Revisiting “Freely Given Informed Consent” in Relation to the Developing World: Role of an Ombudsman

Background: Establishment of Sri Lankan Twin Registry demanded development of ethical guidelines, as an effective ethical framework was not available in Sri Lanka.

Design: Objectives were to find out whether the ombudsman concept exists in current informed consent practices and to investigate opinion about ombudsmen. We searched Pub Med, conducted a postal survey, and monitored Internet discussion.

Results: The responses were categorized into current practices and existing models in informed consent process, reservations expressed about current practices, arguments supporting the concept, concerns and issues, alternatives, and how to implement the proposal. The concept of a third person is not entirely novel. How to find a truly independent person, the financial implication, confidentiality, obligations, and liabilities of ombudsmen, also emerged.

Conclusions: The concept of an ombudsman is conceptually and ethically sound and acceptable but the challenges posed by this very same solution to creating a better process of informed consent will have to be faced.     

Embedding Academic Integrity in Public Universities

Particular concern about academic ethics in higher education and research institutions (HERIs) in Lithuania was addressed in 2009 by the national decision to establish an Office of Ombudsman for Academic Ethics and Procedures (Office). The decision was taken during the approval of the revised Law on Higher Education and Research by the Parliament of Lithuania. Following two failed attempts to appoint an ombudsman, the Office began to function in 2014. Since then, the ombudsman, alongside other state institutions, has been empowered to implement national higher education and research policy. At the outset of the Office activity it is important to consider how public HERIs institutionalise academic integrity, i.e. how they create an ethical environment within the academic community and what means are used to support it further. Collecting data from codes of ethics, regulations of academic integrity committees and interviews, data analysis shows that academic values manifest unevenly in teaching/learning and research. Most efforts concern the behaviour of students rather than the behaviour of academic staff (teachers and researchers). Moreover, ethics infrastructure gives a misleading image, as it lacks harmony and compatibility, despite the fact that there is a myriad of means to foster ethical behaviour. Universities should make greater effort to connect academic values with operations in teaching/learning and research.     

The Counselor and Student Discipline: Suggested Roles

The problem of role definition for counselors relative to discipline problems has been persistent. Difficulties in defining and adopting appropriate roles in discipline have been exacerbated by conflicting expectations between and among administrators, counselors, and faculty. This article provides a short summary and analysis of the literature on the counselor's role in school discipline; possible counselor roles are grouped into six categories: mediator, ombudsman, consultant, psychological educator, special program developer, and counselor. From the variety of roles defined and discussed, counselors may find one or a combination of several roles that both satisfy the needs of their students and are appropriate to their own personalities and/or skill levels.     

Incongruences of Ethical and Legal Norms in Academia: the Case on Revocation of Doctoral Degrees

In the academic setting as in any organization legal norms prevail and are assumed to be congruent with ethical norms. Nevertheless, there are cases when the ratio of ethical and legal norms is inadequate and disproportional, especially those dealing with socially responsible decisions in academia. For this reason, the aim here is to analyse incongruences of ethical and legal norms related to the revocation of doctoral degrees in Lithuania, illustrated with examples of deviant behaviour by academic degree holders in terms of decisions of the courts and the ombudsman for academic ethics. Lithuania, being a Member State of the European Union, is currently facing the challenge of implementing newly-adopted laws related to the revocation of doctoral degrees. Accordingly, data were collected from available online official sources to gain more comprehensive evidence, and then analysed using the inductive approach of qualitative content analysis. Research findings show that there is still a thin line between ethical and legal norms, and this line fluctuates depending on nuanced considerations. This is to say that it is still problematical to dress ethical principles in legal clothing.     

Acting with Feeling from Duty

A central claim in Kantian ethics is that an agent is properly morally motivated just in case she acts from duty alone. Bernard Williams, Michael Stocker, and Justin Oakley claim that certain emotionally infused actions, such as lending a compassionate helping hand, can only be done from compassion and not from duty. I argue that these critics have overlooked a distinction between an action's manner, how an action is done, and its motive, the agent's reason for acting. Through a range of examples I demonstrate how an emotion can determine an action's manner without also serving as the motive. Thus, it is possible for an agent to act compassionately from duty alone. This distinction between the manner and the motive of an action not only restores a central claim in Kantian ethics but it also allows for an expanded role of emotions in moral action.     

