Completion of binary statements by children at three academic levels

This study was designed to examine the strategy employed by school-aged subjects when completing binary statements. Thirty-two incomplete binary statements representing four statement conditions (true affirmative, true negative, false affirmative, and false negative) were administered to 120 children randomly selected from three academic levels. A response-index change model is postulated as representing the strategy employed by these school-aged subjects when completing binary statements. According to this model, the factor that causes response time to differ across the four statement conditions is the number of times the child is required to change the set of his response index. The child begins the task of completing a binary statement by reading and encoding the incomplete statement. He then selects the numeral that corresponds to the adjective “odd” or “even” contained in the predicate of the incomplete statement. The child’s response index is now set to respond with this numeral. What the child does at this point will depend upon the type of statement condition with which he is working. If the child is completing a TA statement, no response-index change is required. He simply gives as his answer the numeral to which his response index is set. If the child is completing an FA statement or a TN statement, one response-index change is required. If the child is completing an FN statement, two response-index changes are required.     

Tube feedings and persistent vegetative state patients: ordinary or extraordinary means?

This article looks at the late John Paul II's allocution on artificial nutrition and hydration (ANH) and the implications his statement will have on the ordinary-extraordinary care distinction. The purpose of this article is threefold: first, to examine the medical condition of a persistent vegetative state (PVS); second, to examine and analyze the Catholic Church's tradition on the ordinary-extraordinary means distinction; and third, to analyze the ethics behind the pope's recent allocution in regards to PVS patients as a matter of conscience. Rather than providing clarification, I argue that the papal allocution has raised many difficult questions. People in situations where decisions must be made about withdrawal or continued ANH are in need of guidance. Moreover, additional analysis is needed to determine whether the papal allocution is in conflict with the traditional Catholic medical ethics understanding of the ordinary-extraordinary care distinction.     

A new name for an old idea? A student of harvey carr reflects

My chief mentor in graduate school at Chicago was Harvey Carr, who spent most of his professional life at The University of Chicago as professor of experimental psychology. He was admired and loved by his graduate students not only as a masterly teacher and for his acumen in directing research, but also as a man of personal integrity. On the assumption that he is not as well known as he should be by the present generation of psychologists, this essay is presented. The paper reports on the testimonials of his many students on the occasion of his retirement, some reminiscences on the part of the essayist, and an analysis of Carr's systematic position.     

More dead than dead: perceptions of persons in the persistent vegetative state

Patients in persistent vegetative state (PVS) may be biologically alive, but these experiments indicate that people see PVS as a state curiously more dead than dead. Experiment 1 found that PVS patients were perceived to have less mental capacity than the dead. Experiment 2 explained this effect as an outgrowth of afterlife beliefs, and the tendency to focus on the bodies of PVS patients at the expense of their minds. Experiment 3 found that PVS is also perceived as “worse” than death: people deem early death better than being in PVS. These studies suggest that people perceive the minds of PVS patients as less valuable than those of the dead – ironically, this effect is especially robust for those high in religiosity.     

The Potential Contribution of the Behavioral Scientist to World Peace

In this brief statement, Carl Rogers, with assistance from David Malcolm, presents his view of the state of the world today. His hope is to disengage the world from a precarious entanglement that threatens human survival. He seeks alternatives that would reduce psychological barriers that impinge on rational communication.     

对植物状态生存的理性思考

分析植物状态生存的判定和分类,从人的本质分析植物状态的生存价值,从生物学、社会学角度分析植物状态生存与死亡的区别与联系,认为植物人仅仅是生物学上的不完全生命状态,在社会学意义上,他是死亡个体。对我国卫生费用的现状进行评估,从医学、社会学和经济学角度对植物状态生存者维持或放弃治疗进行了理性分析。     

