The six most essential questions in psychiatric diagnosis: a pluralogue. Part 4: general conclusion

In the conclusion to this multi-part article I first review the discussions carried out around the six essential questions in psychiatric diagnosis – the position taken by Allen Frances on each question, the commentaries on the respective question along with Frances’ responses to the commentaries, and my own view of the multiple discussions. In this review I emphasize that the core question is the first – what is the nature of psychiatric illness – and that in some manner all further questions follow from the first. Following this review I attempt to move the discussion forward, addressing the first question from the perspectives of natural kind analysis and complexity analysis. This reflection leads toward a view of psychiatric disorders – and future nosologies – as far more complex and uncertain than we have imagined.     

Consistent left gaze bias in processing different facial cues

While viewing faces, humans often demonstrate a natural gaze bias towards the left visual field, that is, the right side of the viewee’s face is often inspected first and for longer periods. Previous studies have suggested that this gaze asymmetry is a part of the gaze pattern associated with face exploration, but its relation with perceptual processing of facial cues is unclear. In this study we recorded participants’ saccadic eye movements while exploring face images under different task instructions (free viewing, judging familiarity and judging facial expression). We observed a consistent left gaze bias in face viewing irrespective of task demands. The probability of the first fixation and the proportion of overall fixations directed at the left hemiface were indistinguishable across different task instructions or across different facial expressions. It seems that the left gaze bias is an automatic reflection of hemispheric lateralisation in face processing, and is not necessarily correlated with the perceptual processing of a specific type of facial information.     

Overpredicting and Underprofiting in Pricing Decisions

This research examines sellers' price‐setting behavior and discovers a naturally occurring mismatch between sellers and buyers: Sellers who make a price decision often consider alternative prices and engage in the joint evaluation mode, whereas buyers who make a purchase decision see only the finally set price and are in the single evaluation mode. This mismatch in evaluation modes leads sellers to overpredict buyers' price sensitivity and underprice their products. However, these effects apply only to products unfamiliar to buyers and without salient reference prices and can be alleviated if sellers are encouraged to mimic single evaluation when making pricing decisions. These propositions are empirically tested and verified. Copyright © 2011 John Wiley & Sons, Ltd.     

What the HEC-C? An Analysis of the Healthcare Ethics Consultant-Certified Program: One Year in

Abstract

Efforts to professionalize the field of bioethics have led to the development of the Healthcare Ethics Consultant-Certified (HEC-C) Program intended to credential practicing healthcare ethics consultants (HCECs). Our team of professional ethicists participated in the inaugural process to support the professionalization efforts and inform our views on the value of this credential from the perspective of ethics consultants. In this paper, we explore the history that has led to this certification process, and evaluate the ability of the HEC-C Program to meet the goals it has set forth for HCECs. We describe the benefits and weaknesses of the program and offer constructive feedback on how the process might be strengthened, as well as share our team’s experience in preparing for the exam.     

EVALUATING COMPETENCE OF WOMEN AND MEN

College students (78 females, 79 males) were placed in all-female, all-male, or mixed-gender groups. In the presence of a male or female experimenter, subjects evaluated an article written by a female or male job applicant. Subjects in mixed-gender groups generally evaluated the female applicant more favorably in the presence of the female experimenter than the male experimenter. Subjects in mixed-gender groups also rated the female applicant more favorably than the male applicant in the presence of the female experimenter. Male subjects generally were more influenced than were females by the experimenter's gender, tending to give higher ratings to the applicant of the same gender as the experimenter.     

Information and action in punching a falling ball

Lee, Young, Reddish, Lough, and Clayton (1983) reported that the timing control of jumping and vertically punching a dropping ball exploits the inverse of the rate of change of optical expansion, τ(r). We raise a number of methodological and logical criticisms against their experiment and conclusions and attempt to rectify them by examining elbow joint angles only,in seated punchers, under both monocular and binocular conditions, with two ball sizes, dropped from two heights. Differences between the binocular and monocular cases suggest the exploitation of different information. We present several techniques to help determine the operative variable(s) controlling the action. The optical variable used to initiate and guide flexion appeared to be expansion velocity (looming), rather than τ(r); extension appeared to be under the control of different variables in the monocular and binocular cases. Simulations using single variables and single perceptuo-motor intervals were of mixed success.