Suicide and Drug Abuse in the Medical Community

ABSTRACT: In the United States each year the equivalent of an average-size medical school graduating class commits suicide, with the highest incidence occurring in the decade following the completion of training. Of these suicides, 20% to 30% are associated with drug abuse and 40% with alcoholism. Various problem areas are considered. Role strain, leading to excessive drug use in an attempt to increase work efficiency, is coupled with a denial of the physician's own dependency needs and gratification. The problem of identity occurs in relation to the exaggerated sense of duty and obligation the physician feels in attending to the demands of the patients and their families. Medicine as magical thinking is also discussed, revealing the physician's belief in his own immunity, which is strenuously tested when he actually sets up in practice. The community's high regard for the physician further complicates the situation. Too little has been done about working with emotional problems of medical students during their training and after they begin to practice. Unfortunately, physicians feel uncomfortable in turning to colleagues for help; rather, they tend to isolate themselves, resorting to alcohol and drugs. One should question the selection of medical students and their overall training, not only in terms of academic learning but also with more consideration for the stresses and strains of the future career.     

Motivated information processing in group judgment and decision making.

This article expands the view of groups as information processors into a motivated information processing in groups (MIP-G) model by emphasizing, first, the mixed-motive structure of many group tasks and, second, the idea that individuals engage in more or less deliberate information search and processing. The MIP-G model postulates that social motivation drives the kind of information group members attend to, encode, and retrieve and that epistemic motivation drives the degree to which new information is sought and attended to, encoded, and retrieved. Social motivation and epistemic motivation are expected to influence, alone and in combination, generating problem solutions, disseminating information, and negotiating joint decisions. The MIP-G model integrates the influence of many individual and situational differences and combines insight on human thinking with group-level interaction process and decision making.     

Global Control and Freedom

Several prominent incompatibilists, e.g., Robert Kane and Derk Pereboom, have advanced an analogical argument in which it is claimed that a deterministic world is essentially the same as a world governed by a global controller. Since the latter world is obviously one lacking in an important kind of freedom, so must any deterministic world. The argument is challenged whether it is designed to show that determinism precludes freedom as power or freedom as self-origination. Contrary to the claims of its adherents, the global controller nullifies freedom because she is an agent, whereas natural forces are at work in conventional deterministic worlds. Other key differences that undermine the analogy are identified. It is also shown that the argument begs the question against the classical compatibilist, who believes that determinism does not preclude alternative possibilities.     

Distance estimation in a dynamic simulated environment: a visual field dependence problem?

Egocentric distance estimation implies that the subject perceives his own location in the environment. In a simulated environment, subjects have to transpose perceptively their own observation point in order to assume their virtual body position. As only visual information specifies this position, their ability to perceive the camera viewpoint should be linked to the field dependence independence factor (FDI). Field-independent subjects underestimated the mid-distance between their own virtual body position and a far-located target; their bisection was located between the projective (2-D) and the simulated (3-D) mid-distance which indicates their difficulty in considering the in-depth simulated spatial references. High correlations between the vertical estimation in the rod-and-frame test and the egocentric-distance-estimation task (with shifted camera) suggest a similar perceptive process in both tasks. This result is confirmed by the better performances of the field-dependent subjects in this condition. In conclusion, we discuss the relationship between FDI and the sense of presence in virtual environments.