spain: Exploratory Analysis and Evidences of Validity of a New Scale,” (in co-authorship). Applied Nursing Research 37: 6-12, 2017. Rmontoya[at]

Athanasios Pappous

PhD. Reader. Interim Head of School. School of Sport and Exercise Sciences, University of Kent (United Kingdom). Recent publication: “The Effect of Mindfulness Meditation on Therapists’ Body-Awareness and Burnout in Different forms of Practice,” (in co-authorship). European Journal of Physiotherapy, online, 2018. A.Pappous[at]

M. Paz García-Caro

PhD. Full Professor. Faculty of Health Sciences, Department of Nursing, Universidad de Granada (Spain). Brain, Mind and Behavior Center (CIMCYC). Recent publication: “Suicide Attempts in Spain According to Prehospital Healthcare Emergency Records,” (in co-authorship). PloS One 13 (4): e0195370, 2018. Mpazgc[at]

Inicio de página

Derechos de autor

Licence Creative Commons
Los contenidos de la Revista de Estudios Sociales están editados bajo la licencia Creative Commons Attribution 4.0 International.

Inicio de página
  • Logo Universidad de los Andes
  • DOAJ - Directory of Open Access Journals
  • Latindex - Sistema Regional de Información en Línea para Revistas Científicas de América Latina, el Caribe, España y Portugal
  • OpenEdition Journals
Buscar en OpenEdition Search

Se le redirigirá a OpenEdition Search