Problems of recall and misclassification with checklist methods of measuring stressful life events

The prevalent use of life event category checklists to facilitate event recall may be one reason that previous studies find that life events play only a small and ambiguous role in the development of health problems. In this study, 136 persons with temporomandibular pain disorder syndrome (TMPDS) and 131 healthy controls reported the occurrence of life events in 10 monthly interviews, using an event category checklist. At the end of the study, they reported retrospectively and in detail about life events over the previous monthly periods. Only one quarter of the event categories appeared in both the monthly interviews and retrospective report for the same period. Detailed analyses revealed problems of inaccuracy inherent in checklists that exacerbate problems of recall. The findings indicate that checklist category approaches should not be used when the goal is to understand the role of stress in adverse health outcomes. Suggestions are made about more adequate methods.     

Autonomy,life as an intrinsic value,and the right to die in dignity

This paper examines two models of thinking relating to the issue of the right to die in dignity: one takes into consideration the rights and interests of the individual; the other supposes that human life is inherently valuable. I contend that preference should be given to the first model, and further assert that the second model may be justified in moral terms only as long as it does not resort to paternalism. The view that holds that certain patients are not able to comprehend their own interests in a fully rational manner, and therefore ‘we’ know what is good for these patients better than ‘they’ do, is morally unjustifiable. I proceed by refuting the ‘quality of life’ argument, asserting that each person is entitled to decide for herself when it is worth living and when it is not. In this connection, a caveat will be made regarding the role of the family. The author’s research interests include bioethics, free speech, tolerance and ethics in the media.     

Workaholism as Discretionary Time Investment at Work: An Experience-Sampling Study

Adopting an operational definition of workaholism as discretionary investment of considerable time at work, the purpose of the present study was to test hypotheses regarding the cognitive aspect of workaholism, as well as the positive and negative/addictive views of this construct. The study employed an experience‐sampling method (ESM), using a sample of 65 full‐time employees who completed the ESM forms at four random times during the day for one week. Results indicated that workaholism was associated with continued cognitive engagement with work, accompanied by a preference for work over leisure activity and higher positive affect during work activity than during leisure activity. No significant differences were found between workaholics and non‐workaholics with regard to the likelihood of performing work‐related activities during leisure activity, or in the levels of physical discomfort and negative affect during the weekend. These results highlight the utility of an operational framework for studying the variety of workaholism correlates. Theoretical and applied implications are discussed. A partir d’une définition opérationnelle de l’addiction au travail comme étant un investissement sans contrôle d’un temps considérable consacré au travail, cette recherche s’est donné comme objectif de mettre à l’épreuve des hypothèses relatives à la dimension cognitive de l’addiction au travail, ainsi que les aspects positifs et négatifs (addictifs) de ce concept. Cette recherche a exploité la méthode de l’échantillonnage des expériences (ESM) à partir d’un échantillon composé de 65 salariés à plein‐temps qui ont rempli la feuille de recueil des données quatre fois par jour au hasard pendant une semaine. Les résultats ont montré que l’addiction au travail était liée à un engagement cognitif permanent vis‐à‐vis du travail, associéà une plus forte attirance pour le travail que pour les loisirs et à un état affectif plus fortement positif lors du travail qu’à l’occasion des activités de loisirs. On n’a pas trouvé de différences significatives entre les drogués du travail et les autres en ce qui concerne la probabilité de réaliser des activités relevant du travail pendant les loisirs, ou dans le niveau d’inconfort physique et le poids des affects négatifs pendant le week‐end. Ces résultats montrent l’utilité d’un schéma opérationnel dans l’étude de la diversité des phénomènes reliés à l’addiction au travail. Les implications théoriques et pratiques sont examinées.     

The emergence and development of tradition in reform Jewish worship, 1970–1999

It is axiomatic to note the increased amount of traditional ritual, customs, ceremonies and observances in Reform Jewish worship in the past three decades. These include hakafot, talitot, kippot and bowing the head and bending the knee during prayer. Although we may disagree about when to mark the beginning of this increase (Maurice Eisendrath, then president of the umbrella organization of Reform congregations, insisted in his 1964 autobiography, Can Faith Survive?, that he “wanted no neo-Orthodoxy in Reform today”), I argue that the end of the dignified English service with hymns such as “All the World has Come to Serve Thee” became widespread only in the 1970s, primarily because of the influence of a generation of Reform rabbis who, beginning in 1970, were required to spend a year in Jerusalem. I explore the use of the word mitzvah as a test case, noting its absence before this period, the continued discomfort with it on theological grounds (the increase in tradition was not accompanied by any return to traditional theological categories), but the comfort with it when used as an equivalent for tsedakah or tikkun olam. And I use several synagogues as case studies of the implications — better, ambivalence — about this phenomenon.     

