How reason for surgery and patient weight affect verdicts and perceptions in medical malpractice trials: a comparison of students and jurors

Jurors' decision-making processes are often influenced by extra-legal factors, including judgments of defendants and plaintiffs. Two studies comparing the decisions of university students with those of community jurors sought to determine if extra-legal factors such as individual differences (including identity as a student or juror participant), the reason for surgery (medically necessary vs. elective), the type of surgery (e.g., gastric bypass, nasal reconstruction) or weight of the patient influenced jurors' decisions and perceptions in medical malpractice suits, such that participants would hold negative perceptions of overweight patients or patients who undergo elective surgeries. Results indicate that students and jurors differ in perceptions of the patient's injury and perceptions of risk, which explains some of the variance in liability verdicts. Students were more likely to find doctors liable, but also were more likely to assign responsibility to patients than were jurors. Patients who had undergone elective surgery were seen as more responsible for their situation - and their doctors were assigned less responsibility - than those who had undergone a medically necessary surgery. Tests of weight bias showed that jurors found overweight patients less responsible for their situation than patients of normal weight, but students showed the opposite pattern. Theoretical explanations are explored and implications discussed.     

What I do and what I think they would do: Social axioms and behaviour

The social axioms system uniquely predicted a large variety of behaviours and preferences. It is suggested that (a) the assistance social axioms provide in predicting the behaviour of others, and (b) the self‐characteristics embedded in the axioms account for this unique prediction ability. Three studies, each pertaining to a different axiom, tested the prediction power of the social axiom regarding two types of behaviours: One that is directly impacted by how others are expected to behave, and another that is more self‐directed. Results consistently revealed a unique contribution of the social axioms over personal characteristics in prediction of behaviours directed by how others are expected to behave, whereas behaviours that are more self‐directed were largely explained by relevant personal characteristics. Copyright © 2010 John Wiley & Sons, Ltd.     

Ministry and Stress: Listening to Anglican Clergy in Wales

This study set out to examine the experiences of stress in ministry among a sample of Anglican clergy serving in Wales. Building on recent quantitative studies of work-related psychological health among Anglican clergy in England, the study employed mainly qualitative methods to illustrate eight issues: the clergy’s overall assessment of their present health, their understanding of the characteristics of stress, their assessment of the levels of symptoms of stress within their own lives, their identification of the causes of stress within their experience of ministry, the people on whom they call for support in times of stress, their strategy for and styles of recreation, their assessment of the pastoral care provision available to clergy, and their views on enhancing initial clergy training to equip clergy to cope with stress. Data provided by 73 clergy (10 female and 63 male) portray a group of professionally engaged men and women who are well aware of the stress-related dynamics of their vocation, who are displaying classic signs of work-overload, and who are critical of and resistant to strategies that may confuse the pastoral care of stressed clergy with the accepted management role of the Church’s hierarchy of bishops and archdeacons.     

Integration of hand and finger location in external spatial coordinates for tactile localization

Tactile stimulus location is automatically transformed from somatotopic into external spatial coordinates, rendering information about the location of touch in three-dimensional space. This process is referred to as tactile remapping. Whereas remapping seems to occur automatically for the hands and feet, the fingers may constitute an exception in that some studies have implied purely somatotopic coding of touch to the fingers. When participants judge the order of two tactile stimuli, they often err when the stimulated body parts (usually the two hands) are crossed, presumably because somatotopic and external coordinates are in conflict in crossed postures. Using this task, we investigated, first, whether the fingers are unlike other limbs with regard to spatial coding, by testing whether crossing effects, indicative of external coding, were observable when stimulating two fingers, either on the same or on different hands. Second, we investigated the interaction of hand and finger posture in tactile localization of finger stimuli. Crossing effects emerged when fingers and hands were crossed, suggesting external coding for all body parts. Crossing effects were larger when both hand and finger were located in the hemifield opposite to their body side, and smaller when only hand or finger lay in the opposite hemifield. We suggest that tactile location is estimated by integrating the external location of all relevant body parts, here of a finger and its belonging hand, and that such integrative coding may represent a general principle for body part processing as well as for tool use.     

