Ethical Leadership: An Integrative Review and Future Research Agenda

Over the past decade, ethical leadership has increasingly become one of the most popular topics in the areas of leadership and business ethics. As a result, there now exists a substantial body of empirical research addressing ethical leadership issues, but the findings reported by this body of research are highly fragmented. The topic has advanced to the stage where a review and synthesis of existing literature can provide great value and help move the scholarly conversation forward. The primary purposes of this article are to (a) review empirical findings from the ethical leadership literature utilizing a framework consisting of the antecedents, mediators, moderators and outcomes of ethical leadership, and (b) suggest a set of interesting research opportunities, thereby facilitating future investigation. We base our synthesis on a review of 62 empirical studies on ethical leadership that were published between 2005 and mid-2015.     

Nudging: A Lesson in the Theatrics of Choice

The aim of this piece is to clarify three key matters: (a) the extent to which, as citizens, our volition is impacted as a result of the implementation of nudges in the health domain; (b) the efficacy of educational campaigns as a means of behavioral change relative to other nudges as well as typical regulatory instruments; and (c) the empirical, theoretical, and practical details that ethical debates concerning nudges might want to consider.     

Fluency,phonology and morphology: a response to the commentaries on becoming literate in different languages

We are delighted at the range of issues raised in the commentaries. The breadth and scope of these serve to make obvious the need for an effective evidence base across languages if we are to optimize the teaching of reading. Our psycholinguistic grain size theory clearly did not pay sufficient attention to the role of morphology in decoding, nor to fluency. The commentaries also highlight the need for considering in more depth the intimate links between phonological and morphological development. All issues raised were highly germane to generating an adequate theoretical framework for the cross‐language collection of relevant evidence in different countries.     

Unresolved questions in nudging research: Putting the psychology back in nudging

Nudging interventions are broadly defined as a rearrangement of a choice context that gently suggests a specific choice. Their increasing popularity has attracted attention and discussion from researchers, policy makers, and practitioners alike. After some applications to domains such as health, environmental issues, and retirement savings, the next step in nudging is to understand the psychological boundary conditions when applied to varied domains of daily life. It is yet unclear for example to what extent nudging interventions can be transparent without losing effectiveness, or how permanent the effects are. These unresolved questions may have contributed to heated political and scientific discussions, on for example the ethics of using nudges in the public health domain, due to the missing scientific evidence. Indeed, this popularity may have led to forget how nudging harnesses insights from decades of research in psychology to change people's behavior. The aim of this paper is to shift the focus back to the psychological premises nudges were built upon. It summarizes several outstanding questions that future research in the psychology of nudging should address. Advancing research in nudging will help to improve our understanding of applied nudging interventions and provide clarity to debates such as ethical appropriateness, effectiveness, and public approval.     

Assistive/rehabilitation technology,disability, and service delivery models

The United Nation’s Millennium Development Goals do not explicitly articulate a focus on disability; similar failures in the past resulted in research, policy, and practice that are not generalizable and did not meet the needs of persons with disabilities since they were developed for an “average” population. Academics and professionals in health and other disciplines should have a knowledge base in evidence-based practices that improve well-being and participation of people with disabilities through effective service delivery of assistive technology. Grounded by a theoretical framework that incorporates a multivariate perspective of disability that is acknowledged in the convention on the rights of persons with disabilities and the World Health Organization’s International Classification of Functioning, Disability and Health, we present a review of models of assistive technology service delivery and call for future syntheses of the fragmented evidence base that would permit a comparative effectiveness approach to evaluation.     

Assistive/rehabilitation technology, disability, and service delivery models

The United Nation's Millennium Development Goals do not explicitly articulate a focus on disability; similar failures in the past resulted in research, policy, and practice that are not generalizable and did not meet the needs of persons with disabilities since they were developed for an "average" population. Academics and professionals in health and other disciplines should have a knowledge base in evidence-based practices that improve well-being and participation of people with disabilities through effective service delivery of assistive technology. Grounded by a theoretical framework that incorporates a multivariate perspective of disability that is acknowledged in the convention on the rights of persons with disabilities and the World Health Organization's International Classification of Functioning, Disability and Health, we present a review of models of assistive technology service delivery and call for future syntheses of the fragmented evidence base that would permit a comparative effectiveness approach to evaluation.     

