THE CRISIS OF VIRTUE: ARMING FOR THE CULTURAL WARS AND PELLEGRINO AT THE LIMES

Theoretical Medicine and Bioethics -     

Holiness, virtue, and social justice: contrasting understandings of the moral life.

Being a Christian involves metaphysical, epistemological, and social commitments that set Christians at variance with the dominant secular culture. Because Christianity is not syncretical, but proclaims the unique truth of its revelations, Christians will inevitably be placed in some degree of conflict with secular health care institutions. Because being Christian involves a life of holiness, not merely living justly or morally, Christians will also be in conflict with the ethos of many contemporary Christian health care institutions which have abandoned a commitment to Christian spirituality. In this regard, managed care raises the special question of how Christian institutions can act morally under financial constraints and maintain their character while under the control of secular managers. This question itself raises the further question as to why health care institutions need even pose this query when there are Christian physicians and nurses who could work for less, or Christian men and women who could become sisters and brothers and work for nothing. Contemporary challenges to Christians to maintain their integrity in a post-Christian world have much of their force because Christians have failed to maintain traditional Christian sprituality. In the face of that failure, Christian physicans and nurses will find themselves in greater conflict with health care institutions, because few will any longer understand the requirements of traditional Christianity. In its place, they will have put a generic spirituality, a value-neutral understanding of the role of the health professional, and an anonymous commitment to social justice.     

Opportunities For Learning: Course Sequences and Positional Advantages

Course sequences are strands of courses in particular content areas that span a student's educational career. Courses that are differentiated and sequentially organized, such as mathematics and science course sequences, create opportunities for positional advantages in a school's curricular structure. When students make a nonroutine change of schools – that is, transferring to a school outside of the regular attendance zone – they are at risk of changing their positional advantage. Using data from the National Education Longitudinal Study of 1988–94 (NELS:88–94), we examine the educational outcomes of sequences and explore curricular dislocations within the context of school choice. We find that the strongest predictors of 12th-grade mathematics and science course sequences are a student's course sequences at 10th grade. With regard to outcomes, students in higher mathematics and science sequences show greater achievement gains. Furthermore, students in higher mathematics sequences are less likely to have behavior problems and are more likely to graduate from high school and attend college. Students who make a nonroutine change of schools are more likely to be in lower course sequences than students who do not transfer. Thus, course sequences in mathematics and science are tangible experiences with real consequences for students' lives during and beyond high school and are sensitive to transitions which disrupt the continuity of students' high school careers.     

Introduction and commentary to: M.I. Mityushov (1954) “Conditioned reflex secretion of insulin”

Recent research on the role of classical conditioning in homeostatic regulation (Dworkin, 1993; Siegel, Krank & Hinson, 1987) has underscored the potential importance of the work of earlier Eastern-European work on physiological conditioning. The present article is a translation and discussion of a paper on blood glucose conditioning, first published in 1954 by the Russian physiologist M.I. Mityushov. Dr. Mityushov was able to demonstrate conditioned hypoglycemia in humans and dogs after using an injection procedure as the CS and intravenous glucose as the UCS. The translation is preceded by a general introduction and followed by a reanalysis and discussion of Mityushov’s results.     

The organization of multidimensional selection on the basis of color and shape: An event-related brain potential study

In this paper, we examine whether color and shape, tied to a single object in space, (1) are identified and selected in series or in parallel, (2) are identified and selected in a dependent, self-terminating manner or in an independent and exhaustive manner, and (3) are conjoined by a feature integration process before or only after an initial stage of separate attribute analyses has finished. We measured response time and the selection negativity (SN) derived from event-related brain potentials when participants responded to a unique conjunction of color and shape in a go/no-go target detection task. The discriminability of the color and the shape of the conjunction was manipulated in three conditions. When color and shape were easy to discriminate, the SNs to color and shape started at the same time. When one attribute was less discriminable, the SN to that attribute started later, but not the SN to the complementary attribute. This suggests that color and shape are identified and selected in parallel. In all three discriminability conditions, the SNs to color and shape were initially independent but later interacted. This suggests that color and shape are initially selected independently and exhaustively, after which their conjunction is analyzed. The SN to local shape features started later than that to the conjunction of color and global shape features, which suggests that feature integration can start before the analyses of the separate attributes have finished.     

