Ethics of caring and the institutional ethics committee

Institutional ethics committees (lECs) in health care facilities now create moral policy, provide moral education, and consult with physicians and other health care workers. After sketching reasons for the development of IECs, this paper first examines the predominant moral standards it is often assumed lECs are now using, these standards being neo-Kantian principles of justice and utilitarian principles of the greatest good. Then, it is argued that a feminine ethics of care, as posited by Carol Gilligan and Nel Noddings, is an unacknowledged basis for /EC discussions and decisions. Further, it is suggested that feminine ethics of care can and should provide underlying theoretical tools and standards for lECs.     

Behavioral competition in a case of Rett syndrome

Major behavioral features of Rett syndrome are the loss of instrumental reaching and grasping and the presentation of some variant of hand-hand or hand-mouth stereotypy. As part of an experimental home intervention program, a 3-year-old girl with Rett syndrome was exposed to four types of contingency games designed to elicit instrumental reaching, kicking, vocalization, and eye movement, respectively. Parent and subject performance were videorecorded on seven occasions over the initial 2-month period. Evaluation of these records provided evidence of contingency learning in all but the vocalization games. Stereotypic hand clasping was examined in relation to the performance of instrumental behavior (reaching, kicking, looking). Coincidental (short-term mutual inhibition arising by chance co-occurrence), associative (short-term mutual inhibition arising by having elicitor in common), and foundational (long-term mutual inhibition arising by having neural network in common) forms of specific behavioral competition were defined and examined. Evidence for coincidental and foundational competition was found in the relation between reaching and hand clasping. Implications for the support of functional hand use are discussed.     

A balance theory explanation of challenges confronting cross-sex friendships

This study was part of an ongoing investigation into four of the potential challenges confronting women and men in cross-sex fiendships (O’Meara, 1989). Unlike previous research, which explored the perspective of only one member of each cross-sex fnendship, this study examined the perspectives of both individuals in cross-sex fienhhips. The levels of actual and perceived agreement and understanding were investigated through utilization of a variation of Heiderian Balance Theory and Laing’s Interpersonal Perception Method. Seventy three pairs of cross-sex fiends completed a survey examining direct perspectives, metaperspectives, and meta-metaperspectives, on the four challenges. Over 92% of the participants were heterosexual, 68% were Caucasian, 10% were Afican American, 10% were Hispanic, 3% were Asian, 4% were Native American, and 5% indicated “other.” Results indicate that cross-sex fiends generally agree that O’Meara’s four challenges present only minimal problems in their individual relationships, and that balance theory provides a viable explanation of how perceived agreement and understanding concerning challenges are arrived at within cross-sex fnendships. Additionally, results illustrating disagreements and misunderstandings within cross-sex friendships highlight the importance of looking at the perspectives of both individuals within a dyad.     

Effect of preconditioning unconditioned stimulus experience on learned taste aversions.

One taste-aversion study using male Long-Evans rats in which ethanol was the unconditioned stimulus (UCS) and six studies in which lithium chloride (LiCl) was the UCS demonstrate that (a) exposure to the UCS prior to conditioning retards subsequent acquisition of learned taste aversions; (b) a single preconditioning UCS exposure is sufficient to attenuate conditioning; (c) the preconditioning UCS exposure must occur within a limited period prior to conditioning to attenuate learning; (d) repeated conditioning trials will override the effect of prior exposure to the UCS; (e) tolerance to the UCS is not a necessary condition for the attenuation effect to occur; (f) pairing the preconditioning UCS with a novel flavor other than the CS does not remove the preexposure effect, although it may reduce its magnitude; and (g) the degree of disruption is a positive function of preconditioning UCS dosage and an inverse function of conditioning UCS dosage.     

Transgression and altruism: A case for hedonism

A model to account for the positive relationship between transgression and altruism was proposed and tested against three alternative formulations—Guilt, Social Justice, and Self-esteem Bolstering. The proposed model, Negative State Relief, asserts that people in a transgression situation behave charitably in order to reduce a general, negative affective state which is induced by exposure to harm-doing and that if the negative state is relieved by some other means, benevolent activity will be rendered unnecessary. All of the experimental subjects were exposed to an act of transgression; half performed the act themselves while half only witnessed it. In one set of experimental conditions (the relief conditions), a positive event—the receipt of either money or approval—was interposed between the harmful act and a fellow-student's request for aid. In another set of experimental conditions (the norelief conditions), no such positive event occurred. It was found, as predicted, that subjects who received a positive event were significantly less helpful than those who did not, but were not different from a control group which had never been exposed to the transgression. It was also found that harm-doers and harm-witnesses were identical in benevolent tendency. The results were interpreted as favoring a hedonistic conception of the nature of altruism. Finally, it was contended that a U-shaped relationship exists between mood state and helping tendency.     

AN ANALYSIS OF SOME VARIABLES INFLUENCING THE EFFECTIVENESS OF REPRIMANDS

Although several studies have shown that social reprimands can function as punishers, no study reported to date has isolated any of the factors influencing reprimand efficacy. Three experiments were conducted to investigate several factors. Experiment 1 used an alternating treatments design and was conducted on two elementary school boys, one of whom was in a special education class. Results showed that verbal reprimands delivered with eye contact and firm grasp of the student's shoulders reduced disruptive behavior to a greater extent than did verbal reprimands delivered without eye contact and grasp. Both types of reprimand were more effective than a baseline condition during which disruptive behavior was ignored. Experiment 2 also used an alternating treatments design and was conducted on one elementary school boy. Results demonstrated that reprimands delivered from one meter away were considerably more effective than reprimands delivered from seven meters away. Experiment 3 used a reversal design and was conducted on two pairs of elementary school children, one a pair of boys and the other a pair of girls. Results demonstrated that reprimands delivered to just one member of the pair reduced the disruptive behavior of both members of the pair. Thus, the effects of reprimands “spilled” over to nonreprimanded students.