Contrast polarity preservation's role in perception: explained and unexplained stimuli

Roncato and Casco (2003, Perception & psychophysics 65 1252-1272) had shown that in situations where the Gestalt principle of good continuity is put into conflict with preservation of contrast polarity (CP) the perception that preserves CP prevails. Parlangeli and Roncato (2010, Perception 39 255-259) have studied this question of preservation of CP more closely and have added an addendum to the rule. They have used stimuli consisting of a checkerboard of perpendicularly arranged rectangular bricks (white, gray, or black) and draughtsmen white, gray, or black disks placed at the corners of the bricks. This study has caused them to add an addendum to the rule of CP-preserved path-conjunction binding: if there are two contour completions that preserve the CP, the one with the higher contrast will prevail. Parlangeli and Roncato find that, for certain shades of the disks and bricks, the perpendicular lines of the checkerboard appear strikingly to be slanted or undulating. Here we consider all possible arrangements of relative magnitudes of checkerboards consisting of bricks of two different shades and disks of two shades as well, as such arrangements with widely varying differences in the magnitude of brightness. We have found a number of cases where the perception is not explained by the rule and addendum of Roncato and Casco, and Parlangeli and Roncato, and a case where preservation of "distant" as well as local CP plays a role in perception. The previously known cases, and the new exceptional unexplained stimuli we have found, warrant further study.     

Phenomenology of Bodily Integrity in Disfiguring Breast Cancer

In this paper, I explore the meaning of bodily integrity in disfiguring breast cancer. Bodily integrity is a normative principle precisely because it does not simply refer to actual physical or functional intactness. It rather indicates what should be regarded and respected as inviolable in vulnerable and damageable bodies. I will argue that this normative inviolability or wholeness can be based upon a person's embodied experience of wholeness. This phenomenological stance differs from the liberal view that identifies respect for integrity with respect for autonomy (resulting in an invalidation of bodily integrity's proper normative meaning), as well as from the view that bodily integrity is based upon ideologies of wholeness (which runs the risk of being disadvantageous to women). I propose that bodily integrity involves a process of identification between the experience of one's body as “Leib” and the experience of one's body as “Körper.” If identification fails or is not possible, one's integrity is threatened. This idea of bodily integrity can support breast cancer patients and survivors in making decisions about possible corrective interventions. To implement this idea in oncology care, empirical‐phenomenological research needs to establish how breast cancer patients express their embodied self‐experiences.     

Willingness to seek counselling, and factors that facilitate and inhibit the seeking of counselling in Indonesian undergraduate students

This paper describes a study designed to investigate Indonesian undergraduates' attitudes to counselling. It focuses on the results derived from data analyses of a questionnaire measuring the level of willingness to seek counselling, factors inhibiting and facilitating the seeking of counselling in Indonesian students. The exploration was differentiated into professional counselling outside the university and the university counselling services. The self-administered questionnaire was distributed among 1,279 students. The results indicated that the level of willingness to seek counselling was low. The use of social networks was the most important discouraging factor. Wide dissemination of information about counselling services, efforts to enhance confidentiality in counselling and counsellors' understanding of students' world and ways of thinking were strongly suggested to encourage students to seek counselling.     

The development of sustained attention in children: the effect of age and task load.

This study explored how children's sustained attention develops and the effect of manipulating task parameters on sustained attention. The sample comprised 57 children (5-12 years) who completed CogState and Score! (Test of Everyday Attention for Children). Novel variability and traditional indices indicated rapid development from 5-6 to 8-9 years on all measures and a developmental plateau from 8-9 to 11-12, with growth evident on some measures. Findings suggest that sustained attention improves to age 10, then plateaus with only minor improvements. Further, performance was generally poorer on high load tasks compared to low load, with the same developmental pattern uncovered.     

Women remember more faces than men do

Women have been found to outperform men on face recognition tasks, specifically in the recognition of female faces. Men do not seem to exhibit a corresponding own-sex bias. To examine the generality and possible reasons for these patterns, 107 men and 112 women viewed faces of both children and adults of either Swedish or Bangladeshi origin, for later recognition. As expected, women were especially good at remembering female faces, but also outperformed men on male faces. Men did not show an own-sex bias. Thus, regardless of age and ethnicity of the faces, women performed at a higher level than men on both female and male faces, possibly reflecting enhanced interest in faces, and in particular, female faces.     

An epidemiological study on work and family stress among Chinese in Hong Kong

Hong Kong, with a population of over six million in a modern city, has been shown to be a very stressful place to live in. However, epidemiological data from a big-scale study in this regard are lacking. The present territory-wide survey, from a sample representative of the general population, was aimed to investigate the work and family stress of Chinese adults in the community with respect to the impact on their psychological well-being. The psychosocial context was considered as an important source of stress. The results showed that coping with work demands and rearing children were reported as the highest stress responses. Moreover, workers in Hong Kong took an instrumental attitude, i.e., one emphasizing material rewards, in order to reduce the job stress arising from interpersonal conflicts in the workplace.