Organ Procurement and Health Care Chaplaincy in Australia

As part of an Australian national project, quantitative data via a survey were retrospectively obtained from 327 Australian health care chaplains (staff and volunteer chaplains) to initially identify chaplaincy participation in various bioethical issues—including organ procurement. Over a third of surveyed staff chaplains (38%) and almost a fifth of volunteer chaplains (19.2%) indicted that they had, in some way, been involved in organ procurement issues with patients and/or their families. Nearly one-fifth of staff chaplains (19%) and 12% of volunteer chaplains had also assisted clinical staff concerning various organ procurement issues. One hundred of the surveyed chaplains volunteered to an interview. Qualitative data were subsequently coded from 42 of the chaplains who had been involved in organ procurement requests. These data were thematically coded using the World Health Organization ‘Pastoral Intervention Codings’ (WHO-PICs). The qualitative data revealed that through a variety of pastoral interventions a number of chaplains (the majority being staff chaplains) were engaged in the critical and sensitive issues of organ procurement. It is argued that while such involvement can help to ensure a holistic and ethically appropriate practice, it is suggested that chaplains could be better utilized not only in the organ procurement process but also for the training of other chaplains and clinicians.     

Math weaknesses in survivors of acute lymphoblastic leukemia compared to healthy children.

Difficulties in math are the most frequently reported area of academic deficit in survivors of acute lymphoblastic leukemia (ALL) and the most frequent academic complaint among parents of ALL survivors. However, previous studies that included measures of math skills have been limited by the use of only a single measure of math skills, most often a measure of written calculations, without any assessment of math reasoning or math application skills. Further, the nature of these math difficulties has not been adequately investigated. The purpose of this study was to examine the performance of ALL survivors using multiple measures of math skills. Performance was compared to a group of healthy controls matched for age and sex as well as to normative levels. Other measures of neuropsychological function were also administered, and the relationships between these measures and the math measures were explored. Converging evidence for math difficulties in ALL survivors compared to healthy controls and normative levels was found. While ALL survivors generally performed within the average range on measures of math skills, math performance was mostly related to memory function and dominant-hand psychomotor speed. By contrast, math performance of healthy children was mostly related to basic reading skills and visual-motor integration. These findings shed light on the nature of math difficulties in ALL survivors and have implications for intervention.     

Review

Book reviewed:
Matthew B. Ostrow. Wittgenstein's Tractatus: A Dialectical Interpretation.     

Perspective taking in children and adults: Equivalent egocentrism but differential correction

Children generally behave more egocentrically than adults when assessing another's perspective. We argue that this difference does not, however, indicate that adults process information less egocentrically than children, but rather that adults are better able to subsequently correct an initial egocentric interpretation. An experiment tracking participants' eye movements during a referential communication task indicated that children and adults were equally quick to interpret a spoken instruction egocentrically but differed in the speed with which they corrected that interpretation and looked at the intended (i.e., non-egocentric) object. The existing differences in egocentrism between children and adults therefore seems less a product of where people start in their perspective taking process than where they stop, with lingering egocentric biases among adults produced by insufficient correction of an automatic moment of egocentrism. We suggest that this pattern of similarity in automatic, but not controlled, processes may explain between-group differences in a variety of dual-process judgments.     

The emergence of kind-based object individuation in infancy

Four experiments investigated whether 12-month-old infants use perceptual property information in a complex object individuation task, using the violation-of-expectancy looking time method (Xu, 2002; Xu & Carey, 1996). Infants were shown two objects with different properties emerge and return behind an occluder, one at a time. The occluder was then removed, revealing either two objects (expected outcome, if property differences support individuation) or one object (unexpected outcome). In Experiments 1-3, infants failed to use color, size, or a combination of color, size, and pattern differences to establish a representation of two distinct objects behind an occluder. In Experiment 4, infants succeeded in using cross-basic-level-kind shape differences to establish a representation of two objects but failed to do so using within-basic-level-kind shape differences. Control conditions found that the methods were sensitive. Infants succeeded when provided unambiguous spatiotemporal information for two objects, and they encoded the property differences during these experiments. These findings suggest that by 12 months, different properties play different roles in a complex object individuation task. Certain salient shape differences enter into the computation of numerical distinctness of objects before other property differences such as color or size. Since shape differences are often correlated with object kind differences, these results converge with others in the literature that suggest that by the end of the first year of life, infants' representational systems begin to distinguish kinds and properties.     

Infants' knowledge of objects: beyond object files and object tracking

Two independent research communities have produced large bodies of data concerning object representations: the community concerned with the infant's object concept and the community concerned with adult object-based attention. We marshal evidence in support of the hypothesis that both communities have been studying the same natural kind. The discovery that the object representations of young infants are the same as the object files of mid-level visual cognition has implications for both fields.     

Infants' discrimination of number vs. continuous extent

Seven studies explored the empirical basis for claims that infants represent cardinal values of small sets of objects. Many studies investigating numerical ability did not properly control for continuous stimulus properties such as surface area, volume, contour length, or dimensions that correlate with these properties. Experiment 1 extended the standard habituation/dishabituation paradigm to a 1 vs 2 comparison with three-dimensional objects and confirmed that when number and total front surface area are confounded, infants discriminate the arrays. Experiment 2 revealed that infants dishabituated to a change in front surface area but not to a change in number when the two variables were pitted against each other. Experiments 3 through 5 revealed no sensitivity to number when front surface area was controlled, and Experiments 6 and 7 extended this pattern of findings to the Wynn (1992) transformation task. Infants' lack of a response to number, combined with their demonstrated sensitivity to one or more dimensions of continuous extent, supports the hypothesis that the representations subserving object-based attention, rather than those subserving enumeration, underlie performance in the above tasks.     

The representations underlying infants' choice of more: object files versus analog magnitudes

A new choice task was used to explore infants' spontaneous representations of more and less. Ten- and 12-month-old infants saw crackers placed sequentially into two containers, then were allowed to crawl and obtain the crackers from the container they chose. Infants chose the larger quantity with comparisons of 1 versus 2 and 2 versus 3, but failed with comparisons of 3 versus 4, 2 versus 4, and 3 versus 6. Success with visible arrays ruled out a motivational explanation for failure in the occluded 3-versus-6 condition. Control tasks ruled out the possibility that presentation duration guided choice, and showed that presentation complexity was not responsible for the failure with larger numbers. When crackers were different sizes, total surface area or volume determined choice. The infants' pattern of success and failure supports the hypothesis that they relied on object-file representations, comparing mental models via total volume or surface area rather than via one-to-one correspondence between object files.