Medical Ethics Research Between Theory and Practice

The main object of criticism of present-day medical ethics is the standard view of the relationship between theory and practice. Medical ethics is more than the application of moral theories and principles, and health care is more than the domain of application of moral theories. Moral theories and principles are necessarily abstract, and therefore fail to take account of the sometimes idiosyncratic reality of clinical work and the actual experiences of practitioners. Suggestions to remedy the illnesses of contemporary medical ethics focus on re-establishing the connection between the internal and external morality of medicine. This article discusses the question how to develop a theoretical perspective on medical ethical issues that connects philosophical reflection with the everyday realities of medical practice. Four steps in a comprehensive approach of medical ethics research are distinguished: (1) examine health care contexts in order to obtain a better understanding of the internal morality of these practices; this requires empirical research; (2) analyze and interpret the external morality governing health care practices; sociological study of prevalent values, norms, and attitudes concerning medical-ethical issues is required; (3) creation of new theoretical perspectives on health care practices; Jensen's theory of healthcare practices will be useful here; (4) develop a new conception of bioethics that illuminates and clarifies the complex interaction between the internal and external morality of health care practices. Hermeneutical ethics can be helpful for integrating the experiences disclosed in the empirical ethical studies, as well as utilizing the insights gained from describing the value-contexts of health care practices. For a critical and normative perspective, hermeneutical ethics has to examine and explain the moral experiences uncovered, in order to understand what they tell us.     

Self,social identity and psychological well-being

Self and social identity are key elements in the understanding of a person’s strivings for health and well-being. This review (i) examines the concepts of self, social identity, and psychological well-being; (ii) integrates empirical evidence that relates various self-aspects or social identities to psychological well-being; (iii) analyzes within a stress and coping framework the well-being consequences of socially devalued self or threatened identities, perceived discriminations, challenges of acculturation and identity management; and (iv) delineates the role of self, social identity and related psycho-social variables as moderators and mediators in pathways leading to psychological well-being. Besides listing some methodological issues and empirical deficits, major concerns for future research are also identified. An explicit self and social identity perspective of this research synthesis brings personal and social aspects together, and this interface offers exciting opportunities for research advancement.     

Juggling Parent Care and Employment Responsibilities: The Dilemmas of Adult Daughter Caregivers in the Workforce

We review findings from our programmatic research on adult daughters who are simultaneously involved in the roles of employee and care provider to an impaired parent. Two opposing theoretical perspectives on the health effects of occupying these two roles are described, and empirical findings that bear on each perspective are presented. Our review reveals that, consistent with the competing demands perspective, parent care and employment often conflict with one another. Consistent with the energy expansion perspective, however, there is evidence that holding these two roles can be beneficial for the health of adult daughters.     

The neuropsychology of visual image generation: data, method, and theory

This paper presents a review of the empirical evidence bearing on the localization of the image-generation process in cerebral structures and examines several issues related to the study of functional hemispheric asymmetry. In spite of recent claims that the left hemisphere is specialized for the generation of mental visual images, an examination of the relevant data and experimental procedures provides little support for this view and suggests that both hemispheres simultaneously and conjointly contribute to this process. Methodological and theoretical issues related to the localization of functions in the brain, some assumptions guiding laterality research, and computational models of cerebral lateralization are briefly discussed.     

The hyperreality of clinical ethics: A unitary theory and hermeneutics

Medical ethics nowadays is dominated by a conception of ethics as the application of moral theories and principles. This conception is criticized for its depreciation of the internal morality of medical practice and its narrow view of external morality. This view reflects both a lack of interest in the empirical realities of medicine and a neglect of the socio-cultural value-contexts of medical ethical issues, including the creative development of a broader philosophical framework for a practicable medical ethics. Several alternative approaches and conceptions have been proposed. The unified clinical ethics theory, developed by Graber and Thomasma, is an interesting attempt to synthesize these alternative approaches. It correctly identifies as the crucial problem the present disconnectedness of medical ethics from theoretical philosophy as well as the practice of medicine. In this paper, however, it is argued that the unitary theory should take more serious attention to the hermeneutic character of medicine as well as ethics. This implies that the unitary theory must in fact transform itself into aninterpretive clinical ethics theory. The theoretical characteristics and practical consequences of an interpretive theory of medical ethics are discussed in the present paper.     