Ego Constriction

The terms ego constriction, ego inhibition, and ego restriction have not been clearly differentiated in their usage in the literature. In this paper a rationale for "ego constriction" as an entity distinct from both ego inhibition and ego restriction is given, despite its clear similarities to each. In a person with an ego inhibition, the ego inhibits a part of its own functioning because a particular function is linked to an unacceptable impulse. It is an internalized conflict. The person with an ego restriction, in contrast, avoids psychological pain triggered from an area in the outside world by restricting activity in that area. Like each of these problems but different, a person with an ego constriction first externalizes an internalized conflict associated with important functions or activities. Then, only through a series of particular obligatory steps can the person "overcome" the ego constriction--albeit temporarily. It is noted in this paper that the function of the specified obligatory steps is structurally parallel to the rigid obligatory behavior necessary for genital gratification in the perversions. As the recognition of this distinction arose in the course of an analysis of a mental health professional, something of the necessarily shared nature of analytic work is noticeable, shining through as the background for the work of this paper.     

The Donor's Dilemma: Recipient's Reactions to Aid from Friend or Foe1

Subjects participating as decision-makers in the Tactical and Negotiations Game experimental simulation encountered a programed emergency and then received an offer of aid from either an ally or an enemy donor. Findings indicate that recipients of aid from an ally donor perceived the donor to be more positively motivated and perceived the aid to reflect greater effort and to be of greater value than recipients of an equal amount of aid from an enemy donor. In addition, aid from an ally precipitated a positive shift in recipient perceptions of the donor and a negative shift in recipient perceptions of the enemy nondonor, while aid from an enemy had essentially no effects. The applied implications of these findings are discussed.     

Response amendments during manual aiming movements to double-step targets

The present paper reports a double-step analysis of a discrete aiming movement. A second target step was presented during the trajectory of the response to an initial step and represented an artificially induced movement error signal. Two stimulus patterns involving steps in the same direction (an undershoot error signal) and opposite direction (an overshoot error signal) to the initial step were examined. Moreover, in a random error condition the subject had no advance information regarding the direction of the error. In a deliberate error condition the subject knew in advance whether any subsequent error would be an undershoot or overshoot. Response parameters were considered as a function of the interstep interval which was randomly varied across trials. In terms of movement time, the standard deviations and a constant amendments score of double-step trials, subjects could respond more appropriately and effectively to a deliberate rather than a random error, and an undershoot error rather than an overshoot error. These results are discussed in terms of a mixed-mode of visuo-spatial error updating and related to the generalized motor program hypothesis.     

Obtaining guilty knowledge in human intelligence interrogations: Comparing accusatorial and information-gathering approaches with a novel experimental paradigm

Substantial research has assessed interrogations seeking to obtain a criminal confession, and consequently much has been learned regarding the potential problems with confession evidence. However, an increasing focus on counter-terrorism, and therefore intelligence interrogations, reveals an obvious gap in the literature. Intelligence interrogations are primarily focused on collecting information from individuals as opposed to a confession linked to an alleged event, and little of the extant psychological literature can speak directly to such a scenario. The current research developed an experimental paradigm to test interrogation approaches in an intelligence-gathering context, providing a method for gathering empirical data on human intelligence collection. In the first implementation of this paradigm, accusatorial and information-gathering interrogation strategies were tested using a procedure high in psychological realism. Results indicate that an information-gathering approach yields more relevant information than an accusatorial approach and leads to more diagnostic impressions by third party observers.     

Instrumental judgment and performance under variations in action-outcome contingency and contiguity

The intentional theory of instrumental performance proposes that performance of an action is determined in part by a belief about its causal effectiveness in producing a desired outcome. At variance with this notion, previous implicit learning experiments appear to have yielded dissociations between subjects' performance and beliefs. In two experiments, subjects were given an opportunity to perform an action--pressing a key on a computer keyboard--which was associated with an outcome on the computer screen according to a free-operant contingency. The subjects in one group were asked to judge the effectiveness of the action in causing the outcome, while those in a second group were asked to maximize their points score under a payoff schedule. In the first study, the effect of varying the contingency between the action and outcome was examined by keeping the probability of an outcome contiguous with an action constant and varying the probability of an outcome in the absence of an action. Performance and judgments showed a comparable sensitivity to variations of the instrumental contingency. In the second study, the delay between the action and the resultant outcome was varied. Increasing the action-outcome delay from 0 sec up to 4 sec produced a systematic decline in both causal judgments and performance relative to noncontingent, control conditions. These results are in accord with the intentional theory of performance, but they present difficulties for the notion of implicit learning.     

