Procuring organs from a non-heart-beating cadaver: commentary on a case report

Procurement of organs from non-heart-beating cadaver donors raises concerns. Standards for optimal patient care during withdrawal of life-sustaining therapy are evolving and continue to be debated and studied. Consensus on specific procedures and methods has not been attained, however, and protocols for the procurement of organs from patients following the withdrawal of life-sustaining therapies may compromise the evolving standards and harm the patient and the attendant family. In addition, there is little evidence to suggest that such protocols will significantly increase the number of organs procured. "Non-heart-beating cadaver" protocols that do not give comprehensive attention to optimal patient/family care at the time of withdrawal of life-sustaining therapy ought not to be endorsed.     

Social class as a correlate of gender identity among lesbian women

Traditionally, researchers have portrayed butch and femme identities among lesbian women as gender roles. To complicate matters, rather than ask lesbian women to define butch and femme within the context of their own culture, researchers defined the terms themselves. This study adds to the literature in two ways: (1) lesbian women are asked to define butch and femme on their own terms and (2) social class is considered as a correlate to the formation of butch and femme gender identities. A snowball sample of 235 women participated in the study. Ninety-three percent of the participants are white, 7% are women of color. Social classes, as measured by income and education, are diverse within the sample. Findings indicate that lesbian women define butch and femme differently than have researchers, and that social class is a significant determinant of whether or not a lesbian woman defines herself as butch or femme.Part of this paper was presented at the American Sociological Association 1995 Annual Meeting in Washington, DC. I thank Dr. Leonard Beeghley and two anonymousSex Roles reviewers for their valuable comments on earlier drafts.     

The effects of organizational frames and problem ambiguity on decision making

This paper investigates how organizational climate and information quantity influences choice of decision making strategies. A simulated company with an organizational climate was manipulated to be either supportive or non-supportive of participative decision making methods. Subjects then solved problems in which information available to make a decision was manipulated. Results indicated that climate has an effect on choice of decision making strategies independent of information quantity. A second study was then conducted to assess how the climate manipulation affected subjects' decision-making. Organizational climate information appears to affect decisions in a manner analogous to Tversky and Kahneman's (1981) decision framing model.The contribution of each author is equal for this paper. The order of authorship was determined by a coin flip. This research was supported by Ohio Board of Regents and University of Akron Faculty Research grants to the second author. Portions of this paper were presented at the 1989 Society of Industrial Organizational Psychology Meetings and the 1991 Association of Management Meetings.     

The visual accommodation response during concurrent mental activity

Concurrent mental activity seems to be a significant, nonvisual factor affecting the human accommodation response. Two experiments were conducted to determine the direction and magnitude of this accommodation response. Experiment 1 employed a concurrent, written backwards counting task. Experiment 2 employed a concurrent, mental imagery task of “thinking near” and “thinking far.” In both experiments, the concurrent secondary task effected a cumulative accommodative shift toward the visual far point of from .25 to .75 diopter away from a near (3.0 diopter) target. This accommodative shift was observed only in the presence of a stimulus field and not in open-loop (analogous to empty-field) conditions. In addition, a long-term instability in the open-loop method of obtaining the dark focus was observed. Similarities between this accommodative shift and the pupillary response are noted. The accommodation response is discussed in relationship to both an attention-sharing and an involuntary autonomic response model.     

The use of averaged electroencephalic response techniques in the study of auditory processing related to speech and language

This paper reviews a number of studies done by the authors and others, who have utilized various averaged electroencephalic response (AER) techniques to study speech and language processing. Pertinent studies are described in detail. A relatively new AER technique, auditory brainstem responses (ABR), is described and its usefulness in studying auditory processing activity related to speech and language is outlined. In addition, a series of ABR studies, that have demonstrated significant male—female differences in ABR auditory processing abilities, is presented and the relevance of these data to already established differences in male—female language, hearing, and cognitive abilities is discussed.     

The relationship of children's attitudes toward alcohol to their value development

Developmentally, attitudes toward casual alcohol use and toward the abuse of alcohol should be related to the development of value content and value structure. Two studies were conducted that found this to be generally so with upper elementary schoolchildren. A negative attitude toward the abuse of alcohol was definitely related to general measures of the intemalization of those values necessary to be a part of any group as well as the rejection of acts generally considered to be deviant in our culture. Attitudes toward casual use of alcohol were also somewhat related, but not as strongly. However, alcohol attitudes were unrelated to stage of moral development or other measures of thinking processes. Some shifts across age and sex were also noted. Programs oriented toward the prevention of alcohol abuse may need to communicate the value norms of our society and can proceed without impacting attitudes toward casual alcohol use.     

