Truthfulness in transplantation: non-heart-beating organ donation

The current practice of organ transplantation has been criticized on several fronts. The philosophical and scientific foundations for brain death criteria have been crumbling. In addition, donation after cardiac death, or non-heartbeating-organ donation (NHBD) has been attacked on grounds that it mistreats the dying patient and uses that patient only as a means to an end for someone else's benefit.     

The Institute of Medicine's report on non-heart-beating organ transplantation

In December 1997, the Institute of Medicine (IOM) released a report on medical and ethical issues in the procurement of non-heart-beating organ donors. This report had been requested in May 1997 by the Department of Health and Human Services (DHHS). We will here describe the genesis of the IOM report, the medical and moral concerns that led the DHHS to sponsor it, the process of producing it, and its conclusions. The analyses, findings, and recommendations of the report are also reviewed, in particular the central issues that led to suggestions for policy changes.     

Multiple listing for organ transplantation: autonomy unbounded

Recently, debate about the distribution of scarce organs for transplantation has focused on whether patients should have the right to place themselves on waiting lists at several transplant centers, thereby gaining an advantage over other potential recipients. This article explores the social and ethical issues raised by multiple listing, contrasting policies adopted at the national level with those implemented in New York State. It concludes by examining the implications of the debate for broader questions about entitlement and access to health care.     

Sharing tips with strangers: exploiting gift culture in computer gaming.

The aim of this study was to look at motivations behind altruistic behavior in virtual communities by studying the sharing of game tips by experienced gamers. We examine several possible motivations (pure altruism, generalized reciprocity, and reputation) and qualitatively analyze tip types in terms of usefulness, visibility, and skill level. We found that in games that do not support a "performance stage" for skill demonstration, players often share game tips as a strategy to attract attention. To a certain degree, reciprocity can be used to explain small favor exchanges, but earning social reputation is often a much stronger motivating factor.     

The closeness-communication bias: Increased egocentrism among friends versus strangers

People commonly believe that they communicate better with close friends than with strangers. We propose, however, that closeness can lead people to overestimate how well they communicate, a phenomenon we term the closeness-communication bias. In one experiment, participants who followed direction of a friend were more likely to make egocentric errors—look at and reach for an object only they could see—than were those who followed direction of a stranger. In two additional experiments, participants who attempted to convey particular meanings with ambiguous phrases overestimated their success more when communicating with a friend or spouse than with strangers. We argue that people engage in active monitoring of strangers’ divergent perspectives because they know they must, but that they “let down their guard” and rely more on their own perspective when they communicate with a friend.     

Current status of psychological research in organ transplantation

Research addressing the psychological concomitants of organ transplantation is reviewed. Specifically, cognitive, behavioral, and psychosocial correlates of kidney, heart, liver, and bone marrow transplantation in both children and adults are discussed. Despite several conceptual and methodological shortcomings of the psychologically-based research in this area, results seem to indicate that organ transplantation is associated with many psychological issues at pretransplantation, posttransplantation, and follow-up periods. Implications of these general findings for the advancing roles of the health psychologist in organ transplantation are discussed.     

Empathic accuracy in the interactions of male friends versus male strangers.

In unstructured interactions, male friends were found to be more accurate than male strangers in inferring each other's thoughts and feelings. Plausible reasons for this difference were that friends (a) interacted more and exchanged more information, (b) had more similar personalities and therefore more rapport with each other, and (c) had more detailed knowledge of each other's lives. Data confirmed that the friends did indeed interact more and were more similar in their sociability than the strangers; however, these differences did not account for the friends' greater empathic accuracy. Instead, this was primarily attributable to a difference in knowledge structures, namely, the friends' ability to accurately read their partners' thoughts and feelings about imagined events in another place or time.     

The development of joint visual attention: a longitudinal study of gaze following during interactions with mothers and strangers

Two- to 8-month-old infants interacted with their mother or a stranger in a prospective longitudinal gaze following study. Gaze following, as assessed by eye tracking, emerged between 2 and 4 months and stabilized between 6 and 8 months of age. Overall, infants followed the gaze of a stranger more than they followed the gaze of their mothers, demonstrating a stranger preference that emerged between 4 and 6 months of age. These findings do not support the notion that infants acquire gaze following through reinforcement learning. Instead, the findings are discussed with respect to the social cognitive framework, suggesting that young infants are driven by social cognitive motives in their interactions with others.     

死亡与重生：器官移植手术中社会工作服务的拓展

社会工作作为医疗团队中的一员,不仅认识到器官移植对病人及其家属、移植医学以及社会风气的积极意义与消极限制,而且注重围绕移植手术的不同阶段为病患及其家属开展心理及社会评估、个案与家庭辅导、资源整合以及社会支持等服务。