Clinical pragmatism: a method of moral problem solving

This paper presents a method of moral problem solving in clinical practice that is inspired by the philosophy of John Dewey. This method, called "clinical pragmatism," integrates clinical and ethical decision making. Clinical pragmatism focuses on the interpersonal processes of assessment and consensus formation as well as the ethical analysis of relevant moral considerations. The steps in this method are delineated and then illustrated through a detailed case study. The implications of clinical pragmatism for the use of principles in moral problem solving are discussed.     

Hippocampal synaptic plasticity during instrumental learning

present research examined the role of hippocampal NMDA-dependent synaptic potentiation on appetitive instrumental conditioning under a continuous reinforcement schedule. In the first experiment, low (.025 mg.kg) or moderate (.05 mg/kg) dosages of the NMDA receptor antagonist, MK801, failed to increase the number of training days required to reach acquisition criterion; number of training days required to reach criterion for extinction were also unaffected. In the second experiment, a higher dosage (.10 mg/kg) of MK801 or induction of long-term potentiation failed to alter the number of responses occurring during acquisition. These data suggest that hippocampal synaptic potentiation does not play a prominent role in instrumental learning with simple contingency conditions. It is suggested that hippocampal LTP reflects a perceptual process that contributes differentially to spatial cognition, classical and instrumental conditioning.     

Rape Myth Acceptance and Sociodemographic Characteristics: A Multidimensional Analysis

Many myths have been identified surrounding rape, rapists, and rape victims. This study reexamines the acceptance of rape myths across gender role ideologies and selected demographic characteristics to identify core myths. Three myth categories were established and investigated: blaming the woman, excusing the man, and justifications for acquaintance rape. Findings indicate that rape myths remain prevalent and adherence to myths is related to demographic factors and gender role attitudes. Overall, respondents tend to excuse the man more than blame the woman. Males accept rape myths more than females. Racial differences emerged most strongly on the justifications for acquaintance rape dimension. Individuals with a conservative gender role ideology believe rape myths more than those with more liberal ideologies. While core myths did not emerge from the data, the most revealing finding is that summative scaling techniques used in previous studies may mask important differences, between and within the three dimensions, in rape myth acceptance among the groups studied.     

The U.S. Supreme Court Decision in Jaffee v. Redmond: Implications for Counselors

In 1996, the U.S. Supreme Court held that communications between licensed psychotherapists and their patients are privileged under the Federal Rules of Evidence. The nature of privileged communication, the history of this Supreme Court decision, and implications of the decision for counselors are discussed.     

Hippocampal synaptic plasticity during instrumental learning

present research examined the role of hippocampal NMDA-dependent synaptic potentiation on appetitive instrumental conditioning under a continuous reinforcement schedule. In the first experiment, low (.025 mg.kg) or moderate (.05 mg/kg) dosages of the NMDA receptor antagonist, MK801, failed to increase the number of training days required to reach acquisition criterion; number of training days required to reach criterion for extinction were also unaffected. In the second experiment, a higher dosage (.10 mg/kg) of MK801 or induction of long-term potentiation failed to alter the number of responses occurring during acquisition. These data suggest that hippocampal synaptic potentiation does not play a prominent role in instrumental learning with simple contingency conditions. It is suggested that hippocampal LTP reflects a perceptual process that contributes differentially to spatial cognition, classical and instrumental conditioning.     

THE CREDIBLE SHRINKING ROOM:

Abstract— Becoming a proficient symbol user is a universal developmental last in the first years of life, but delecting and mentally representing symbolic relations can be quite challenging for young children To test the extent to which symbolic reasoning per se is problematic, we compared the performance of 2-year-olds in symbolic and nonsymbolic versions of a search task. The children had to use their knowledge of the location of a toy hidden in a room to draw an inference about where to find a miniature toy in a scale model of the room (and vice versa) Children in the nonsymbolic condition believed a shrinking machine had caused the room to become the model They were much more successful than children in the symbolic condition, for whom the model served as a symbol of the room The symbol understanding and use.     

Responsibility Attributions for Drunken Behavior: The Role of Expectancy Violation1

Research on attributions about drunken aggression has suggested that intoxication serves to excuse the aggressor while increasing blame to the victim. In this study, we examined subjects' responses to a scenario depicting a violent interaction in which intoxication of aggressor and victim, victim's behavior, and aggressor's previous violent background were varied. We predicted that to the extent that the violent act violated the expectations of the observer, alcohol intoxication would serve to decrease dispositional and responsibility attributions to the aggressor. Instead, the findings showed that alcohol use led to increased attributions of causality, blame, and responsibility for both aggressor and victim. The results are discussed in terms of both attribution theory and societal factors influencing the acceptability of excuses involving alcohol.     

On the Nature of Embarrassabllity: Shyness, Social Evaluation, and Social Skill

In this study, the correlates of embarrassability, or chronic susceptibility to embarrassment, were examined. Competing theoretical models suggest either that embarrassable people should be especially concerned about others' evaluations of them or that they should lack social skills. Further, shyness and embarrassment are typically considered to be closely related states. To test these propositions, 310 participants provided extensive self-reports of social skill, fear of negative evaluation, self-esteem, self-consciousness, and negative affectivity. Regression and factor analyses indicated that, compared to those of low embarrassability, highly embarrassable people are particularly concerned with the normative appropriateness of behavior and are more motivated to avoid rejection from others. In contrast, shyness was best predicted by low social self-confidence and low social skill. The data best support a social-evaluation model of embarrassment and argue that embarrassability is linked to the appropriateness of social behavior, and shyness to its effectiveness.     

Predicting Intentions of AIDS-Preventive Behavior Among Adolescents

The aim was to predict adolescents' i]ntentions of regular condom use on the basis of an extended version of Ajzen and Fishbein's (1980) theory of reasoned action. Attitude and subjective norm concerning regular condom use were measured along with their antecedent beliefs and evaluations, with fear of AIDS and knowledge about AIDS included as additional variables. A mixed-gender sample comprising both sexually active and sexually inexperienced adolescents was studied. The results strongly support the impact of attitude toward regular condom use as a determinant of a corresponding behavioral intention. Normative pressures failed to predict intentions of regular condom use, as did fear of AIDS and knowledge about AIDS. The findings are discussed with respect to intervention campaigns aimed at promoting condom use among adolescents as an AIDS-preventive measure.     

Are All Hostility Scales Alike? Factor Structure and Covariation Among Measures of Hostility1

Few studies have examined the correlational and structural relationships between measures of hostility that may predict coronary heart disease. Using data from a population-based study (N= 2,682), we examined the factor structure among the five subscales from Siegel's (1986) Multi-dimensional Anger Inventory, the three subscales from Spielberger et al.'s (1985) anger expression scales, a Cook-Medley (Cook & Madley, 1954) hostility subscale that measures cynicism, and items measuring hostility from four scales that assess Type A behavior. Eight separate factors were identified: hostile anger expression, perceived control over the expression of one's anger, frequency of anger, ease of anger provocation, brooding, hostile outlook, cynicism, and sullenness. These results suggest that the structure of hostility measures is more complex than previous factor analyses have suggested. Our findings point to the dangers in assuming that a factor structure can be generalized beyond the data on which it is based to provide theoretical statements about psychological structure. The new scales appear to be valid because they correlate with demographic variables and indicators of social support in the expected directions.