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Allatum est die 3 Junii 1963     

Emergency Research without Consent under Polish Law

Although Directive 2001/20/EC of the European Parliament and of Council of 4 April 2001 on the approximation of the laws regulations and administrative provisions of the Member States relating to the implementation of good clinical practice in the conduct of clinical trials on medicinal products for human use does not contain an exception for emergency situations, and requires the informed consent of a legal representative in all cases where research is conducted on legally competent individuals who are unable to give informed consent, in Poland, emergency research can be conducted without consent. Polish regulations on emergency research can hardly be treated as a result of intentional legislative policy. Our provisions arise from multiple and sophisticated interpretations of different regulations that govern medical experiments on human subjects and clinical trials. These interpretations can be summarized as follows: (1) There are two categories of medical experiments: therapeutic and non-therapeutic experiments. Emergency research without consent may be conducted in the category of therapeutic experiment only (therapeutic experiment consists of the introduction by the physician of new or only partially proven diagnostic, therapeutic or preventive methods in order to achieve direct benefit to the health of the patients, and it can be carried out when hitherto applied methods were ineffective or their effectiveness was insufficient). (2). Emergency research may be conducted without consent if there is a situation of great urgency in which the research subject's life is in danger and there is no possibility of obtaining immediate consent from the research subject him or herself, or from his or her legal representative or guardianship court, and the research subject has not refused to give consent for the participation in an emergency therapeutic experiment. The legal representative or guardianship court shall be provided with all the relevant information concerning subject's participation in an experiment as soon as possible. All projects of emergency research with intent to be done without the research subject's consent must be approved by an independent bioethics committee. Because these five requirements seem to provide insufficient protection for a subject's autonomy and rights it is necessary to add to them two other conditions: (1) the emergency research could not be conducted using other research participants capable of giving informed consent; and (2) informed consent for continued participation in the emergency research shall be obtained from either the participant him or herself or the legally authorized representative as soon as possible (requirement of obtaining deferred consent). A consolidated single Act that will govern all aspects of medical experiments on human subjects, including emergency research, should be prepared and enacted as soon as possible.     

Randomized controlled trials versus rough set analysis: two competing approaches for evaluating clinical data

The present paper deals with the problem of evaluating empirical evidence for therapeutic decisions in medicine. The article discusses the views of Nancy Cartwright and John Worrall on the function that randomization plays in ascertaining causal relations with reference to the therapies applied. The main purpose of the paper is to present a general idea of alternative method of evaluating empirical evidence. The method builds on data analysis that makes use of rough set theory. The first attempts to apply the method show that it is an interesting alternative to randomized controlled trials.     

Self-Construal as a Mediator Between Identity Structure and Subjective Well-Being

An examination of the assumptions underlying identity conceptualizations in psychology of self indicates the assumptions are based on an independent, individualistic view of self. If self is constructed as interdependent with others, such identity characteristic as a sense of uniqueness, separateness, and continuity may be less important in promoting well-being. The results of the conducted study (N?=?226) indicated that there were weaker relations between various features of identity structure and subjective well-being for individuals with a highly interdependent self-construal than for those with a highly independent self-construal. The results also showed that specificity, separateness, and stability of identity content influenced positive and negative affect through the mediating agency of independent and interdependent self-construals. These findings emphasize the importance of applying a self-construal perspective in considering adaptive functions of identity.     

Comparative Latent State–Trait Analysis of Satisfaction with Life Measures: The Steen Happiness Index and the Satisfaction with Life Scale

The variance in satisfaction with life can be broken down into trait- and state-like components. We ran tests to determine if a new scale for the measurement of satisfaction with life, the Steen Happiness Index (SHI), was more sensitive to situational changes than the Satisfaction with Life Scale (SWLS), which is currently used as a gold standard, with well-established state–trait characteristics. The study consisted of 292 young adults aged 18–35, who were recruited and interviewed three times with 5-month intervals at their places of residence. They completed a set of questionnaires involving the SHI and the SWLS. A latent autoregressive state–trait model showed an adequate fit, χ² (56) = 81.35, p = .02, χ²/df = 1.45, RMSEA = .06, CFI = .98, SRMR = .06. The results indicated that the two scales are strongly correlated on the trait level (r = .98) and on the occasion-specific level (between r = .53 and r = .65) variables. For both scales, stable and occasion-specific influences determine inter-individual differences. For both scales, it is not possible to predict half of the variance by either traits or states measured earlier in time.     

The Face of the Chameleon: The Experience of Facial Mimicry for the Mimicker and the Mimickee

This research addressed three questions concerning facial mimicry: (a) Does the relationship between mimicry and liking characterize all facial expressions, or is it limited to specific expressions? (b) Is the relationship between facial mimicry and liking symmetrical for the mimicker and the mimickee? (c) Does conscious mimicry have consequences for emotion recognition? A paradigm is introduced in which participants interact over a computer setup with a confederate whose prerecorded facial displays of emotion are synchronized with participants’ behavior to create the illusion of social interaction. In Experiment 1, the confederate did or did not mimic participants’ facial displays of various subsets of basic emotions. Mimicry promoted greater liking for the confederate regardless of which emotions were mimicked. Experiment 2 reversed these roles: participants were instructed to mimic or not to mimic the confederate’s facial displays. Mimicry did not affect liking for the confederate but it did impair emotion recognition.