Does the philosophy of medicine exist?

There has been a great deal of discussion, in this journal and others, about obstacles hindering the evolution of the philosophy of medicine. Such discussions presuppose that there is widespread agreement about what it is that constitutes the philosophy of medicine.Despite the fact that there is, and has been for decades, a great deal of literature, teaching and professional activity carried out explicitly in the name of the philosophy of medicine, this is not enough to establish that consensus exists as to the definition of the field. And even if consensus can be obtained as to what constitutes the philosophy of medicine, this does not mean that it exists as a field.     

Fostering At-Risk Kindergarten Children's Number Sense

A 9-month training experiment evaluated whether computer-assisted discovery learning of arithmetic regularities can facilitate kindergartners’ fluency with the easiest sums. After a pretest, kindergartners with at least one risk factor (n = 28) were randomly assigned to either a structured add-0/1 training condition, which focused on recognizing the n + 0/0 + n = n and the n + 1/1 + n = the number-after-n rules, or an active control group. Using pretest fluency as the covariate, ANCOVAs revealed that the structured add-0/1 group significantly outperformed the control group on both practiced and unpracticed (transfer) n + 0/0 + n and n + 1/1 + n items at the delayed posttest and had significantly larger gains in mathematics achievement. Key instructional implications include: Early intervention that targets discovering rules for adding with 0 and 1 and family-specific developmental prerequisites is feasible and more effective than typical classroom instruction in promoting fluency with such basic sums. Such rules may be a critically important bridge between informal and formal mathematics.     

Violent Delinquency: An Examination of Psychopathic Typologies

This study sought to determine the combined effects of psychopathy, low intellectual functioning, and love deprivation on violent delinquency. Low-intellectual-functioning psychopaths were significantly more violent than were low or high-intellectual-functioning nonpsychopaths or high-intellectual-functioning psychopaths. Love deprivation was more strongly related to violence than was psychopathy/intellectual functioning, and severely love-deprived, low-intellectual-functioning psychopaths were the most violent.     

The Declining course of recognition memory

Recognition memory for words can decline, sometimes precipitously, over the course of the recognition test. Decrements of as much as 75% in d’ have been observed from the first quarter of testing to the last. and decrements of 40%–50% are not uncommon. Proactive mechanisms, imperfectly understood, appear to underlie such declines: Processing early input renders late input less recognizable, and making early recognition judgments renders later judgments more difficult. At the same time, the processing of late-input words fails to inhibit the recognition of the words that preceded them.     

The size coding of responses: The size of switches and the force feedback

We aimed to understand which factors have a functional role in the size coding of responses, either the size of the switches or the force required to trigger each switch. This question is of relevance because it allows a better understanding of processes underlying action coding. In each trial, participants saw a small or large object. Depending on its colour, the participants had to press one of two switches. In the “size” condition, the response device consisted of two switches of different visual size, but both required the same amount of force. In the “force-feedback” condition, the response device consisted in two switches of identical visual size, but one switch required more force than the other. We found a compatibility effect in the “size,” not in the “force-feedback” condition, supporting that the size-coding of responses would be due to the size of the switches.