Explaining the Feelings of Justice

Philosophical theories about justice feelings and axiological feelings generally suffer from the fact that they look for simple criteria of justice, legitimacy, fairness. For this reason, they appear as of little help to account for the findings from sociological empirical studies. Weber's notion of "axiological rationality" can be interpreted as suggesting a "cognitivist" theory of axiological feelings. According to this theory, the causes responsible for the fact that a social actor endorses an axiological statement would not be basically different from the causes responsible for his endorsement of a representational statement. He would endorse the statement "X is fair" as he endorses "X is true", because these statements appear to him as grounded on strong reasons, though he may not perceive these reasons explicitly. This cognitivist theory was used by analysts of collective moral sentiments, as Adam Smith, before Max Weber. A careful examination of two empirical studies shows that the cognitivist theory can make the observational findings more easily understandable. The "cognitivist theory" eliminates the weaknesses of the major general philosophical and sociological theories of axiological feelings. It shows notably that these feelings can be context-dependent without this contextuality making them irrational. This theory includes two major principles: that instrumental rationality does not overlap with rationality shortly; that there are no simple criteria of "fairness", "legitimacy", etc.     

Cleomedes (c. 1st century AD) on the celestial illusion, atmospheric enlargement, and size-distance invariance

Cleomedes (Kleomedes) is a little-known Greek author (c. 1st century AD) who produced what is probably the earliest extant statement of size-distance invariance. He supported the Stoic philosophy and was concerned to discredit the Epicurean position that we perceive objects as having their true size. He explained the celestial illusion (the apparent enlargement of the sun near the horizon) in two ways: partly as a refractive effect of the atmosphere similar to angular enlargement when looking into water; and partly as a linear enlargement due to increased apparent distance in a misty atmosphere. He is the earliest extant author to offer apparent distance as a clear explanation of the celestial illusion. He attributed these views to Posidonius (c. 135-50 BC). His explanations remained at the geometrical level, and he did not speculate on sensory mechanisms.     

Persistent Vegetative State: A Presumption to Treat

The article briefly analyzes the concept of a person, arguing that personhood does not coincide with the actual enjoyment of certain intellectual capacities, but is coextensive with the embodiment of a human individual. Since in PVS patients we can observe a human individual functioning as a whole, we must conclude that these patients are still human persons, even if in a condition of extreme impairment. It is then argued that some forms of minimal treatment may not be futile for these patients; they may constitute a form of respect for their human dignity and benefit these patients, even if they are not aware of that. Moreover, it is important to consider the symbolic significance of care: while many believe that PVS is a kind of imprisonment, for others providing food and fluids is the only way to testify our proximity to these persons. The best policy would be to provide, as a general rule, artificial nutrition and hydration to PVS patients: this treatment could be withdrawn, after a period of observation and reflection by the family and proxies, on the basis of the proxies' objection to the continuation or of the patient's advance directives specifically referring to this situation.     

Does any aspect of mind survive brain damage that typically leads to a persistent vegetative state? Ethical considerations

Recent neuroscientific evidence brings into question the conclusion that all aspects of consciousness are gone in patients who have descended into a persistent vegetative state (PVS). Here we summarize the evidence from human brain imaging as well as neurological damage in animals and humans suggesting that some form of consciousness can survive brain damage that commonly causes PVS. We also raise the issue that neuroscientific evidence indicates that raw emotional feelings (primary-process affects) can exist without any cognitive awareness of those feelings. Likewise, the basic brain mechanisms for thirst and hunger exist in brain regions typically not damaged by PVS. If affective feelings can exist without cognitive awareness of those feelings, then it is possible that the instinctual emotional actions and pain "reflexes" often exhibited by PVS patients may indicate some level of mentality remaining in PVS patients. Indeed, it is possible such raw affective feelings are intensified when PVS patients are removed from life-supports. They may still experience a variety of primary-process affective states that could constitute forms of suffering. If so, withdrawal of life-support may violate the principle of nonmaleficence and be tantamount to inflicting inadvertent "cruel and unusual punishment" on patients whose potential distress, during the process of dying, needs to be considered in ethical decision-making about how such individuals should be treated, especially when their lives are ended by termination of life-supports. Medical wisdom may dictate the use of more rapid pharmacological forms of euthanasia that minimize distress than the de facto euthanasia of life-support termination that may lead to excruciating feelings of pure thirst and other negative affective feelings in the absence of any reflective awareness.     