ETHICS AND EPISTEMOLOGY Ecclesial Existence in a Postmodern Era

This essay endeavors to show that application of a universalist epistemic method in theological ethics results in a construal of God, which is, from a biblical perspective, reductionist, and is a form of ethics in which universality is achieved at the expense of plurality. It argues for the formal possibility of an ecclesial ethics grounded in a tradition‐centered rationality. It further argues that such an ethic need not result in a narrow and defensive sectarianism, a rigid and static orthodoxy, or an authoritarian dogmatism. The posture of an ecclesial ethic based on the kind of critical realism advocated here may retain an apologetic and dialogical relation with the broader society, as it seeks to embody the incarnational narrative in its particular context.     

Erotic Transference and Its Relationship to Childhood Seduction

The phenomenon of an erotic transference has long been a difficult, if not mysterious, process within clinical psychoanalysis. Traditionally, the development of an erotic transference has been viewed as a negative clinical event fueled by the analyst's countertransference reaction. A much neglected dimension, the relationship between childhood seduction and the development of an erotic transference, will be introduced and examined. In three clinical cases our data suggest that actual sexual abuse in childhood is a causal factor in the manifestation of an erotic transference in the clinical interaction of an analysis.     

Eye tracking provides no evidence that young infants understand path obstruction

In two experiments with 47 4-month-olds, we investigated attention to key aspects of events in which an object moved along a partly occluded path that contained an obstruction. Infants were familiarized with a ball rolling behind an occluder to be revealed resting on an end wall, and on test trials an obstruction wall was placed in the ball's path. In Experiment 1, we did not find longer looking when the object appeared in an impossible location beyond the obstruction, and infants did not selectively fixate the object in this location. In Experiment 2, after rolling one or two balls, we measured infants' fixations of a two-object outcome with one ball in a novel but possible resting position and the other in a familiar but impossible location beyond the obstruction. Infants looked longer at the ball in the possible but novel location, likely reflecting a looking preference for location novelty. Thus we obtained no evidence that infants reasoned about obstruction and identified a violation on that basis.     

Attention effects of abrupt-onset precues with central, single-element, and multiple-element precues

Endogenous and exogenous processes of attention have been inferred with different types of precues used in allocation of attention to a target location. In the present research, a comparison was made between the typical peripheral single-element precue (SEP), a central precue, and a multiple-element precue (MEP) in order to further understanding of the processes involved in allocation of attention. Two precues were used on each trial in these experiments. An abrupt-onset precue appeared with an SEP, an MEP, or a central precue and was followed 50 or 300 ms later by a screen containing a target and two distractor characters. The abrupt-onset precue and the other precue each could be valid or invalid in indicating the location of the target, as in the study by Juola, Koshino, and Warner (1995). Response times to the targets showed that validity effects of the abrupt-onset precue and the MEP or central precue were additive, whereas those of the abrupt-onset precue and the SEP were interactive. These data suggest that, like a central precue, an MEP is an endogenous precue that guides conscious control of attention and has its attentional effects at a different processing level from an SEP, which is an exogenous precue and may compete for attentional resources with an abrupt-onset precue.     

Face processing in humans and new world monkeys: the influence of experiential and ecological factors

This study tests whether the face-processing system of humans and a nonhuman primate species share characteristics that would allow for early and quick processing of socially salient stimuli: a sensitivity toward conspecific faces, a sensitivity toward highly practiced face stimuli, and an ability to generalize changes in the face that do not suggest a new identity, such as a face differently oriented. The look rates by adult tamarins and humans toward conspecific and other primate faces were examined to determine if these characteristics are shared. A visual paired comparison (VPC) task presented subjects with either a human face, chimpanzee face, tamarin face, or an object as a sample, and then a pair containing the previous stimulus and a novel stimulus was presented. The stimuli were either presented all in an upright orientation, or all in an inverted orientation. The novel stimulus in the pair was either an orientation change of the same face/object or a new example of the same type of face/object, and the stimuli were shown either in an upright orientation or in an inverted orientation. Preference to novelty scores revealed that humans attended most to novel individual human faces, and this effect decreased significantly if the stimuli were inverted. Tamarins showed preferential looking toward novel orientations of previously seen tamarin faces in the upright orientation, but not in an inverted orientation. Similarly, their preference to look longer at novel tamarin and human faces within the pair was reduced significantly with inverted stimuli. The results confirmed prior findings in humans that novel human faces generate more attention in the upright than in the inverted orientation. The monkeys also attended more to faces of conspecifics, but showed an inversion effect to orientation change in tamarin faces and to identity changes in tamarin and human faces. The results indicate configural processing restricted to particular kinds of primate faces by a New World monkey species, with configural processing influenced by life experience (human faces and tamarin faces) and specialized to process orientation changes specific to conspecific faces.     

