A comment on Fry's "The role of caring in a theory of nursing ethics

Our response to Sara Fry's paper focuses on the difficulty of understanding her insistence on the fundamental character of caring in a theory of nursing ethics. We discuss a number of problems her text throws in the way of making sense of this idea, and outline our own proposal for how caring's role may be reasonably understood: not as an alternative object of value, competing with autonomy or patient good, but rather as an alternative way of responding toward that which is of value.     

Memory deficits in early infantile autism: some similarities to the amnesic syndrome.

Autistic children were compared with control children on tasks in which retention was tested by different methods. In three tests of recall, using named pictures, written words and spoken words as test stimuli, autistic children were impaired in comparison with age-matched normal children and with controls matched for verbal ability. In one test of forced-choice recognition of pictures, autistic children were impaired in comparison with ability-matched controls. In three tests of cued recall, using named pictures, written words and spoken words as test stimuli, and acoustic, graphemic and semantic cues, autistic children were not impaired in comparison with normal age-matched controls. In one test of paired-associate learning using non-related word pairs as test stimuli autistic children were not impaired in comparison with normal age-matched controls. These experimental paradigms were similar to some that have been used to investigate the amnesic syndrome in man. Thus findings on paired-associate learning differ in autistic and amnesic subjects, but findings on recall, recognition and cued recall are comparable. A possible parallel between autism and amnesia is discussed.     

Cognitive abilities and disabilities in infantile autism: A review

The literature on various aspects of learning and performance in autistic children is reviewed and interpreted as indicating very little that is specific to autism. Inadequate and inconsistent methodology precludes generalizations concerning the nature of the disorder. It is suggested that future research should be particularly concerned with controlling for developmental influences on performance, and with investigation of the higher functioning autistic children who are less governed by retardation factors. The current evidence is considered to support a hypothesis concerning abnormal hemisphere functioning in this group of children.     

Asymmetry and performance: toward a neurodevelopmental theory

Hemispheric asymmetry implies the existence of developmental influences that affect one hemisphere more than the other. However, those influences are poorly understood. One simple view is that asymmetry may exist because of a relationship between a mental process' degree of lateralization and how well it functions. Data scaling issues have largely prevented such investigations, but it is shown that scaling effects are minimized after correction for ceiling and floor effects. After correction, lateralization-performance correlations are pervasive. However, while some correlations are positive, others are negative, with the direction depending on the underlying lateralized process. Two hypotheses are proposed that can account for these relationships by pointing either to individual differences in maturation of the corpus callosum or to developmental limits encountered at different ages of childhood. Their investigation should contribute toward a neurodevelopmental theory of hemispheric asymmetry.