Effects of medical resonance therapy music on patients with psoriasis and neurodermatitis—A pilot study

Stress medicine has shown that emotional disharmony can be a substantial factor for skin diseases. The harmonisation of the emotional status and a corresponding reduction of stress hormones by the Medical Resonance Therapy Music^® (MRT-Music) as shown in other studies (1,2,3,4) inspired us to investigate its benefits for patients with psoriasis vulgaris and neurodermatitis (neurodermatitis constitutionalis atopica). Over a period of 14 days we measured the parameters of blood pressure, heart rate, stimulus to scratch and the degree of sickness in two, respectively four groups of 68 patients in total: two experimental groups (psoriasis/neurodermatitis) and two control gropus. All patients received the normal treatment of our hospital, the experimental groups were additionally treated with 3 × 30 minutes of MTR-Music per day, while the controls were asked to somehow relax during this time. In the experimental groups the measurements showed to somehow relax during this time. In the experimental groups the measurements showed a reduction of blood pressure and heart rate and revealed an enhanced reduction of the stimulus to scratch and an enhanced reduction in the degree of sickness. Interestingly the effects of MRT-Music were stronger with the psoriasis patients than with the neurodermatitis patients. The results of this pilot study convinced us to offer the treatment with the Medical Resonance Therapy Music to all our patients.     

Infants’ grip strength predicts mu rhythm attenuation during observation of lifting actions with weighted blocks

Research has established that the body is fundamentally involved in perception: bodily experience influences activation of the shared neural system underlying action perception and production during action observation, and bodily characteristics influence perception of the spatial environment. However, whether bodily characteristics influence action perception and its underlying neural system is unknown, particularly in early ontogeny. We measured grip strength in 12‐month‐old infants and investigated relations with mu rhythm attenuation, an electroencephalographic correlate of the neural system underlying action perception, during observation of lifting actions performed with differently weighted blocks. We found that infants with higher grip strength exhibited significant mu attenuation during observation of lifting actions, whereas infants with lower grip strength did not. Moreover, a progressively strong relation between grip strength and mu attenuation during observation of lifts was found with increased block weight. We propose that this relation is attributable to differences in infants’ ability to recognize the effort associated with lifting objects of different weights, as a consequence of their developing strength. Together, our results extend the body's role in perception by demonstrating that bodily characteristics influence action perception by shaping the activation of its underlying neural system.     

Prediction of Job Retention Using a Brief Projective Test Battery: a Preliminary Report

The use of objectively validated projective tests in personnel decisions has been limited in recent years because of the perception that such tests are highly subjective, difficult to administer, and difficult to score in a reliable manner. The present paper demonstrates the use of a brief (½ hour) projective test battery consisting of the Bender–Gestalt, House–Tree–Person, and a free drawing test which can be administered in a personnel office and scored blindly using an objective scoring system. The study showed that such a battery could predict six month retention rates in a sample of recently hired corrections officers at statistically significant rates (2 = 6.25, p < 0.05) despite the fact that the individuals had already been thoroughly prescreened using the company's comprehensive normal procedures. The possible uses and advantages of a language-free projective battery are discussed along with future research directions.     

Can Life Be Evaluated? The Jewish Halachic Approach vs. The Quality of Life Approach in Medical Ethics: A Critical View

In recent years there has been an increase in the number of requests formercy killings by patients and their relatives. Under certain conditions,the patient may prefer death to a life devoid of quality. In contrast to thosewho uphold this quality of life approach, those who hold the sanctity oflife approach claim that life has intrinsic value and must be preservedregardless of its quality. This essay describes these two approaches,examines their flaws, and offers a golden path between the two extremepositions.We discuss the halachic and the secular views, arguing for a balancebetween the sanctity of life and the quality of life. We argue that, indeed,such a balance exists in practice, and that life is important, but it is not sacred. Life can be evaluated, but quality of life is not the solecriterion.