SHORT- AND LONG-TERM EFFECTS OF CONTINGENCY MANAGED INSTRUCTION ON LOW,MEDIUM, AND HIGH GPA STUDENTS1

Undergraduate students had been assigned to a contingency managed course or a conventional lecture course (Du Nann and Fernald, Journal of Applied Behavior Analysis, 1976, 9 , 373–374). Two years later, some 35% (N = 86) of the original classes responded to a letter offering them $2.00 to participate in a study of their educational experiences. These students completed a multiple-choice test on material from the course, and answered questions about activities and attitudes that might have been affected by the experience in Introductory Psychology. In the contingency management course 2 yr past, students were tested each week on a chapter of textbook material with 10-item multiple-choice quizzes. The course employed a modified “Doomsday Contingency”, requiring each student to achieve 80% mastery on one of the four weekly quizzes or drop the course. Quizzes were given in small groups and scored individually, while the student stood near, by an undergraduate proctor assigned to that group. The proctor was asked to show interest in the students' quiz performances, help clear up difficult areas, and develop a friendly working relationship with each student. While many students passed the quiz on the first attempt, others were given individual tutoring, so that no one was in fact forced to drop the course. In addition to the weekly quiz assignment, students in the contingency managed group were asked to attend one lecture each week. While the contingency management course procedures had much in common with PSI (Keller, Journal of Applied Behavior Analysis, 1968, 1 , 79–89), several departures made them unique. First, self-pacing was curtailed because students were required to master one unit per week or drop the course. Second, proctors met with students in small groups, usually giving individual tutoring only to those students who did not pass the quiz on the first attempt. Finally, students were asked to attend one lecture per week. Students in the conventional lecture group were not asked to pass weekly quizzes, but instead attended three 50-min lectures each week. Two of these lectures followed the textbook material closely, while the third, which was also attended by students from the contingency management course, covered material only indirectly related to the text. This partition of lecture content allowed material to be similar across the two instructional groups. Although students in the lecture condition were told they could obtain copies of the quizzes, few of them did so. Course grades were determined by scores on two 45-item multiple-choice hourly exams, each covering half the semester material (each worth 25%), and by a 90-item final exam, which served as a measure of short-term retention. Before analyzing the follow-up data, several characteristics of the returning students were compared to determine the comparability of the sample from the two original classes. Most important, both attrition and the current mean GPAs of students from the two classes were very similar. These considerations, and others, suggested there was no systematic sampling bias to confound comparisons of student performance. A 2 (contingency management versus traditional lecture) by 3 (high, medium, and low GPA) analysis of variance was computed on the course final-exam scores and the follow-up measures. Instructional procedure and GPA interacted on the final exam such that low and medium GPA students performed significantly better under contingency management, but there was no significant effect of instructional procedure with high GPA students. On the 2-yr retention measures, students from the contingency management course performed significantly (p < 0.01) better on items drawn from quizzes used in their original course, and marginally better (p < 0.10) on items drawn from the final exams, but no interactions with GPA appeared. Furthermore, instructional method produced no significant main effects or interaction with how many students became majors or minors in psychology, how many psychology courses were later taken, how many books in psychology were reported to have been read, or on students' evaluation of the interest and importance of psychology.     

Changing the guard: new leadership for an established group

When the leader of an established therapy group decides to leave, the group may wish to continue with a new leader. This decision deserves careful exploration. The transfer of leadership to a new leader is a powerful event in a group. New leaders often experience strong countertransference reactions. Specific recommendations for new leaders include meeting individually with each continuing member, helping the group stabilize and process the meaning of the change, and developing ownership of the leader role. When managed successfully, a leadership transition can strengthen the group cohesion and offer important therapeutic opportunity.     

From interpretation to segmentation

In visual perception, part segmentation of an object is considered to be guided by image-based properties, such as occurrences of deep concavities in the outer contour. However, object-based properties can also provide information regarding segmentation. In this study, outer contours and interpretations of object configurations were manipulated to examine differences between image-based and object-based segmentation in a visual search task. We found that locating a two-dimensional object configuration with deep concavities in the outer contour depends on the type of outer contour of the surrounding distractors. In addition, locating a three-dimensional object configuration was harder when it was surrounded by object-based-disconnected distractors, as compared with object-based-connected distractors, regardless of image-based connections in these distractors. We conclude that segmentation based on the outer contours of a target facilitates its localization. However, when three-dimensional information is available, segmentation strongly depends on object-based properties, rather than on image-based properties.