Ethical dimensions of diagnosis: A case study and analysis

A rational reconstruction of the role of moral values in diagnostic reasoning is undertaken. In the context of a case study it is shown how value and ethical considerations come into play in the complex course of making diagnostic and therapeutic decisions.     

The role of visual similarity in picture categorization

Categorization is usually assumed to require access to a concept's meaning. When pictures are categorized faster than words, they are assumed to be understood faster than words. However, pictures from the same category are more similar than pictures from different categories. The present article argues that the use of visual similarity as a cue to category membership may produce the picture advantage. The visual similarity hypothesis was tested in two experiments. In the first experiment, pictures showed a disadvantage for the visually similar categories of fruits and vegetables, but showed their usual advantage for the visually dissimilar categories of fruits and animals. In the second experiment, with a mixed list design, pictures were slower only for visually similar different decisions, but showed the usual advantage for all other decisions. The reliability of visual similarity as a cue to the decision accounted well for these results. Because visual similarity can be shown to have large effects on picture categorization, the use of categorization to compare speed of understanding of pictures and words is questionable.     

A comparison of the category fluency deficits associated with Alzheimer's and Huntington's disease

The supermarket verbal fluency test of the Dementia Rating Scale (DRS) was administered to 20 patients with mild Alzheimer's disease (Mi-DAT), 20 patients with moderately severe Alzheimer's disease (Mo-DAT), 20 patients with Huntington's disease (HD), and 40 normal control subjects. The findings confirmed previous reports that Mo-DAT patients retrieved fewer words per category of supermarket items sampled and had a greater propensity to generate category labels (superordinates) than did intact controls. Similar disruptions of the structure of semantic knowledge were also noted in the fluency performances of the Mi-DAT and HD patients. The Mi-DAT patients' tendency to generate few exemplars for each category sampled suggested that a significant disruption in the structure of semantic knowledge occurred even in the earliest stages of DAT. When the present fluency findings for the HD patients were considered with previous reports of linguistic changes in this disorder, it appeared that HD patients' deterioration in semantic knowledge involved associative changes rather than the bottom-up breakdown associated with DAT.     

Conciliatory gestures facilitate forgiveness and feelings of friendship by making transgressors appear more agreeable

The authors examined how conciliatory gestures exhibited in response to interpersonal transgressions influence forgiveness and feelings of friendship with the transgressor. In Study 1, 163 undergraduates who had recently been harmed were examined longitudinally. Conciliatory gestures exhibited by transgressors predicted higher rates of forgiveness over 21 days, and this relationship was mediated by victims' perceptions of their transgressors' Agreeableness. Study 2 was an experiment including 145 undergraduates who experienced a breach in trust from an anonymous partner during an iterated prisoner's dilemma. When transgressors apologized and offered financial compensation, participants reported higher levels of forgiveness and feelings of friendship when compared to a control condition and an aggravating condition. The effects of apology/compensation on forgiveness and perceived friendship were mediated by victims' perceptions of their transgressors' Agreeableness. Results suggest that conciliatory gestures promote forgiveness in part by depicting transgressors as more sympathetic, considerate, fair, and just (i.e., agreeable).     

Do agreeableness and neuroticism explain age differences in the tendency to forgive others?

Previous research has shown that age is positively related to a dispositional tendency to forgive others. The present investigation tested the hypothesis that agreeableness and neuroticism partially mediate the association between age and forgivingness. Data from two representative cross-sectional samples of adults were used to test this hypothesis. Results from Study 1 (N = 962, age range: 19-84 years) support the hypothesis, indicating that agreeableness and neuroticism explained, in part, age differences in tendencies to forgive. Study 2 (N = 451, age range: 20-83 years) replicated and extended the results by including transgression occurrences as a third mediator. The results showed that agreeableness and neuroticism explain the association between age and the tendency to forgive others over and above the effect of transgression occurrences.     

Taking seriously the "what then?" question: an ethical framework for the responsible management of medical disasters

When healthcare resources become overwhelmed in medical disasters, as they inevitably will, we have to ask, in an unflinching fashion, the question: "What then?" or more precisely, "What should we do when we run out of resources?" In a mass casualty event worthy of the designation, we will indeed run out of resources, perhaps quite quickly. This article provides an ethical framework for the responsible management of medical disasters in which the "What then?" question must be asked. The framework begins with a critique of existing guidance from professional associations of physicians and then argues for an alternative approach that qualifies the obligation to preserve life, takes seriously the ethical challenges of overwhelmed healthcare resources, and countenances physician-assisted suicide as a last resort.