Why physicians should not do ethics consults

Increasing complexities facing physicians negotiating the bedside decision continue to fuel the debate over who is the appropriate party to offer ethics consults, should one be needed, during the decision-making process. Some very good arguments have been put forth on behalf of clinical ethicists as being the proper and best party to engage in ethics consultations. However, serious questions remain about the role of the clinical ethicist and his ability to provide the necessary level of objectivity called for in an ethics consult. I argue that the clinician's professional psyche, or mode of thinking as a professional, leaves him little room to maneuver as an objective and detached third party ethics consultant. Several factors are cited and discussed that greatly influence the analyses applied to a case problem by physicians. The most formidable of these factors are habits and the practice of defensive medicine. I conclude that clinical ethicists are less suited for the overall tasks required of an objective consultant in medical cases that appear to involve insurmountable ethical issues.     

Why do people factor?

This is a very simple explanation of factor analysis primarily for the factorial layman. The interpretation of factors and the comparisons of various factor solutions are illustrated with a hypothetical example so designed that the reader can visualize all the relationships in a two-dimensional graph.     

Why young people do not kill themselves: the reasons for living inventory for adolescents

Assessed the reliability, validity, and predictive power of a new measure, the Reasons for Living Inventory for Adolescents (RFL-A; Osman et al., 1998). A group of 206 (101 boys and 105 girls) adolescent psychiatric inpatients completed the RFL-A, Minnesota Multiphasic Personality Inventory for Adolescents (Butcher et al., 1992), and a packet of self-report measures. Additional information about the patients including diagnosis and suicide status were obtained from their medical records. It was determined that the RFL-A is a valid and reliable measure of adolescent suicide risk potential. Additionally, the RFL-A possesses better predictive power than the Beck Hopelessness Scale (Beck, Weissman, Lester, & Trexler, 1974). A discussion of the clinical and research utility of the RFL-A is included along with suggestions for future research.     

Division I men and women athletes do not differ on perceptions of worth

Historically, especially prior to the increased interest in women's athletics with the passage of Title IX in 1972, there have been negative perceptions of women as athletes. If these social perceptions still hold in part today, as is indirectly suggested by unequal press coverage and less basic support for women athletes, one might predict that collegiate female athletes would rate themselves lower on self-esteem and worth than collegiate male athletes. 176 Division I male (n = 90) and female (n = 86) athletes rated their perceptions of self on the Worth Index which measures basic human worth, personal security, performance, and physical self; these are divided into intrinsic (unconditional worth) measures and behavior or performance (conditional worth) measures. There were no significant sex differences in the ratings of any aspect of perceived worth, in contrast to prior results among non-athletes. In spite of less support given to women athletes, perhaps the long-term high-intensity competition that is required to reach Division I status tends to eliminate sex differences in self-worth.     

医学生为何忽视医德

近年来,医学界道德下降的问题已是不争的事实.因此,国家和医学界都出台了很多政策和措施,力求解决由于医德问题的突显而加剧的医患矛质.但是,从当今医患关系依然不容乐现的事实可以看出,如果不能找出问题的根源,效果不会明显.从医学生这一特殊医疗群体出发,探究医学界道德下降和医患关系紧张的根本原因.     

Why we walk the way we do

By using inverse dynamics and forceplate recordings, this study established the principle of oscillating systems and the influence of gravity and body parameters on the programming of the gait parameters, step frequency and length. Calculation of the ratio of the amplitude of the center of mass (CM) and the center of foot pressure (CP) oscillations yielded an equation and established a biomechanical constant, the natural body frequency (NBF). NBF appears to be an absolute invariant parameter, specific to human standing posture and gait in terrestrial gravity, which influences the relative positions of CM and CP and whose value separates the frequency bands of standing posture from those for gait. This equation was tested by using the experimental paradigm of stepping in place and then used in calculating the magnitude of CM oscillations during gait. The biomechanical analysis of the experimental observations allows one to establish the relationships between body parameters and gravity and the central programming of locomotor parameters.     

