Philosophy of medicine and other humanities: Toward a wholistic view

A less analytic and more wholistic approach to philosophy, described as ‘best overall fit’ or ‘seeing how things all hang together,’ is defended in recent works by John Rawls and Richard Rorty and can usefully be applied to problems in philosophy of medicine. Looking at sickness and its impact upon the person as a central problem for philosophy of medicine, this approach discourages a search for necessary and sufficient conditions for being sick, and instead encourages a listing of “true and interesting observations” about sickness which reflect the convergence of a number of different viewpoints. Among the relevant viewpoints are other humanities disciplines besides philosophy and the social sciences. Literature, in particular, provides insights into the meaning and the uniqueness of episodes of sickness in a way that philosophers may otherwise fail to grasp.     

Book reviews

Sun at Midnight. The Rudolf Steiner Movement and the Western Esoteric Tradition by Geoffrey Ahern The Aquarian Press, Wellingborough 1984 ISBN 0–85030–338–9 (H/B) £7.95

Religion and Medicine World Religions and Medicine (4th Volume of Essays in the IRM Religious and Medicine Series) (ed) D. Goodacre. Institute of Religion and Medicine, St Giles Oxford. £1.95

Believing and Belonging: The Practice of Believing in The Church by Anthony E. Harvey SPCK £2.50 pp.136 p/b

E. Milingo: The World In Between: Christian healing and the Struggle for Spiritual Survival Edited, with introduction, Commentary and Epilogue by Mona Macmillan London: C Hurst & Co, 1984. pp vi+138. Price: hard covers ‐ £7.95; soft covers ‐ £3.95

Hinduism in England edited by David G. Bowen The faculty of Contemporary Studies, Bradford College, 1981     

Interviewer evaluations of interviewee nonverbal behavior

Personnel representatives (N = 52) were shown one of four videotaped job interviews in which the verbal content of the 16-min interview was identical, but the interviewee's nonverbal behavior was manipulated. A “low nonverbal” interviewee was defined by minimal eye contact, low energy level, lack of affect and voice modulation, and a lack of speech fluency. The “high nonverbal” interviewee demonstrated the opposite behavior on each of these components. The subjects were asked to rate the videotaped candidates on dimensions previously identified as critical in influencing a job interviewer's decisions. Nonverbal behavior was found to have a significant effect on almost every rating made by subjects in this study. After reviewing the entire 16-min interview, 23 of the 26 subjects who saw the “high nonverbal” candidate would have invited him/her for a second interview. All 26 of the subjects who saw the “low nonverbal” candidate would not have recommended a second interview.     

Mid-career change in academia: The decision to become an administrator

This study explored the reasons why professors would leave their teaching/ research occupations to begin new careers as administrators. Valence-Instrumentality-Expectancy theory of occupational preference and choice was used as a framework to examine mid-career change among professors and department chairmen at a major university. Data showed that professors' intentions to change careers and become administrators could be explained by the theory. Analyses of job characteristics demonstrated that professors who want a mid-career change are primarily attracted by the power and formal authority vested in the administrative position, while professors who prefer to remain in their career paths do so because of the autonomy it offers.     

Tables of d′ for variable-standard discrimination paradigms

Signal detection theory (SDT) allows a bias-free measure of sensitivity, d′, to be simply estimated from discrimination data when certain conditions are met. The computation is not straightforward, however, in several popular discrimination designs, such as two- and four-interval same-different designs and the ABX design. The present tables, derived from the SDT models of Macmillan, Kaplan, and Creelman (1977), make possible the estimation of d’ from these complex discrimination designs.     

A deglitching circuit for the AA50 D/A converter

Switching transients or “glitches” are frequently encountered in signal processing applications involving digital-to-analog (D/A) conversion. A low-cost “deglitching” circuit is described and implemented for the Digital Equipment Corporation AA50 D/A converter option on the PDP-8/e minicomputer. Switching transients were eliminated using a noninverting, unity-gain sample-and-hold circuit (employing Datei System’s SHM-IC-1). Switching transients were reduced to below-noise levels across a wide range of output levels and sampling rates.     

On the nonautomaticity of “automatic” activation: Evidence of selective seeing

Early perceptual selection refers to a sequence of perceptual processing in which attentional selection of stimuli occurs before perceptual processing is complete. By contrast, late perceptual selection refers to a sequence in which all stimuli receive complete perceptual processing before selection takes place. An attempt was made to determine if early selection is possible. Three experiments were conducted in which subjects were presented with arrays containing a variable number of red items and a variable number of black items; all array items were randomly positioned around the circumference of an imaginary circle. The subjects task was to report the number of red items. Response time increased with the number of red items, but was essentially independent of the number of black items. The nature of the red and black items was also varied. When the to-be-attended red items were given “Stroop-like” quality (the symbols that were used were directly inconsistent with the correct response for that trial), mean reaction time was increased compared to a baseline condition; when the to-be-ignored black items were given “Stroop-like” quality, mean reaction time was unaffected. These results imply that the relevant (red) and irrelevant (black) items were processed differentially. We conclude that early selection is possible; late-selection models are not supported.     

Selective attention in the speeded classification and comparison of multidimensional stimuli

Selective attention was studied when subjects were required to make either speeded classifications of single stimuli or comparisons of pairs of multidimensional stimuli. Experiment 1 established that subjects were able to attend selectively to form when the irrelevant dimension of size or shading varied in a speeded-classification (card-sorting) task. Experiment 2 confirmed this finding in a discrete-trials task. However, subjects werenot able to filter out irrelevant dimensional disparity in a comparably designed simultaneous-comparison (i.e., “same”-“different”) task. Mean “same” reaction time increased monotonically with increases in disparity between the two stimuli on the irrelevant dimension. Experiment 3 also revealed a monotonie increase in “same” RT as a function of irrelevant disparity in a successive-comparison task. These results were discussed in terms of a normalization model proposed by Dixon and Just (1978) in which it is assumed that a subject equates the two stimuli on the irrelevant dimension before deciding that they are the same along the relevant dimension. It was concluded that: (1) although subjects can efficiently filter out irrelevant disparity in a speeded-classification task, interference due to irrelevant disparity is obtained in the comparison tasks, (2) a common process such as normalization does not necessarily underlie performance in the speeded-classification and comparison tasks, (3) the ability to attend selectively to a stimulus dimension may be task determined as well as stimulus determined, and (4) contrary to the Dixon and Just proposal, normalization of irrelevant disparity occurs in a comparison task, even when the relevant dimension is represented as a separate encoding feature.     

Contextual effects in vowel perception II: Evidence for two processing mechanisms

Recent experiments have indicated that contrast effects can be obtained with vowels by anchoring a test series with one of the endpoint vowels. These contextual effects cannot be attributed to feature detector fatigue or to the induction of an overt response bias. In the present studies, anchored ABX discrimination functions and signal detection analyses of identification data (before and after anchoring) for an [i]-[I] vowel series were used to demonstrate that [i] and [I] anchoring produce contrast effects by affecting different perceptual mechanisms. The effects of [i] anchoring were to increase within-[i] category sensitivity, while [I] anchoring shifted criterion placements. When vowels were placed in CVC syllables to reduce available auditory memory, there was a significant decrease in the size of the [I]-anchor contrast effects. The magnitude of the [i]-anchor effect was unaffected by the reduction in vowel information available in auditory memory. These results suggest that [i] and [I] anchors affect mechanisms at different levels of processing. The [i] anchoring results may reflect normalization processes in speech perception that operate at an early level of perceptual processing, while the [I] anchoring results represent changes in response criterion mediated by auditory memory for vowel information.