Negative priming and stimulus repetition: A reply to Neill and Joordens (2002)

Negative priming is reliably obtained with repeated items, but not with novel items. Here, we review why these stimulus repetition effects raise problems for memorybased theories of negative priming. Furthermore, we provide empirical evidence casting doubt on Neill and Joordens’s (2002) claim that perceptual facilitation masks the effects of episodic retrieval with novel items. Finally, we discuss several theoretical and methodological issues raised in the reply by Neill and Joordens. We conclude that a more straightforward interpretation of these stimulus repetition effects is one based on activation-sensitive inhibition.     

Financial Doping in the English Premier League

Whilst the relationship between money and success in elite sport is acknowledged, the exact nature, extent and implications of this relationship is one that has not been carefully examined. In this paper, we have three main aims. Firstly, to provide empirical evidence of the extent that money buys success in the English Premier League. Secondly, to evaluate this evidence from a sports ethics perspective, and finally, to discuss potential solutions to the problem. We argue that the evident performance advantage teams gain through financial investments is contrary to the spirit of sport as it undermines athletic excellence and the ‘sweet tension of uncertainty of outcome’ that is central to good competition. Consequently, financial investments in elite football ought to be regulated and controlled. We argue, however, that current attempts to do so (via Financial Fair Play Regulations) are inadequate as they focus on issues concerning financial health, rather than the health of the game in terms of spirit and fairness.     

A Systematic Scoping Review of the Choice Architecture Movement: Toward Understanding When and Why Nudges Work

In this paper, we provide a domain‐general scoping review of the nudge movement by reviewing 422 choice architecture interventions in 156 empirical studies. We report the distribution of the studies across countries, years, domains, subdomains of applicability, intervention types, and the moderators associated with each intervention category to review the current state of the nudge movement. Furthermore, we highlight certain characteristics of the studies and experimental and reporting practices that can hinder the accumulation of evidence in the field. Specifically, we found that 74% of the studies were mainly motivated to assess the effectiveness of the interventions in one specific setting, while only 24% of the studies focused on the exploration of moderators or underlying processes. We also observed that only 7% of the studies applied power analysis, 2% used guidelines aiming to improve the quality of reporting, no study in our database was preregistered, and the used intervention nomenclatures were non‐exhaustive and often have overlapping categories. Building on our current observations and proposed solutions from other fields, we provide directly applicable recommendations for future research to support the evidence accumulation on why and when nudges work. Copyright © 2017 John Wiley & Sons, Ltd.     

Testing equivalence with repeated measures: tests of the difference model of two-alternative forced-choice performance

Solving theoretical or empirical issues sometimes involves establishing the equality of two variables with repeated measures. This defies the logic of null hypothesis significance testing, which aims at assessing evidence against the null hypothesis of equality, not for it. In some contexts, equivalence is assessed through regression analysis by testing for zero intercept and unit slope (or simply for unit slope in case that regression is forced through the origin). This paper shows that this approach renders highly inflated Type I error rates under the most common sampling models implied in studies of equivalence. We propose an alternative approach based on omnibus tests of equality of means and variances and in subject-by-subject analyses (where applicable), and we show that these tests have adequate Type I error rates and power. The approach is illustrated with a re-analysis of published data from a signal detection theory experiment with which several hypotheses of equivalence had been tested using only regression analysis. Some further errors and inadequacies of the original analyses are described, and further scrutiny of the data contradict the conclusions raised through inadequate application of regression analyses.     

Is Evidence Based Spiritual Care an Oxymoron?

Evidence based spiritual care utilizes empirical evidence on spirituality in addressing the spiritual needs of patients. Objections to evidence based spiritual care include issues of methodology and ethics. Reasons favoring evidence based spiritual care stem from a view that it is not an oxymoron but a paradox. An example of evidence based spiritual care is described using cardiac patients in a CCU unit. Concluding remarks note that we are at the beginning and need a new scientific/theological paradigm that integrates not separates science and theology.     

Culture,emotion suppression and disclosure,and health

Researchers have examined cultural differences in the psychological and physiological health consequences of emotion suppression. The goal of this review is to clarify the state of the science on this growing area of research by summarizing patterns of findings, identifying limitations, and providing recommendations for future research. First, we review the framework that provides the theoretical foundation for explaining cultural differences, and then we present findings on how culture influences the psychological and physiological health consequences of emotion suppression. Next, we review the expressive writing intervention as a culturally sensitive intervention that facilitates emotion disclosure for cultural groups that prioritize emotional restraint. Finally, we end by providing theoretical and methodological recommendations for future research.