A multidimensional scaling analysis of vowel discrimination in humans and monkeys

Multidimensional scaling (MDS) was used to compare perceptual maps for 10 synthetic English vowels in humans and Old World monkeys (Macaca fuscata andCercopithecus albogularis). Subjects discriminated among the vowels using a repeating background procedure, and reaction times were submitted to an MDS analysis to derive measures of perceived similarity. The dimensions that emerged related to the frequencies of the first(F1), second(F2), and third(F3) formants. Human data indicated a good match to previous MDS studies using rating procedures or confusion matrices: The dominant dimension mapped onto vowelF2, the phonetically most important formant, and the second and third dimensions mapped ontoF1 andF3, respectively.For monkeys, equal weightings occurred forF1 andF2, andF3 was not clearly represented. Monkey sensitivity to the formants appeared to relate to formant amplitudes. If monkeys are giving an accurate representation of the psychoacoustic relations among the formants, then our human results suggest that species-specific mechanisms, reflecting the salience of the phonetic feature of advancement, may contribute to vowel coding in humans.     

The effect of spatial frequency on global precedence and hemispheric differences

There are many conditions in which identification proceeds faster for the global form of a hierarchical pattern than for its local parts. Since the global form usually contains more lower spatial frequencies than do the local forms, it has frequently been suggested that the higher transmission rate of low spatial frequencies is responsible for the global advantage. There are also functional hemispheric differences. While the right hemisphere is better at processing global information, the left hemisphere has an advantage with respect to local information. In accordance with the spatial-frequency hypothesis, it has been speculated that this difference is due to a differential capacity of the hemispheres for processing low and high spatial frequencies. To test whether low spatial frequencies were responsible for the global advantage and/or for the observed hemispheric differences, two experiments were carried out with unfiltered and highpass-filtered compound-letter stimuli presented at the left, right, or center visual field. The first experiment, in which the target level was randomized in each trial block, revealed that low spatial frequencies were not necessary for either global advantage or for hemispheric differences. Highpass filtering merely increased the response times. In the second experiment, the target level was held constant in each block. This generally increased the speed of responding and produced interactions between filtering and global-local processing. It was concluded that both sensory and attentional or control mechanisms were responsible for global precedence and that the hemispheres differed with respect to the latter.     

Set- and Element-Level Stimulus-Response Compatibility Effects for Different Manual Response Sets

In a previous study of two-choice reactions, pairings of spatial stimuli with bimanual presses made on a keyboard and verbal stimuli with unimanual aimed movements made on a display screen showed higher set-level compatibility than the opposite pairings; element-level compatibility (i.e., mapping) effects were also larger for the conditions with high set-level compatibility than for those whose set-level compatibility was low. In the 4 experiments described here, the relevant factors were isolated, allowing the determinants of those compatibility differences to be evaluated in more detail. Forty-eight students participated in Experiment 1, and 24 each in Experiments 2, 3, and 4. The primary determinant of the set-level compatibility variation was whether the response alternatives involved 1 or 2 effectors, but the differences in element-level compatibility effects were determined primarily by the distinction between responding on the screen as opposed to on the keyboard. Implications for models of stimulus-response compatibility are examined.     

Making the Right Connections: Perceptions of Human Resource/Personnel Directors Concerning Electronic Job-Search Methods

To be competitive in today's job market, many entry-level management candidates are looking to electronic technology to help them find employment. Although technology is an essential part of today's business environment, the findings of this study indicate that very few of the human resource/personnel directors (HR/PD) in the top 100 privately owned companies in Georgia are using electronic technology to fill entry-level managerial positions. These HR/PD, however, view positively those applicants who use electronic methods for job searching and predict that these methods will become a common practice within 2 years.