Acoustic features of palilalia: a case study

While a number of authors have suggested that patients with palilalia typically show a tendency to repeat words or phrases with an increasing rate, others maintain that an accelerating speech rate is not essential. The present paper reports the results of an instrumental analysis of the reiterations in a 60-year-old man with palilalia. Results indicate that there is not necessarily an increasing rapidity in palilalia. Duration of the repetition trains, duration of the pauses between the trains, and average number and average duration of the components within a train were variable but did not show a pattern indicative of a systematically increasing rate. The variation in the reiterations suggests that novel or varying motor processes are deployed to produce the elements in a sequence rather than an invariant motor program.     

Using logical relevance for question answering

We propose a novel method of determining the appropriateness of an answer to a question through a proof of logical relevance rather than a logical proof of truth. We define logical relevance as the idea that answers should not be considered as absolutely true or false in relation to a question, but should be considered true more flexibly in a sliding scale of aptness. This enables us to reason rigorously about the appropriateness of an answer even in cases where the sources we are getting answers from are incomplete or inconsistent or contain errors. We show how logical relevance can be implemented through the use of measured simplification, a form of constraint relaxation, in order to seek a logical proof than an answer is in fact an answer to a particular question. We then give an example of such an implementation providing a set of specific rules for this purpose.     

The mood effect: How mood,disclosure language and ad skepticism influence the effectiveness of native advertising

This research investigated the interplay between mood, disclosure language, and ad skepticism on consumers' recognition and evaluation of native advertising. During two online experiments, participants first received a mood manipulation and then read an article-style native advertisement. Results from both studies indicated that participants were more likely to recognize a native ad with an explicit rather than an implicit disclosure label, and a negative mood was more likely than a positive mood to drive participants to recognize the native ad. More importantly, participants in a positive mood evaluated a native ad with an implicit disclosure more favorably than an ad with an explicit disclosure. By contrast, participants in a negative mood responded more positively to a native ad with explicit disclosure compared to an ad with implicit disclosure. Study 2 demonstrated that the interaction between mood and disclosure language was further moderated by individuals' levels of ad skepticism. These results are believed to provide meaningful theoretical and practical implications to the field of native advertising and consumer behavior.     

Effect of local context of responding on human judgment of causality

Two experiments examined the effect of various relationships between a response (pressing the space bar of a computer) and an outcome (a triangle flashing on a screen) on judgments of the causal effectiveness of the response. In Experiment 1, when responses were required to be temporarily isolated from each other prior to an outcome, ratings of the causal effectiveness of the responses were higher than in a condition in which the probability of an outcome following a response was the same but in which no temporal isolation was required. In Experiment 2, when a number of responses were required to be emitted temporally close to the outcome, ratings of the causal effectiveness of the responses were lower than in a condition in which the probability of an outcome following a response was the same but in which no temporal proximity was required. These results suggest that, in addition to the overall probability that an outcome will follow a response, the local context of responding at the time an outcome is presented is critical in influencing ratings of causal effectiveness.     

An experimental test of a core REBT hypothesis: evidence that irrational beliefs lead to physiological as well as psychological arousal

While numerous studies support Rational Emotive Behavior Therapy and Theory (REBT), they tend to be limited by their use of correlational designs, simulated scenarios and self-report measures. This study tested a core REBT hypothesis in an experimental design using multiple physiological as well as psychological measures. Ninety patients from a medical practice were placed in a real-life stressful situation while holding either a rational, an irrational, or an indifference belief. Those holding a rational belief reported the greatest increase in concern whereas those holding an irrational belief reported the greatest increase in anxiety. Of particular significance, those holding a rational belief showed a decrease in systolic blood pressure whereas those holding an irrational belief showed an increase (diastolic blood pressure increased in both conditions). These results not only support the core REBT hypothesis, but also suggest a way to differentiate between beliefs and emotions by measuring physiological as well as psychological changes.