Persistent Vegetative State: Clinical and Ethical Issues

Coma, vegetative state, lock-in syndrome and akinetic mutism are defined. Vegetative state is a state with no evidence of awareness of self or environment and showing cycles of sleep and wakefulness. PVS is an operational definition including time as a variable. PVS is a vegetative state that has endured or continued for at least one month. PVS can be diagnosed with a reasonable amount of medical certainty; however, the diagnosis of PVS must be kept separate from the outcome. The patient outcome can be predicted based on etiology and age. Using outcome probabilities and etiology as criteria, patients can be subdivided in 5 groups and reasonable management guidelines can be suggested. Three levels of care can be provided to PVS patients: high technology, supportive and compassionate care. Pragmatic options for the various subgroups of patients are suggested. Management decisions will remain difficult for both the family and the health-care team. The role of the physician in these difficult cases is to share the decision-making with the family.     

A CROSS-CULTURAL PLIGHT

The late Dr. Stutterheim, Government Archeologist in Java, used to tell the following story: Somewhat before the advent of the white man, there was a storm on the Javanese coast In the neighborhood of one of the capitals. After the storm the people went down to the beach and found, washed up by the waves and almost dead, a large white monkey of unknown species. The religious experts explained that this monkey had been cast out by the god whose anger was expressed in the storm. The Rajah gave orders that the white monkey from the sea should be kept alive, chained to a certain stone. This was done. Dr. Stutterheim told me that he had seen the stone and that roughly scratched on it in Latin, Dutch, and English were the name of a man and a statement of his shipwreck. Apparently this trilingual sailor never established verbal communication with his captors. He was surely unaware of the premises in their minds which labelled him as a white monkey and therefore not a potential recipient of verbal messages: it probably never occurred to him that they could doubt his humanity. He may have doubted theirs. ¹     

A psychometric evaluation of the Harvey Imposter Phenomenon Scale

In this article, we present psychometric properties on the 14-item Harvey Imposter Phenomenon (IP) Scale (Harvey, 1981) among a sample of U.S. adolescents (N = 136). Item analyses, internal consistency reliability, and principal components analysis (PCA) were computed to assess the reliability and factor structure of the IP scores. Although the internal consistency reliability (e.g., Cronbach's alpha) was reasonably acceptable (alpha =.70), the item analyses and subsequent PCA suggest concern for the content homogeneity and factor structure of composite scores obtained from the 14-item measure. The results of this study suggest that the indiscriminate use of the Harvey IP Scale is cautioned relative to the insufficient psychometric properties.     

Persistent vegetative state, prospective thinking, and advance directives

This article begins with a discussion of persistent vegetative state (PVS), focusing on concerns related to both diagnosis and prognosis and paying special attention to the 1994 Multi-Society Task Force report on the medical aspects of PVS. The article explores the impact of diagnostic and prognostic uncertainties on prospective thinking regarding the possibility of PVS and considers the closely related question of how prospective thinkers might craft advance directives in order to deal most effectively with this possibility.     

A Catholic Missiological and Ecumenical Appreciation of Together towards Life

The new mission statement Together towards Life does not so much propose new teachings about mission as point out pertinent reminders and reconfirmations of some of our beliefs and convictions about God's mission (missio Dei) in and for the world. The author suggests that among the many challenges expressed in the statement, three merit special attention: (1) the proposal to shift the mission concept from “mission to the margins” to “mission from the margins”; (2) the necessity to underline the intrinsic link between humanity and creation; and (3) the temptation to consider “mission” as at the service of the interests and aggrandizement of individual churches instead of the contrary. He concludes that this statement is an invitation to walk “together towards life” for the benefit of both humanity and the whole of God's creation, and that the urgent challenge is to forge concrete means to make this dream a reality, even in the face of paying the “cost of discipleship.”     

