An ethics of suffering: does it solve the problems we want to solve?: commentary

Erich H. Loewy proposes to elevate the moral obligation to prevent and relieve suffering to the level of a prima facie moral duty by delineating which beings are of primary moral worth and which are of secondary moral worth. Sentient beings have a capacity to suffer and are therefore of primary moral worth. Beings that are insentient cannot suffer; therefore such beings are only of secondary moral worth. Objects of secondary moral worth include patients in a persistent vegetative state (PVS) and brain-dead patients. This proposal, he says, would solve a number of problems in clinical bioethics. First, it would help to clarify our moral duties at the bedside. And secondly, by creating a hierarchy of moral values, it helps to differentiate which patients are owed our primary allegiance and resources. Despite his extensive and painstaking proof, I believe several questions remain about the use of the "capacity of sentient beings to suffer" as a basis for a universal grounding in ethics.     

Favouritism,fairness and joint profit in long-term relationships

This study was designed to test a number of hypotheses about the use of FAV and other strategies as measured by the intergroup ‘matrices’ in four long-term relationships-with spouse, child, friend and workmate. Forty subjects filled in matrices giving three measures of self-favouritism (FAV), and one each of fairness (F) and maximum joint profit (MJP), in relation to the allocation of money and time. It was found that FAV was not used for spouse, and was used less for child than for the non-family relationships (p < 0.01, p < 0.05). There was also an influence of altruism (A) against FAV, when time was distributed between spouse (p < 0.01) or child (p < 0.001) and the self. F was used most for spouse, followed by child, friend and workmate (p < 0.001), and was used more by females in distributing money (p < 0.01). MJP was not used at all for money, but was used to some extent for time.     

The good,the bad and the mad: Response bias in self-report measures

This study set out to examine the susceptibility of five extensively used, self-report measures to response set bias. Subjects were requested either to fake good, (give a good impression), fake bad, (give a bad impression), fake mad, (give an impression of mental instability) or respond honestly. Subjects who faked good had significantly higher Extraversion, Lie and Social Desirability scores but lowest Neuroticism, Psychoticism and Social Anxiety scores. Subjects who faked bad had significantly lower Extraversion and higher Psychoticism and Social Anxiety scores. Fake mad subjects scored higher on Self-Monitoring and Locus of Control. Four of the eight scales showed significant differences between subjects faking bad and those faking mad. The results are discussed in terms of questionnaire design and respondent's motivation.     

Psychoticism,social desirability and situation selection

Previous research on personality and activity preference has shown that extraverts have a significantly and meaningfully different pattern of activity preference from introverts. This finding was also true of high and low neurotics but not to the same extent. This study was designed to see whether the traits of psychoticism and social desirability are also related to situational selection. Subjects from a large group were divided first into high P and low P scorers, and then high L and low L scorers. They indicated how much time they had spent in leisure situations over the past week; rank ordered their preferences for activities related to some of Murray's major needs and presses; rated their choice or avoidance of other abstractly described situations; and then stressful, anxiety-provoking, social situations. It was shown that both psychoticism and social desirability are related to situation selection in meaningful and predictable ways. The implications for personality assessment are considered.     

Effects of midterm integration on state and trait anxiety in black and white elementary school children

This study investigated the effects of stress associated with school integration on state and trait anxiety for 637 Black and White fourth- fifth- and sixth-grade children. A court-ordered integration plan resulted in the transfer of children from all-White and all-Black schools into integrated schools 2 months before the end of the school year. The State-Trait Anxiety Inventory for Children (STAIC) was administered 1 week prior to the transfer and 6 weeks following transfer. Females who were transferred had higher state anxiety scores than nontransferred females, but there were no differences for males. Transferred Black and White children did not differ in state anxiety, but transferred Blacks were higher in trait anxiety than transferred Whites.     

Abstinence or control: The outcome for excessive drinkers two years after consultation

This report presents the two-year follow-up results for a sample of married male alcoholics who had been the subjects of a controlled treatment trial. Cumulative relapse curves for the two-year period were found to be similar in form to those which Hunt and Matarazzo (1970) have drawn for drug addicts, alcoholics and smokers. Outcome at 12 and 24 months were compared: changes from good to bad outcome, or vice versa, were rare. The degree of hardship reported by wives remained predictive of outcome two years later. Not all drinking reported at two years was uncontrolled. Of 26 men with a good outcome. 11 were agreed by husband and wife to be abstaining, and 10 were agreed to be controlling their drinking. Most of the latter had not shown lengthy periods of abstinence prior to resuming drinking. Controlled drinkers reported fewer symptoms at intake (morning drinking, shakes, secret drinking, hallucinations etc.), were more likely to have been sub-diagnosed as Alpha alcoholics (psychologically dependent), and were more likely to have been only briefly counselled. Abstainers reported more symptoms at intake, were more likely to be sub-diagnosed as Gamma alcoholics (physically dependent), and were more likely to have been intensively treated. These results suggest an interaction between degree of dependence, type of treatment, and goal of treatment. If confirmed by future research this would have strong implications for the planning of comprehensive alcoholism treatment services.     

Training teachers as mediators: Efficacy of a workshop versus the bug-in-the-ear technique

The implementation of behavior modification techniques in school settings often relies on effective training of teachers as mediators. At the conclusion of Phase I, the performance of an experimental group of 13 teachers who were taught behavior modification by means of an inservice workshop was compared with a no-treatment control group. Although the experimental group scored higher on a paper-and-pencil test of behavior modification, there were no differences between the two groups on selected observed in-class behaviors. During Phase II, half of the experimental group of teachers received two hours of bug-in-the-ear (BIE) training in their own classrooms. BIE resulted in changes in the classroom behaviors of praise and contingency statements. These results are discussed in terms of the situation and response mode specificity of behavior and in terms of the implications for future workshops and research.     

Dynamic relationships between phonological memory and reading: A five year longitudinal study from age 4 to 9

We reconcile competing theories of the role of phonological memory in reading development, by uncovering their dynamic relationship during the first 5 years of school. Phonological memory, reading and phoneme awareness were assessed in 780 phonics‐educated children at age 4, 5, 6 and 9. Confirmatory factor analyses demonstrated that phonological memory loaded onto two factors: verbal short‐term memory (verbal STM; phonological tasks that loaded primarily on serial order memory) and nonword repetition. Using longitudinal structural equation models, we found that verbal STM directly predicted early word‐level reading from age 4 to 6, reflecting the importance of serial‐order memory for letter‐by‐letter decoding. In contrast, reading had no reciprocal influence on the development of verbal STM. The relationship between nonword repetition and reading was bidirectional across the 5 years of study: nonword repetition and reading predicted each other both directly and indirectly (via phoneme awareness). Indirect effects from nonword repetition (and verbal STM) to reading support the view that phonological memory stimulates phonemically detailed representations through repeated encoding of complex verbal stimuli. Similarly, the indirect influence of reading on nonword repetition suggests that improved reading ability promotes the phoneme‐level specificity of phonological representations. Finally, the direct influence from reading to nonword repetition suggests that better readers use orthographic cues to help them remember and repeat new words accurately. A video abstract of this article can be viewed at https://www.youtube.com/watch?v=70LZfTR0BjE .