Why I'm not a Humean

There is an inconsistency between the access we have to our conscious lives and the Humean thesis of causal generalism. This was first drawn attention to by John Hawthorne, whose argument withstands a number of objections. Nevertheless, it has weaknessess. The first premise must be weakened if Humeans are to be compelled to accept it, and consequently, the second premise will have to be stronger to retain validity. I shore up the case against Humeanism by providing revised premises along with new defences of them. I show why this also provides a lesson for non-Humeans about the epistemology of causal relations.     

Why men (and women) do and don't rebel: effects of system justification on willingness to protest

Three studies examined the hypothesis that system justification is negatively associated with collective protest against ingroup disadvantage. Effects of uncertainty salience, ingroup identification, and disruptive versus nondisruptive protest were also investigated. In Study 1, college students who were exposed to an uncertainty salience manipulation and who scored higher on system justification were less likely to protest against the governmental bailout of Wall Street. In Study 2, May Day protesters in Greece who were primed with a system-justifying stereotype exhibited less group-based anger and willingness to protest. In Study 3, members of a British teachers union who were primed with a "system-rejecting" mind-set exhibited decreased system justification and increased willingness to protest. The effect of system justification on nondisruptive protest was mediated by group-based anger. Across very different contexts, measures, and methods, the results reveal that, even among political activists, system justification plays a significant role in undermining willingness to protest.     

Why modal fictionalism is not self-defeating

Gideon Rosen’s [1990 Modal fictionalism. Mind, 99, 327–354] Modal Fictionalist aims to secure the benefits of realism about possible-worlds, whilst avoiding commitment to the existence of any world other than our own. Rosen [1993 A problem for fictionalism about possible worlds. Analysis, 53, 71–81] and Stuart Brock [1993 Modal fictionalism: A response to Rosen. Mind, 102, 147–150] both argue that fictionalism is self-defeating since the fictionalist is tacitly committed to the existence of a plurality of worlds. In this paper, I develop a new strategy for the fictionalist to pursue in response to the Brock–Rosen objection. I begin by arguing that modal fictionalism is best understood as a paraphrase strategy that concerns the propositions that are expressed, in a given context, by modal sentences. I go on to argue that what is interesting about paraphrastic fictionalism is that it allows the fictionalist to accept that the sentence ‘there is a plurality of worlds’ is true without thereby committing her to the existence of a plurality of worlds. I then argue that the paraphrastic fictionalist can appeal to a form of semantic contextualism in order to communicate her status as an anti-realist. Finally, I generalise my conception of fictionalism and argue that Daniel Nolan and John O’Leary-Hawthorne [1996 Reflexive fictionalisms. Analysis, 56, 26–32] are wrong to suggest that the Brock-Rosen objection reveals a structural flaw with all species of fictionalism.

Why the Liar Does not Matter

This paper develops a classical model for our ordinary use of the truth predicate (1) that is able to address the liar's paradox and (2) that satisfies a very strong version of deflationism. Since the model is a classical in the sense that it has no truth value gaps, the model is able to address Tarski's indictment of our ordinary use of the predicate as inconsistent. Moreover, since it is able to address the liar's paradox, it responds to arguments against deflationism based upon that paradox alone. The model is based upon a notion of the complexity of propositions that a fixed set of speakers might express. A context-sensitive definition of the truth predicate is then provided based upon a class of possible worlds defined in terms of these speakers. Reasonable constraints on the memories and lifetimes of ordinary speakers are used to limit the set of propositions that they might express so that deflationist requirements are satisfied.     

Why metrical properties are not powers

What has the dispositional analysis of properties and laws (e.g. Molnar, Powers, Oxford University Press, Oxford, 2003; Mumford, Laws in nature, Routledge London, 2004; Bird, Nature’s metaphysics, Clarendon Press, Oxford, 2007) to offer to the scientific understanding of physical properties?—The article provides an answer to this question for the case of spacetime points and their metrical properties in General Relativity. The analysis shows that metrical properties are not ‘powers’, i.e. they cannot be understood as producing the effects of spacetime on matter with metaphysical necessity. Instead they possess categorical characteristics which, in connection with specific laws, explain those effects. Thus, the properties of spacetime do not favor the metaphysics of powers with respect to properties and laws.