History and time in Nichiren's Senji-shō

This present study is a reflection upon a case study of an Independent Charismatic Church in the light of Harvey Cox's book, Fire From Heaven. In particular, it seeks to re-examine the theory of Cox that within the emergence of postmodernity religious expression is becoming polarized into the forms of ‘fundamentalism’ and ‘experientialism’. Cox applies this analysis to Pentecostalism and suggests that even now the battle lines are drawn between these polarities. He speculates that glossolalia could be the focus of such a debate between belief and experience within postmodernity and may provide a resource which meets the current ‘ecstasy deficit’ in human spirituality. Evidence from this case study suggests that there are some indications of a cultural shift to postmodernity and that the tensions which Cox highlights are present within the case study. However, it is unclear whether the role of glossolalia in postmodernity will be as important as Cox anticipates. Rather, this study suggests that glossolalia will become merely one symbol among many which form the ‘spiritual bricolage’.     

Harvey Cushing,M.D., in His World

Harvey Cushing, M.D. (1869–1939), is the acknowledged father of the discipline of neurosurgery who inspired others to join him in this new field. He was a prolific researcher in the area of human growth disturbances. And he was among the most literary of doctors having won the Pulitzer Prize for his two-volume biography of his mentor and teacher William Osler, M.D. A driven man, he both inspired and intimidated others. This essay explores Cushing’s character and background along with his relationship to Osler. It seeks to understand why and how he may be considered a great figure in spite and because of his demanding and often problematic character. It further seeks to place Cushing in the context of the transition of American society and American medicine in the latter decades of the nineteenth and early decades of the twentieth century. Portions of this essay were originally delivered as part of a Grand Rounds presentation for the Department of Neurosurgery at the New York Presbyterian Hospital Weill Cornell Center.     

植物人研究中的一些神经心理学问题

自从Ｊｅｎｎｅｔｔ等提出＂持久的植物状态＂概念之后,有关植物人的问题已经引起中国医疗卫生界的广泛重视,并且在临床治疗方面取得了一定的成绩。该文对国内及国际植物人研究状况作了简要的评述．作者认为统一关于植物人定义的认识,研究植物人的病理生理机制以及确定临床观察的心理学定量指标乃是中国科学工作者当务之急。     

An Adlerian understanding of Hillel's maxim

Hillel, one of Judaism's great scholars and sages, has amongst his many statements, one which is most well known and has withstood the test of time. With this statement, he has shown an insight into human psychology that anticipated today's modern approach toward understanding behavior, particularly when using an Adlerian interpretation of his maxim.Rabbi Steven J. Kaplan, Ph.D. is Hillel Director, University of Southern Florida-University of Tampa. He may be addressed at the University of Southern Florida, CTR 2382, Tampa, Florida 33620.     

The Timing of the Defense Opening Statement: Don't Wait Until the Evidence Is in1

Defense attorneys often reserve their opening statements until after presentation of evidence by the prosecution, a practice advocated by some experts. The current study, involving 291 subjects, varied the timing of the defense attorney's opening statement so that it preceded the prosecutor's opening statement, immediately followed the prosecutor's opening statement, or was reserved until after the prosecutor's case presentation. The type of opening statement (content vs. noncontent) and the testimony (altered vs. unaltered) were varied for purposes of increasing generalization. Materials were based on an actual case of auto theft and were presented in written form complete with judge's instructions. The results showed that subjects perceived eyewitness testimony, the prosecutor's opening statement, the prosecutor's closing statement, the defense attorney's closing statement, and the effectiveness of the attorneys differently depending on the timing of the opening statement. Each of these items favored the defense more than the prosecution if the defense opening statement was earlier rather than later. These effects did not interact with type of opening statement or the testimony alteration variable. Individual verdicts, when weighted by the subjects' confidence in their verdicts, were also affected by the timing variable with verdicts more favorable to the defense when the defense opening statement was given earlier rather than later. The consistency with which the timing variable affected subjects' impressions suggests that defense attorneys who take their first opportunity to make an opening statement, rather than delay, end up with a stronger case for their client. Possible exceptions to this conclusion are discussed.