Pain relief, acceleration of death, and criminal law

This paper considers whether a physician is criminally liable for administering a dose of painkillers that hastens a patient's death. The common wisdom is that a version of the doctrine of double effect legally protects the physician. That is, a physician is supposedly acting lawfully so long as the physician's primary purpose is to relieve suffering. This paper suggests that the criminal liability issue is more complex than that. Physician culpability can be based on recklessness, and recklessness hinges on whether a physician has taken an unjustifiable risk of hastening death. The authors identify three conditions of justifiability. Their analysis helps to explain the distinction between euthanasia, which is legally banned, and the use of risky analgesics, which is permitted in limited circumstances.     

Enhancement of experienced sexual arousal in response to erotic stimuli through misattribution of unrelated residual excitation.

In a pretest, three phases of recovery from a standard physical exercise were determined. In Phase 1, subjects experienced high levels of physiological excitation and recognized that their arousal was due to exercise. In Phase 2, subjects maintained substantial excitatory residues from the exercise but felt that their arousal had returned to base level. In Phase 3, subjects' excitatory responses had decayed, and they knew they had recovered from the exercise. Subjects in the main experiment were exposed to an erotic film in the first, second, or third recovery phase after performing the exercise. Subjects viewing the film during the second recovery phase reported being more sexually aroused by the film and evaluated the film more positively than subjects in the other two conditions. Counter to the notion of arousal as a simple energizer of all behavior, these findings were interpreted as supporting excitation-transfer theory, which posits that residual excitation enhances emotional responses to unrelated, immediately present stimuli only when the prevailing arousal cannot be attributed to its actual source.     

On the duality of simultaneous time and size perception

When subjects are asked to judge the duration and size of visually presented circles that vary in duration and size, perceived duration is directly related to stimulus size and perceived size is, in most cases, directly related to stimulus duration. When subjects are asked to process time and size information simultaneously, their time judgments are the same as when only time processing is required, but their size judgments are less than when only size processing is required. These data are discussed within the context of an explicit model for the processing of size information, added to which is the assumption that time judgments are influenced by the time spent processing size information.     

The effects of dimensional naming upon children’s performance in a modified optional shift problem

In a modified optional shift paradigm, shift and test tasks were administered concurrently to 120 second-grade children. Ss required, during shift learning, to verbalize the values of the previously relevant dimension showed an increase in reversal responding in the test task, whereas those required to verbalize the values of the previously irrelevant dimension showed an increase in nonreversal responding. The results are in good agreement with predictions made from an extension of Hull-Spence discrimination learning theory.     

Prototypicality and personality: Effects on free recall and personality impressions

An experiment was performed to test the hypothesis that it is easier to process information about characters who fit well with and are, therefore, “prototypical” of shared beliefs about various personality types. Character prototypicality was manipulated in a free recall and personality impression paradigm through variations in the consistency of a character's identification with preexisting beliefs about two personality-type categories—extraversion and introversion. Subjects also were given information about each character that varied in degree of abstraction from traits to concrete behavior. As predicted, both the amount and nature of the information correctly recalled were significantly affected by the consistency of the character's identification with extraversion or with introversion. Character consistency also significantly affected the amount of material written in the personality impressions and the tendency to qualify the generality of the impressions. The results support a model in which incoming data about personality are coded, structured, elaborated, and remembered according to the quality of their match with preexisting beliefs about various personality types.     

The quality of the analyst's attention

Compiled and edited from lectures on psychoanalytic technique given by the late Karen Horney at the American Institute for Psychoanalysis during the years 1946, 1950, 1951, and 1952. Further lectures in this series will appear in subsequent issues of the Journal.     

Child pornography offenses are a valid diagnostic indicator of pedophilia

This study investigated whether being charged with a child pornography offense is a valid diagnostic indicator of pedophilia, as represented by an index of phallometrically assessed sexual arousal to children. The sample of 685 male patients was referred between 1995 and 2004 for a sexological assessment of their sexual interests and behavior. As a group, child pornography offenders showed greater sexual arousal to children than to adults and differed from groups of sex offenders against children, sex offenders against adults, and general sexology patients. The results suggest child pornography offending is a stronger diagnostic indicator of pedophilia than is sexually offending against child victims. Theoretical and clinical implications are discussed.     

Structure of preschool phonological sensitivity: overlapping sensitivity to rhyme,words, syllables,and phonemes

Phonological sensitivity is an important causal variable in reading acquisition; however, there is controversy concerning its nature. One view holds that sensitivity to various linguistic units reflects independent abilities, whereas another holds sensitivity to these units reflects one ability. We examined relations among sensitivity to words, syllables, rhymes, and phonemes in 149 older preschool children (4- and 5-year-olds) and 109 younger preschool children (2- and 3-year-olds) who completed eight measures of phonological sensitivity and measures of print knowledge. Confirmatory factor analyses of all combinations of word, syllable, rhyme, and phoneme factors found that a one-factor model best explained the data from both groups of children (CFIs >.98). Only variance common to all phonological sensitivity skills was related to print knowledge and rudimentary decoding. Findings support a developmental conceptualization of phonological sensitivity.