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881.
The authors studied the evolution of interindividual intentionality in children and showed that the sharing of knowledge and beliefs requires more complex operations than those involved in usual false-belief tasks. The authors conducted 3 experiments on 380 children (aged 5 years, 0 months to 9 years, 6 months). They assessed the children's ability to attribute to a character an intended action that was compatible with the belief held by another character interacting with that character. The observed lag in performances is explained both in terms of information processing and at the Piagetian concrete operational level.  相似文献   
882.
This study was undertaken to examine transmission of information to first-degree relatives of BRCA1 mutation carriers and uptake of genetic testing. The intention was to consider revision of current legislation related to privacy if information on life-saving health care was not disseminated to at-risk family members. The Norwegian Radium Hospital provides clinical genetics services for families at high risk for hereditary breast and ovarian cancer. Together with major hospitals nationwide we provide medical surveillance. Nearly all expenses are covered by the National Health insurance. Because of the high number of families with founder mutations in BRCA1, we are in a unique position to gather information about these groups. Within a consecutive series, we identified 75 BRCA1 mutation carriers and registered information transmission and uptake of genetic testing 6 months or more after the index mutation carriers had been informed about their mutation status. These 75 BRCA1 mutation carriers had 172 living first-degree relatives, aged 18 years or older (84 females, 88 males). Forty-four out of 54 (81.5%) of females over 30 had opted for genetic testing. The testing rate among all relatives was 43%. At any age, 63% of the females underwent genetic testing compared with 24% of the males (p<0.05). The overwhelming majority of adult females at risk opted for genetic testing. Males with daughters more frequently than males without daughters asked for testing. The findings give neither reason to reconsider legislation on privacy, nor for us to consider more aggressive methods of contacting relatives.  相似文献   
883.
This paper describes a one-day workshop format for introducing ethics into the engineering curriculum prepared at the University of Puerto Rico at Mayagüez (UPRM). It responds to the ethics criteria newly integrated into the accreditation process by the Accreditation Board of Engineering and Technology (ABET). It also employs an ethics across the curriculum (EAC) approach; engineers identify the ethical issues, write cases that dramatize these issues, and then develop exercises making use of these cases that are specially tailored to mainstream engineering classes.The different activities and strategies employed in this workshop are set forth. Specific references are made to the cases and exercises developed as a result of these workshops. The paper ends by summarizing the different assessments made of the workshop by addressing the following questions: how did it contribute to the overall ABET effort at UPRM; could other universities benefit from a similar activity; and how did the participants evaluate the workshop?  相似文献   
884.
Executive deficits of normal aging such as deficits in planning, organization or decision making are likely to affect elderly individuals in their daily life functioning. Therefore, executive functioning in aging seems to be interesting to study not only in cognitive terms but also in relation to the behavioral area. This pilot study aimed to investigate the nature of behavioral dysexecutive problems in a sample of normal elderly adults as measured by the Dysexecutive Questionnaire. Factor analysis showed that five interpretable factors could be derived from the DEX: intentionality (factor 1), interference management (factor 2), inhibition (factor 3), planning (factor 4), and social regulation (factor 5), suggesting that different components may underlie the behavioral dysexecutive symptoms of normal aging. The relationship between these factors and neuropsychological measures of Executive Functions were also briefly explored.  相似文献   
885.
A new measure of implicit theories or beliefs regarding the traitedness versus contextuality of behavior was developed and tested across cultures. In Studies 1 (N = 266) and 2 (N = 266), these implicit beliefs dimensions were reliably measured and replicated across U.S. college student samples and validity evidence was provided. In Study 3, their structure replicated well across an individualistic culture (the United States; N = 249) and a collectivistic culture (Mexico; N = 268). Implicit trait and contextual beliefs overlapped only modestly with implicit entity theory beliefs and were predicted by self-construals in ways that generally supported cultural psychology hypotheses. Implicit trait beliefs were fairly strongly endorsed in both cultures, suggesting that such beliefs may be universally held.  相似文献   
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Developmental science has experienced a vivid debate on whether young children prioritize goals over means in their prediction of others’ actions. Influential developmental theories highlight the role of goal objects for action understanding. Yet, recent infant studies report evidence for the opposite. The empirical evidence is therefore inconclusive. The current study advanced this debate by assessing preschool children's verbal predictions of others’ actions. In five experiments (N = 302), we investigated whether preschool children and adults predict agents to move towards their previous goal (that is, show goal-related predictions) or predict agents to move along the same movement path that they pursued before. While Experiments 1a, 1b and 1c presented young children and adults with animated agents, Experiments 2a and 2b presented participants with human grasping action. An integrative analysis across experiments revealed that children were more likely to predict the agent to move along the same movement path, Z = -4.574, p ≤ 0.0001 (r = 0.304). That is, preschool children were more likely to predict that agents would move along the same trajectory even though this action would lead to a new goal object. Thus, our findings suggest that young children's action prediction relies on the detection of spatial and movement information. Overall, we discuss our findings in terms of theoretical frameworks that conceive of action understanding as an umbrella term that comprises different forms and facets in which humans understand others’ actions.  相似文献   
887.
    
Abstract

Background: A surgical readiness assessment is a major step in the medical journey of trans people seeking gender-affirming surgery. Much of the peer-reviewed literature surrounding surgical readiness assessments emphasizes the perspectives of academics and clinicians, leaving the voices of trans and gender diverse patients largely unheard.

Aims: This paper foregrounds patient experiences with surgery readiness assessments to discuss the tensions, challenges and opportunities they generate.

Methods: We conducted a thematic analysis of 35 in-depth interviews with trans people who accessed or were seeking to access gender-affirming surgery in British Columbia.

Results: We developed three main themes to capture participants’ narratives of their surgical assessment experiences. The first, assessments as gatekeeping, explores the stories of people who described their assessments as outdated and even discriminatory processes. The second, assessments as a barrier to care, discusses the informational missteps, bureaucratic regulations, economic issues, and geographic concerns that made assessments difficult to access. The third, assessments as useful, includes positive stories about assessments that often involved feeling supported by an assessor and feeling prepared for the next steps.

Discussion: These narratives demonstrate how much variation exists among people’s experiences of readiness assessments for gender-affirming surgery. No matter how their actual assessment turned out, many participants approached their appointments with a great deal of anxiety and trepidation. We attributed this stress was to challenges ranging from lengthy wait times, arbitrary medical gatekeeping, a lack of access to knowledgeable and supportive providers, unclear or changing administrative processes, and insufficient communication. To address these challenges, it is crucial for the medical system to create more accessible pathways with centralized, up-to-date information for people trying to access assessments. Patients are best served by multi-disciplinary gender-affirming teams that provide individualized care.  相似文献   
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